Greenlife Healthcare Staffing

Medical Reviewer

• Conduct utilization reviews up to and including the appeal level. This includes chart screen, completing electronic worksheets, entering the required information, and making level one denial decisions when necessary.
• Conduct quality and clinical study data collection reviews. This includes a chart review, complete detailed electronic data worksheets.
• Act as a resource for the administrative staff in training, problem-solving, and clarifying procedures. Will provide technical assistance and conduct/participate in staff huddles.
• Participate in collaborative training specific to clinical study objectives.
• Other activities as may be deemed necessary.

Registered Nurse Clinical Reviewer

Bilingual

• Provide comprehensive psychiatric evaluations and ongoing care to patients.
• Diagnose and treat a wide range of mental health conditions.
• Develop and implement individualized treatment plans, including medication management and therapy.
• Conduct hybrid sessions, including both in-person and telehealth appointments.
• Collaborate with primary care providers and other specialists within the multi-specialty practice.
• Maintain accurate, timely, and compliant medical documentation.
• Provide culturally competent care to Spanish-speaking patients.

Psychiatrist, Bilingual in Spanish

• Provide culturally competent mental health services to a diverse patient population
• Collaborate with multidisciplinary teams
• Participate in assessing and diagnosing psychological conditions
• Develop and implement treatment plans and interventions

Psychologist, Bilingual in Spanish

• Conduct reviews up to and including the appeal level. This includes chart screen, compiling regulatory guidance, researching insurer requirements, completing electronic worksheets, and preparing final determinations.
• Act as a resource for the administrative and clinical staff in training, problem-solving, and clarifying determinations. Will provide technical assistance and conduct/participate in staff huddles.
• Participate in collaborative training
• Other activities as may be deemed necessary

Registered Nurse Clinical Reviewer

Psychiatrist, Bilingual in Spanish

Psychologist, Bilingual in Spanish

RN Clinical Reviewer – IDR