Greenlife Healthcare Staffing

• The position is 100% remote with up to 75% travel. • The Surveyor will serve as a team member or team leader on various types of surveys (i.e. re-certification, comparative, complaint investigation, and revisits) for long-term care and non-long-term care surveys. • Surveys require preparations such as off-site preparation, tour of the facility, observation of care, record review, interviews of staff and families, etc. • Determine if care, treatment, and services are consistent with Federal requirements. • Evaluate many aspects of the healthcare facility system from quality of care to consumers’ rights and physical plant. • Communicate the non-compliance issues with key personnel throughout the site review and during the exit conference. • Determine if a plan of correction is acceptable. • Conduct follow-up visits and monitoring surveys to ascertain if facilities’ plans of correction to resolve the deficient practice have been implemented. • Assist with facility and bureau training. Participate in work groups as needed.

• Provide expert medical reviews for the Veterans Administration. • Leverage clinical expertise to conduct objective reviews of wound care cases. • Contribute to quality improvement and patient safety initiatives. • Manage a flexible schedule while conducting reviews. • Participate in quality management reviews in a timely manner.

• Work in a technically exciting environment supporting internal and external customers nationwide. • Function as a Registered Dietitian Health Care Facility Surveyor.

**Position Overview:** We are seeking a skilled **Infectious Disease Physician** to join a **Federally Qualified Health Center (FQHC) / Community Clinic** in **Zachary, LA**. This role involves providing clinical leadership, overseeing outpatient care, and ensuring compliance with healthcare regulations while delivering high-quality patient care. **Key Responsibilities:** - Directs and coordinates medical care at the outpatient clinic. - Serves as a clinical director and physician for the outpatient clinic. - Provides clinical supervision for outpatient clinic staff: nurse practitioners, nurses, physician assistants, etc. - Participates in administrative decision making, establishes policies, procedures and guidelines designed to ensure the provision of adequate, comprehensive care. - Communicates with the medical staff regarding policies, standards and specific patient problems. - Serves as a member of the organized medical staff, attends medical staff meetings and ensures adherence to the medical staff bylaws and rules and regulations. - Participates in the development and implementation of educational programs at the clinic for staff and the community. - Able to evaluate medical services provided by the outpatient clinic and makes recommendations as appropriate. - Understands and ensures compliance with the clinic's policies and procedures for safety, infection control, hazardous materials and waste, etc. - Available for consultation for outpatient clinic staff. - Knowledgeable of social, regulatory, political and economic factors that relate to patient care services. - Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors. - Monitors and evaluates the quality and appropriateness of medical services as an integral part of the overall quality management program. - Provides medical leadership for research and development activities in outpatient care. - Provides direct patient medical care: - Performs histories and physicals - Makes diagnoses - Treat a variety of disease processes and acute injuries - Orders appropriate diagnostic tests and treatments - Prescribes drugs and regulated medical devices - Provide preventive healthcare education to patients and the community - Refers patients to other healthcare professionals as appropriate - Takes patient phone calls as needed - Provides clinical training to nurses and other staff

• Work in a technically exciting environment supporting internal and external customers nationwide. • Provide consultation and survey services in long-term care settings. • Ensure compliance with regulatory requirements and standards. • Collaborate with multi-disciplinary teams on quality improvement initiatives.

• 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.

• 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

• Conduct utilization reviews up to and including the appeal level, including chart screens, completing electronic worksheets, and making level one denial decisions when necessary. • Perform quality and clinical study data collection reviews, which involve detailed chart reviews and completing electronic data worksheets. • Act as a resource for administrative staff by providing training, technical assistance, problem-solving, and clarifying procedures. • Participate in collaborative training specific to clinical study objectives and staff huddles. • Perform other duties as assigned to support the team and organizational goals.

• Review clinical documentation for accuracy and completeness • Support coders by providing clinical insight and clarification • Assist with audit reviews and quality improvement • Query providers for missing or unclear clinical details • Stay updated on coding and clinical documentation regulations

• Perform detailed retrospective and prospective coding audits • Prepare audit findings and summary reports • Identify compliance risks and recommend corrective actions • Provide education to coders and clinical staff