Description

Bachelor's degree in Business Administration, Nursing, Social Work, or other healthcare-related field, or equivalent education/experience
2+ years of recent relevant experience in patient relations, patient advocacy, grievance management, or a related healthcare setting
Experience investigating patient complaints, grievances, and quality of care concerns
Knowledge of CMS Conditions of Participation and regulatory requirements related to grievance and complaint management
Experience reviewing medical records and synthesizing findings into clear written documentation
Strong written and verbal communication skills with the ability to prepare compassionate, professional correspondence
Ability to manage a high-volume caseload while meeting regulatory response timelines
Proficiency in Microsoft Office, email, calendar, databases, and department-specific software
Ability to collaborate with physicians, leaders, Risk Management, Legal, and multidisciplinary teams
Strong conflict resolution, mediation, analytical, and problem-solving skills in a fast-paced healthcare environment

Key Skills

Education

Bachelor's degree