Description

You will investigate patient complaints and grievances, ensuring compliance with CMS Conditions of Participation and regulatory requirements.

This role is on-site.

Responsibilities

• Review medical records and synthesize findings into clear, professional written documentation.
• Investigate patient relations issues, grievances, and quality of care concerns.
• Manage a high-volume caseload while meeting strict regulatory response timelines.
• Collaborate with physicians, Risk Management, Legal, and multidisciplinary teams to resolve conflicts.
• Prepare compassionate and professional correspondence regarding complaint outcomes.

Required Skills

• 5+ years of recent relevant experience in patient relations, advocacy, or grievance management.
• Deep knowledge of CMS Conditions of Participation and healthcare regulatory requirements.
• Strong analytical and problem-solving skills for conflict resolution and mediation.
• Proficiency in Microsoft Office, email, calendar management, and databases.
• Bachelor's degree in Business Administration, Nursing, Social Work, or healthcare-related field.
• Excellent written and verbal communication skills.

Key Skills

Education

Bachelor's degree