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Patient Advocacy Coordinator

Location: Diamond Bar
Posted on: September 24, 2022

Job Description:

Align with an organization that has a reputation for excellence! Cedars-Sinai was awarded the National Research Corporation's Consumer Choice Award 19 times for providing the highest-quality medical care in Los Angeles. We also were awarded the Advisory Board Company's Workplace of the Year. This recognizes hospitals and health systems nationwide that have outstanding levels of employee engagement. We offer an excellent benefit's package that includes healthcare, a 403(b) and paid time off, along with competitive compensation. Join us! Discover why U.S. News & World Report has named us one of America's Best Hospitals.What you will be doing in this role:Under the direction of the Manager of Patient Advocacy in the Office of Patient Experience, assists in and carries out the daily activities of the Section, with special emphasis on the Medical Center's complaint and feedback process. Acting as a liaison between Administration and the complainant, or Health Plans, the Patient Advocacy Coordinator works closely with relevant partners from across the organization in the coordination and management of patient complaints and grievances. Ensures documentation, investigation, resolution and follow-up in accordance with Medical Center policy, accreditation, regulatory and licensing requirements. Responsibilities include coordinating the daily activities of the department as they relate to complaints and grievances lodged by health plans, admitted, or discharged patients. This includes providing on-site rounds with patients and families, and handling high profile and/or complex situations by serving as an intermediate link between the complainant and management. Key responsibilities of this position include staff training and mentoring. Assists with outreach, and education regarding grievance processes with key collaborators. Data maintenance and production/analysis of data reports related to the patient complaint and grievance process. I this role you:

Act as a liaison between the patient/family, Health Plans, Medical Staff Officers, Senior Leadership, service line and nursing management in the execution of the patient complaint and grievance processes.Provide on-site rounds, meeting face to face with patients and families to assist in addressing concerns at the point of care and working collaboratively with clinical staff to document, call out, and resolve issues as appropriate.Analyze the level of complaint(s) and determine appropriate interventions and escalations to unit management, Executives, Department Chairs, Peer Review, or Executive Leadership, ensuring all concerns are thoroughly assessed. Coordinates Patient Complaint and Grievance Process assuring timely and accurate triage, acknowledgment, follow-up, response and closure of complaints and grievances. Review follow-up responses to assure the complainants concerns are appropriately addressed, seeks out additional information as needed. In addition, judgment and experience are employed when preparing and signing acknowledgments and follow-up response letters. Assures the complainants concerns are appropriately addressed.Works collaboratively with relevant partners including Medical Affairs, Risk Management, Legal Affairs, Privacy Office, Patient Financial Services, and others to provide thorough resolution and outcome to the nuances within complaints and grievances.Performs accurate and timely data entry of all complaint information into the corresponding system databases. Establishes and maintains uniform, organized filing system and database records.Refers all complaints and compliments in accordance with established process. Reports follow-up findings for MD Feedback cases to Medical Staff Leadership on a recurring basis.Monitors expected turnaround for follow-up responses, documents and subsequent interactions with complainants in the corresponding systems.Acts as a resource and serves to educate others within the institution regarding the grievance process. Shares knowledge and guidance regarding de-escalation and conflict resolution and handling customer service issues.Assists in the development and presentation of educational outreach material, as needed. Including giving presentations regarding the complaint/grievance process, insurance grievances, or CS-Safe data reports related to the complaint/grievance process.Provides initial training and ongoing mentoring of new staff within the Patient Advocacy Department, serves as a role model and mentor for exemplary customer service at CS and MDRH. Serves as a source of advice, knowledge, guidance and direction in handling patient service issues and complaints. Primary Duties and ResponsibilitiesPerforms other duties as assigned. This includes performing clerical duties as needed including, coordination and implementation of processes and programs foundational to the mission of the Office of Patient Experience and Cedars-Sinai.
Associate of Arts or Sciences degree in Business, Healthcare or similar major required. Bachelors' degree in Business, Healthcare, or other similar major preferred.A minimum of two years of experience in a customer service related position handling customer complaints required.One year of experience in a healthcare setting with general knowledge of hospital systems and functions preferred.Why work here?Cedars-Sinai takes pride in hiring the best employees. Our accomplished staff reflects the culturally and ethnically diverse community we serve. They are proof of our dedication to creating a dynamic, inclusive environment that fuels innovation.
Working Title:Patient Advocacy Coordinator
Department:CSMC Patient Advocacy
Business Entity:Clinical & Support Services
Job Category:,Patient Services,Patient Services
Job Specialty:Patient Services
Position Type:Full-time
Shift Length:8 hour shift
Shift Type:Day

Keywords: CEDARS-SINAI, Diamond Bar , Patient Advocacy Coordinator, Other , Diamond Bar, California

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