Patient Advocate II - Emory University Hospital Midtown ID- 10680

About the position

The Patient Advocate II at Emory University Hospital Midtown plays a crucial role in managing patient complaints and grievances, ensuring regulatory compliance, and enhancing the overall patient experience. This position involves collaboration with various stakeholders to resolve issues, provide guidance on patient rights, and support service facilitation requests. The advocate serves as a voice for patients, identifying barriers to service and working towards effective resolutions while adhering to federal regulations and hospital policies.

Responsibilities

  • Manage the investigation, management, regulatory compliance, and resolution of patient complaints and grievances.
  • Collaborate with team members and external resources to support service facilitation requests.
  • Resolve quality of service and quality of care complaints in compliance with regulatory guidelines.
  • Serve in an advisory role to share the voice of the patient and support patient experience strategy.
  • Investigate complaints and grievances, collaborating on issue clarification and policy review.
  • Ensure timely intake, prioritization, and delegation of patient complaints and grievances.
  • Lead the creation and distribution of reports for Grievance Review Committee and regulatory agency visits.
  • Create and analyze reports from Risk Management documentation for trends and improvement opportunities.
  • Collaborate with Patient Financial Services on billing complaints as needed.
  • Conduct daily rounds in clinical areas to provide real-time coaching and address concerns.
  • Prepare and present patient advocacy training classes, including new employee orientation.
  • Respond to inquiries from insurance companies regarding quality of care and service concerns.
  • Document investigations and resolutions in the event management system accurately and thoroughly.
  • Engage with leadership to assess case consequences and make recommendations for timely resolution.
  • Facilitate multi-disciplinary groups and arrange family meetings for complaint resolution.
  • Work closely with risk managers to identify and investigate potential claims or lawsuits.
  • Manage the formal grievance process according to CMS rules and EHC policy.
  • Advise on content for patient-facing communications to improve patient experience.
  • Design appropriate service recovery gestures, including monetary compensation and reimbursement.

Requirements

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  • 3-5 years of customer service or case management experience.
  • Healthcare experience working with clinical teams and/or patients preferred.
  • Demonstrated conflict management and problem-solving skills.
  • Proficiency in computer programs such as customer databases, Microsoft Office, and electronic medical record systems.
  • Ability to work independently and manage multiple tasks effectively.

Nice-to-haves

  • Bachelor's Degree in healthcare preferred.
  • Associate degree or case management/customer service experience.

Benefits

  • Comprehensive health benefits starting from day one.
  • Student Loan Repayment Assistance & Reimbursement Programs.
  • Family-focused benefits.
  • Wellness incentives.
  • Ongoing mentorship, development, and leadership programs.
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