Contacts: Contact with patients, former patients, billing department representative, and management daily. Referrals to other resources daily to include, but are not limited to nurse managers, administration, medical staff, nurse peer review, Quality Department, risk management Department, Patient Experience Department, and Human Resources. Contact with executive staff and system employees. Contact with corporate attorney’s and outside counsel.
Responsible for pulling monthly reports from systems to ensure the resolution process for both ACT and grievances has been completed timely and follow-up with managers and/or Administration regarding same; ensure resolution documentation has been entered on all Tier II and III levels of ACT for all complaints. Responsible for pulling monthly reports from incident reporting system to ensure the resolution process for both ACT and grievances has been completed timely and follow-up with managers and/or Administration regarding same; ensure resolution documentation has been entered on all Tier II and III levels of ACT for all complaints. (25%)
Education: Bachelor’s degree required. Paralegal certificate preferred.