Participant Satisfaction Coordinator

BETHESDA GROUP•Colorado Springs, CO

2d•$26 - $29•Onsite

About The Position

The Participant Satisfaction Coordinator is responsible for addressing participant and caregiver grievances as required by State and Federal regulations. This person is solution oriented and collaborates with department leaders to provide creative, thoughtful, participant centered resolutions. The Participant Satisfaction Coordinator’s responsibility is to increase participant/caregiver satisfaction with Rocky Mountain Health Care Services while maintaining the highest quality of care for the individuals being served by our program.

Requirements

Minimum: high school diploma or equivalent with 2+ years of health care experience related to the grievance process or quality assurance programs.
2+ years of experience in healthcare, long-term care, or social services.
Prior experience with grievance, appeals, or compliance processes.
Familiarity with CMS regulations and state guidelines for PACE or other managed care programs.
Experience working with older adults and/or individuals with complex medical and social needs.
Understanding of grievance and appeals processes under federal and state regulations, especially those pertaining to PACE.
Knowledge of participants’ rights and responsibilities under Medicare/Medicaid.
Excellent communication skills — able to speak with empathy, clarity, and professionalism.
Strong documentation and report-writing skills.
Ability to analyze patterns or trends in grievances and recommend systemic improvements.
Proficiency in Microsoft Office and electronic health record (EHR) systems.
Strong interpersonal skills and cultural sensitivity.
Ability to maintain confidentiality and handle sensitive information.
Problem-solving mindset with a focus on participant-centered care.
Team-oriented but capable of working independently.

Nice To Haves

Bachelor’s degree in Social Work, Nursing, Gerontology, or a related field.

Responsibilities

Supporting a culture of quality and compliance within Rocky Mountain Health Care Services.
Having a professional and cooperative working relationships with RMHCS leadership and RMHCS Quality and Compliance department.
Demonstrates critical thinking and problem solving on a consistent basis.
Manages grievances using a participant centered approach.
Adheres to all State and Federal regulations as it pertains to grievances and quality improvement.
Provides education on the grievance process to participants, caregivers, contracted partners and RMHCS associates.
In collaboration with the RMHCS Leadership, reviews trends, identifies cause of any adverse trends and implements quality improvement activities as appropriate.
Utilizes appropriate tools/methodologies to effectively measure project outcomes.
Assists with completion, submission and follow up of Corrective Action Plans.
Assists with Federal and State survey readiness.
Responsible for having a strong working knowledge of the current electronic health record.
Is a member of the RMHCS Quality Improvement Committee.
Participates in the Participant Advisory Committee.
Facilitates the Caregiver Advisory Committee.
Conducts the Participant/Caregiver Satisfaction Survey annually.
Other duties as assigned.