Patient Advocate RN Full-time

#REF!•Fort Worth, TX

23h•Onsite

About The Position

The Patient Advocate RN will receive complaints and/or grievances directly from patients or others on the patient's behalf through various methods. This role involves reviewing, researching, and evaluating complaints to determine appropriate responses based on CMS guidelines and hospital policy. The Patient Advocate RN will prioritize concerns, oversee the investigation and resolution of complaints, and ensure appropriate parties are informed and involved. This position is crucial for maintaining compliance with regulatory agencies and hospital policies. The role also involves serving as the grievance coordinator, facilitating the grievance committee, preparing annual reports, and documenting all complaints and grievances. Additionally, the Patient Advocate RN will participate in Patient Safety and Risk Management by identifying potential liability and communicating concerns through the THR Claims management process.

Requirements

Associate’s degree nursing (ADN) Required
RN – Registered Nurse Upon Hire required
3 Years hospital acute care experience Required

Nice To Haves

Bachelor's Degree (BSN) Preferred
Bilingual preferred

Responsibilities

Receives complaints and/or grievances directly from patients or others on the patient's behalf by multiple methods (phone, letters, in person, etc).
Reviews, researches and evaluates complaints and grievances to determine appropriate response based on CMS guidelines and hospital policy.
Prioritize concerns in multiple or complex issues.
Oversees referral, investigation, and resolution of complaints/grievances independently and coordinates response by involved departments.
Ensures appropriate parties are informed and involved, appropriate follow-up is completed, and complaints and grievances are resolved within the outlined required time frames to keep the hospital in compliance within regulatory federal and state agencies.
Maintains compliance with the CMS Centers for Medicare and Medicaid Services Conditions of Participation, other regulatory standards and hospital policy.
Responds to government or regulatory complaints and responds to agencies as needed.
Serves as grievance coordinator for entity.
Facilitates required grievance committee as well as prepare annual reporting as outlined in the CMS Conditions of Participation.
Document 100% of complaints and grievances received.
Provides data for centralized database of patient complaints/grievances and assists with reporting of patient satisfaction/patient complaints as requested.
Participate in Patient Safety and Risk Management Operations by identifying potential liability in complaints received.
Identify and communicate potential liability concerns through the THR Claims management process.
If a potentially compensable event is identified from a complaint, complete a new case review summary.