PATIENT RELATIONS SPECIALIST - Carbondale, IL

Southern Illinois Healthcare
Herrin, IL Full Time
POSTED ON 11/24/2021 CLOSED ON 12/15/2021

What are the responsibilities and job description for the PATIENT RELATIONS SPECIALIST - Carbondale, IL position at Southern Illinois Healthcare?

Your Career. Our Company. Together, We Grow.

At Southern Illinois Healthcare (SIH), we realize that in order to provide our surrounding communities with excellent care, we must begin by providing our employees with that same care and appreciation. We offer rich opportunities to develop and grow professionally, an environment of excellence in patient care, and the awareness that everything we accomplish is a direct outgrowth of the superb efforts and dedication of our employees.

As a non-profit system of almost 4000 employees in Carbondale, IL, we have won national acclaim for our cancer, cardiac, stroke, bariatric, breast imaging, and rehabilitation services.

The Patient Relations Specialist is a Registered Nurse Role and is responsible to provide monitoring and analytical support to the Patient Relations Manager.

Responsibilities
  • Responsible for reviewing/monitoring patient relations RDE (Remote Data Entry) reporting system
  • Responsible for reviewing and resolving specific patient complaints/grievances in the form of patient satisfaction surveys, in patient visits, letters, phone calls, emails, walk-ins, and potentially other forms of communication; investigates and resolves the matter in a formal written follow-up process within CMS guidelines
  • Performs chart reviews on patient relations issues for outcomes, and potential risk issues
  • Responsible for referrals to IP, Quality, Nursing, Ancillary Depts and Admin for all Patient Relations issues and selected risk issues
  • Collaborates with managers/supervisors for responses to patient relations/selected risk issues for completion and closure within CMS guidelines
  • Performs new staff general orientation and presents at new Physician orientation as needed
  • Provides hospital back up coverage for dept when manager is unavailable and or after hours
  • Reviews patient charges for pertinent pt relation adjustments and completes adjustments
  • Investigates loss of patient items and initiates the reimbursement process when warranted with the help unit manager/supervisors
  • Directly responsible for monitoring TNT reports for pt relations
  • Directly responsible for monitoring service recovery usage for specific patients/depts.
  • Performs chart reviews/follow-up on selected risk issues, ie: uncomplicated falls/treatment events as directed by manager.
  • Assists and coordinates chairing of PSPI committee including preparing agenda and minutes for manager’s approval.
  • Assist manager with RCA identification, investigation and planning
  • Provides general clerical support for the dept, ie: maintains dept stock/supplies
  • Performs audits/chart reviews and compiles data into usable format for meetings
  • Assist in identification; evaluation, and treatment of risk events within the hospital at the direction of the Patient Relations Manager and within the framework of the goals, objectives, and mission of SIH.
Qualifications
  • Current Illinois RN license
  • Technical Experience: 3 years acute care hospital experience

#PIQnursing

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