Aya Healthcare has an exciting 26 week contract as a Experience of Care Specialist II role located in Burlingame, CA!

Job Details:

JOB TITLE

Experience of Care Specialist

II CONTRACT DURATION

26 week contract with possibility of extending

SHIFT:

Day Shift M-F 8-5pm Provides all Equipment

LOCATION

Burlingame, CA

ONBOARDING TIME

Expect 2-3 weeks from offer acceptance to start date.

PAY:

$35-38hr

DETAILS ABOUT THE EXPERIENCE OF CARE SPECIALIST II

Requirements:

Bachelor's degree in Business Administration, Nursing, Social Work, or other healthcare-related field, or equivalent education/experience 2+ years of recent relevant experience in patient relations, patient advocacy, grievance management, or a related healthcare setting Experience investigating patient complaints, grievances, and quality of care concerns Knowledge of CMS Conditions of Participation and regulatory requirements related to grievance and complaint management Experience reviewing medical records and synthesizing findings into clear written documentation Strong written and verbal communication skills with the ability to prepare compassionate, professional correspondence Ability to manage a high-volume caseload while meeting regulatory response timelines Proficiency in Microsoft Office, email, calendar, databases, and department-specific software Ability to collaborate with physicians, leaders, Risk Management, Legal, and multidisciplinary teams Strong conflict resolution, mediation, analytical, and problem-solving skills in a fast-paced healthcare environment

Preferred Requirements:

Experience in an acute care hospital or integrated healthcare system Experience partnering with Risk Management, Legal, or Quality departments Knowledge of patient experience improvement initiatives and patient-centered care principles Experience facilitating case conferences and multidisciplinary investigations Demonstrated cultural competence and sensitivity to diverse patient populations Ability to work independently while managing complex, high-priority cases Summary /

Duties:

The Grievances & Appeals Specialist supports the patient and family experience by investigating complaints, grievances, concerns, and feedback involving quality of care, provider interactions, hospital policies, and potential liability issues. This patient-facing role conducts interviews, reviews medical records, evaluates policies and procedures, collaborates with physicians, department leaders, Risk Management, and Legal, and develops resolution plans that comply with CMS regulatory requirements and Sutter Health policies. The specialist documents investigations, communicates outcomes to patients and staff, provides conflict resolution and crisis intervention, facilitates case conferences, and partners with leadership on quality improvement initiatives while managing multiple complex cases within required response timelines.

AYA DELIVERS

…

• Front-of-the-line access to exclusive jobs at thousands of healthcare facilities nationwide.
• A robust team to support you every step of the way to ensure you start on time, have accurate payroll and an exceptional experience.
• A credentialing specialist to streamline the entire compliance process.
• And of course, you get the usual benefits such as: o Premium medical, dental, vision and life insurance beginning day one of your assignment.

o Pay listed above includes taxable wages and tax-free expense reimbursements, when applicable. Aya Healthcare is an Equal Opportunity Employer and encourages all to apply!

Pay:

$35.00 - $38.00 per hour

Benefits:

Dental insurance Health insurance Vision insurance Application Question(s): Are you okay with a 26 week contract? Do you have 2+ years of recent relevant experience in patient relations, patient advocacy, grievance management, or a related healthcare setting? Do you have experience investigating patient complaints, grievances, and quality of care concerns? Ability to

Commute:

Burlingame, CA 94010 (Required)

Work Location:

In person