patient resolution specialist.

Are you a master of resolution with a heart for patient advocacy? Our client is seeking a Patient Resolution Specialist to serve as a vital link between their patients and their clinical leadership. In this role, you won’t just manage complaints—you will lead the investigation into quality-of-care concerns, ensuring every voice is heard and every regulatory standard is met.

This is a non-clinical, administrative position focused on the complex landscape of formal grievances and appeals. You will navigate sensitive situations with professionalism, drafting formal responses and collaborating with Legal and Risk Management teams to uphold our commitment to excellence.

 

salary: $35 - $38 per hour
shift: First
work hours: 8 AM - 5 PM
education: High School

Responsibilities

•  Lead the end-to-end resolution process for formal patient complaints and appeals in strict alignment with CMS and Joint Commission standards.
• Conduct deep-dive investigations into service-related and quality-of-care concerns, interviewing stakeholders and reviewing documentation.
• Draft high-level, formal written responses to patients and families that are compassionate, clear, and legally sound.
• Partner with clinical leadership, Legal, Risk Management, and Quality teams to identify trends and mitigate institutional risk.
• Ensure all cases meet rigorous documentation standards and federal/state timeline requirements.

Skills

Alternative Dispute Resolution

Analytical Thinking

Risk Management

Medicare Compliance

Qualifications

Years of experience: 5 years

Experience level: Experienced

Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.

Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.

Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).

This posting is open for thirty (30) days.