Patient Experience & Clinical Grievances Navigator

Lucile Salter Packard Children's Hospital at Stanford; Palo Alto (CA); On-site; USD 105,000 - 131,000; Full time

Job summary

Lucile Packard Children’s Hospital Stanford is seeking a Clinical Reviewer to assess complaints and grievances, ensure regulatory compliance, and triage cases to the appropriate clinical teams. You will conduct concurrent and retrospective chart reviews of inpatient and outpatient records, collaborate with medical management, and respond with impartial, standards-based conclusions.

Qualifications include an RN license, a bachelor’s degree, and at least three years of related experience.

Qualifications

• RN license required.
• Bachelor's degree in a work-related discipline/field.
• Minimum 3 years of related experience.
• Clinical terminology knowledge and ability to discuss patient care with clinicians.

Responsibilities

• Review clinical cases and grievances for regulatory compliance.
• Conduct concurrent and retrospective chart reviews.
• Collaborate with medical management and Patient Relations.
• Develop written responses to complex grievances following established pathways.
• Act as a liaison between patients, hospital staff and community.

Skills

Clinical terminology knowledge

Communication skills

Diplomacy

Organization

Problem solving

Education

Bachelor's degree in a work-related discipline

RN license

3 years of related experience

Job description

Lucile Packard Children’s Hospital Stanford is seeking a Clinical Reviewer to assess complaints and grievances, ensure regulatory compliance, and triage cases to the appropriate clinical teams. You will conduct concurrent and retrospective chart reviews of inpatient and outpatient records, collaborate with medical management, and respond with impartial, standards-based conclusions.

Qualifications include an RN license, a bachelor’s degree, and at least three years of related experience.