Director, Patient Advocate
Cshm Llc
Greater Nashville Area
*Responsible for documenting, investigating, resolving, and responding to comments, concerns, and complaints and grievances by patients.*Responsible for negotiating settlements with patients and communicating outcomes.* Developed, implemented, and participated in the grievance process and patient centered philosophy.* Analyzed and trended case data for monthly quality improvement reports. Presented data and recommendations to leadership teams.* Investigated adverse events and quality of care complaints made by employees or external sources. Coordinate such investigations with Chief Dental Officer/other applicable departments, resolves and monitors corrective action plans. * Conducted onsite reviews at CSHM Associate Dental Centers for the purposes of evaluating and ensuring compliance with all applicable Federal and State health care program requirements, and dental board requirements. *Identified systems related problems and worked with Dentists, Office Managers, and Clinical Coordinators to resolve.* Ensured materials reasonably designed to reach members of the Medicaid population -- such as CSHM’s website, newsletters, and postings at CSHM Associated Dental Practices -- include contact information for CSHM’s Compliance Hotline, state dental boards and the Office of the Inspector General of the U.S. Department of Health and Human Services.