We are so glad you are interested in joining Sutter Health! **Organization:** SMF-Sutter Med Foundation- Central **Position Overview:** The Grievances & Appeals Specialist RN supports the patient and family experience by addressing questions and offeringinformation, in support of patient-focused clinical services. Serves as liaison between patient and hospital staff while functioning as a patient advocate interfacing with patients, families, staff and hospital administration; assists patients in interpreting hospital policies, procedures and services, and in obtaining solutions to problems and concerns. Problems encountered are often clinical in nature and of a high level of complexity requiring a great deal of innovation. Collaborates closely with managers, physicians and staff throughout the organization. Collaboration across Administration, Quality, Legal and Risk Management Services is required on a frequent basis for complex medical legal issues. Assists staff members who request intervention in diffusing difficult or volatile patient situations. **Job Description** : **EDUCATION:** Graduate of an accredited school of nursing **CERTIFICATION & LICENSURE:** RN-Registered Nurse of California **TYPICAL EXPERIENCE:** 2 years recent relevant experience **SKILLS AND KNOWLEDGE:** Thorough knowledge of National Patient Safety Goals, ECRI, Occupational Safety and Health Administration (OSHA) standards. Thorough knowledge process improvement tools including meeting management, data collection/analysis, trending, report/letter writing, targeted education and presentation skills. Ability to effectively and accurately complete investigation of occurrence reports, soliciting leadership involvement, team building, assisting with learning activities. Ability to conduct a thorough and credible intense analysis to ascertain proximal causes of adverse events or near misses. Ability to manager patient grievances to protect patient rights, identify opportunities for improvement, and reduce potential exposure. The Joint Commission, Title 22 and (Center for Medicare and Medicaid Services) CMS requirements and standards such as performance improvement, patient safety, and grievance management. Local, State and Federal laws / regulations pertaining to acute care hospital risk management. The principles and practices of accident prevention, including knowledge of basic State and Federal occupational safety and health regulations. **Job Shift:** Days **Schedule:** Full Time **Shift Hours:** 8 **Days of the Week:** Monday - Friday **Weekend Requirements:** None **Benefits:** Yes **Unions:** No **Position Status:** Non-Exempt **Weekly Hours:** 40 **Employee Status:** Regular Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $71.94 to $94.23 / hour _The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate’s experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package._ _​_