Patient Representative

New Haven, CT
Feb 11, 2019


Job Description

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values-integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.


Under the supervision of the Manager of Patient Relations, the Patient Representative is responsible for problem resolution, preemptive interventions, and serving as an internal consultant to assigned areas related to maximizing patient satisfaction, process and system improvements. The incumbent must be knowledgeable in and comply with regulatory provisions concerning patient rights, as case work is under scrutiny by regulatory agencies, including CMS, the State of Connecticut Department of Public Health, and JCAHO. The patient representative collaborates with multi-disciplinary teams to create a patient and family centered care environment, resolve patient and family issues, and enhance patient service excellence in assigned areas. Partners with patients, families and hospital staff to collaborate on system changes and serves as a role model in all Patient and Family Center Care initiatives for the institution. The patient representative collaborates with multi-disciplinary teams to improve patient satisfaction, resolve patient issues, and enhance patient service excellence in assigned areas., Partners with hospital management to collaborate on system changes and serves as a role model in all Patient and Family center care initiatives for the institution., Provides specific avenues through which patients may seek solutions to problems, concerns, unmet needs and grievances. Serves as an advocate for patients and their families as needed. Partners with hospital and management staff at all levels of the organization to promote and negotiate positive outcomes and coordinated care for patients and families. Patient representatives adhere to the sound principles and ethics of patient representation and CMS guidelines for complaint and grievance resolution. In addition they identify opportunities and work with staff to implement patient satisfaction and service excellence initiatives by addressing patient concerns, and through trend analysis of patient feedback data.

  • 1. Serves as an interpreter of patient rights for patients, families, and staff. Insures the understanding and adherence by both hospital staff and patients of the hospital's philosophy on patients' rights and responsibilities.
  • 2. Represents administration, as delegated by the Board of Trustees, and responds to, researches and resolves the complaints and grievances of patients following the guidelines for Conditions of Participation set forth by CMS.
  • 3. Interprets the Hospital's philosophy, policies, procedures and services to patients, their families and guests, providing timely, accurate, written documentation and follow-up.
  • 4. Works effectively and competently with a diverse patient and staff population and responds to patient and staff calls for assistance by the end of the day received.
  • 5. Monitors and assists staff with family waiting lounges to insure they are safe and meeting the needs of families. Makes rounds on waiting areas as necessary to support families.
  • 6. Identifies and evaluates patient's perception of services. Strives to reach consensus. Promotes the establishment and maintenance of meaningful relationships with hospital staff to enhance the delivery of health care. Serves as a liaison between identifying and articulating both the patient's and the staff perspective.
  • 7. Communicates with nursing leadership to identify patient and family issues requiring intervention.
  • 8. Researches and resolves patient issues as appropriate, following departmental timelines and standards. Answers inquiries and solves complaints with the involvement of appropriate hospital staff members, acting as an intermediary to hospital staff and administration on behalf of patients and their families.
  • 9. Responsible for patient complaint and grievance management, maintains patient-specific files and complaint tracking systems, consistent with hospital policy and departmental standards for documentation. Formulates written responses for appropriate signatures.
  • 10. Works in collaboration with other members of the Patient Relations team and promptly investigates patient property issues and maintains systems for tracking loss complaints and associated reimbursements. Resolves lost property complaints efficiently, keeping patient informed of status of resolution. Exercises sound financial management practices in researching complaints and mitigating losses.
  • 11. Responds to all patient and family calls immediately immediately with follow-up to the caller provided the same day the call is received. Is available to respond to patient assistance line calls at all times during the Hospital workday.
  • 12. Channels collected data and information about patient care concerns, needs and problems to appropriate departments, and the Manager, in order to make recommendations for changes in hospital procedures and practices. Meet with patients, patient families and physicians to collect appropriate data.
  • 13. Works collaboratively with unit based staff to implement service recovery initiatives.
  • 14. Participates in hospital wide efforts to enhance service excellence initiatives. Acts as an advisor to assigned areas to develop and implement process improvement initiatives.
  • 15. Performs statistical analysis of patient satisfaction data. Facilitates efforts to analyze trends in data, which support corrective action. Serves as a member of unit and service line teams to assist with the implementation of patient satisfaction initiatives.
  • 16. Organizes and facilitates family meetings for complaint and grievance resolution.
  • 17. Provides patients with information related to appropriate services and resources within Yale-New Haven Hospital and the surrounding community.
  • 18. Assists with supervision and training of volunteers assigned to Patient Relations.
  • 19. Participate in continuing education program to improve negotiating, mediating, consensus building and interpersonal skills.
  • 20. Performs any other related functions as assigned.
  • 20.1. Performs any other related functions as assigned.

    Other information:


    Bachelor's degree required in Human Services, Social Work, Nursing, Psychology, or related field. Masters degree preferred.


    Three to five (3-5) years experience in a healthcare institution including demonstrated experience in problem solving, written correspondence/documentation and the ability to handle sensitive issues with minimal supervision. Experience in patient relations, nursing, or other clinical work preferred.


    Excellent interpersonal and communication (both oral and written) skills. Consensus building skills. Skills to diffuse charged situations. Excellent negotiating skills. Ability to work independently and in a collaborative fashion with other staff. Competency in technology to support patient complaint management and reporting, including Word, Excel, Access and PowerPoint. Computer literate with an ability to learn a variety of software to facilitate patient satisfaction initiatives. Expertise in statistical interpretation strongly preferred.

    As part of the department charged by the Board of Trustees for complaint and grievance management, the incumbent is held accountable for providing an effective liaison service between patients and the hospital in the resolution of problems, concerns and unmet needs as outlined by CMS, DPH and JCAHO. Responsible for recommending new programs, procedures and policies to improve and advance patient satisfaction initiatives and family centered care. Responsible for recommending new programs, procedures and policies to improve and advance Patient Centered Care at YNHH.

    Proactively and effectively resolve patient concerns while acting as a representative of hospital administration.Negotiates outcomes for complex situations and issues on behalf of the hospital leadership team. Promotes meaningful relationships with hospital staff to enhance the delivery of healthcare, and the patient and family experience. Works with front-line staff, physicians and senior management to resolve patient issues.

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    Job Info

    Job: 5614

    Department: System Patient Experience
    Category: Admin Support
    Status: Full Time
    Shift: DAYS
    Hours: 40.00