Ombudsman Mediator - SH
Primary Location Roseville, California
Worker Location Remote
Facility Roseville Hospital
Job Number 1266384 Date posted 05/06/2024
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Description:
The HealthCare Ombudsman/Mediator functions as a trained alternative dispute professional offering patients, family members, staff and providers a conflict management program to resolve patient/ provider healthcare disputes early and quickly thereby improving patient safety and reducing the costs of health care dispute resolution. Serves as a trusted and informal information resource, communication channel, complaint handler, facilitator, consultant and practitioner for dispute resolution. Acts to seek fair and equitable solutions to patient/provider problems and for suggesting dispute resolution processes for addressing and managing conflicts and for policy and procedural changes. Brings issues to senior leadership to address care delivery improvement efforts. Promotes effective relationships/communication between patients and providers.
Job Summary:
The HealthCare Ombudsman/Mediator functions as a trained alternative dispute professional offering patients, family members, staff and providers a conflict management program to resolve patient/ provider healthcare disputes early and quickly thereby improving patient safety and reducing the costs of health care dispute resolution. Serves as a trusted and informal information resource, communication channel, complaint handler, facilitator, consultant and practitioner for dispute resolution. Acts to seek fair and equitable solutions to patient/provider problems and for suggesting dispute resolution processes for addressing and managing conflicts and for policy and procedural changes. Brings issues to senior leadership to address care delivery improvement efforts. Promotes effective relationships/communication between patients and providers.
Essential Responsibilities:
- Program Implementation: Implements the healthcare ombudsman/mediator (HCOM) program. Develops and implements an on-going communications program, including informational materials for patients and family, staff training and awareness building and materials for external audiences. Patient/Provider/Staff Ombudsman/ Mediator Process: Serves as a dispute resolution practitioner whose major function is to provide confidential and informal assistance to patients and providers in resolving patient care issues, which includes the following. Receives inquiries for dispute resolution, listens impartially and questions the patient/staff to help put the problem into perspective. Conducts informal fact-finding and gathers information, including any general background information that may be helpful to understand the overall context of the dispute and assesses the overall gravity of the situation, and meets with the parties to discuss issues. Based on an analysis of the situation, recommends options to assist the parties in the resolution of their dispute,. Serves as an impartial and independent third party for clients, focusing upon patient care issues Facilitates contact with other appropriate local/regional departments as necessary (e.g. Legal or Member Services). Collaboration and Problem Solving: Develops collaborative relationships within the Medical Center and Regional departments to provide and facilitate a fair, open and creative atmosphere. Provides feedback to senior management by tracking and analyzing types of patient and provider concerns, and in collaboration with appropriate stakeholder groups. Identifies opportunities for improvement to policies and practices which contribute to systemic conflicts, concerns and complaints. Provides internal consulting services to providers on communication and dispute resolution strategies, designed to improve individual and organizational effectiveness. Analysis and Reporting: Maintains data set to support the evaluation of the effectiveness of the program. Analyzes aggregate data/information from HCOM case experience concerning patterns of complaints. Identifies and informs upper management of patterns and trends affecting patient care. Knowledge Management: Actively participates within the KP patient safety/risk management community, by sharing successful practices and disseminating learnings (in collaboration with Regional and National Risk Management functions). Establishes and maintains external network of Ombudsman professionals to foster on-going program improvement and up-to-date information. Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time, Kaiser Permanente reserves the right to reevaluate and change job descriptions, or to change such positions from salaried to hourly pay status. Such changes are generally implemented only after notice is given to affected employees.
Basic Qualifications:
Experience
- Minimum ten (10) years of experience in clinical or management roles required.
Education
- Bachelors degree required.
License, Certification, Registration
- N/A
Additional Requirements:
- Evidence of having taken and passed a 40 or more hour Ombudsman training course or equivalent experience (usually 100+ cases) or take and pass a 40-hour or more Ombudsman training course within the first 90 days of employment.
- Evidence of having taken and passed a 40-hour or more Mediation course or equivalent experience (usually 100+ cases) or take and pass a 40 or more hour Mediation training course within the first 90 days of employment.
- Demonstrate ability to work with difficult situations with multiple interests/parties involved.
- Demonstrate analytical/data management skills.
- Demonstrate program development expertise (strategic direction, work planning, communications, implementation).
- Demonstrate excellent written and presentation communication skills.
- Demonstrate expertise in interpersonal skills, including active listening and relationship/trust/consensus building.
- Flexibility to travel to various KP and/or contracted facilities within the coverage area, as applicable, to conduct HCOM responsibilities.
- Flexibility to travel to various locations across the program for training, advanced training, workshops, and presentations.
- Must be able to work in a Labor/Management Partnership environment.
Preferred Qualifications:
- Experience in a health plan or multifaceted health care system preferred.
- Knowledge of relevant healthcare regulations (including HIPAA), accreditory standards, Ombudsman & Mediator Code of Ethics and state tort system (as it relates to medical malpractice).
- Knowledge of KP preferred.
- Masters degree in business, health care, public administration or related field preferred.
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Primary Location: California,Roseville,Roseville Hospital
Scheduled Weekly Hours: 1
Shift: Day
Workdays: Mon, Tue, Wed, Thu, Fri
Working Hours Start: 08:00 AM
Working Hours End: 05:00 PM
Job Schedule: Call-in/On-Call
Job Type: Standard
Worker Location: Remote
Employee Status: Regular
Employee Group/Union Affiliation: NUE-NCAL-09|NUE|Non Union Employee
Job Level: Individual Contributor
Department: Roseville Hospital - Med Ofc Admin - Service Area - 0208
Pay Range: $69.37 - $89.74 / hour
The ranges posted above reflect the location in the job posting. The salary range may vary if you reside in a different location or state than the location posted.
Travel: No
Remote: Work location is the remote workplace (from home) within KP authorized states.
Worker location must align with Kaiser Permanente's Authorized States policy.
At Kaiser Permanente, equity, inclusion and diversity are inextricably linked to our mission, and we aim to make it a part of everything we do. We know that having a diverse and inclusive workforce makes Kaiser Permanente a better place to receive health care, a more supportive partner in our communities we serve, and a more fulfilling place to work. Working at Kaiser Permanente means that you agree to and abide by our commitment to equity and our expectation that we all work together to create an inclusive work environment focused on a sense of belonging and wellbeing.
Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status. Submit Interest
Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status. Submit Interest
