Complaints Specialist

The Spec, Complaints is processes quality-of-care complaints, grievances, and incidents. Duties include all aspects of clinical quality of care complaint and incident investigations including documentation, interviews, obtaining responses from providers or facilities, reviewing medical records, staffing findings with the medical director, and resolution processes. This position requires knowledge of standards of care, identification of trends and include audit activity of medical records. The CQS is responsible for clearly written reports, and monitoring compliance.