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Member and Recipient Grievance and Complaint Coordinator

extra holidays - fully flexible
Remote: 
Full Remote
Contract: 
Salary: 
53 - 67K yearly
Experience: 
Mid-level (2-5 years)
Work from: 
North Carolina (USA), United States

Offer summary

Qualifications:

Associate's or Bachelor's degree required, Minimum four years experience with adult mental health, or two years with Bachelor's, Must have valid driver's license, Reside in North Carolina for remote status, Preferred experience in crisis intervention.

Key responsabilities:

  • Coordinate grievance and complaint module
  • Evaluate and investigate grievances and complaints
  • Maintain timely adjudication of grievances
  • Ensure timely updates and notifications sent
  • Keep records and files organized
Trillium Health Resources logo
Trillium Health Resources Insurance SME https://www.trilliumhealthresources.org/
501 - 1000 Employees
See more Trillium Health Resources offers

Job description

Pay Plan Title: Coordinator

Working Title: Member and Recipient Grievance and Complaint Coordinator

FLSA Status: Exempt

Posting Salary Range: $53,045 - $66,837

Office Location: Remote in the Southern Region                            

POSTING DETAILS:

Make an Impact  

Trillium Health Resources is a local governmental agency (LME/MCO) in North Carolina that manages serious mental health, substance use, and intellectual/developmental disability services. Serving in 46 counties, we help individuals, and their families strengthen well-being and build foundations for a healthy life.

Join our team as we empower others to live their best lives by providing access to quality healthcare. We offer a challenging, engaging work environment where staff take home more than a paycheck. Every day, we see the results of our dedication – in the smiles of children on our accessible playgrounds and in the pride on the face of an adult cooking a meal for the first time. Working at Trillium Health Resources is more than just a job; it is an opportunity to make a direct impact on the communities we serve.

At Trillium, we know that empowering others begins with supporting and developing our team. That’s why we offer competitive benefits and work-from-home flexibility so that our employees thrive outside of the office. We’re also committed to building a diverse, inclusive culture where all employees have the potential to grow professionally and personally.

What We’re Looking For:

Trillium Health Resources is seeking a coordinator for our grievance and appeals unit. This role plays a crucial part in maintaining a high level of member and provider satisfaction and compliance of regulations. You will coordinate and monitor grievances and complaints and maintain reporting and statistics. 

 

On a typical day, you might:

  • Coordinate and maintain grievance and complaint module.
  • Evaluate and investigate grievances and complaints.
  • Maintain and adjudicate member and recipient grievances and complaints in timely manner
  • Ensure notification letters are updated and sent to the grievant/complainant 
  • Update grievance/complaint portal and spreadsheets
  • Ensure grievances and complaint files are maintained

Employee Benefits:

Trillium knows that work/life balance is important. That’s why we offer our employees competitive benefits and flexibility that is second to none. Take a look at what we have to offer:

  • Typical working hours are 8:30am-5pm
  • A remote work option available for most positions
  • Health Insurance - no premium for employee coverage
  • Flexible Spending Accounts
  • Paid Time Off (PTO) of 24 days, plus 12 paid holidays within first year of employment
  • NC Local Government retirement pension. This is a defined-benefit retirement plan that will pay you a monthly amount upon retirement, for the rest of your life, with as little as five years of service. For more information, go to: https://files.nc.gov/retire/documents/files/Actives/LGERSHandbook.pdf
  • 401k with 5% employer match & immediate vesting
  • Public Service Loan Forgiveness Qualifying Employer

Qualifications: 

Education: Associate or Bachelor

Experience:

  • Associate’s degree and minimum four (4) years’ experience working with the adult mental health, developmental disabilities or substance use population. OR 
  • Bachelor’s degree and minimum two (2) years’ experience working with the adult mental health, developmental disabilities or substance use population. OR
  •  Equivalent combination of education/experience. 

 

Preferred Experience: Prefer experience providing crisis intervention or crisis response to individuals within the mental health, developmental disabilities, or substance abuse population.

License/Certification:

Must have a valid driver’s license

Must reside in North Carolina to be considered for remote status

Deadline for application: 10/23/2024 at 11:59 pm

To be considered for employment, all candidates are required to submit an application through ADP and upload a current resume.  Your resume must provide your level of education and detailed work experience, including: 

  • Employer Name
    1. Dates of service (month & year)
    2. Average number of hours worked per week
    3. Essential duties of the job as related to the position you’re applying for
  • Education
    1. Degree type
    2. Date degree was awarded
    3. Institution
  • Licensure/certification, if applicable

After submitting your application through our career center in ADP, your resume will be reviewed to ensure that your skills and experience meet the essential criteria for the role you have applied for.

Join our Talent Community through our ADP career center to stay informed about positions you may qualify for. Remember to keep an update resume in the Talent Community profile. 

The diversity of the communities we serve is reflected in our employees. Trillium Health Resources is an Equal Employment Opportunity (EEO) employer.

Trillium Health Resources is a drug-free workplace. Candidates are required to pass a drug test as a condition of employment.

#Innovation  #Technology  #Careers  #NorthCarolina  #BehavioralHealth

Required profile

Experience

Level of experience: Mid-level (2-5 years)
Industry :
Insurance
Spoken language(s):
German
Check out the description to know which languages are mandatory.

Other Skills

  • Time Management
  • Analytical Thinking
  • Verbal Communication Skills
  • Investigation
  • Problem Reporting
  • Problem Solving

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