Case Manager: Health Care Complaints & Grievances

ATR International; Pasadena (CA); On-site; USD 60,000 - 80,000; Full time

Job summary

A leading healthcare organization is seeking a Case Manager to manage complaints and grievances. The ideal candidate will have a Master's Degree in Social Work and experience in a service-related industry, preferably a call center. Responsibilities include resolving member issues, ensuring compliance with regulations, and maintaining accurate departmental databases. Strong communication, conflict resolution, and time management skills are essential. This role offers an opportunity to work in a dynamic environment while addressing complex member issues.

Qualifications

• Experience in a service-related industry, preferably in a call center.
• Ability to prioritize work and meet compliance elements.
• Demonstrated ability to work in a time-sensitive environment.

Responsibilities

• Manage the organization's complaint and grievance process.
• Investigate issues and document data accurately.
• Communicate with internal and external clientele.

Skills

Excellent interpersonal skills

Verbal communication skills

Written communication skills

Conflict resolution

Mediation skills

Ability to multitask

Time management

Education

Master's Degree in Social Work

Tools

MS Word

Windows based software applications

Job description

A leading healthcare organization is seeking a Case Manager to manage complaints and grievances. The ideal candidate will have a Master's Degree in Social Work and experience in a service-related industry, preferably a call center. Responsibilities include resolving member issues, ensuring compliance with regulations, and maintaining accurate departmental databases. Strong communication, conflict resolution, and time management skills are essential. This role offers an opportunity to work in a dynamic environment while addressing complex member issues.