Complaints & Grievances Investigator

Community Behavioral Health; Philadelphia (Philadelphia County); Sur place; USD 52 000 - 64 000; Plein temps

Résumé du poste

Community Behavioral Health in Philadelphia, PA is seeking a dedicated Complaints & Grievances Specialist to investigate member complaints and process grievances, ensuring state mandates are followed. The role involves hearings and thorough documentation, with travel required as part of the duties.

The position requires a Master’s degree in behavioral health or related fields and at least 2 years of managed care or quality management experience.

Qualifications

• Master’s degree required in behavioral health, healthcare or social sciences.
• Minimum of 2 years of experience in a managed care or quality management setting.
• Must be able to travel for the role.

Responsabilités

• Review, document and process all levels of complaints and grievances
• Complete packet for and participate in Fair Hearing
• Review and address quality concerns stemming from complaints and grievances
• Travel is required for this position

Connaissances

MS Office

Written communication

Interpersonal skills

ACT 146 knowledge

Formation

Master’s degree in behavioral health, healthcare or social sciences

Outils

DBH/DHS systems

Description du poste

Community Behavioral Health in Philadelphia, PA is seeking a dedicated Complaints & Grievances Specialist to investigate member complaints and process grievances, ensuring state mandates are followed. The role involves hearings and thorough documentation, with travel required as part of the duties.

The position requires a Master’s degree in behavioral health or related fields and at least 2 years of managed care or quality management experience.