Complaints and Grievances Specialist

CBH is actively seeking a Complaints and Grievances Specialist to join our Quality team! CBH offers our employees: Competitive compensation 90%+ employer paid health insurance premiums with $0 deductibles 403b plan with high match contributionTelecommuting optionsGenerous vacation, sick, personal and holiday paid time off Tuition and certification reimbursementWellness programs (on-site gym, health coaches, rewards and more!)Position Overview: The Complaints & Grievances Specialist is responsible for processing all complaints and grievances and for ensuring all State mandates are being followed.Essential Functions: Review, document and process all levels of complaints and grievancesComplete packet for and participate in Fair Hearing Review and address Quality Concerns stemming from complaints and grievances to determine level of follow up required (i.e., investigating or tracking).Travel is required for this position. Position Requirements: Education: Master''s Degree in behavioral health, healthcare or social sciencesLicense/Certification (if applicable): N/ARelevant Work Experience: Minimum of 3 years of experience including 2 years of experience in a healthcare or quality management settingSkills:Proficient in Microsoft office applicationsExcellent written and verbal communication skillsMust have knowledge of PA Act 68, Appendix A and medical necessity criteriaExcellent customer service skillsExcellent training & facilitating skillsStrong interpersonal skillsThorough knowledge of DBH and DHS systems and servicesEqual Employment Opportunity: CBH provides equal employment opportunities to all qualified individuals without regard to race, creed, color, religion, national origin, age, sex, marital status, gender identity, sexual orientation, individual genetic information or non-disqualifying physical or mental handicap or disability in each aspect of the human resources function.Americans with Disabilities Act: Applicants as well as employees who are or become disabled must be able to perform the essential job functions either unaided or with reasonable accommodation. CBH will determine reasonable accommodation on a case-by-case basis in accordance with applicable law. This job profile reflects management''s assignment of current duties, responsibilities, and essential functions; it does not prescribe all or restrict the tasks that may be assigned now, or in the future, relevant to the responsibilities for this position. Community Behavioral Health (CBH) may change the specific job duties with or without prior notice based on the needs of the organization.

Created: 2021-11-29