Customer Service Grievance Specialist

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🔥 5 minutes ago

🚗 Michigan – Remote

🚗 Michigan – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

💝 Customer Support

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Detroit Wayne Integrated Health Network

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2013

🏥 Healthcare

🤝 Non-profit

Healthcare • Mental Health • Non-profit

Detroit Wayne Integrated Health Network is a healthcare safety net organization that provides access to comprehensive integrated services aimed at promoting mental health and well-being. The organization offers various programs, including crisis services, support for individuals with mental illness, autism services, and substance use disorder treatment, with a mission to enhance the overall quality of life for its members in Wayne County.

📋 Description

• Assures that DWIHN’s grievance process is carried out in accordance with regulations, mandates, and contracts. • Assists with the development of grievance process and procedures. • Provides applicable Customer Service information, referral, and linkage. • Provides oversight of telephone and walk-in inquiries. • Assists with monitoring the grievance process for compliance. • Collaborates and coordinates with various entities to ensure issues are addressed. • Maintains the reporting mechanism for tracking complaints and grievances. • Assists in the review and analysis of grievance data for reporting trends. • Assists in preparation of reports on grievance activity. • Provides technical assistance on grievance protocols. • Develops grievance training modules. • Maintains educational materials related to grievances. • Attends meetings related to grievance activities.

🎯 Requirements

• A Bachelor’s Degree in Social Work, Psychology, Healthcare Administration, Health Management, Business Administration, Conflict Resolution or a related field. • Four (4) years of full-time paid experience in complex cross-functional dispute resolutions or enrollee/member relations. • Four (4) years of full-time paid experience in a member facing Customer Service position. • A valid State of Michigan Driver’s License with a safe and acceptable driving record.

🏖️ Benefits

• DWIHN requires proof of being fully vaccinated for COVID-19 as a condition of employment.