Grievance Coordinator

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🔥 3 minutes ago

🌲 North Carolina – Remote

🌲 North Carolina – Remote

💵 $56.3k - $69.9k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Trillium Health Resources

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

⚕️ Healthcare Insurance

Healthcare Insurance • Mental Health • Substance Use

Trillium Health Resources is a leading specialty care manager (LME/MCO) for individuals with serious behavioral health, intellectual/developmental disabilities, and traumatic brain injury in North Carolina. The organization is committed to investing in the health and well-being of the communities it serves, providing services such as preventive health screenings, crisis intervention, and tailored care management. Trillium focuses on enhancing access to mental health and substance use services for its members and ensuring support for vulnerable populations.

📋 Description

• Evaluate/investigate the circumstances of the grievance/complaint, which includes interacting with callers to gather information regarding their concern • Collaborate with other internal Trillium departments to help gather information and documents for the investigation • Document in the grievance/complaint module • Interfaces with providers and external entities, as required, to resolve grievances and complaints • Use professional discretion to determine appropriate response to the contents of complaints or grievances • Maintain and adjudicate member and recipient grievances and complaints in a timely manner • Ensure notification letters are updated and sent to the grievant/complainant accurately and timely based on current formats and timelines as established by regulations • Maintain and update the grievance module, spreadsheets and Trillium’s on-line grievance/complaint submission portal • Establish and ensure grievances and complaint files are maintained in accordance with contractual and accreditation standards.

🎯 Requirements

• High School Diploma/GED and six (6) years’ experience working with the adult mental health, developmental disabilities or substance use population or field; OR • Associate’s degree and minimum four (4) years’ experience working with the adult mental health, developmental disabilities or substance use population or field; OR • Bachelor’s degree and minimum two (2) years’ experience working with the adult mental health, developmental disabilities or substance use population or field; OR • Equivalent combination of education/experience. • Must have a valid driver’s license. • Must reside within North Carolina. • Must be able to travel within catchment as required. • Preferred: Experience providing crisis intervention or crisis response to individuals within the mental health, developmental disabilities or substance abuse population.

🏖️ Benefits

• Health Insurance with no premium for employee coverage • Flexible Spending Accounts • 24 days of Paid Time Off (PTO) plus 12 paid holidays in your first year • NC Local Government Retirement Pension (defined-benefit plan) • 401k with 5% employer match and immediate vesting • Public Service Loan Forgiveness (PSLF) qualifying employer • Quarterly stipend for remote work supplies