Grievance Coordinator - Boise, United States - Idaho State Job Bank

Idaho State Job Bank Boise, United States

5 minutes ago

Description

Grievance Coordinator at Magellan Health Services in Boise, Idaho, United States Job Description Coordinates grievance process as assigned, attends to risk management issues associated with case management and processes grievance requests.

+ Performs outreach contact and written notification with members with resolution to Grievances. + Consults with internal departments, to ensure Grievances resolutions meet all guidelines and result in customer satisfaction. + Responsible for preparation of written detailed case history. + Documents process and findings within the Grievance and internal systems. + Interfaces with members and providers as required regarding status, process and outcomes of complaints.

+ Maintains the integrity of the company relationship with customers by researching, resolving and responding to customer inquiries for disputes.

+ Identifies risk situations and escalates to supervisor as appropriate. + Researches, compiles and consults with external review organization and customers as necessary. + Achieves and maintains department performance goals. + Assists in developing workflows and innovative process improvements to positively impact the department overall. + Meets individual performance standards. + Other duties as assigned. Other Job Requirements Responsibilities Experience in customer interactions and detailed review of health-related materials. Strong interpersonal skills and attention to detail. Ability to organize work and seek help on tasks where needed. Ability and willingness to learn new software applications. Professional writing and proofing skills required ensuring documents meet standards and are accurate. General Job Information Title Grievance Coordinator Grade 19 Work Experience - Required Customer Service Work Experience - Preferred Education - Required GED, High School Education - Preferred Associates License and Certifications - Required License and Certifications - Preferred Salary Range Salary Minimum: $37,725

Salary Maximum:
$56,595 This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional an To view full details and how to apply, please login or create a Job Seeker account

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