Case Manager - HS

Job Title: Case ManagerLocation: RemoteIntroductionJoin our dynamic team where you will play a crucial role in managing and resolving complaints and grievances. Your efforts will directly contribute to enhancing the member experience and ensuring compliance with regulations and standards.Required Skills & QualificationsExperience in a service-related industry, with call center experience preferred.Excellent interpersonal, verbal, and written communication skills.Ability to work effectively in self-managed teams.Strong conflict resolution and mediation skills.Proficiency in using Windows-based software applications, including MS Word.Ability to multitask and manage time effectively.High school diploma or GED required.Preferred Skills & QualificationsExperience in a complex health care environment.Knowledge of federal and state regulations related to health care.Familiarity with member complaint and grievance processing.Some college education preferred.Day-to-Day ResponsibilitiesManage the organization's complaint and grievance process, ensuring timely and accurate resolution.Communicate with a diverse range of clients to resolve issues and enhance the member experience.Research and resolve complaints, communicating decisions back to members or their representatives.Ensure compliance with regulations, standards, and company policies.Maintain the integrity of the departmental database through accurate data entry.Participate in meetings, trainings, and audits as required.Escalate issues to management as necessary to maintain compliance.Company Benefits & CultureSupportive and inclusive work environment promoting diversity.Opportunities for professional development and growth.Commitment to employee well-being and work-life balance.For immediate consideration please click APPLY to begin the screening process.