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Grievance Coordinator
Trillium Health ResourcesGrievance Coordinator at Trillium Health Resources responsible for grievance and complaint management. Ensuring compliance with State and Federal guidelines while supporting members and providers in grievance processes.
Core Competencies
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Demonstrates expertise in managing and resolving grievances and complaints within the adult mental health, developmental disabilities, or substance use fields, ensuring compliance with regulatory standards and timely communication. Proficient in documentation and collaboration with internal and external stakeholders to facilitate effective resolution processes.
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About the role
Key responsibilities & impact- 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
What you’ll need- 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
Comp & perks- 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