POSITION SUMMARY: The Grievance Coordinator works under the direction of the Vice President of Compliance and is responsible for managing, monitoring, and reporting the client grievances program. Reviews all grievances to ensure that the resolution of the grievance complies with policy requirements and meets all program objectives. Logs, organizes and reports data regarding the root cause of grievance reports to provide objective and actionable observations from grievances submitted by clients. Provides education to medical staff, facility staff and Executive Committee. Facilitates performance improvement activities throughout the organization. Acts as resource person to administrative team, department managers and medical staff.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Compiles, analyzes, and reports grievance submissions throughout the organization to ensure that grievances are handled appropriately and within established timelines.
• Provides appropriate follow up with supervisors when a grievance or client report indicates immediate danger to the safety and wellness of a client or group of clients.
• Demonstrates awareness of the responsibilities of the position and how it interfaces with the rest of the healthcare team. Works closely with all department members as required, is flexible to meet the needs of the department and changes in the workload.
• Prepares and communicates periodic reports of grievance submissions, conclusions and recommendations to the VP of Compliance, administration, managers, and facility staff as directed in a timely fashion.
• Maintains working knowledge of current internal policy directives, standard operating procedures, and stays abreast of safety and risk management best practices and regulatory guidance.
• Ensures compliance with policies and procedures regarding department operations, ethical business practices, fire safety, emergency management, and infection prevention and control.
• Advises clinical staff when appropriate regarding a particular client’s care to ensure client’s needs are met and policy is followed.
• Maintains a good working relationship both within the department and with other departments.
• Knowledgeable of the facility's EMR and billing systems.
• Performs follow-up reviews to ascertain that appropriate corrective actions were implemented as a result of a client grievance.
• Maintains a collaborative working relationship within the department and with other departments.
• Demonstrates the ability to be flexible, organized and function under stressful conditions.
• Follows policies and procedures, performance improvement objectives, quality assurance initiatives, and safety and environmental standards.
• Keeps current in field through continuing education, professional publications, and journals.
• Communicates the mission, ethical business practices, and goals of the facility, as well as the focus of the Compliance Department.
• Attends trainings, conferences, and seminars and stays abreast of all applicable compliance topics and regulatory issues applicable to the company’s activities as directed by supervisor.
• Maintains patient confidentiality at all times.
• Supports and maintains a culture of safety and quality.
• Performs additional duties as assigned.

MINIMUM QUALIFICATIONS

• Compliance and/or investigation experience preferred.
• Experience in healthcare and/or behavioral health setting preferred.
• Excellent communication skills, both verbal and written, and the ability to share complex concepts with a mixed audience in a productive manner.

EDUCATION/EXPERIENCE/CERTIFICATION:

• College level degree with proven work experience in his/her field
• Experience in a behavioral health inpatient/outpatient environment preferred
• Ongoing education in behavioral health preferred
• Proficient in information technology and
• Working knowledge of HIPAA compliance

WORKPLACE ENVIRONMENT AND ESSENTIAL PHYSICAL REQUIREMENTS

• Ability to sit and/or stand for long periods of time
• Ability to read detailed health records
• Ability to lift and carry up to 10 lbs.
• Ability to operate a computer and other equipment in the office
• Must have sufficient mobility to move around the office and the community
• Attention to detail and organization are a must
• Strict adherence to confidentiality requirements as outlined in 42 CFR, Part 2.
• Computer literate with experience in both Windows and Google Drive
• Ability to work independently with minimal supervision
• Ability to effectively prioritize work- and work-related responsibilities

Addiction Recovery Care, LLC offers a competitive benefits package, including:

• Health, Dental and Vision Insurance
• Optional company-sponsored retirement plan (401k)
• Short-Term/Long-Term Disability Insurance
• Other ancillary insurance products i.e., Critical Illness, Accident policies, etc.
• Paid Holidays and Vacation

Addiction Recovery Care, LLC is an equal-opportunity employer.

es9tXAPyXG