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Member Rights Specialist I

2 months ago


Brookfield, United States Community Care (WI) Full time

Bishops Woods - Waukesha County, 205 Bishops Way, Brookfield, Wisconsin, United States of America

Req #2731 Community Care is hiring a Member Rights Specialist. This rewarding opportunity is perfect for someone who enjoys coordinating and facilitating resolutions of grievances, appeals and working for a non-profit, mission driven organization. This is a full-time opportunity at our Bishops Woods location. Member Rights Specialist Job Responsibilities: Assists individual members with addressing issues and concerns Serves as a resource for the Grievance and Appeals function Responsible for coordinating and facilitating resolution of grievances and appeals initiated by or on behalf of program members inaccordance with written policies and procedures, criteria and standards established by Community Care This position interfaces with the Department of Health Services (DHS), the Division of Hearings and Appeals (DHA), Ombudsman Program, theState’s External Review organization (MetaStar) and federal agencies as required.

Member Right Specialist Required Experience: A minimum of three years of previous experience working with persons to promote their rights and resolve concerns required. Demonstrated ability to develop sound, effective plans aligned with meeting members’ needs. Leadership experience and previous involvement in quality improvement projectspreferred.

Member Right Specialist Education Bachelor's degree in healthcare or social service field required. Master's degree preferred.

Member Right Specialist Hours

:

Monday - Friday 8:00AM - 4:30PM Travel

: Regular local travel, requiring use of personal vehicle, valid driver's license, and proof of required insurance coverage. Community Care is an nonprofit organization with over 40 years of experience helping adults with long-term care needs live as independently as possible. Our Medicare/Medicaid long-term care programs serve the needs of older adults and adults with disabilities. We coordinate and deliver a full range of supportive services that help them live safely, confidently

,

and with dignity.

More than 15,000 Wisconsinites trust in us to provide the quality support needed to help them reach their potential in health, happiness

,

and independence. We are Wisconsin-based and have local offices supporting each of the 15 counties we serve. Compensation and Benefits: Our employees make a real difference in people’s lives every day. To show appreciation, we’re dedicated to offering competitive pay and a comprehensive benefits package to our staff that addresses their mental, physical

,

and financial health and well-being.

If interested in joining Community Care, please apply and our recruitment team will reach out promptly. Bishops Woods - Waukesha County, 205 Bishops Way, Brookfield, Wisconsin, United States of America

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