Case Manager

1 day ago

Atlanta, Georgia, United States Rose International Full time
Job Summary

We are seeking a highly skilled and detail-oriented Case Manager to join our team at Rose International. As a Case Manager, you will be responsible for managing the organization's complaint and grievance process, investigating issues, and communicating with internal and external clientele to achieve excellent results.

Key Responsibilities
  • Investigate and resolve member complaints and grievances in a timely and professional manner.
  • Communicate with members, internal staff, and external stakeholders to ensure effective resolution of issues.
  • Collaborate with management and other departments to ensure compliance with regulations and policies.
  • Manage and maintain accurate records of complaints and grievances.
  • Participate in departmental meetings and training sessions to stay up-to-date on policies and procedures.
Requirements
  • High school diploma or equivalent required; some college preferred.
  • Experience in a service-related industry, call center experience preferred.
  • Excellent interpersonal, verbal, and written communication skills.
  • Ability to work with peers in self-managed teams.
  • Ability to prioritize work and ensure all compliance elements are met.
  • Conflict resolution and mediation skills with ability to secure action from multiple stakeholders.
Preferred Qualifications
  • Experience in a complex healthcare environment preferred.
  • Strong working knowledge of federal and state regulations, laws, and accreditation standards related to healthcare and managed care organizations.
  • Knowledge of member complaint and grievance processing preferred.
What We Offer

Rose International offers a competitive salary and benefits package, including medical, dental, and vision insurance, 401(k) matching, and paid time off.

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