Expedited Review Intake Case Coordinator - (US-CA-Oakland - 94666)

Minimum Education: None
Job Type: Full Time
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Responsibilities : Responsible for processing grievances, appeals and requests for Independent External Review while ensuring adherence with regulations, compliance standards and policies and procedures. Builds effective working relationships and serves as a technical advisor with facility Member Services Departments, KP medical groups, and other divisional departments.Bachelors' degree or a minimum of four years equivalent experience in a complex HMO or customer service setting.

Requirements :Strong working knowledge of federal and state laws and regulations related to health care and managed care organizations. Excellent interpersonal, verbal and written communication skills. Knowledge of member grievance and appeals preferred. Ability to work with peers in self-managed teams to meet deadlines. Demonstrated conflict resolution and mediation skills with ability to secure action from persons outside their supervision. Ability to use sound judgment and to handle potentially charged issues independently but with the knowledge and ability to escalate and ask for help when needed. Ability to multitask and manage time in order to perform well on long-term projects while being flexible enough to assimilate short term projects on an ongoing basis. Must be able to work in a Labor/Management Partnership environment. May (or will) require some (or extensive) travel to the Service Areas and/or Regional offices across the Division.

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