To act as an impartial liaison between Neighborhood Health Plan (NHP) and our Behavioral Health vendor in order to address issues raised by behavioral health providers that serve Neighborhood Health of Rhode Island members. The ombudsman will seek to achieve a fair and expeditious resolution between the BH providers and our BH vendor. The ombudsman will ensure that all available resources for addressing provider issues have been utilized and will explore all options towards a viable resolution. The ombudsman will have the authority to directly engage senior management and executive leadership when the standard channels are unable to resolve the issue. In addition, the ombudsman will produce reports detailing the issues being referred, the outcomes / results of referred issues as well as recommendations for improvement moving forward.
Job Specific Competencies:
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