Psychiatric Complaints and Grievances Specialist

This is a fully remote position, open to applicants in United States.

📋 Description

• Take charge of the clinical assessment and resolution of psychiatric complaints and grievances.

• Examine cases through chart analysis and engagement with providers.

• Make clear and equitable decisions regarding the quality, safety, or appropriateness of care.

• Resolve and document each case within the established service level agreements (SLAs).

• Identify recurring trends and report them to Psych Quality leadership.

• Work in collaboration with Psych Clinical Quality Nurse Practitioners (NPs), Psychiatric Patient Programs NP, and non-clinical Psych support teams.

• Maintain a small panel of direct patient care, dedicating approximately 30% of working time to this task.

• Develop the patient care panel after mastering the complaints-and-grievances pathway.

• Utilize the same platform, workflows, and documentation standards as the providers being reviewed.

• Offer direct and empathetic feedback to fellow clinicians.

• Report as an individual contributor to the Associate National Medical Director.

• Play a role in enhancing the quality of care throughout Rula's psychiatric network.

⛳️ Requirements

• An active and unrestricted PMHNP license.

• At least 3 years of outpatient psychiatric experience.

• A valid CA DEA registration.

• Current Board Certification as a PMHNP (ANCC or AANP).

• Over 3 years of experience delivering comprehensive psychiatric care in a fully remote telehealth environment.

• Familiarity with clinical and safety aspects of remote practice.

• A minimum of 1 year in a dedicated quality improvement, chart audit, or peer coaching position.

• Experience providing feedback or education to psychiatric providers, especially in a 1099 or non-traditional employment model.

• Excellent written and verbal communication skills.

• Capability to provide empathetic, direct, and concise feedback to peer clinicians.

• Ability to uphold clinical or safety standards under pressure.

• Proficiency with modern electronic health record (EHR) and clinical workflow platforms.

• Willingness to quickly learn new systems.

• Strong technical skills and adaptability.

• Preferred: Active CPHQ certification.

• Preferred: Experience using AI or AI-assisted tools in clinical workflows.

• Preferred: Active PMHNP licensure in multiple states, with a preference for Florida, Tennessee, Georgia, and/or New York.

• Preferred: Experience contributing to clinical learning and development content.

🏝️ Benefits

• Fully remote work environment.

• Competitive pay and comprehensive benefits.

• Medical, dental, vision, life, disability insurance, and FSA/HSA options.

• Access to a 401(k) plan.

• Two company-wide shutdown weeks each year for self-care (for most employees).

• Paid parental leave for birthing, non-birthing, adopting, and fostering parents.

• Employee Assistance Program (EAP).

• Quarterly department stipend for team-building activities or in-person gatherings.

• Community and employee resource groups.

• Stipend for home office setup for new hires.

• $50 monthly reimbursement for internet or cell phone expenses.

• Year-round wellness initiatives.

• $50 monthly wellness stipend.

• No bonus for this role.