We are hiring a Psychiatric Complaints & Grievances Specialist to join our Psych Clinical Quality Team and strengthen the quality of care across Rula's psychiatric network. In this role, you'll own the clinical review and resolution of psychiatric complaints and grievances — the cases that need a clinician's judgment about the quality, safety, or appropriateness of care. You'll investigate through chart review and provider outreach, render clear and fair determinations, resolve and document each case within expected SLAs, and surface recurring patterns to Psych Quality leadership to help prevent the next issue. You'll work closely with our Psych Clinical Quality NPs, Psychiatric Patient Programs NP, and our non-clinical Psych support team — owning the complaint itself while pulling in the right partner when a case calls for it. You'll also carry a small direct patient-care panel (∼30% of your time), which you'll build once you have a solid command of the complaints-and-grievances pathway. Practicing within the same platform, workflows, and documentation standards as the providers you review keeps your clinical skills current and grounds every determination in real, firsthand experience. This is an individual-contributor role reporting to the Associate National Medical Director. It's a strong fit for an experienced PMHNP who is energized by clinical quality improvement, comfortable holding a standard under pressure, skilled at delivering direct and empathic feedback to peer clinicians, and motivated by the idea that thoughtful review can raise the quality of care for tens of thousands of Rula patients.
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Job Type
Full-time
Career Level
Senior