Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Psychiatric Complaints and Grievances Specialist (Remote)

Rula

We believe that mental health is just as important as physical health. We recognize that mental health issues can be complex and multifaceted, and we are dedicated to treating the whole person, not just the symptoms. We aim to create a world where mental health is no longer stigmatized or marginalized, but rather is embraced as an integral part of one's overall well-being. We believe that by providing quality care that is both evidence-based and compassionate, we can empower individuals to take charge of their mental health and achieve their full potential. We are passionate about making a positive impact on the lives of those struggling with mental health issues and we strive to be a force for positive change in the field of mental healthcare. Rula is a remote-first company. We currently hire in most U.S. states, with the exception of Hawaii. About the Role 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 SLAa, 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. Required Qualifications Active, unrestricted PMHNP license with a minimum of 3 years of outpatient psychiatric practice.

Valid California DEA registration . Current Board Certification as a PMHNP (ANCC or AANP).

3+ years of previous experience providing comprehensive psychiatric care in a fully remote telehealth setting, including familiarity with the unique clinical and safety considerations of remote practice.

1+ years of experience in a dedicated quality improvement, chart audit, or peer coaching role, including delivering feedback or education to psychiatric providers- particularly in a 1099 or non-traditional employment model.

Strong written and verbal communication skills, including the ability to deliver empathic, direct, and succinct feedback to peer clinicians and to hold clinical or safety standards under interpersonal or cross-functional pressure.

Proficiency across modern EHR and clinical workflow platforms and comfort learning new systems quickly (e.g., Rula Portal, AMD, Salesforce, Airtable, Looker, Zendesk); strong technical aptitude and adaptability. Preferred Qualifications

While having the preferred qualifications enhances your candidacy, having all of them is not mandatory. We encourage all interested applicants to apply, even those who may not meet every preferred requirement. Active CPHQ certification (Certified Professional in Healthcare Quality).

Experience using AI or AI-augmented tools in clinical workflows (e.g., AI scribes, AI-assisted chart review, LLM-based workflows) and curiosity about how these tools can enhance clinical quality.

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

Experience contributing to clinical L&D content such as writing guidance documents, templates, coaching resources, or educational materials for a clinical audience.

We're serious about your well-being! As part of our team, full-time employees receive: 100% remote work environment:

Working hours to support a healthy work-life balance, ensuring you can meet both professional and personal commitments (must be based in United States, currently not hiring in Hawaii)

Attractive pay and benefits : Full transparency of pay ranges regardless of where you live in the United States

Comprehensive health benefits : Medical, dental, vision, life, disability, and FSA/HSA

401(k) plan access : Start saving for your future

Generous time-off policies : Including 2 company-wide shutdown weeks each year for self-care (for most employees)

Paid parental leave : Available for all parents, including birthing, non-birthing, adopting, and fostering

Employee Assistance Program (EAP) : Supporting your mental and physical health

Quarterly department stipend : Fun team-building activities or in-person gatherings

Community and employee resource groups : Participate in groups that celebrate employee identity and lived experiences, fostering a sense of community and belonging for all

Home office stipend:

New hire home office stipend & $50 monthly stipend to help cover internet or cell phone expenses

Wellness at Rula program:

Year-round wellness initiatives and a $50/month wellness stipend

Our team We believe that diversity, equity, and inclusion are fundamental to our mission of making mental healthcare work for everyone. We are dedicated to having a culture of inclusion that will support our employees in feeling safe, seen, heard, and valued.
Vacancy posted 7 hours ago
Similar jobs that could be interesting for youBased on the Psychiatric Complaints and Grievances Specialist (Remote) in Oregon State vacancy
  • A healthcare service provider is seeking an Appeals and Grievances Clinical Specialist to manage member complaints and clinical case resolutions. This is a 100% remote role requiring an RN, LPN, or Dental Hygienist license. Responsibilities include developing cases, researching... 
    Remote work
    Complaints

    Health First

    United States
    20 hours ago
  • Medica, a nonprofit health plan serving communities across multiple states, seeks a remote Appeals & Grievances Specialist III to manage complex member complaints, grievances, and appeals with regulatory alignment. You will work with cross-functional teams to ensure timely... 
    Remote job
    Complaints

    Medica

    Minnetonka, MN
    3 days ago
  • $21.16 - $38.37 per hour

    Join to apply for the Medicare Appeals & Grievances Specialist (PST Hours) role at Molina Healthcare . This position is remote and will be working Pacific Standard hours....  ...resolution of appeals, disputes, grievances, and/or complaints from Molina members, providers, and related... 
    Remote work
    Complaints
    Hourly pay
    Full time
    Contract work
    Work experience placement
    Work at office

    Molina Healthcare

    Phoenix, AZ
    1 day ago
  •  ...activities including reviewing and resolving member and provider complaints, and communicating resolution to members or authorized...  ...lead for submission, intervention and resolution of appeals, grievances, and/or complaints from Molina members, providers and related... 
    Remote job
    Complaints
    Contract work
    Work at office

    Molina Healthcare

    New York, NY
    2 days ago
  • $58.9k - $80.07k

    The Grievance Specialist is a member of the Appeals & Grievances (A&G) team at Healthfirst and is...  ...representative-initiated grievances and complaints across Healthfirst’s product lines,...  ...Location and Hours This position is 100% remote - Schedule M-F, 8am-4:30pm or 8:30am-5... 
    Remote job
    Complaints
    Contract work
    Temporary work
    Work experience placement
    Work at office

    Healthfirst

    New York, NY
    2 days ago
  • $45.9k - $78.6k

     ...norm and every member feels valued. The Appeals & Grievances Specialist III role manages and resolves member complaints, grievances, appeals, and some regulatory...  ...time between 7 AM - 9 AM CT This position is a Remote role.To be eligible for consideration, candidates... 
    Remote work
    Complaints
    Work experience placement

    Medica

    Minnetonka, MN
    3 days ago
  • $60.78k - $91.17k

     ...Job Summary The Appeals and Grievances (A&G) Specialist II will receive, investigate and resolve member and provider complaints and appeals exercising strong independent...  ...hours, on weekends, holidays, a hybrid remote schedule, occasional flexibility in hours... 
    Remote work
    Complaints
    Full time
    Local area
    Shift work
    Weekend work

    L.A. Care Health Plan

    Los Angeles, CA
    1 day ago
  •  .... Our partner is looking for a Lead Specialist, Appeals & Grievances based in the United States. As a...  ...healthcare claims appeals, grievances, and complaints, ensuring that members and providers...  ...plans, paid time off, and remote or flexible work arrangements are not... 
    Remote work
    Complaints
    Full time
    Contract work
    Work at office
    Flexible hours

    Jobgether

    Remote
    4 days ago
  •  ...Summary This Peer Specialist position may only be filled with...  ...clinical and administrative, remote and onsite, paid and without...  ...of mental health services, a psychiatric therapy aide, or equivalent...  ...information about the Act and the complaint process, visit Human... 
    Remote work
    Psychiatric
    Complaints
    Permanent employment
    Full time
    Part time
    For contractors
    Traineeship
    Internship
    Seasonal work
    Work at office
    Work from home
    Relocation
    Trial period
    Relocation package
    Monday to Friday
    Flexible hours

    VETERANS HEALTH ADMINISTRATION

    Washington DC
    4 days ago
  •  ...Serving as a Safety and Occupational Health Specialist GS-0018-9/11/12 makes you a valuable...  ...with intellectual, severe physical or psychiatric disabilities, as defined by 5 CFR 213.3...  ...for Jobs Act, may submit a written complaint to ****@*****.***. Candidates... 
    Remote work
    Psychiatric
    Complaints
    Permanent employment
    Full time
    Part time
    Work at office
    Relocation package

    Federal Law Enforcement Training Centers

    Brunswick, GA
    1 day ago
  • Meridian Street Capital, LLC is hiring a Psychiatric Complaints & Grievances Specialist to join our Psych Clinical Quality Team. You will own clinical review of psychiatric complaints, guide resolutions, and ensure adherence to care standards across our network. The role... 
    Remote job
    Psychiatric
    Complaints

    Meridian Street Capital, LLC

    New York, NY
    3 days ago
  •  ...Summary: The Health Information Release Specialist receives requests for health...  ...that relevant Alcohol/Substance Abuse/Psychiatric/or HIV diagnoses are included in the...  ...party. • Documents and direct patient complaints or grievances with organizational risk management team... 
    Psychiatric
    Complaints
    Full time

    UNC Health Care

    Hendersonville, NC
    4 days ago
  •  ...Serving as a Instructional Systems Specialist GS-1750-12/13 makes you a valuable member...  ...with intellectual, severe physical or psychiatric disabilities, as defined by 5 CFR 213.3...  ...Compete for Jobs Act, may submit a written complaint to ****@*****.***.... 
    Remote work
    Psychiatric
    Complaints
    Permanent employment
    Full time
    Part time
    Work at office
    Relocation package
    Weekend work

    Federal Law Enforcement Training Centers

    Brunswick, GA
    3 days ago
  • $22 - $27 per hour

     ...who have indicated verbally or on a satisfaction survey, a complaint, grievance, or a challenge with their experience, etc. as well as patients...  ...to complete goals Local candidate highly preferred. If remote, travel will be required, specifically to Tampa, FL.... 
    Remote work
    Complaints
    Work at office
    Local area

    VIPcare

    Tampa, FL
    5 days ago
  • $4,263.16 - $5,178 per month

     ...: Specialized Intake Processing Intake Specialist Job Title: Protective Srv Intake Spcl V...  ...Protective Services Intake Specialist in the Complaint and Incident Intake Call Center-...  ...disease facilities, general hospitals, psychiatric hospitals, special hospitals, narcotic/... 
    Remote work
    Psychiatric
    Complaints
    Full time
    Temporary work
    Part time
    For contractors
    Work experience placement
    Freelance
    Work at office
    Work from home
    Monday to Friday
    Shift work
    Day shift

    Texas Health and Human Services

    Austin, TX
    4 days ago
  •  ...provider experience, and legal defensibility. Responsibilities Remote Work Capable Essential Functions Serves as the primary HR...  ...matters, including performance concerns, professionalism issues, grievances, complaints, conflicts, and workplace conduct issues. Leads or supports... 
    Remote work
    Complaints
    Contract work
    Work experience placement

    WellSpan Health

    New York, NY
    3 days ago
  •  ...care to improve the health and mental wellness of our members. As part of our growth, we are seeking a detail-oriented Complaints & Grievances Specialist to join our team. Position Overview:   The Complaints & Grievances Specialist is responsible for completing... 
    Complaints
    Work experience placement
    Work at office
    Local area
    Flexible hours

    Community Behavioral Health.

    Philadelphia, PA
    10 days ago
  •  ...Working remotely in a full-time capacity, the Grievance Coordinator will review and investigate member complaints within the Medicare Grievances Program, ensuring resolution in accordance with organizational and regulatory guidelines. Key responsibilities Conduct thorough... 
    Remote work
    Complaints
    Full time
    Work experience placement

    Virtual Vocations Inc

    United States
    2 days ago
  • The Patient Relations Specialist is a critical role in ensuring positive interactions...  ...responsible for resolving patient concerns, complaints and grievances, providing excellent customer service...  ...Locations Inova 8095 - Fairfax East (Remote) #J-18808-Ljbffr Inova Health System
    Remote work
    Complaints
    Work at office
    Local area

    Inova Health System

    Fairfax, VA
    20 hours ago
  •  ...Healthfirst seeks a Grievance Specialist to join the Appeals & Grievances team. This is a 100% remote, non-clinical role focused on resolving member grievances across Medicare, Medicaid, CHPlus, SHP, QHP, EP, and CompleteCare. The Specialist will independently manage... 
    Remote work

    Health First

    United States
    1 day ago
  • $66.71k - $77.56k

     ...Opportunity | Talent Sourcing Specialist | Aspiring HR Leader (aPHR...  ...7,564 Office Location: Remote in North Carolina...  ...crisis provide. Process grievances and complaints. Collect, enter, track...  ...: Prefer experience with psychiatric trauma and crisis. License... 
    Remote work
    Psychiatric
    Complaints
    Full time
    Part time
    Work experience placement
    Work at office
    Local area
    Immediate start
    Work from home
    Flexible hours

    Trillium Health Resources

    North Carolina
    20 hours ago
  •  ...Counsels employees, and adjusts informal complaints and grievances through discussion with employees and...  ...interaction with both medical and psychiatric patients. May be required to work...  ...unlicensed, clinical and administrative, remote and onsite, paid and without... 
    Remote work
    Psychiatric
    Complaints
    Full time
    Part time
    For contractors
    Traineeship
    Seasonal work
    Work from home
    Relocation package
    Rotating shift

    Veterans Affairs, Veterans Health Administration

    Iron Mountain, MI
    1 day ago
  • At Molina Healthcare, the Claims Appeals Specialist provides support for handling member and provider complaints, aligning with CMS standards and regulatory requirements...  ...and resolving appeals, disputes, and grievances with timely communications to authorized representatives... 
    Complaints

    Molina Healthcare

    New York, NY
    5 days ago
  •  ...their families. Collaborate with other facility medical and psychiatric personnel to ensure appropriate recommendations and...  ...When patient needs are not met, acknowledge and work to resolve complaints. Recognize that patient safety is a top priority. Demonstrate... 
    Psychiatric
    Complaints
    Local area

    Acadiana Treatment Center

    Barling, AR
    1 day ago
  •  ...full life cycle of member and provider appeals and grievance cases, the full-time Appeals and Grievance Specialist will conduct case intake, investigation, and...  ...documentation to ensure timely resolution while working remotely. Key responsibilities Research and analyze case... 
    Remote work
    Full time
    Work at office

    Virtual Vocations Inc

    United States
    4 days ago
  • CVS Health is looking for an Appeals Specialist to manage intake, investigation, and resolution of appeals, complaints, and grievances for all products. You will coordinate with multiple business units to ensure timely and customer-focused responses while identifying trends... 
    Complaints

    CVS Health

    New York, NY
    3 days ago
  •  ...Purpose of this position: Registration Specialist Senior provides revenue cycle services...  ...prioritizing acuity by understanding chief complaints, in accordance with the EMTALA...  ...colleagues in Emergency Department/Acute Psychiatric Services and other critical care areas... 
    Psychiatric
    Complaints
    Shift work

    Hennepin Healthcare

    Minneapolis, MN
    4 days ago
  • $23.22 - $34.84 per hour

    A leading health insurance provider is seeking a Grievance & Appeals Coordinator to work virtually full-time, with responsibilities including summarizing complaints, ensuring resolution of grievances, and documenting interactions. The ideal candidate should possess a high... 
    Remote work
    Complaints
    Hourly pay
    Full time

    Elevance Health

    Chicago, IL
    20 hours ago
  •  ...Facility Surveyor:The position is 100% remote with up to 75% travel. The Surveyor will...  ...surveys (i.e. re-certification, comparative, complaint investigation, and revisits) for long-...  .../IID), end-stage renal disease (ESRD), Psychiatric Residential Treatment Facility (PRTF),... 
    Remote work
    Psychiatric
    Complaints
    Work at office

    GreenLife Healthcare Staffing

    Clay City, KY
    2 days ago
  •  ...Title: Complaints Specialist Location: (Remote) sourcing through best cost countries Duration: 6 Months, End date is 04/05/2027 Job Description: ~ Bachelor's Degree and 2 years of relevant experience, or Associate's Degree and 4 years of relevant experience,... 
    Remote work
    Complaints

    LanceSoft

    United States
    2 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Psychiatric Complaints and Grievances Specialist (Remote). Be the first to apply!