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 1 day ago
Similar jobs that could be interesting for youBased on the Psychiatric Complaints and Grievances Specialist (Remote) in Remote vacancy
  •  ...To enhance the quality of care within the psychiatric network, the full-time remote Psychiatric Complaints & Grievances Specialist will manage the clinical review and resolution of psychiatric complaints, investigate cases, and provide direct patient care while collaborating... 
    Remote work
    Psychiatric
    Complaints
    Full time

    Virtual Vocations Inc

    United States
    3 days ago
  •  ...Alignment Health is fully remote and seeks an Appeals & Grievance Coordinator to manage the day-to-day tracking of grievances, appeals, and complaints within the Member Services Department. You will act as the primary investigator and contact for member and provider grievances... 
    Remote work
    Complaints

    Alignment Healthcare USA, LLC in

    Orange, CA
    6 hours ago
  • 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

    Healthfirst

    United States
    1 day 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 work
    Complaints

    Medica

    Minnetonka, MN
    4 days ago
  •  ...activities including reviewing and resolving member and provider complaints, and communicating resolution to members or authorized...  ...Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members, providers, and related... 
    Remote work
    Complaints
    Contract work
    Work at office

    Molina Healthcare

    United States
    3 days 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 work
    Complaints
    Contract work
    Work at office

    Molina Healthcare

    Phoenix, AZ
    3 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,...  ...and Hours ~ This position is 100% remote - Schedule M-F, 8am-4:30pm or 8:30am-5... 
    Remote work
    Complaints
    Contract work
    Temporary work
    Work experience placement
    Work at office

    Health First

    United States
    4 days ago
  • $60.78k

     ...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
    21 hours 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
    6 days ago
  •  ...full-time NY Licensed Appeals Specialist will investigate and resolve member or provider complaints and appeals regarding clinical services while working remotely. Key responsibilities Develop...  ...practice with a focus on appeals & grievances, claims processing, or... 
    Remote work
    Complaints
    Full time

    Virtual Vocations Inc

    United States
    4 days ago
  •  ...time Kansas Medicare Advantage Specialist will process and resolve member appeals, grievances, and inquiries while ensuring compliance...  ..., with the option to work remotely or onsite. Key responsibilities...  ...appeals, grievances, and complaints to meet regulatory standards Analyze... 
    Remote work
    Complaints
    Full time

    Virtual Vocations Inc

    United States
    4 days 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
    5 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
    1 day 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
    5 days ago
  •  ...CVS Health is seeking an Appeals Specialist in Oklahoma City to manage intake, investigation and resolution of appeals, complaints and grievances across products. You will coordinate responses from multiple units to deliver timely, member-focused outcomes and identify... 
    Complaints

    CVS Health

    Oklahoma City, OK
    2 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
    1 day ago
  •  ...Elevance Health in New York is seeking a Grievance/Appeals Representative I to review,...  ...Appeals Department, involves investigating complaints, communicating dispositions to members and...  ...resolutions while supporting a hybrid in-office/remote work model. #J-18808-Ljbffr... 
    Remote work
    Complaints
    Work at office

    Elevance Health

    Latham, NY
    5 days ago
  •  ...OU Health is seeking a Patient Grievance & Relations Specialist II to support system-wide patient experience initiatives. The role emphasizes clinical context, service recovery, and timely complaint resolution across locations. Strong collaboration with multidisciplinary... 
    Complaints

    OU Medicine

    Vancouver, WA
    2 days ago
  •  ...Molina Healthcare is seeking a detail‑oriented claims professional to support appeals, disputes, grievances, and complaints from members, providers, and external agencies. You will research and resolve issues to ensure timely, compliant outcomes under CMS guidelines.... 
    Complaints

    Molina Healthcare

    New York, NY
    3 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
    4 days ago
  •  ...Molina Healthcare is seeking a Claims Appeals Specialist to support claims activities, review member and provider complaints, and communicate resolutions in line with CMS standards. You will research appeals and grievances, request and review medical records, prepare summaries... 
    Complaints
    Contract work

    UnitedHealth Group

    New York, NY
    11 hours ago
  • $80k - $100k

     ...Texas. This full-time position offers the flexibility of a remote work environment, allowing you to deliver high-quality mental...  ...contributing to interdisciplinary teamwork. \n Address complaints and grievances effectively, working diligently to enhance patient... 
    Remote work
    Complaints
    Full time
    Work at office
    Weekend work

    Moon Crest Psychological Center

    Dallas, TX
    8 days ago
  •  ...Alhambra Hospital Hospital Relations Specialist - Per Diem Schedule: Monday-Friday...  ...fully accredited, full-service acute psychiatric hospital serving children, adolescents...  ...or concerns prior to escalation to a complaint or grievance. They are also responsible for meeting... 
    Psychiatric
    Complaints
    Daily paid
    Local area
    Monday to Friday

    Universal Health Services

    Rosemead, CA
    2 days ago
  •  ...Lucile Packard Children’s Hospital Stanford seeks a Clinical Experience & Grievances Specialist to review cases, complaints and grievances ensuring regulatory compliance and coordination with clinical teams to triage issues. This role emphasizes patient rights and high... 
    Complaints

    Lucile Packard Children's Hospital Stanford

    Palo Alto, CA
    4 days ago
  •  ...CVS Health is seeking an Appeals, Complaints and Grievances Analyst to manage intake, investigations, and resolutions across products, coordinating responses with multiple units to ensure timely, customer-focused outcomes. The role requires 1–2 years of experience with... 
    Complaints
    Full time

    CVS Health

    Oklahoma City, OK
    3 days ago
  •  ...all their teeth for their entire lives. Where every person has access to quality dental care. ABOUT THE POSITION The Complaints & Grievances Specialist II is responsible for the investigation and resolution of complaints, grievances and member appeals based upon specific... 
    Complaints
    Flexible hours

    DentaQuest

    Milwaukee, WI
    4 days ago
  •  ...Healthfirst is seeking a Grievance Specialist to join the Appeals & Grievances team. This remote role handles member grievances across Medicare, Medicaid, CHPlus, SHP, QHP, EP, and CompleteCare with a focus on timely, accurate resolutions. You will research issues across... 
    Remote work

    Health First

    United States
    3 days ago
  •  ...hiring a Behavioral Health Utilization Management Clinician for a remote role with a Louisiana-preferred location. You will review...  ...current Louisiana behavioral health license or compact RN with psychiatric experience, 3+ years of clinical practice, and the ability to... 
    Remote work
    Psychiatric

    CVS Health

    United States
    4 days ago
  •  ...service members, caregivers and others in metropolitan and rural/remote rural areas, especially those which are disabled, frail,...  ...work and administrative matters; hears and resolves minor complaints and grievances; reviews, approves or disapproves leave requests; adjusts... 
    Remote work
    Complaints
    Relocation
    Relocation package
    Monday to Friday

    US Department of Veterans Affairs

    Coatesville, PA
    18 hours ago
  •  ...and Blue Shield of Kansas seeks an experienced MA Appeals and Grievances Specialist to provide exceptional customer service while processing...  ...and ensures timely, accurate resolutions. Location allows remote or onsite work within Kansas/Missouri with relocation considerations... 
    Remote work
    Relocation

    Blue Cross & Blue Shield of Kansas, Inc.

    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!