Psychiatric Complaints and Grievances Specialist

🕒 il y a 11 jours

🇺🇸 États-Unis – Télétravail

💵 $128 000 - $149 150 / an

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

👻 Score fantôme 0%

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Rula

Site WebLinkedInTous les Emplois

501 - 1000 employés

Fondée en 2019

💼 Conseil

🛡️ Assurance

🏥 Santé

💰 Series C - Rula en 2024-07

Consulting • Insurance • Healthcare

Rula est une plateforme qui met en relation les particuliers recherchant des services d'amélioration de l'habitat avec des professionnels qualifiés dans leur région. En utilisant Rula, les clients peuvent facilement trouver, comparer et engager des professionnels de confiance pour divers projets tels que la rénovation, les réparations et la maintenance. La plateforme vise à simplifier le processus d'embauche d'entrepreneurs tout en garantissant la transparence et la qualité des services fournis.

Description

• Own the clinical review and resolution of psychiatric complaints and grievances • Investigate cases through chart review and provider outreach • Render clear and fair determinations about quality, safety, or appropriateness of care • Resolve and document each case within expected SLAs • Identify recurring patterns and surface them to Psych Quality leadership • Collaborate with Psych Clinical Quality NPs, Psychiatric Patient Programs NP, and non-clinical Psych support teams • Maintain a small direct patient-care panel comprising approximately 30% of working time • Build the patient-care panel after gaining command of the complaints-and-grievances pathway • Practice using the same platform, workflows, and documentation standards as reviewed providers • Provide direct and empathic feedback to peer clinicians • Report as an individual contributor to the Associate National Medical Director • Contribute to improving quality of care across Rula's psychiatric network

🎯 Exigences

• Active, unrestricted PMHNP license • Minimum of 3 years of outpatient psychiatric practice • Valid CA DEA registration • Current Board Certification as a PMHNP (ANCC or AANP) • 3+ years of experience providing comprehensive psychiatric care in a fully remote telehealth setting • Familiarity with clinical and safety considerations of remote practice • 1+ years of experience in a dedicated quality improvement, chart audit, or peer coaching role • Experience delivering feedback or education to psychiatric providers, particularly in a 1099 or non-traditional employment model • Strong written and verbal communication skills • Ability to deliver empathic, direct, and succinct feedback to peer clinicians • Ability to hold clinical or safety standards under pressure • Proficiency with modern EHR and clinical workflow platforms • Comfort learning new systems quickly • Strong technical aptitude and adaptability • Preferred: Active CPHQ certification • Preferred: Experience using AI or AI-augmented tools in clinical workflows • Preferred: Active PMHNP licensure in multiple states, with preference for Florida, Tennessee, Georgia, and/or New York • Preferred: Experience contributing to clinical L&D content

🏖️ Avantages

• 100% remote work environment • Attractive pay and benefits • Medical, dental, vision, life, disability, and FSA/HSA • 401(k) plan access • 2 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 • New hire home office stipend • $50 monthly stipend for internet or cell phone expenses • Year-round wellness initiatives • $50/month wellness stipend • No bonus for this role