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Interim QI Nurse (complaints & grievances) ~ RemoteMRINetwork • The HealthCare Initiative
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Interim QI Nurse (complaints & grievances) ~ Remote

Interim QI Nurse (complaints & grievances) ~ Remote

MRINetwork • The HealthCare Initiative
30+ days ago
Salary
CA$55.00 hourly
Job type
  • Temporary
  • Remote
Job description

THE HEALTHCARE INITIATIVE
Where Talent Meets Opportunity

Interim QI Nurse (complaints & grievances)
Northern California

A respected California managed care organization is seeking an experienced Interim Quality Improvement Nurse to support its Quality Improvement team with a primary focus on complaints and grievances management.

This is a fully-remote interim opportunity.

Assignment Details:

  • 3-Month Interim Assignment
  • Fully Remote (Must reside in the state of California)
  • Monday - Friday schedule
  • Salary: $55/hour

Key Responsibilities:

  • Review, investigate, and resolve member complaints and grievances
  • Triage urgent cases and coordinate follow-up with members and providers
  • Support quality improvement initiatives and corrective action plans
  • Assist with audits, reporting, and regulatory compliance efforts
  • Conduct retrospective PCP assignment reviews as needed

Qualifications:

Required

  • Graduate of an accredited nursing program
  • Active, unrestricted California RN license
  • 35+ years of clinical nursing experience

Preferred

  • Managed care experience
  • Complaints, grievances, appeals, or quality improvement experience
  • Knowledge of HEDIS, NCQA, CMS, and DHCS requirements
  • Experience working with Medi-Cal and/or Medicare populations

Ideal Candidate:

This role would be a great fit for a detail-oriented nurse with strong clinical judgment, investigative skills, and the ability to work independently in a fast-paced managed care environment.

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Interim QI Nurse (complaints & grievances) ~ Remote • The HealthCare Initiative

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