Interim QI Nurse (complaints & grievances) ~ Remote
Experience: Experienced Professional (Non-Manager)
Education: Associate's Degree
Category: Medical / Health
Industry: Healthcare / Healthcare Services
Date Posted: 06/11/2026
Shortcut: http://the-healthcare-initiative.jobs.mrinetwork.com/azeJ2C
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
- 3–5+ 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.
To apply or schedule a confidential phone conversation, please send your resume (MS WORD format preferred) to Alison@thi-search.com or schedule a conversation at https://calendly.com/alison-5_h
Alison Holland
Senior Managing Partner
720-735-9739 phone/text
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