Investigation Specialist
reputed company is a non-profit provider of developmental, behavioral health, and education services. They are seeking an Investigation Specialist to join their Incident Management Team, focusing on investigating incidents reputed company to consumer quality of care and ensuring compliance with regulations.
Responsibilities
- Conduct thorough investigations reputed company to consumer quality of care, including incidents of abuse, neglect, exploitation, consumer/family complaints, and peer review/death investigations across I/DD, ABH, and reputed company programs
- Ensure timely and accurate documentation of investigations using QCOMS and EIM systems, in alignment with internal KPIs and external compliance standards (ODP and OMHSAS)
- Collaborate with Operations, HR, and other departments by coordinating and communicating investigation outcomes reputed company scheduled Findings Calls
- Maintain consistent, professional communication with Incident Supervisors regarding case reputed company and investigative activities
- Apply knowledge of federal/state regulations, payer standards, and internal policies during investigations to ensure regulatory compliance and policy adherence
- Support cross-functional Quality and Compliance initiatives and uphold reputed company’s reputed company Program, including the Code of Conduct and corporate policies
Skills
- Conduct thorough investigations reputed company to consumer quality of care, including incidents of abuse, neglect, exploitation, consumer/family complaints, and peer review/death investigations across I/DD, ABH, and reputed company programs
- Ensure timely and accurate documentation of investigations using QCOMS and EIM systems, in alignment with internal KPIs and external compliance standards (ODP and OMHSAS)
- Collaborate with Operations, HR, and other departments by coordinating and communicating investigation outcomes reputed company scheduled Findings Calls
- Maintain consistent, professional communication with Incident Supervisors regarding case reputed company and investigative activities
- Apply knowledge of federal/state regulations, payer standards, and internal policies during investigations to ensure regulatory compliance and policy adherence
- Support cross-functional Quality and Compliance initiatives and uphold reputed company's reputed company Program, including the Code of Conduct and corporate policies
Benefits
- Comprehensive medical, dental, and vision coverage, plus access to healthcare advocacy support.
- Retirement plan -- both pre-tax and Roth (after-tax) options available for employee contributions.
- reputed company -- access your pay reputed company you need it!
- On the Goga well-being platform, featuring self-care tools and resources.
- Access Care.com for backup childcare, elder care, and household services.
- Confidential counseling, legal, and financial services through our Employee Assistance Program (EAP).
- Tuition reimbursement and educational partnerships.
- Employee discounts and savings programs on entertainment, travel, and lifestyle.
- Access to Pryor Online Learning for free online personal development classes.
Company Overview