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Merakey Hiring for Investigation Specialist at Verona, PA Full Time
Job Description
Position Summary
The goal of the Incident Management Team is to research and investigate all Incidents as deemed necessary to reduce the potential negative impact on Merakey’s consumers, infrastructure, and the community.
Duties
* Responsible for completion of all assigned Incident Investigations and inquiries pertaining to consumer quality of care. This includes but is not excluded to abuse, neglect, exploitation specific events, Family/Consumer Complaints and Peer Review/Death investigations
* The Incident Specialist will conduct investigations for Individuals with Developmental Disabilities (I/DD), Adult Behavioral Health (ABH) and Children & Families Services (CFS).
* Utilization and navigation of the Quality and Compliance Organization Management System (QCOMS); to include documentation of case management activity and alignment with QCO Key Performance Indicators (KPI’s).
* Utilization and navigation of the Enterprise Incident Management (EIM) system for the purpose of assuring external compliance within required timeframes for all ODP and OMHSAS 1M expectations, as well as internal compliance based upon language set forth in Service Level Agreements for each Division.
* Coordinate notification of investigation outcomes through scheduled Findings Calls; inclusive of Operations, Human Resources and other identified Merakey Department services representatives.
* Maintain professional and prompt communication and correspondence with Incident Supervisor; specific to incident investigations and case management activities.
* Maintains a supportive role through participation in collaborative projects within Merakey Quality and Compliance Organization, to include Privacy, Quality, Safety and Compliance team.
* Demonstrates knowledge and utilization of Federal and State regulations, payer standards and contracts for responsibilities associated with assigned cases and investigations.
* Demonstrates knowledge of corporate policy and procedures; to include how to reference with an investigation and to confirm a violation.
* Conducts as a professional, setting an example as a professional who endorses the Merakey Integrity Program, to include knowledge and information sharing pertaining to the Merakey Code of Conduct Program and QCO corporate policies.
* Performs other duties as assigned by supervisor as it relates to the position.
Our ideal candidate will possess the following skills:
* Min 2 years related experience.
* Familiarity with ODP Certified Investigation process, current CI preferred but not required. Expectation is to obtain CI certification within 90 days upon hire.
* Verbal Communication skills – demonstrates appropriate and professional interpersonal and group communication skills related to the investigatory process; to include facilitation of interviews, in-person program review(s) findings and additional meetings as scheduled.
* Time Management – exhibits the ability to assess and manage priorities as needed/required to meet case assignments, as well as requested supports of divisions and other corporate departments.
* Written Communication – demonstrates competency with written investigatory findings/report structure, as well as maintaining case records within the QCO case management system (QCOMS).
* Maintains objectivity throughout the investigatory process; as evidenced through verbal and written communication aspects of job responsibilities. This includes face to face/phone/video conference interview(s), investigatory summaries, verbal findings review, and measurable improvement plan activities.
Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled
Merakey is proud to be an Equal Opportunity Employer! We deeply value diversity and do not discriminate on the basis of race, religion, color, national origin, ethnic background, sex, gender, gender identity, sexual orientation, age, marital status, veteran status, genetic information, or disability status. Moreover, we are committed to creating teams that reflect the diversity of the communities we serve and encourage applicants from underrepresented backgrounds to apply.
The goal of the Incident Management Team is to research and investigate all Incidents as deemed necessary to reduce the potential negative impact on Merakey’s consumers, infrastructure, and the community.
Duties
* Responsible for completion of all assigned Incident Investigations and inquiries pertaining to consumer quality of care. This includes but is not excluded to abuse, neglect, exploitation specific events, Family/Consumer Complaints and Peer Review/Death investigations
* The Incident Specialist will conduct investigations for Individuals with Developmental Disabilities (I/DD), Adult Behavioral Health (ABH) and Children & Families Services (CFS).
* Utilization and navigation of the Quality and Compliance Organization Management System (QCOMS); to include documentation of case management activity and alignment with QCO Key Performance Indicators (KPI’s).
* Utilization and navigation of the Enterprise Incident Management (EIM) system for the purpose of assuring external compliance within required timeframes for all ODP and OMHSAS 1M expectations, as well as internal compliance based upon language set forth in Service Level Agreements for each Division.
* Coordinate notification of investigation outcomes through scheduled Findings Calls; inclusive of Operations, Human Resources and other identified Merakey Department services representatives.
* Maintain professional and prompt communication and correspondence with Incident Supervisor; specific to incident investigations and case management activities.
* Maintains a supportive role through participation in collaborative projects within Merakey Quality and Compliance Organization, to include Privacy, Quality, Safety and Compliance team.
* Demonstrates knowledge and utilization of Federal and State regulations, payer standards and contracts for responsibilities associated with assigned cases and investigations.
* Demonstrates knowledge of corporate policy and procedures; to include how to reference with an investigation and to confirm a violation.
* Conducts as a professional, setting an example as a professional who endorses the Merakey Integrity Program, to include knowledge and information sharing pertaining to the Merakey Code of Conduct Program and QCO corporate policies.
* Performs other duties as assigned by supervisor as it relates to the position.
Our ideal candidate will possess the following skills:
* Min 2 years related experience.
* Familiarity with ODP Certified Investigation process, current CI preferred but not required. Expectation is to obtain CI certification within 90 days upon hire.
* Verbal Communication skills – demonstrates appropriate and professional interpersonal and group communication skills related to the investigatory process; to include facilitation of interviews, in-person program review(s) findings and additional meetings as scheduled.
* Time Management – exhibits the ability to assess and manage priorities as needed/required to meet case assignments, as well as requested supports of divisions and other corporate departments.
* Written Communication – demonstrates competency with written investigatory findings/report structure, as well as maintaining case records within the QCO case management system (QCOMS).
* Maintains objectivity throughout the investigatory process; as evidenced through verbal and written communication aspects of job responsibilities. This includes face to face/phone/video conference interview(s), investigatory summaries, verbal findings review, and measurable improvement plan activities.
Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled
Merakey is proud to be an Equal Opportunity Employer! We deeply value diversity and do not discriminate on the basis of race, religion, color, national origin, ethnic background, sex, gender, gender identity, sexual orientation, age, marital status, veteran status, genetic information, or disability status. Moreover, we are committed to creating teams that reflect the diversity of the communities we serve and encourage applicants from underrepresented backgrounds to apply.