MEDICAL MALPRACTICE INVESTIGATOR - 64000553

Your Specific Responsibilities

• Investigates alleged unlicensed activity complaints and coordinates with local law enforcement agencies for potential prosecution of criminal violations. These investigations are of a complex nature and require collection of evidence, review and analysis of medical records, court documents and other pertinent records in addition to the use of covert investigative techniques.
• Prepares and serves uniform unlicensed activity citations and/or cease and desist agreements in accordance with established policies and procedures.
• Covers investigative activity through legal counsel as requested or directed.
• Prepares comprehensive reports of final, supplemental and probation investigations.
• Collaborates with federal, state, and local law enforcement officials and regulatory agencies as requested or directed by supervisor/manager.
• Coordinates and assists department legal/board staff regarding administrative hearings, subpoena service, administrative complaints, final orders, and disciplinary enforcement requests.
• Testifies and/or presents evidence at administrative hearings, depositions, or trials.
• Serves as member of the prosecution team as directed.
• Develops and maintains up-to-date professional contacts with risk managers, hospital administrators, nursing directors and other health care providers.
• Assists in allied health investigations as needed, participates in in-service training of medical investigative staff, conducts inspections, drug profiles and undercover investigations, and serves as a mentor to new investigators, as directed.
• Answers public inquiries, makes referrals, make public speaking engagements, make professional contacts, promotes the goals and mission of the Department including participation in Sterling related activities and events.

Required Knowledge, Skills, and Abilities

• Proficient computer skills to include Word, Excel, PowerPoint and Outlook; knowledge of computer data bases; knowledge and use of the compliance management system and licensing system used by the Agency; knowledge of laws, legal codes, court procedures and government rules & regulations; knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar; understanding written sentences and paragraphs in work related documents; communicating effectively with others verbally and in writing; talking to others to effectively convey information; ability to establish and maintain effective working relationships with others; listening to what other people are saying and asking questions as appropriate; conduct fact-finding research; knowledge of the methods of data collection and analysis; organize data into logical format for presentation in reports, documents and other written materials; knowing how to find information and identifying essential information; finding ways to structure or classify multiple pieces of information; write detailed narrative investigative reports; ability to plan, organize and prioritize work assignments; ability to work independently; investigating and researching; inspecting and evaluating the quality of products; ability to maintain a high degree of accuracy and close attention to detail; effectively manage time; make sound judgements; ability to maintain strict confidentiality.

Qualifications

• Five (5) years of professional experience from one or more of the following fields: investigative, law enforcement, working in the juvenile or adult criminal justice system, regulatory inspections, regulatory compliance, resource protection, affirmative action, equal employment opportunity, regulatory work as a paraprofessional or higher, claims adjusting, auditing, financial examining, land appraisal work, human relations, personnel, working as a licensed healthcare professional regulated by the Division of Medical Quality Assurance.
• One (1) year of investigative experience.
• Must be physically present in the office to effectively perform job duties and responsibilities.