Clinical Care Investigator

State of Massachusetts • Wakefield, MA

453d

About The Position

The Clinical Care Investigator position within the Board of Registration and Medicine at the Department of Public Health (DPH) involves evaluating complaints against physicians to identify allegations of substandard care. The role requires the investigator to review medical records, conduct interviews, and prepare materials for expert review, while assisting complaint counsel in legal matters related to adjudicatory processes.

Requirements

• Three years of full-time experience as a registered nurse in a recognized medical facility, with at least two years in a supervisory or managerial capacity.
• Demonstrated knowledge of nursing policies, procedures, and investigative techniques.
• Ability to analyze and interpret medical records and legal documents.
• Strong writing skills to express thoughts clearly and logically.
• Effective verbal communication skills.
• Sound judgment and discretion in handling confidential information.

Nice To Haves

• Ability to identify critical issues inconsistent with the standard of care.
• Familiarity with legal and regulatory issues impacting medical care.
• Ability to establish effective relationships with individuals and staff.
• Motivated, self-directed, detail-oriented, and able to work independently or in a team.
• Proficient in Microsoft Office products.

Responsibilities

• Review and investigate complaints and reports from various sources to determine potential violations of medical care standards.
• Identify allegations of substandard care requiring further investigation and request medical records or interview witnesses as needed.
• Maintain a record of interviews and prepare investigative reports in a timely manner.
• Oversee a caseload by prioritizing work, setting goals, and responding to deadlines.
• Prepare accurate summaries of medical records for use by complaint counsel and Board committees.
• Analyze consumer complaints and statutory reports, evaluate physician responses, and prepare memoranda with recommendations.
• Collaborate with complaint counsel and investigators in the disciplinary processing of cases.
• Identify and interview qualified physicians for expert opinions on care quality.
• Assist in the preparation of legal documents and presentations for hearings.
• Adhere to confidentiality and legal requirements regarding sensitive information.
• Attend relevant training and keep updated on nursing and medical practice developments.
• Maintain productive working relationships with Board staff.

Benefits

• Comprehensive employee benefits package including health insurance, retirement plans, and paid time off.

What This Job Offers

• Job Type: Part-time
• Career Level: Mid Level
• Industry: Executive, Legislative, and Other General Government Support
• Education Level: Master's degree