Clinical Investigations Manager- Atlanta

Georgia Department of Revenue•Atlanta, GA

10d•Remote

About The Position

The Clinical Investigations Manager guides day-to-day investigation team activities, supervises investigators and team leads, and helps the team meet established performance metrics. The manager reviews investigation processes and written findings, resolves process issues with internal and external stakeholders, supports collaboration in a remote environment, and trains new staff. The role also contributes to Office of Investigations goals, projects, operating procedures, and business processes, and may conduct investigations and assist with case management as needed. The position coordinates and participates in onsite, unannounced provider visits to investigate incidents or determine provider compliance, provides technical support to providers regarding identified deficiencies, and coordinates investigations with other agencies. The manager must obtain and maintain certification in investigations of serious incidents, participate in Community Mortality Review Committee meetings as required, and hold professional licensure as an RN or Licensed Behavioral Health Clinician. Statewide travel, including overnight travel, is required as needed. The role also includes accurate and timely data entry, maintaining effective working relationships and communications with providers and other stakeholders, prioritizing workload and critical issues, monitoring deadlines and performance metrics, providing respectful and timely customer service, and collaborating as a team member. Employment may require drug screening, TB evaluation, annual influenza vaccination, and a national and state background check.

Requirements

Professional licensure as an RN or Licensed Behavioral Health Clinician is required; licenses must be current and permit practice in Georgia.
High school diploma or GED and five years of job-related experience, including two years in a lead worker, team leader, or supervisory role related to the area of assignment; or two years of experience at the lower-level Compliance Specialist 3 (RCP062) or equivalent position.
Some positions may require certification or licensure.
Some positions may require a valid driver's license.
Ability to travel statewide, including overnight travel, as needed.
Ability to obtain and maintain certification in conducting investigations of serious incidents.
Employment is subject to a national and state background check.
Drug screening, TB evaluation, and annual influenza vaccination may be required; limited exemptions may be available for documented medical contraindications or religious beliefs.

Responsibilities

Guide day-to-day investigation team activities to meet established performance metrics.
Supervise and direct investigators and team leads through case supervision, instructions, and guidance; develop resources and tools when gaps are identified.
Observe, review, and analyze processes to identify inefficiencies and opportunities for improvement.
Review written investigation reports to ensure findings are accurate, clear, thorough, and supported by evidence, testimony, policies, rules, and regulations.
Resolve problems in the investigation process in collaboration with internal and external stakeholders.
Build team collaboration in a remote environment.
Review individual and team activities for process accuracy and productivity.
Train new staff, including through one-on-one sessions and shadowing.
Collaborate with the Office of Investigations management team to set office goals.
Participate in project development and management initiatives, internal operating procedures, and business processes.
Provide investigative support to external investigative and regulatory or enforcement agencies as directed.
Conduct investigations and assist with case management as needed.
Delegate work to team leads as needed.
Participate in and lead management, supervisory, and team meetings; attend trainings.
Coordinate investigations with other agencies as needed.
Maintain familiarity with applicable rules, regulations, policies, and provider manuals.
Provide technical support to providers regarding deficiencies identified in investigations.
Coordinate and participate in onsite, unannounced provider visits to conduct investigations or determine provider compliance.
Obtain and maintain certification in conducting investigations of serious incidents.
Participate in Community Mortality Review Committee meetings as required.
Enter data accurately, thoroughly, and promptly into multiple databases.
Develop and maintain positive working relationships and communicate effectively with providers and other stakeholders, including DBHDD offices and divisions.
Project a professional image in in-person, phone, and electronic communications.
Plan and prioritize workload, respond to correspondence promptly, and monitor deadlines to meet individual performance metrics.
Identify and prioritize critical issues and use sound judgment in responding to internal and external contacts.
Provide high-quality customer service by anticipating needs, delivering services accurately and respectfully, and following through with customers.
Collaborate effectively as a team member and assist with projects as needed.
Travel statewide overnight as needed.