Clinical Investigations Manager- Atlanta

Georgia Department of Revenue•Atlanta, GA

9d•Remote

About The Position

Guide the day-to-day activities of investigations teams to meet established performance metrics. Supervise and direct investigators and team leads giving instructions and guidance through case supervision and developing necessary resources and tools if gaps are identified. Observe, review, and analyze processes to identify inefficiencies and areas where improvements could be made. Review written reports of findings to ensure that they accurately, clearly and thoroughly draw conclusions based upon evidence, testimony, policy, rules, regulations, etc. Resolve problems encountered in the investigation process, collaborating with internal and external stakeholders as needed. Build team collaboration in a remote environment. Review individual team members 'and overall team activities for process accuracy and productivity. Train new staff to include one-on-one sessions and shadowing. Collaborate within 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 as directed to other external investigative and regulatory/enforcement agencies. Conduct investigations as required. Assist with case management as needed. Delegate to team leads as needed. Participate in and lead management/supervisory/team meetings and attend trainings. Coordinate investigations with other agencies as needed. Maintain a level of understanding and familiarity with the applicable rules and regulations, policies, provider manuals, etc. sufficient to perform the assigned duties and responsibilities. Provides technical support to the provider regarding deficiencies identified in an investigation. Coordinate and participate in onsite, unannounced visits to provider locations for the purposes of conducting investigations or determining provider compliance. Obtain and maintain certification in conducting investigations of serious incidents. Participate in the Community Mortality Review Committee meetings as required. Professional licensure is required (RN or Licensed Behavioral Health Clinician). Accurate, thorough, and timely entry of data into multiple databases. Develop and maintain positive working relationships and communicate effectively with providers and other stakeholders, including other DBHDD offices and divisions. Project a professional image through in-person, phone, and electronic communications. Plan and prioritize workload to meet day to day needs. Read, screen, and respond to correspondence in a timely manner. Communicate effectively with providers and other stakeholders, including other DBHDD offices and divisions. Identify and prioritize critical issues within identified parameters. Use sound judgment to respond appropriately to internal and external contacts. Independently monitor deadlines to ensure timeliness and the meeting of established individual performance metrics. Execute high quality customer service by anticipating customer needs, providing services accurately, in a respectful and timely manner, and establishing and maintaining effective contact and follow through with customers. Collaborate and work effectively as a team member. Assist with projects as needed. Participates in team meetings and attend trainings. Overnight travel statewide as needed.

Requirements

High school diploma/GED and five (5) years of job-related experience which includes two (2) years in a lead worker, team leader, or supervisory role related to the area of assignment; or two (2) years of experience required at the lower level Complnc Specialist 3 (RCP062) or position equivalent.
Professional licensure is required (RN or Licensed Behavioral Health Clinician)
Drug Screening
TB Evaluation
Annual Influenza
National and State background check

Nice To Haves

Some positions may require a certification or licensure.
Some positions may require a valid driver's license.

Responsibilities

Guide the day-to-day activities of investigations teams to meet established performance metrics.
Supervise and direct investigators and team leads giving instructions and guidance through case supervision and developing necessary resources and tools if gaps are identified.
Observe, review, and analyze processes to identify inefficiencies and areas where improvements could be made.
Review written reports of findings to ensure that they accurately, clearly and thoroughly draw conclusions based upon evidence, testimony, policy, rules, regulations, etc.
Resolve problems encountered in the investigation process, collaborating with internal and external stakeholders as needed.
Build team collaboration in a remote environment.
Review individual team members 'and overall team activities for process accuracy and productivity.
Train new staff to include one-on-one sessions and shadowing.
Collaborate within 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 as directed to other external investigative and regulatory/enforcement agencies.
Conduct investigations as required.
Assist with case management as needed.
Delegate to team leads as needed.
Participate in and lead management/supervisory/team meetings and attend trainings.
Coordinate investigations with other agencies as needed.
Maintain a level of understanding and familiarity with the applicable rules and regulations, policies, provider manuals, etc. sufficient to perform the assigned duties and responsibilities.
Provides technical support to the provider regarding deficiencies identified in an investigation.
Coordinate and participate in onsite, unannounced visits to provider locations for the purposes of conducting investigations or determining provider compliance.
Obtain and maintain certification in conducting investigations of serious incidents.
Participate in the Community Mortality Review Committee meetings as required.
Accurate, thorough, and timely entry of data into multiple databases.
Develop and maintain positive working relationships and communicate effectively with providers and other stakeholders, including other DBHDD offices and divisions.
Project a professional image through in-person, phone, and electronic communications.
Plan and prioritize workload to meet day to day needs.
Read, screen, and respond to correspondence in a timely manner.
Communicate effectively with providers and other stakeholders, including other DBHDD offices and divisions.
Identify and prioritize critical issues within identified parameters.
Use sound judgment to respond appropriately to internal and external contacts.
Independently monitor deadlines to ensure timeliness and the meeting of established individual performance metrics.
Execute high quality customer service by anticipating customer needs, providing services accurately, in a respectful and timely manner, and establishing and maintaining effective contact and follow through with customers.
Collaborate and work effectively as a team member.
Assist with projects as needed.
Participates in team meetings and attend trainings.