Investigation Specialist

Merakey•Escondido, CA
•$28 - $30•Hybrid

About The Position

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. The Investigation Specialist conducts thorough reviews and investigations of incidents across Merakey programs to protect the safety, rights, and well-being of individuals served. This role helps reduce organizational risk by ensuring timely, compliant, and accurate investigations that support Merakey’s commitment to quality, integrity, and regulatory compliance.

Requirements

  • Minimum of 2 years of experience in human services or a related field.
  • Must obtain Certified Investigator (CI) Certification within 90 days of hire.
  • Strong written and verbal communication skills, with the ability to conduct interviews and communicate effectively in person, by phone, and virtually.
  • Ability to prepare clear, structured reports while maintaining professionalism and objectivity.
  • Strong organizational, time management, and prioritization skills, with the ability to manage multiple cases and meet deadlines.

Nice To Haves

  • Experience maintaining accurate case records and documentation in a case management system (QCOMS) preferred.
  • Experience supporting individuals with intellectual and developmental disabilities (IDD) is preferred but not required.

Responsibilities

  • Conduct and complete investigations related to consumer care, including abuse, neglect, exploitation, complaints, and peer review/death cases.
  • Investigate incidents across service lines, including Intellectual and Developmental Disabilities (IDD), Adult Behavioral Health (ABH), and Children & Families Services (CFS).
  • Manage case documentation and tracking using QCOMS, ensuring alignment with quality standards and key performance indicators (KPIs).
  • Utilize the Enterprise Incident Management (EIM) system to meet all external (ODP, OMHSAS) and internal compliance requirements and deadlines.
  • Coordinate and communicate investigation findings through cross-functional meetings with Operations, HR, and other stakeholders.
  • Maintain clear, timely communication with leadership regarding case status and investigative activities.
  • Apply knowledge of federal/state regulations, payer requirements, and internal policies to ensure compliant investigations and accurate determinations.
  • Support organizational quality, safety, privacy, and compliance initiatives through collaboration and special projects.
  • Uphold professional standards and promote adherence to the organization's Code of Conduct and Integrity Program.

Benefits

  • Comprehensive medical, dental, and vision coverage, plus access to healthcare advocacy support.
  • Retirement plan -- both pre-tax and Roth (after-tax) options available for employee contributions.
  • DailyPay -- access your pay when you need it!
  • On the Goga well-being platform, featuring self-care tools and resources.
  • Access Care.com for backup childcare, elder care, and household services.
  • Confidential counseling, legal, and financial services through our Employee Assistance Program (EAP).
  • Tuition reimbursement and educational partnerships.
  • Employee discounts and savings programs on entertainment, travel, and lifestyle.
  • Access to Pryor Online Learning for free online personal development classes.
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