Investigator

Virginia Information Technologies Agency•Roanoke County, Virginia, VA

3d•$45,739 - $60,000

About The Position

The Investigator conducts investigations, reports, and reviews using approved investigative techniques and medical record review skills. The work includes Abuse/Neglect reports, OSIG complaints, Human Rights complaints, incident management reviews, and dCLV reports. The Investigator ensures inquiries are thorough, professional, and completed within applicable regulatory, policy, and time-frame requirements; interprets and applies state and federal regulations; conducts interviews and gathers relevant information; searches electronic health records and abstracts documentation; analyzes findings; and prepares organized, comprehensive reports. The role requires strict confidentiality, support for facility-wide investigation tracking, coordination with external entities, and completion of related administrative work. The employee completes required DBHDS facility investigator training and maintains good standing as an investigator. The position also provides administrative, reporting, statistical, and audit support to departments under the Chief Quality Officer, primarily Compliance, Health Information Management, and Utilization Review. Duties include supporting the Compliance Director with designated reports, completing HIM statistical reporting, providing court coverage as needed, conducting utilization review and other assigned audits, and cross-training to cover designated quality functions. Other duties may be assigned.

Requirements

Knowledge of effective investigative skills, including interviewing and information-gathering techniques.
Ability to relate effectively with a variety of internal and external individuals.
Ability to collect, interpret, and present data.
Ability to write clearly, concisely, and in an organized manner.
Working knowledge of state and federal policies and procedures.
Ability to interpret documentation in medical records.
Demonstrated ability and skill using computer software, including electronic health records.
Ability to work independently and organize time effectively.
Knowledge of customer service principles.
Ability to formulate objective, logical, and reasonable conclusions and recommendations.
Ability to adjust the work schedule to conduct second-, third-, and weekend or holiday investigative work as needed.
Ability to communicate effectively orally and in writing with staff, peers, and community members.

Responsibilities

Conduct investigations, reports, and reviews involving Abuse/Neglect reports, OSIG complaints, Human Rights complaints, incident management reviews, and dCLV reports.
Ensure investigations are thorough, professional, and completed within applicable regulatory, policy, and time-frame requirements.
Interpret and apply state and federal regulations.
Conduct interviews, gather relevant information, review medical records, and locate and abstract documentation in electronic health records.
Analyze findings and prepare organized, comprehensive investigative reports with accurate conclusions.
Maintain strict confidentiality and assist with facility-wide investigation tracking.
Coordinate with external entities, including law enforcement, dCLV, DSS, APS, HR, OSIG, and OHR.
Complete required DBHDS facility investigator training and maintain good standing as an investigator.
Provide administrative, reporting, statistical, and audit support to Compliance, Health Information Management, and Utilization Review departments under the Chief Quality Officer.
Support the Compliance Director with designated reports and complete HIM statistical reporting.
Provide court coverage as needed and conduct Utilization Review and other audits as assigned.
Cross-train to provide coverage for designated quality functions and perform other duties as assigned.