Critical Incident Investigator I

Job Summary

Managing a high volume of critical incidents, the full-time Critical Incident Investigator I will work remotely to ensure timely, accurate, and compliant resolutions while collaborating with various teams to investigate and address incidents affecting Community HealthChoices participants.

Key responsibilities

• Report and investigate critical incidents related to long-term services and supports, including allegations of abuse or neglect
• Monitor and screen intake queues for critical incidents, ensuring compliance with state standards and timely documentation
• Engage with peers and service coordinators to propose interventions and evaluate actions taken to mitigate risks

Required qualifications

• Bachelor's degree in Human Services, Criminal Justice, or Social Work preferred; or Associate's degree with 2 years of relevant experience
• Prior experience in healthcare, quality, auditing, emergency response, or public safety strongly preferred
• Strong computer proficiency, particularly in MS Word, Outlook, Excel, and web-based healthcare applications
• Knowledge of Medicaid, Medicare products, and managed care principles preferred
• Ability to meet deadlines and manage multiple priorities in a fast-paced environment