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 resolution of cases within the UPMC Community HealthChoices Quality Improvement department.

Key responsibilities

• Report and investigate critical incidents, including allegations of abuse, neglect, or exploitation, ensuring participant safety
• Monitor intake queues and document findings in electronic systems while communicating effectively with various stakeholders
• Analyze incident reporting data for quality measures and collaborate with peers to propose interventions and quality improvement strategies

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, and Excel
• Knowledge of Medicaid, Medicare products, and managed care principles preferred
• Ability to manage multiple priorities and meet deadlines in a fast-paced environment