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Merakey · 21 hours ago

Investigation Specialist

Beaver, PA

Full-time

Hybrid

New Grad, Entry Level

$24.62/hr - $26.67/hr

Merakey is a non-profit provider of developmental, behavioral health, and education services. They are seeking an Investigation Specialist to join their Incident Management Team, focusing on investigating incidents related to consumer quality of care and ensuring compliance with regulations.

EducationHealth CareNon Profit

Responsibilities

Conduct thorough investigations related to consumer quality of care, including incidents of abuse, neglect, exploitation, consumer/family complaints, and peer review/death investigations across I/DD, ABH, and CFS programs

Ensure timely and accurate documentation of investigations using QCOMS and EIM systems, in alignment with internal KPIs and external compliance standards (ODP and OMHSAS)

Collaborate with Operations, HR, and other departments by coordinating and communicating investigation outcomes via scheduled Findings Calls

Maintain consistent, professional communication with Incident Supervisors regarding case progress and investigative activities

Apply knowledge of federal/state regulations, payer standards, and internal policies during investigations to ensure regulatory compliance and policy adherence

Support cross-functional Quality and Compliance initiatives and uphold Merakey’s Integrity Program, including the Code of Conduct and corporate policies

Qualification

Incident investigationRegulatory complianceDocumentation skillsCommunication skillsCollaboration

Required

Ensure timely and accurate documentation of investigations using QCOMS and EIM systems, in alignment with internal KPIs and external compliance standards (ODP and OMHSAS)

Collaborate with Operations, HR, and other departments by coordinating and communicating investigation outcomes via scheduled Findings Calls

Maintain consistent, professional communication with Incident Supervisors regarding case progress and investigative activities

Apply knowledge of federal/state regulations, payer standards, and internal policies during investigations to ensure regulatory compliance and policy adherence

Support cross-functional Quality and Compliance initiatives and uphold Merakey's Integrity Program, including the Code of Conduct and corporate policies