Investigations Specialist

Southwest Behavioral & Health Services is seeking dedicated and professional Quality Management Investigations Specialist who can help us fulfill our mission Delivering Compassionate Care to Enhance Lives and Improve Communities.. We are seeking someone with strong technical skills, problem solver, organized and excellent communication skills. Does this describe you? If so, you may be the person we are looking for to join our dynamic Quality Management ( QM) team!

Job Preview at a Glance:

Quality Management Investigations Specialist responsible for supervision and oversight of various investigation processes/functions, including grievances, complaints and investigations. Responsible for coordination of Health Plan investigation process/functions, including Quality of Care Investigations. Is responsible for follow-up and reports as assigned by Leadership. Must possess advanced Microsoft Office skills including Access, Word, Excel and PowerPoint. Demonstrates continuous effort to improve operations, high attention to detail and scrupulous documentation, decrease turnaround times, streamline processes, and work cooperatively and jointly to provide quality seamless customer service.

Location & Schedule:

This is a Monday-Friday hybrid schedule, reporting to the Administration Office located off of 3rd Street and Osborne Rd.

Pay: This is a salary position at $52k.

Essential Duties/Responsibilities:

• Works with Quality Management leadership in following up and responding to internal & external grievances, complaints, and sentinel events. Internal Investigations to include but not limited to QM Internal Reviews, Preliminary Chart Reviews, Pre-Investigations, and Pre-Litigations.
• Works with Quality Management leadership and People Experience Leadership in following up and responding to internal staff related grievance and complaints, including QM Internal Reviews.
• Responsible for determining when CARF sentinel event report is needed and collaborates with Chief Quality Officer on submission of reports;
• Provides oversight to internal seclusion and restraint process and leads internal monthly meetings; creates meeting minutes and stores as indicated.
• Prepares correspondence, records, reports, and special communications as required;
• Tracking and analyzing internal and external investigations to determine trends and brainstorming internal training and technical assistance needs to aid in QM quarterly debriefing process;
• Responsible for maintaining regular tracking and data collection for internal and external investigations, complaints, grievances and seclusion and restraint events. Provides data as requested for QM Dashboards.
• Provide on-site/site specific training on seclusion and restraints and investigations based on trends and/or needs;
• Responsible for gathering internal reports and leading pre-litigation meetings, as necessary;
• Helps resolve complaints and grievances from internal customers and external entities, coordinating with QM Performance Improvement Manager, Chief Quality Officer, Risk Management and People Experience as needed

Required Skills/Abilities:

• Must possess proficient computer software skills, in MS Office, specifically Excel, Outlook, Graphics/Charts.
• Superior organizational skills with the ability to work independently in a fast-paced environment.
• Excellent interpersonal skills, communication, positive problem-solving abilities with a high level of understanding quality customer service.
• Exceptional organizational skills, thorough follow through, self-directed with critical thinking skills are essential.
• Requires meticulous attention to detail, multi-task, with demonstrated skills working as part of a team.

Required Education and Experience:

• AA Degree in business, legal, or administrative support or in progress of completing AA degree.
• Minimum three years of related experience in administrative operations of a human services agency.
• Arizona Fingerprint Clearance Card issued by Department of Public Safety or ability to obtain upon hire.
• BS Degree in business, legal, or administrative support or in progress of completing BS degree, preferred
• Experience related to written reporting and/or complaint resolution, preferred.

Benefits:

Southwest Behavioral and Health Services offer full time employees low-cost medical insurance and 100% company paid dental, short term disability, long term disability and life insurance for employees. 3.3 weeks of PTO your 1st year of employment, with increased accruals after 2, 5 and 10 years of service and 10 paid holidays. We will help you save for retirement 40% company match up to a 10% deferral into your SB&H retirement account. We help you with your higher education goals Reduce your tuition costs with our tuition reimbursement program & discount degree programs. Employee Assistance Program, Health & Wellness and much more!

About SB&H

Southwest Behavioral & Health Services is a large and growing, non-profit community-based provider of behavioral health services with locations throughout the Phoenix metropolitan area, rural Maricopa County, Gila, Pinal, Mohave, Coconino, and Yavapai Counties. We are a well-established voice in the community with more than 115 sites, over one thousand employees, and 40 years experience.

To learn about Southwest Behavioral & Health Services mission, values and services please review our website at https://www.sbhservices.org/

• Mission: Delivering Compassionate Care to Enhance Lives and Improve Communities
• Values: Compassion, Integrity, Quality, Empowerment, Innovation and Trust

SB&H is a drug-free workplace, drug screening required. EOE

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.