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Investigation Specialist

Merakey

Position Summary The Investigation Specialist is responsible for conducting thorough investigations to mitigate risk and ensure the safety and quality of care for consumers, while maintaining compliance with regulatory and organizational standards. Key Responsibilities Conduct and complete investigations related to consumer care, including abuse, neglect, exploitation, complaints, and peer review/death cases. Investigate incidents across service lines, including Intellectual/Developmental Disabilities (IDD), Adult Behavioral Health (ABH), and Children & Families Services (CFS). Manage case documentation and tracking using QCOMS, ensuring alignment with quality standards and key performance indicators (KPIs). Utilize the Enterprise Incident Management (EIM) system to meet all external (ODP, OMHSAS) and internal compliance requirements and deadlines. Coordinate and communicate investigation findings through cross‑functional meetings with Operations, HR, and other stakeholders. Maintain clear, timely communication with leadership regarding case status and investigative activities. Apply knowledge of federal/state regulations, payer requirements, and internal policies to ensure compliant investigations and accurate determinations. Support organizational quality, safety, privacy, and compliance initiatives through collaboration and special projects. Uphold professional standards and promote adherence to the organization’s Code of Conduct and Integrity Program. Requirements Minimum 2 years of experience in human services or a related field. Must obtain Certified Investigator (CI) Certification within 90 days of hire. Strong written and verbal communication skills. Ability to conduct interviews and present findings professionally. Experience writing clear, structured investigative reports. Proficiency in maintaining case records in a case management system (QCOMS preferred). Strong time management and prioritization skills. Ability to manage multiple cases and meet deadlines. Demonstrated objectivity and professionalism throughout investigations. Ability to communicate effectively across in‑person, phone, and video formats. IDD experience preferred, but not required. Benefits Comprehensive medical, dental, and vision coverage with access to healthcare advocacy support. Retirement plan with both pre‑tax and Roth options available for employee contributions. DailyPay – access your pay when you need it. Access to the Goga well‑being platform, featuring self‑care tools and resources. Access to Care.com for backup childcare, elder care, and household services. Confidential counseling, legal, and financial services through the Employee Assistance Program (EAP). Tuition reimbursement and educational partnerships. Employee discounts and savings programs on entertainment, travel, and lifestyle. Access to Pryor Online Learning for free online personal development classes. About Merakey Merakey is a non‑profit provider of developmental, behavioral health, and education services. More than 8,000 employees provide support to nearly 40,000 individuals and families throughout 12 states across the country each year. Equal Opportunity Employer Merakey is proud to be an Equal Opportunity Employer! We deeply value diversity and do not discriminate on the basis of race, religion, color, national origin, ethnic background, sex, gender, gender identity, sexual orientation, age, marital status, veteran status, genetic information, or disability status. Merakey welcomes all veterans to apply. #J-18808-Ljbffr

Vacancy posted 2 days ago
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