MEDICAL MALPRACTICE INVESTIGATOR - 64000157

State of Florida • Alachua, FL

3d • Onsite

About The Position

Incumbent conducts complex medical quality assurance investigations relating to alleged violations of the practice acts/rules under the jurisdiction of the Department. Investigates complaints of alleged malpractice among medical health care boards. Initiates subject notification procedures.

Requirements

• Proficient computer skills to include Word, Excel, PowerPoint and Outlook; knowledge of computer data bases; knowledge and use of the compliance management system and licensing system used by the Agency; knowledge of laws, legal codes, court procedures and government rules & regulations; knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar; understanding written sentences and paragraphs in work related documents; communicating effectively with others verbally and in writing; talking to others to effectively convey information; ability to establish and maintain effective working relationships with others; listening to what other people are saying and asking questions as appropriate; conduct fact-finding research; knowledge of the methods of data collection and analysis; organize data into logical format for presentation in reports, documents and other written materials; knowing how to find information and identifying essential information; finding ways to structure or classify multiple pieces of information; write detailed narrative investigative reports; ability to plan, organize and prioritize work assignments; ability to work independently; investigating and researching; inspecting and evaluating the quality of products; ability to maintain a high degree of accuracy and close attention to detail; effectively manage time; make sound judgements; ability to maintain strict confidentiality.
• High School Diploma or equivalent
• One (1) year of investigative experience
• Five (5) years of professional experience from one or more of the following fields: investigative, law enforcement, working in the juvenile or adult criminal justice system, regulatory inspections, regulatory compliance, resource protection, affirmative action, equal employment opportunity, regulatory work as a paraprofessional or higher, claims adjusting, auditing, financial examining, land appraisal work, human relations, personnel, working as a licensed healthcare professional regulated by the Division of Medical Quality Assurance.
• Must be physically present in the office to effectively perform job duties and responsibilities.
• Must have a valid driver license, satisfactorily complete a background investigation, fingerprinting, and participation in direct deposit are requirements for employment.

Nice To Haves

• Bachelor’s degree from an accredited college or university in a related field of study
• Professional experience as described above can substitute on a year-for-year basis for the required college education.

Responsibilities

• Reviews and analyzes complaint documents/information.
• Prepares subpoenas to obtain medical records and other pertinent documents.
• Reviews and analyzes medical/hospital records, court records, lab reports, peer review records and other pertinent records.
• Contacts and interviews complainants, witnesses, and subjects.
• Coordinates investigative activity through legal counsel as requested or directed.
• Prepares comprehensive reports of final, supplemental and probation investigations.
• Coordinates investigations with federal, state, and local law enforcement officials and regulatory agencies as requested or directed by supervisor/manager.
• Coordinates and assists department legal/board staff regarding administrative hearings, subpoena service, administrative complaints, final orders, and disciplinary enforcement requests.
• Testifies and/or presents evidence at administrative hearings, depositions, or trials.
• Serves as member of the prosecution team as directed.
• Develops and maintains up-to-date professional contacts with risk managers, hospital administrators, nursing directors and other health care providers.
• Assists in allied health investigations as needed, participates in in-service training of medical investigative staff, conducts inspections, drug profiles and undercover investigations and serves as a mentor to new investigators, as directed.
• Answers public inquiries, makes referrals, make public speaking engagements, make professional contacts, and promote the goals and mission of the Department including participation in Sterling (Platinum Odyssey) related activities and events.
• Performs other duties as required.

Benefits

• Annual and Sick Leave benefits
• Nine paid holidays and one Personal Holiday each year
• State Group Insurance coverage options, including health, life, dental, vision, and other supplemental insurance options
• Retirement plan options, including employer contributions (for more information, please click www.myfrs.com)
• Flexible Spending Accounts
• Tuition waivers

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED