Investigative Coordinator
Basic InformationJob Category:
Administrative/Office Location:
Raleigh, North Carolina, United States Date published:
03-Aug-2023 Job type:
Full TimeDescription and RequirementsAbout the roleAn ADP client is currently seeking an Investigative Coordinator to join our team in our Raleigh, NC (27604) location.
About the Role:
Responsible for the overall management of a complaint from the initiation to conclusion for the Administrative Investigations Manager, Senior Staff Review Committee (SSRC), Disciplinary Committee and Board Review.
What You'll Do:
Accountable for case management of the Complaint cases:
create initial complaint case file, communicate professionally with complainants and licensee requesting pertinent information relative to the complaint.
Create modifications to the letters according to the specifics of the case.
Review and redact documents according to protocol.
Responsible for researching investigative files and gathering documents for the Board database to accurately document all past and current North Carolina Medical Board (NCMB) activity related to Complaint cases.
Collaborates with the Medical Director, Legal Team, and/or Investigators to discuss complaints to decide which path to follow.
Convert documents to searchable text form for case management accessibility for the review by the Administrative Investigations Manager, Office of Medical Director (OMD), Senior Staff Review Committee (SSRC), Disciplinary Committee and Board Review.
Prepare and submit all Orders to Produce related to complaint cases.
Responds to requests made by internal customers if additional documentation is required.
Grants authorization of requests for extensions of deadlines for Licensees as appropriate.
Prepares reports for the Senior Staff Review Committee (SSRC), Disciplinary Committee, and the Board.
Reviews the extractions and responds to questions regarding those cases.
Making sure that all reports are completed by the targeted deadline dates.
Attend monthly SSRC Meetings and Bi-monthly Board meetings.
participate in Board meeting duties to include displaying reports, recording Board Actions, and other reports for public reporting.
At the conclusion of the Board meetings, produce the work notes, assign cases to the appropriate department:
OMD, Legal, or Investigations.
Managing cases requiring compliance between the Office of Medical Director and Legal such as requesting Board Action Letters, requesting service for compliance monitoring, an providing Quality Assurance to ensure compliance and closure of the case.
Provide customer interaction in response to initial Complaint Section calls.
Requires providing knowledge to the public on many levels, including but not limited to medical record release, billing, Medicare/Medicaid, other appropriate referral sources and a working knowledge of the NCMB.
Instruct callers on how to submit complaints which require working knowledge of the Board's website.
Provide backup support to ensure coverage for all job functions within the Administrative Investigations Staff.
Our Ideal Candidate:
Education and Experience Two-year or four-year college degree required 2
years of relevant work experience in a health care environment Required Skills and Abilities Outstanding Problem-Solving Skills Advanced proficiency with Microsoft Office software Must be detail oriented and possess excellent organizational Effective interpersonal and communication skills and the ability to interface with personnel at all levels Self-Motivated Team player What We Offer:
Competitive salary and benefits packageTo Apply:
Please submit your resume via the APPLY NOW buttonEqual Opportunity Employer Recommended Skills Administration Attention To Detail Billing Case Management Communication Databases Estimated Salary: $20 to $28 per hour based on qualifications.
Administrative/Office Location:
Raleigh, North Carolina, United States Date published:
03-Aug-2023 Job type:
Full TimeDescription and RequirementsAbout the roleAn ADP client is currently seeking an Investigative Coordinator to join our team in our Raleigh, NC (27604) location.
About the Role:
Responsible for the overall management of a complaint from the initiation to conclusion for the Administrative Investigations Manager, Senior Staff Review Committee (SSRC), Disciplinary Committee and Board Review.
What You'll Do:
Accountable for case management of the Complaint cases:
create initial complaint case file, communicate professionally with complainants and licensee requesting pertinent information relative to the complaint.
Create modifications to the letters according to the specifics of the case.
Review and redact documents according to protocol.
Responsible for researching investigative files and gathering documents for the Board database to accurately document all past and current North Carolina Medical Board (NCMB) activity related to Complaint cases.
Collaborates with the Medical Director, Legal Team, and/or Investigators to discuss complaints to decide which path to follow.
Convert documents to searchable text form for case management accessibility for the review by the Administrative Investigations Manager, Office of Medical Director (OMD), Senior Staff Review Committee (SSRC), Disciplinary Committee and Board Review.
Prepare and submit all Orders to Produce related to complaint cases.
Responds to requests made by internal customers if additional documentation is required.
Grants authorization of requests for extensions of deadlines for Licensees as appropriate.
Prepares reports for the Senior Staff Review Committee (SSRC), Disciplinary Committee, and the Board.
Reviews the extractions and responds to questions regarding those cases.
Making sure that all reports are completed by the targeted deadline dates.
Attend monthly SSRC Meetings and Bi-monthly Board meetings.
participate in Board meeting duties to include displaying reports, recording Board Actions, and other reports for public reporting.
At the conclusion of the Board meetings, produce the work notes, assign cases to the appropriate department:
OMD, Legal, or Investigations.
Managing cases requiring compliance between the Office of Medical Director and Legal such as requesting Board Action Letters, requesting service for compliance monitoring, an providing Quality Assurance to ensure compliance and closure of the case.
Provide customer interaction in response to initial Complaint Section calls.
Requires providing knowledge to the public on many levels, including but not limited to medical record release, billing, Medicare/Medicaid, other appropriate referral sources and a working knowledge of the NCMB.
Instruct callers on how to submit complaints which require working knowledge of the Board's website.
Provide backup support to ensure coverage for all job functions within the Administrative Investigations Staff.
Our Ideal Candidate:
Education and Experience Two-year or four-year college degree required 2
years of relevant work experience in a health care environment Required Skills and Abilities Outstanding Problem-Solving Skills Advanced proficiency with Microsoft Office software Must be detail oriented and possess excellent organizational Effective interpersonal and communication skills and the ability to interface with personnel at all levels Self-Motivated Team player What We Offer:
Competitive salary and benefits packageTo Apply:
Please submit your resume via the APPLY NOW buttonEqual Opportunity Employer Recommended Skills Administration Attention To Detail Billing Case Management Communication Databases Estimated Salary: $20 to $28 per hour based on qualifications.
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