Job Description

Southwest Behavioral & Health Services is seeking dedicated, enthusiastic and inspiring Risk Management Investigation Specialist to join our Risk Management Department. This is a full-time position working Monday through Friday. Are you dedicated and enthusiastic? If so, you may be the person we are looking for to join our dynamic team!

Ideal Candidate

Our Ideal Candidate will possess a variety of skills to successfully perform their duties.

  • Data analysis skills
  • Basic knowledge of computers and Microsoft Office.
  • Ability to communicate well, both verbally and in writing.
  • Ability to work both independently as well as within a team, in a fast-paced environment.
  • Interpersonal skills, effective problem-solving abilities, and self-directed critical thinking skills.

About the Position

As a Risk Management Investigation Specialist, you will perform qualitative and quantitative data analysis regarding external and internal queries, incident reporting and Seclusion & Restraint processes. Will communicate effectively with all insurance plans regarding external investigations and provide findings to Risk Management Coordinator, Director of Risk Management and Chief Quality Officer.

Duties & Responsibilities

  • Coordinate and track all Insurer Investigation Requests, Responses and Corrective Action Plans, with all program levels within SBH.
  • Available to assist in brainstorming improvements and assisting programs with developing action plans following investigations.
  • Completes Pre-Investigation and Risk Reviews on sentinel events, external grievances, board complaints and incident report trends. Provides responses to Risk Management and Site Leadership to ensure appropriate internal technical assistance as well as track completion.
  • Leads Pre-Litigation Meetings with Risk Management and Site Leadership to review potential quality of care concerns and provide support in performance improvement initiatives.
  • Works in coordination with Risk to update CARF reports regarding Pre-Litigation findings.
  • Provides back up regarding Incident Report follow up.
  • Review all incoming Seclusion and Restraint forms for SBH inpatient teams.
  • Leads monthly Seclusion and Restraint meetings with SBH. Offers technical assistance and training in areas of need.
  • Ensures compliance with company policies and procedures related to SBH expectations.
  • Ensures fair, equitable and uniform practices and adheres to all state, federal, funding source and regulatory bodies as well as comply with established SBH best practices and policies and procedures.
  • Maintains confidentiality in all matters pertaining to employees and members. Demonstrates professionalism, good judgment and tact when dealing with others.

Minimum Requirements 

  • Associates Degree in Business/Healthcare Administration or related field plus 3 years of progressive related experience required.
  • Must be proficient in Microsoft Programs with an emphasis in Excel and Database Administration 

Benefits

  • 3.3 weeks of PTO your 1st year of employment, with increased accruals after 2, 5 and 10 years of service!
  • 10 paid holidays
  • Low-cost medical and vision insurance and 100% company paid dental, short term disability, long term disability and life insurance for employees
  • We will help you save for retirement – 40% company match up to a 10% deferral into your SB&H retirement account!
  • Career Development – Benefit from our culture of internal promotion!
  • 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 

We are seeking an individual to help us fulfill SB&H’s mission, “Delivering compassionate care to enhance lives and improve communities”. To gain a stronger understanding of Southwest Behavioral & Health Services mission, values and services please review our website, https://www.sbhservices.org/history-mission-milestones.  

SB&H Values 

  • Compassion: We take an empathetic and caring approach to the well-being of one another through personal connections.
  • Integrity: We do the right thing by being sincere, honest, and keeping our word under any circumstance.
  • Quality: We uphold a standard of excellence that focuses on achieving successful outcomes.
  • Empowerment: We champion self-determination, equity, and inclusivity in an environment where our team and community feel valued.
  • Innovation: We pioneer change by encouraging team involvement and dynamic thinking that implement progressive solutions.
  • Trust: We nurture a culture where each individual can express themselves by building relationships based on respect, reliability, acceptance, and honest communication.

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.

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!

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