Wakefield, Massachusetts, USA
7 days ago
Clinical Care Investigator

The Board of Registration and Medicine within the Department of Public Health (DPH) is seeking anexperienced Registered Nurseto evaluate complaintsagainst physicians and identify those allegations that raise issues of substandard care.

The Clinical Care Investigator will identify andobtain appropriate medical records to review,analyze, and summarize. The Investigator willwork with complaint counsel to identify relevantwitnesses and conduct interviews as determinedby the team, and also identify and interviewphysicians who will act as experts. The incumbentorganizes and prepares materials for expertreview; writes clear, concise and logicallysequenced memoranda; and assists complaintcounsel in the preparation and presentation ofadjudicatory matters before the Board and theDivision of Administrative Law Appeals (DALA).

Please note: The selected candidate will needaccess to reliable transportation for work-related travel as required.

Duties and Responsibilities (these are ageneral summary and not all inclusive):

Reviews and investigates complaintsand reports from patients, individuals,mandated reporters and other sourcesto determine potential violations oflaws, regulations or standards ofmedical care affecting the publichealth, safety and welfare. Identifies those allegations that raise issues of substandard care requiringfurther investigation; proceedsaccordingly by requesting medicalrecords and/or interviewing witnesses;maintains a record of interviews andprepares investigative reports in atimely manner; maintains activity logsdocumenting case work.Oversees a caseload by prioritizingwork appropriately, setting andachieving goals and responding todeadlines in a timely manner.Prepares accurate, objectivesummaries of medical records for useby complaint counsel and Boardcommittees; provides clinical analysisof consumer complaints and statutoryreports, drawing on medicalknowledge andexperiencetodetermine whether care wassubstandard.Analyzes consumer complaints andstatutory reports, evaluates physicianresponses and reviews relatedmedical records; preparesmemoranda containing an analysis ofthe medical issues and recommendsdisposition.Works collaboratively with complaintcounsel and investigators in thedisciplinary processing of a case;summarizes medical records andprovides education on the medicalissues; identifies additional medicalrecords and materials to besubpoenaed and persons to beinterviewed; gathers and analyzesrelevant medical literature.Identifies and interviews qualifiedphysicians who are willing to providean expert opinion on the quality ofcare provided in a particular case;organizes materials for expert reviewand assists complaint counsel ininterviewing expert witnesses andpreparing experts for hearing, asneeded.Assists complaint counsel in thepreparation of legal documents suchas a subpoenas, affidavits, Statementof Allegations, Consent Ordersandmemoranda on disposition.Assists complaint counsel in thepreparation and presentation of casesat DALA, as well as at depositionsand pre-trial conferences; attendshearings and/or gives sworntestimony at hearings as necessary;assists complaint counsel in thepreparation of questions and exhibitsto be used at hearings.Adheres to strict legal and regulatoryrequirements of confidentiality andprohibitions against unauthorizeddisclosure of sensitive, confidentialand privileged information regardingpatients, physicians and lawenforcement investigations.Attends relevant training as requiredand keeps abreast of relevantnursing/medical practicedevelopments.Conducts self professionally inadherence to Massachusetts law,Board regulations, policies,procedures and protocols and incompliance with the American NursesAssociation Code of Ethics forNurses.Maintains productive workingrelationship with all levels of Boardstaff.

Required Qualifications:

Demonstrated knowledge of thestandard nursing policies, procedures,methods, and investigativetechniques.Proven ability to understand, interpret,apply and explain the principles andpractices of medicine.Capacity to analyze and interpretmedical records, legal documents andsummarize different types of medicalinformation.Ability to write concisely, to expressthoughts clearly and to develop ideasin logical sequence.Talent for communicating effectively inverbal and written expression.Skilled in exercising sound judgmentand discretion in handling confidentialinformation.

Preferred Qualifications:

Ability to identify the critical issuesthat are inconsistent with the standardof care.Familiarity with the legal andregulatory issues that impact medicalcare.Ability to establish effectiverelationships with individuals,physicians and staff.Motivated, self-directed, detail orientedand able to work wellindependently or with a team.Proficient usage of Microsoft OfficeProducts including Word, Excel,Power Point and outlook.

About the Department of Public Health:

The mission of the Massachusetts Department of Public Health (DPH) is to prevent illness, injury, and premature death, to assure access to high quality public health and health care services, and to promote wellness and health equity for all people in the Commonwealth.

We envision a Commonwealth in which all people enjoy optimal health. Massachusetts ranks among the healthiest of states according to comparative analyses, but we face numerous challenges, including chronic and infectious disease, substance abuse, violence, preventable hospitalizations, and health disparities.

DPH coordinates programs and policies to address specific diseases and conditions and offer services to address the needs of vulnerable populations. We also develop, implement, promote, and enforce regulations and policies to assure that the conditions under which people live are most conducive to health and enable people to make healthy choices for themselves and their families. We license health professionals, healthcare facilities and a variety of businesses that impact public health. We operate the state laboratory and four public health hospitals. We monitor health status and manage vital records including births, marriages and deaths. We educate people about public health issues and work closely with local boards of health and community partners to identify and solve public health problems.

More information can be found at:MA Department of Public Health​

Pre-Hire Process:

A criminal background check will be completed on the recommended candidate as required by the regulations set forth by the Executive Office of Health and Human Services prior to the candidate being hired. For more information, please visithttp://www.mass.gov/hhs/cori

Education, licensure and certifications will be verified in accordance with the Human Resources Division's Hiring Guidelines.

Education and license/certification information provided by the selected candidate(s) is subject to the Massachusetts Public Record Law and may be published on the Commonwealth's website.

If you require assistance with the application/interview process and would like to request an ADA accommodation, please click on the link and complete the ADA Reasonable Accommodation Request Form.

For questions regarding this requisition, please contact the Executive Office of Health and Human Services Human Resources at 1-800- 510-4122 Ext. #4

The Board of Registration and Medicine within the Department of Public Health (DPH) is seeking anexperienced Registered Nurseto evaluate complaintsagainst physicians and identify those allegations that raise issues of substandard care.

The Clinical Care Investigator will identify andobtain appropriate medical records to review,analyze, and summarize. The Investigator willwork with complaint counsel to identify relevantwitnesses and conduct interviews as determinedby the team, and also identify and interviewphysicians who will act as experts. The incumbentorganizes and prepares materials for expertreview; writes clear, concise and logicallysequenced memoranda; and assists complaintcounsel in the preparation and presentation ofadjudicatory matters before the Board and theDivision of Administrative Law Appeals (DALA).

Please note: The selected candidate will needaccess to reliable transportation for work-related travel as required.

Duties and Responsibilities (these are ageneral summary and not all inclusive):

Reviews and investigates complaintsand reports from patients, individuals,mandated reporters and other sourcesto determine potential violations oflaws, regulations or standards ofmedical care affecting the publichealth, safety and welfare. Identifies those allegations that raise issues of substandard care requiringfurther investigation; proceedsaccordingly by requesting medicalrecords and/or interviewing witnesses;maintains a record of interviews andprepares investigative reports in atimely manner; maintains activity logsdocumenting case work.Oversees a caseload by prioritizingwork appropriately, setting andachieving goals and responding todeadlines in a timely manner.Prepares accurate, objectivesummaries of medical records for useby complaint counsel and Boardcommittees; provides clinical analysisof consumer complaints and statutoryreports, drawing on medicalknowledge andexperiencetodetermine whether care wassubstandard.Analyzes consumer complaints andstatutory reports, evaluates physicianresponses and reviews relatedmedical records; preparesmemoranda containing an analysis ofthe medical issues and recommendsdisposition.Works collaboratively with complaintcounsel and investigators in thedisciplinary processing of a case;summarizes medical records andprovides education on the medicalissues; identifies additional medicalrecords and materials to besubpoenaed and persons to beinterviewed; gathers and analyzesrelevant medical literature.Identifies and interviews qualifiedphysicians who are willing to providean expert opinion on the quality ofcare provided in a particular case;organizes materials for expert reviewand assists complaint counsel ininterviewing expert witnesses andpreparing experts for hearing, asneeded.Assists complaint counsel in thepreparation of legal documents suchas a subpoenas, affidavits, Statementof Allegations, Consent Ordersandmemoranda on disposition.Assists complaint counsel in thepreparation and presentation of casesat DALA, as well as at depositionsand pre-trial conferences; attendshearings and/or gives sworntestimony at hearings as necessary;assists complaint counsel in thepreparation of questions and exhibitsto be used at hearings.Adheres to strict legal and regulatoryrequirements of confidentiality andprohibitions against unauthorizeddisclosure of sensitive, confidentialand privileged information regardingpatients, physicians and lawenforcement investigations.Attends relevant training as requiredand keeps abreast of relevantnursing/medical practicedevelopments.Conducts self professionally inadherence to Massachusetts law,Board regulations, policies,procedures and protocols and incompliance with the American NursesAssociation Code of Ethics forNurses.Maintains productive workingrelationship with all levels of Boardstaff.

Required Qualifications:

Demonstrated knowledge of thestandard nursing policies, procedures,methods, and investigativetechniques.Proven ability to understand, interpret,apply and explain the principles andpractices of medicine.Capacity to analyze and interpretmedical records, legal documents andsummarize different types of medicalinformation.Ability to write concisely, to expressthoughts clearly and to develop ideasin logical sequence.Talent for communicating effectively inverbal and written expression.Skilled in exercising sound judgmentand discretion in handling confidentialinformation.

Preferred Qualifications:

Ability to identify the critical issuesthat are inconsistent with the standardof care.Familiarity with the legal andregulatory issues that impact medicalcare.Ability to establish effectiverelationships with individuals,physicians and staff.Motivated, self-directed, detail orientedand able to work wellindependently or with a team.Proficient usage of Microsoft OfficeProducts including Word, Excel,Power Point and outlook.

About the Department of Public Health:

The mission of the Massachusetts Department of Public Health (DPH) is to prevent illness, injury, and premature death, to assure access to high quality public health and health care services, and to promote wellness and health equity for all people in the Commonwealth.

We envision a Commonwealth in which all people enjoy optimal health. Massachusetts ranks among the healthiest of states according to comparative analyses, but we face numerous challenges, including chronic and infectious disease, substance abuse, violence, preventable hospitalizations, and health disparities.

DPH coordinates programs and policies to address specific diseases and conditions and offer services to address the needs of vulnerable populations. We also develop, implement, promote, and enforce regulations and policies to assure that the conditions under which people live are most conducive to health and enable people to make healthy choices for themselves and their families. We license health professionals, healthcare facilities and a variety of businesses that impact public health. We operate the state laboratory and four public health hospitals. We monitor health status and manage vital records including births, marriages and deaths. We educate people about public health issues and work closely with local boards of health and community partners to identify and solve public health problems.

More information can be found at:MA Department of Public Health​

Pre-Hire Process:

A criminal background check will be completed on the recommended candidate as required by the regulations set forth by the Executive Office of Health and Human Services prior to the candidate being hired. For more information, please visithttp://www.mass.gov/hhs/cori

Education, licensure and certifications will be verified in accordance with the Human Resources Division's Hiring Guidelines.

Education and license/certification information provided by the selected candidate(s) is subject to the Massachusetts Public Record Law and may be published on the Commonwealth's website.

If you require assistance with the application/interview process and would like to request an ADA accommodation, please click on the link and complete the ADA Reasonable Accommodation Request Form.

For questions regarding this requisition, please contact the Executive Office of Health and Human Services Human Resources at 1-800- 510-4122 Ext. #4

First consideration will be given to those applicants that apply within the first 14 days.

MINIMUM ENTRANCE REQUIREMENTS:

Applicants must have at least (A) three years of full-time, or equivalent part-time, experience as a registered nurse in a recognized hospital, clinic or medical facility and (B) of which at least two years must have been in a supervisory, administrative, or managerial capacity, or (C) any equivalent combination of the required experience and the substitutions below.

Substitutions:

I. A Graduate degree with a major in Nursing may be substituted for a maximum of one year of the required (A) experience. No substitutions will be allowed for the required (B) experience.

Education toward such a degree will be prorated on the basis of the proportion of the requirements actually completed.

SPECIAL REQUIREMENTS FOR ALL LEVELS IN SERIES: Current and valid registration as a professional nurse under the Massachusetts Board of Registration in Nursing .

Recent graduates from an approved school of nursing must have applied for the first available registered nurse examination.

Special Requirements: Based on assignment, possession of a current and valid Massachusetts Motor Vehicle Operator's license may be required.

Comprehensive Benefits

When you embark on a career with the Commonwealth, you are offered an outstanding suite of employee benefits that add to the overall value of your compensation package. We take pride in providing a work experience that supports you, your loved ones, and your future.

Want the specifics?Explore our Employee Benefits and Rewards

An Equal Opportunity / Affirmative Action Employer. Females, minorities, veterans, and persons with disabilities are strongly encouraged to apply.

The Commonwealth is an Equal Opportunity Employer and does not discriminate on the basis of race, religion, color, sex, gender identity or expression, sexual orientation, age, disability, national origin, veteran status, or any other basis covered by appropriate law. Research suggests that qualified women, Black, Indigenous, and Persons of Color (BIPOC)may self-select out of opportunities if they don't meet 100% of the job requirements. We encourage individuals who believe they have the skills necessary to thrive to apply for this role.

First consideration will be given to those applicants that apply within the first 14 days.

MINIMUM ENTRANCE REQUIREMENTS:

Applicants must have at least (A) three years of full-time, or equivalent part-time, experience as a registered nurse in a recognized hospital, clinic or medical facility and (B) of which at least two years must have been in a supervisory, administrative, or managerial capacity, or (C) any equivalent combination of the required experience and the substitutions below.

Substitutions:

I. A Graduate degree with a major in Nursing may be substituted for a maximum of one year of the required (A) experience. No substitutions will be allowed for the required (B) experience.

Education toward such a degree will be prorated on the basis of the proportion of the requirements actually completed.

SPECIAL REQUIREMENTS FOR ALL LEVELS IN SERIES: Current and valid registration as a professional nurse under the Massachusetts Board of Registration in Nursing .

Recent graduates from an approved school of nursing must have applied for the first available registered nurse examination.

Special Requirements: Based on assignment, possession of a current and valid Massachusetts Motor Vehicle Operator's license may be required.

Comprehensive Benefits

When you embark on a career with the Commonwealth, you are offered an outstanding suite of employee benefits that add to the overall value of your compensation package. We take pride in providing a work experience that supports you, your loved ones, and your future.

Want the specifics?Explore our Employee Benefits and Rewards

An Equal Opportunity / Affirmative Action Employer. Females, minorities, veterans, and persons with disabilities are strongly encouraged to apply.

The Commonwealth is an Equal Opportunity Employer and does not discriminate on the basis of race, religion, color, sex, gender identity or expression, sexual orientation, age, disability, national origin, veteran status, or any other basis covered by appropriate law. Research suggests that qualified women, Black, Indigenous, and Persons of Color (BIPOC)may self-select out of opportunities if they don't meet 100% of the job requirements. We encourage individuals who believe they have the skills necessary to thrive to apply for this role.

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