Location:Remote-PA (need to have PA Licensure)
SHIFT: Mon - Fri8am-5pm ET
Duration: 3+months contract, As contingent, OT will not be permissible.
Job title: Critical Incident Specialist
Description: *** This role will be responsible for the development, implementation, resolution and oversight of waiver incident reporting at member level and organizational level. The primary functions will include waiver incident reporting education, incident reporting, incident investigation, incident processing and closure. This position ensures compliance with our CHC Agreement along with the Administrative Code and CMS regulations delegated.
Key Duties and ResponsibilitiesThis is a remote position consisting of a combination of independent and collaborative work responsibilities. Daily schedule is 8am-5pm, Monday-Friday. This contingent role will not be eligible for OT.
Typical task overview:
Upon receipt of new case assignment, confirm eligibility and validate event qualifies for reporting
Review historical events and determine if Trend Analysis is required
Maintain internal documentation regarding investigation process status
Collaborate and support Service Coordinators with investigation process
Maintain open case volume and evaluate open cases for potential closure
Closure of event may be completed when the following criteria are met: Actions taken to secure the health and safety of the participant; Measures taken to prevent or mitigate recurrence of the critical incident, including appropriate referrals; changes made to the Person-Centered Service Plan as a result of the incident
No further action is required when the following conditions are satisfied: The facts and sequence of events is outlined with sufficient detail; Preventative action is implemented and documented; The participant is not placed at any additional risk
| Candidate Requirements |
| Required: Must have at least two years of experience and knowledge of waiver. | Preferred:Background in the field of Nursing, Social Work, and Case Management is preferred. | |
| Required: | Preferred: Nurse and/or Social Work | |
- Years of experience required
- Disqualifiers
- Best vs. average
- Performance indicators
| Must haves: at least two years of experience and knowledge of waiver. Background in the field of Nursing, Social Work, and Case Management
FOCUS IN LTS
Nice to haves: Clinical licensure is preferred but is not required. Clinical experience in lieu of licensure will be considered.
Disqualifiers: no clinical background or experience in waiver processes.
Performance indicators:
Best vs. average: |
- Top 3 must-have hard skills
- Level of experience with each
- Stack-ranked by importance
- Candidate Review & Selection
| 1 | Clinical Background |
| 2 | Case Management Experience |
| 3 | Waiver Experience/Knowledge |