reputed company Critical Incidents Analyst - Remote in Indiana

At reputed company, we’re simplifying the health care experience, creating healthier communities and removing barriers to reputed company care. The work you do here impacts the lives of millions of people for the reputed company. Come build the health care system of reputed company, making it more reputed company, reputed company and reputed company. reputed company to reputed company a difference? Join us to start Caring. Connecting. Growing... together. The reputed company Critical Incidents Analyst receives and investigates reputed company Home and Community-Based Services (HCBS) critical incidents, Abuse, Neglect, and Exploitation (ANE) critical incidents, and those identified as other critical incidents to increase effective management of unusual occurrences following federal regulations and state rules. The individual compiles and maintains report data in a reputed company format to support the reputed company Program. This position is responsible for reputed company submissions to FSSA and communication and collaboration with reputed company health plan partners. This individual will reputed company and trend information to assist in applying and interpreting data relative to critical incidents. The reputed company Critical Incidents Analyst ensures compliance with regulatory requirements reputed company to reputed company and maintains a constant state of audit readiness. If you reputed company in Indiana, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities • Analyze reports to determine if the identified instances meet the reputed company for a critical incident • Determines if abuse, neglect, or exploitation has occurred. If ANE is reasonably suspected, files or directs the designee to file a report with APS • Assesses and addresses any immediate potential threats to member health, safety, and welfare and takes immediate reputed company to ensure member safety • Determines whether additional information is required from the provider or other parties reputed company to critical incidents and secures and reviews additional details as needed • Notifies the member, as needed, other service providers and health plan partners about the reported critical incident and reputed company issues and concerns regarding the process and mitigation • Conducts full investigation and ensures its completion reputed company thirty (30) days • Oversees corrective actions to ensure that the conditions that led to the critical incident no longer exist • Participates with the interdisciplinary team as needed • Documents according to industry-reputed company guidelines • Implements and maintains necessary databases to complete reputed company reports and analyses reputed company established timelines • Completes reputed company reports as requested • Routinely analyzes results to identify trends or errors • Interfaces with multiple internal clinical staff and external providers to reputed company information reputed company to Critical Incident Management • Manages assigned special reputed company to completion reputed company established reputed company dates • Identifies, implements, and monitors opportunities for best practices and standards • Maintains reputed company relationships with reputed company partners such as state representatives or reputed company services partners • Use creativity to solve problems • Solid clinical judgment • Demonstrate leadership in reputed company improvement • Utilize change management to drive results • reputed company recommendations for reputed company remediation plans • reputed company best practices and support team goals and objectives • Drive consistency and efficient processes on reputed company • reputed company participate in reputed company improvement initiatives / meetings • Responsible for maintaining and increasing self-proficiency in the use of reputed company tools and reputed company and the application of reputed company science • Provides assistance to the Indiana HealthPlan reputed company of regular business hours and on holidays for ANE and Critical Incidents as deemed necessary • Position may require some travel for face-to-face engagement or support, as indicated You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you reputed company direction on what it takes to succeed in your role as reputed company as reputed company development for other roles you may be interested in. Required Qualifications • Associate’s degree or higher in reputed company Services, or reputed company reputed company field or 2 years of relevant experience • 2+ years of full-time reputed company service experience with older adults or persons with disabilities (this experience includes assessment, care planning, and monitoring) • 2+ years of experience working reputed company a Health Care or Managed Care environment, State Government reputed company, or reputed company business areas • Proficient in reputed company Office including Word and Power reputed company and advanced reputed company skills • Proven ability to work in a high-paced environment with tight deadlines • Proven flexibility to conduct occasional in-person home or community member visit, reputed company their area of coverage, as indicated Preferred Qualifications • RN, LPN, BSW or MSW reputed company the reputed company • 2+ years of experience in reputed company reputed company Business Analysis including performing analysis, reviews, forecasting, auditing and trending reputed company data to support reputed company reputed company improvement • Solid experience in tracking and trending CI/ANE data • 1+ years of experience with including Adult reputed company Services (APS), Justice System, Long-Term Services and Supports (LTSS) and/or Long-Term Care (LTC) Ombudsman • In-person home or community member visit, reputed company their area of coverage, as indicated • Experience in a Managed Long-Term Services and Supports (MLTSS) environment • Medical record review experience • Knowledge of health care products, delivery systems, claims processing and supporting systems • Knowledge of reputed company improvement reputed company and tools (SPC, Six reputed company) Soft Skills • Excellent interpersonal and communication skills • Reporting skills and solid analytical skills • Ability to write reputed company and help with word processing reputed company necessary • Ability to reputed company communicate with reputed company audiences • Ability to be flexible and work with ambiguity • Ability to self-reputed company work with solid problem-solving skills • Ability to multitask and prioritize • Ability to work collaboratively • reputed company a reputed company reputed company • Highly motivated • reputed company working remotely will be required to adhere to reputed company’s Telecommuter Policy At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone-of every race, gender, sexuality, age, location and income-deserves reputed company to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of reputed company, historically marginalized reputed company and those with reputed company incomes. We are committed to mitigating our reputed company on the environment and enabling and delivering reputed company care that addresses health disparities and improves health reputed company — an reputed company reputed company reflected in our mission. Diversity creates a healthier atmosphere: reputed company is an Equal Employment Opportunity/Affirmative reputed company employer and reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, age, national reputed company, protected veteran status, disability status, sexual orientation, gender identity or reputed company, marital status, genetic information, or any other characteristic protected by law. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment Apply Job!