Healthcare Surveyor - Operational/IMB Investigator (HCA/DHI #11053)

$23.07 - $36.91 Hourly

$47,989 - $76,782 Annually

This position is a Pay Band 65

Posting Details

This job posting may be used to fill multiple vacancies.

This job posting will be used to conduct ongoing recruitment and will remain open until position has been filled. Applicant lists may be screened more than once.

Our Vision

• Every New Mexican has access to affordable health care coverage through a coordinated and seamless health care system.

Our Mission

• We ensure that New Mexicans attain their highest level of health by providing whole-person, cost-effective, accessible, and high-quality health care and safety-net services.

Our Goals

• Leverage purchasing power and partnerships to create innovative policies and models of comprehensive health care coverage that improve the health and well-being of New Mexicans and the workforce.
• Achieve health equity by addressing poverty, discrimination, and lack of resources, building a New Mexico where everyone thrives.
• Implement innovative technology and data-driven decision-making to provide unparalleled, convenient access to services and information.
• Build the best team in state government by supporting employees continuous growth and wellness.

Why does the job exist?

Healthcare Surveyor - Operational/IMB Investigator will:

• Conduct investigations of abuse, neglect, exploitation, environmental hazard, suspicious injury, and deaths of individuals who receive State and Federal Medicaid funded services through the waiver programs, Developmental Disabilities waiver, the self-directed Mi Via waiver, the Medically Fragile waiver, the Supports waiver and the State General Funds program.

How does it get done?

Healthcare Surveyor - Operational/IMB Investigator is responsible for:

• Conducting interviews of victims and witnesses
• Ensuring the health and safety of the alleged victim during the investigation
• Reviewing documentation
• Obtaining professional consultations and writing detailed investigative reports

Who are the customers?

• The individuals who received waiver services
• Guardians and families of the individuals
• Provider Agencies
• All team members of the individual

Ideal Candidate

The ideal candidate has:

• Analytical thinking
• Excellent verbal and written communication skills;
• Technology skills
• Prior investigative experience
• Ability to work in a dynamic and fast paced environment with deadlines

Minimum Qualification

Associate's Degree in from an accredited college or university in Nursing, Architecture, Social Work, Sociology, Psychology, Rehabilitation and/or Criminal Justice and two (2) years of experience in community based healthcare services and case management. Substitutions apply. See Substitution Table below.

Substitution Table

These combinations of education and experience qualify you for the position:
Education Experience Education Experience 1 High School Diploma or Equivalent AND 4 years of experience OR High School Diploma or Equivalent AND 4 years of experience 2 Associate's degree in the field(s) specified in the minimum qualification AND 2 years of experience Associate's degree or higher in any field AND 4 years of experience 3 Bachelor's degree or higher in the field(s) specified in the minimum qualification AND 0 years of experience
• Education and years of experience must be related to the purpose of the position.

• If Minimum Qualification requires a specific number of "semester hours" in a field (e.g. 6 semester hours in Accounting), applicants MUST have those semester hours in order to meet the minimum qualifications. No substitutions apply for semester hours.

Employment Requirements

Must possess and maintain a valid New Mexico Driver's License. Must Possess and maintain a current Defensive driving Course Certificate from the State of New Mexico or must pass and receive Defensive Driving Course Certification as a condition of continued employment. Must be available to work on-call.

Working Conditions

Office setting, attending meetings, visiting provider agencies, extensive computer and telephone usage with extended periods of sitting. Must be able to lift 25 lbs.

Supplemental Information

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Agency Contact Information: Amanda Sanchez. Email

For information on Statutory Requirements for this position, click the Classification Description link on the job advertisement.

Bargaining Unit Position

This position is covered by a collective bargaining agreement and all terms/conditions of that agreement apply and must be adhered to.