PAY GRADE: 022
CLASS TITLE:MEDICAL MALPRACTICE INVESTIGATOR
ALLOCATION FACTOR(S)
This is work conducting medical malpractice investigations within the Department of Business and Professional Regulation.
EXAMPLES OF WORK PERFORMED:
(Note: The examples of work as listed in this class specification are not necessarily descriptive of any one position in the class. The omission of specific statements does not preclude management from assigning specific duties not listed herein if such duties are a logical assignment to the position. Examples of work performed are not to be used for allocation purposes.)
- Conducts interviews with lawyers, physicians, hospital administrators, insurance executives and others, normally in the presence of an adversary legal counsel, to gather information relating to cases under investigation.
- Conducts investigations of a complex nature regarding medical malpractice.
- Testifies in state and federal courts and before grand juries.
- Conducts surveillance of suspected persons, locations and equipment associated with a case under investigation.
- Develops and operates confidential and non-confidential sources of information for criminal intelligence.
- Analyzes medical malpractice claims, obtains and presents patient records to medical experts.
- Secures, evaluates and documents evidence.
- Prepares detailed case investigation reports.
- Makes arrests.
- Coordinates the receipt of technical information from medical experts.
- Obtains and serves search warrants.
- Performs undercover assignments.
- Attends hearings, civil and criminal court proceedings and provides testimony as pertains to medical malpractice.
- Performs related work as required.
KNOWLEDGE, SKILLS AND ABILITIES:
(Note: The knowledge, skills and abilities (KSA's) identified in this class specification represent those needed to perform the duties of this class. Additional knowledge, skills and abilities may be applicable for individual positions in the employing agency.)
- Knowledge of medical specialties and health care providers.
- Knowledge of investigative techniques.
- Knowledge of the rules of evidence.
- Knowledge of court procedures and requirements.
- Knowledge of arrest procedures.
- Knowledge of the procedures for executing search warrants.
- Ability to conduct fact-finding interviews and take statements.
- Ability to collect and analyze evidence.
- Ability to use deductive reasoning.
- Ability to plan, organize and coordinate work assignments.
- Ability to analyze information and determine its validity.
- Ability to conduct surveillance activities.
- Ability to write accurate investigative reports.
- Ability to present detailed verbal presentations.
- Ability to make independent decisions.
- Ability to conduct thorough investigations.
- Ability to understand and apply applicable rules, regulations policies and procedures relating to health care practitioners.
- Ability to maintain strict confidentiality.
- Ability to communicate effectively.
- Ability to establish and maintain effective working relationships with others.
MINIMUM QUALIFICATIONS
- A bachelor's degree from an accredited college or university and two years of experience in law enforcement, one year of which must have involved the investigation of organized or white collar crime; or
- A bachelor's degree from an accredited college or university and two years of professional experience in auditing, accounting or financial examining; or
- A bachelor's degree from an accredited college or university and two years of investigative experience, one year of which must have been in the health care field.
- A master's degree from an accredited college or university can substitute for one year of the required experience.
- Professional or nonprofessional experience as described above can substitute on a year-for-year basis for the required college education.
EFFECTIVE:
10/1/1992
HISTORY:
04/26/1988