Clinical Health Care Investigator (CHCI) DOH8904

Description Clinical Health Care Investigator Washington Board of Nursing Permanent

• Full-time

This home-based (remote) position is open to Washington residents and those residing on the ID/WA and OR/WA borders. Field work throughout Washington is required and is expected to occur less than once a month, with notice. The Washington Medical Commission (Commission) conducts highly sensitive and complex investigations involving physicians and physician assistants when there are concerns related to patient harm, practitioner impairment, or unprofessional conduct. The Opportunity This position operates under general direction and provides clinical expertise to assess allegations of substandard care and compliance with Commission orders. The Clinical Health Care Investigator applies advanced clinical judgment to evaluate medical care, determine adherence to standards of practice, and develop recommendations that support administrative and legal actions.

Key Responsibilities

Include Clinical Review & Analysis

• Review and analyze complex medical records to evaluate standards of care and regulatory compliance
• Apply clinical expertise to determine whether care meets accepted medical practice

Investigations & Evidence Development

• Gather, document, and synthesize evidence, including medical records and witness statements
• Prepare clear, comprehensive reports to support administrative or legal action

Collaboration & Consultation

• Partner with commissioners, attorneys, and staff to provide clinical insight and recommendations
• Support case development by translating medical findings into actionable guidance

Audits & Practice Reviews

• Conduct standard of care audits and compliance reviews in clinical and hospital settings
• Evaluate medical practices including procedures, pharmacology, and billing considerations

Compliance & Infection Control

• Perform infection control inspections and compliance reviews tied to disciplinary orders
• Provide clinical context to help practitioners understand findings and expectations

Why You’ll Love This Role This is meaningful, high-impact work that directly protects patient safety and upholds the integrity of medical practice. You’ll collaborate with a dedicated team of legal and clinical professionals while applying your expertise in a way that influences real outcomes. The role offers continuous learning, exposure to complex cases, and the opportunity to grow professionally in a unique intersection of healthcare and regulatory practice. It is ideal for a clinically experienced professional who can translate complex medical information into clear, defensible findings. The Clinical Investigator plays a critical role in protecting public health by ensuring safe and accountable medical practice across Washington State.

Required Qualifications

You must meet the requirements and any additional criteria listed to be considered for the position. Experience may have been gained through paid or unpaid activities. Please ensure any relevant experience defined below is outlined in your cover letter, resume, and/or applicant profile. Must hold an active license in one of the following professions: allopathic or osteopathic physician (MD or DO), physician assistant (PA or PA-C), registered nurse (RN) or nurse practitioner (NP) Additional Required Knowledge, Skills, Abilities, And Experience

• Experience will include practical skills in MS Excel for spreadsheet tasks, database management, MS Word for document creation and formatting, and Microsoft Outlook or similar email systems for electronic correspondence.
• Experience using the Internet for research and the navigation of proprietary data management systems.
• Experience using plain language to develop and deliver communications, reports, or summaries to differing levels of understanding or use.

After a conditional offer of employment, a criminal history background check will be conducted. Information from the background check will not necessarily preclude employment but will be considered in determining the applicant’s suitability and competence to perform in the position.

Preferred Qualifications

While these aren’t required, having them can help you stand out as a candidate.

• Additional experience in a clinical setting as an allopathic or osteopathic physician, physician assistant, RN, or ARNP outside of the residency.
• Experience managing investigation caseloads and conducting thorough investigations using appropriate investigative processes

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