Ohio Licensed Healthcare Investigator

Job Summary

A company is looking for a Healthcare Compliance Investigator.

Key Responsibilities

• Conducts investigations of reported incidents involving Medicaid recipients and providers to ensure health and welfare standards are met
• Reviews and analyzes documentation, performs interviews, and accurately documents all investigative activities
• Coordinates and refers cases to external entities and educates Medicaid providers on applicable rules and best practices

Required Qualifications

• Licensed Registered Nurse (RN), Licensed Social Worker (LSW or LISW), or Licensed Professional Counselor (LPC or LPCC) in Ohio
• Minimum of 1 year of paid experience in Home and Community Based Services (HCBS) or related fields
• Experience in incident investigation, quality assurance, or interfacing with regulatory agencies
• Ability to work independently and manage multiple investigations concurrently
• Proficiency with Microsoft Word, Excel, Outlook, and internet-based systems