Ohio Licensed Healthcare Investigator

Job Summary

To ensure the health, safety, and welfare of Medicaid recipients, the remote, full-time Ohio Licensed Healthcare Investigator will conduct thorough investigations of reported incidents, analyze documentation, perform interviews, and coordinate with various stakeholders.

Key responsibilities

• Conduct investigations of incidents involving Medicaid recipients and providers to ensure compliance with health and welfare standards
• Review and analyze clinical records, incident reports, and other relevant documentation
• Document investigative activities and findings, and prepare summary reports for internal and external stakeholders

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) related to incident investigation or quality assurance
• Experience interfacing with law enforcement, nursing homes, or regulatory agencies
• Proficiency in Microsoft Word, Excel, Outlook, and internet-based systems
• Ability to work independently and maintain professionalism in a remote environment