Healthcare Investigator

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Logo of Staffing Solutions Organization LLC

Staffing Solutions Organization LLC

501 - 1000 employees

Founded 2017

🎯 Recruiter

🏛️ Government

💼 Consulting

Recruitment • Government • Consulting

Staffing Solutions Organization LLC is a staffing and talent‑management firm that delivers high‑impact recruiting and workforce solutions primarily for public‑sector agencies and organizations. The company’s services include rapid staffing and scaling, talent matching, and hands‑on consulting and program management to design, launch, and run workforce programs. Staffing Solutions markets nationwide reach (800+ experts), rapid scalability (examples of 140 hires in 24 days and 652 onboarded in 7 days), and claims 15,000+ staff recruited since 2017; it positions itself as a partner to help agencies maximize the potential of their people.

📋 Description

• Conducts investigations of reported incidents involving Medicaid recipients and providers • Reviews and analyzes documentation including clinical records, incident reports, and billing records • Performs interviews with recipients, providers, witnesses, and other involved parties • Accurately documents all investigative activities and conclusions • Identifies rule violations and develops clear investigation reports • Educates Medicaid providers on applicable rules and best practices • Coordinates and refers cases to external entities as appropriate • Gathers information for referrals to the Ohio Department of Medicaid

🎯 Requirements

• Licensed Registered Nurse (RN) – Ohio • Licensed Social Worker (LSW or LISW) – Ohio • Licensed Professional Counselor (LPC or LPCC) – Ohio • Minimum of 1 year of paid experience in Home and Community Based Services (HCBS) • Strong critical-thinking and analytical skills • Excellent organizational skills • Strong verbal and written communication skills

🏖️ Benefits

• Medical, dental, and vision insurance • 401(k) with discretionary employer match • Paid time off and holidays • Flexible spending accounts • Additional employee perks

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