Incident Investigator

Job not on LinkedIn

🔥 21 minutes ago

🏈 Ohio – Remote

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💵 $70.1k - $126.2k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Logo of Centene Corporation

Centene Corporation

10,000+ employees

Founded 1984

⚕️ Healthcare Insurance

🤝 Non-profit

🌍 Social Impact

Healthcare Insurance • Non-profit • Social Impact

Centene Corporation is a leading provider of government-sponsored healthcare services, specializing in delivering affordable and high-quality healthcare solutions. For over 40 years, Centene has focused on transforming the health of communities by expanding access to Medicaid, Medicare, and Health Insurance Marketplace services, as well as serving military communities through the TRICARE program. As the largest Medicaid managed care organization and a key participant in the Marketplace, Centene emphasizes localized healthcare delivery combined with strong partnerships with nonprofit organizations to meet the unique needs of its members. Centene is also committed to corporate sustainability and social responsibility, prioritizing environmental stewardship and ethical governance to enhance the well-being of the communities it serves.

📋 Description

• responsible for the development, implementation, investigation, monitoring and oversight of incident reporting at the member and organizational level • incident reporting identification, investigation, inter-departmental coordination, and external partnership collaboration • ensures compliance with contractual and regulatory requirements • development, coordination, and maintenance of initial and ongoing education as it pertains to Incident Reporting • identification, investigation and processing of incidents • collaboration of Incident Management with state contracted investigation organization • oversight of prevention plan determination and resolution • audits Incidents to assure compliance • collects and reviews clinical documentation and makes a determination based on investigation

🎯 Requirements

• A degree in Nursing, Social Work, and/or Counseling • Five years of experience required • Must have knowledge of LTSS, Waiver and Incident Reporting • RN, LSW, LISW, LPC or LPCC required

🏖️ Benefits

• health insurance • 401K and stock purchase plans • tuition reimbursement • paid time off plus holidays • flexible approach to work with remote, hybrid, field or office work schedules

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