Healthcare Investigator

Job not on LinkedIn

🔥 6 minutes ago

🏈 Ohio – Remote

🏈 Ohio – Remote

💵 $48k - $55k / year

⏰ Full Time

🟢 Junior

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Simple Staffing Group

WebsiteLinkedInAll Job Openings

2 - 10 employees

Founded 2024

👥 HR Tech

🎯 Recruiter

🤝 B2B

HR Tech • Recruitment • B2B

Simple Staffing Group is a Las Vegas–headquartered firm that provides staffing and technology-enabled workforce solutions to enterprise customers worldwide. They offer temporary staffing, permanent recruitment, specialized (high-skilled) recruitment across industries including tech, finance, and skilled trades, contract and temp-to-perm hiring, direct placement, outsourcing, national engagements, talent development, and career-transition services. They serve clients from startups to Fortune 500/900 companies, emphasize compliance and ethical standards, and promote flexible engagement models and digital tools to connect job seekers with employers.

📋 Description

• Conduct investigations of reported incidents involving Medicaid recipients and providers • Review and analyze clinical records, incident reports, billing records, and other relevant documentation • Interview recipients, providers, witnesses, and other involved parties • Document investigative activities, findings, and conclusions in the incident reporting system • Identify rule violations, contributing factors, and potential risks • Develop clear, well-supported investigation summary reports • Educate Medicaid providers on applicable rules, responsibilities, and service-delivery best practices • Coordinate and refer cases to law enforcement, county children services, Adult Protective Services, county boards of developmental disabilities, and other oversight or regulatory agencies • Gather information and prepare referrals to the Ohio Department of Medicaid for suspected or egregious provider misconduct • Maintain professionalism and confidentiality while working independently in a remote environment • Perform other duties as assigned • Occasional travel within the Central Ohio area may be required for training

🎯 Requirements

• Licensed Registered Nurse (RN) – Ohio, or Licensed Social Worker (LSW or LISW) – Ohio, or Licensed Professional Counselor (LPC or LPCC) – Ohio • Minimum of 1 year of paid experience in Home and Community-Based Services (HCBS) • Experience in incident investigation, ensuring individual health and welfare, quality assurance or clinical risk management, mental health or addiction services, interfacing with law enforcement or relevant agencies, or providing waiver services • Strong critical-thinking and analytical skills • Excellent organizational skills and ability to manage multiple investigations concurrently • Strong verbal and written communication skills, including professional report writing • Effective interviewing and active-listening abilities • Ability to work independently and collaboratively • Strong decision-making skills, accuracy, and attention to detail • Professionalism and ability to work respectfully with individuals from diverse backgrounds • Proficiency with Microsoft Word, Excel, Outlook, and internet-based systems

🏖️ Benefits

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