Licensed Social Worker – Healthcare Investigator

Job not on LinkedIn

🔥 8 minutes ago

🏈 Ohio – Remote

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💵 $53k - $55k / year

⏰ Full Time

🟢 Junior

👻 Ghost score 0%

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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

• Investigate reported incidents involving Medicaid recipients and providers • Review and analyze clinical records, incident reports, billing records, and other 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 • Prepare 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 agencies • 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

🎯 Requirements

• Must be licensed as an LSW in the State of Ohio; the posting also accepts an Ohio RN, LPC, LPCC, or LISW • Minimum of 1 year of paid experience in Home and Community-Based Services (HCBS) • Experience in incident investigation, individual health and welfare, quality assurance or clinical risk management, mental health or addiction services, relevant protective/oversight agency interaction, or 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 diverse individuals • Proficiency with Microsoft Word, Excel, Outlook, and internet-based systems • Ability to work standard business hours with flexibility based on investigative needs

🏖️ Benefits

• Quarterly performance bonuses • 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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