Remote opportunity at
Staffing Solutions Organization LLC (SSO)Licensed Social Worker - Healthcare Investigator
Staffing Solutions Organization LLC, an affiliate of Public Consulting Group LLC, delivers managed staffing and talent consulting services. The organization is currently hiring a full-time Healthcare…
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About This Role
Staffing Solutions Organization LLC, an affiliate of Public Consulting Group LLC, delivers managed staffing and talent consulting services. The organization is currently hiring a full-time Healthcare Investigator to work remotely within the State of Ohio. This role focuses on safeguarding the health, welfare, and safety of individuals receiving Medicaid services by investigating reported incidents involving recipients and providers. The position requires conducting thorough inquiries, analyzing various records, interviewing involved parties,…
Job Description
Staffing Solutions Organization LLC, an affiliate of Public Consulting Group LLC, delivers managed staffing and talent consulting services. The organization is currently hiring a full-time Healthcare Investigator to work remotely within the State of Ohio. This role focuses on safeguarding the health, welfare, and safety of individuals receiving Medicaid services by investigating reported incidents involving recipients and providers. The position requires conducting thorough inquiries, analyzing various records, interviewing involved parties, and ensuring adherence to Ohio Medicaid and Home and Community Based Services regulations. This opportunity suits professionals with a background in social services, nursing, or counseling who possess strong analytical, communication, and independent working abilities. The role requires occasional travel within Central Ohio up to two times a year for training and operates during standard business hours with schedule flexibility based on investigative demands.
Responsibilities
- Examine reported incidents involving Medicaid recipients and providers to verify that health and safety standards are upheld
- Analyze and review documentation including incident reports, clinical records, billing materials, and related files
- Conduct interviews with witnesses, providers, recipients, and other relevant individuals using active listening and investigative interviewing techniques
- Record all investigative findings, conclusions, and activities accurately within the designated incident reporting system
- Produce detailed investigation summary reports that identify risks, rule violations, and contributing factors
- Inform Medicaid providers about relevant rules, best practices, and service delivery responsibilities
- Refer and coordinate cases with external agencies such as law enforcement, adult protective services, county children services, and developmental disabilities boards
- Compile information and formulate referrals to the Ohio Department of Medicaid for suspected provider misconduct
- Maintain strict confidentiality and professionalism while operating independently from a remote location
Requirements
- Possess an active Registered Nurse, Licensed Social Worker, Licensed Independent Social Worker, Licensed Professional Counselor, or Licensed Professional Clinical Counselor license in the State of Ohio
- Have a minimum of one year of paid experience in Home and Community Based Services or related areas
- Demonstrate proficiency with Microsoft Outlook, Word, Excel, and internet-based systems
- Be authorized to work in the United States without work authorization sponsorship from the employer
- Reside within the State of Ohio to fulfill remote work requirements
Qualifications
- Background in incident investigation, individual health and welfare assurance, or clinical risk management
- Experience in mental health, addiction services, or waiver service provision such as home health
- Prior exposure to interfacing with law enforcement, nursing homes, adult protective services, children services, or developmental disabilities agencies
Core Skills
Benefits
- Quarterly performance bonuses
- Medical, dental, and vision insurance coverage
- 401(k) plan featuring a discretionary employer match
- Paid time off and holidays
- Flexible spending accounts
Frequently Asked Questions
Answers are based only on the employer’s listing; where it doesn’t say, neither do we.
What is the salary range for the Healthcare Investigator position?
The annual pay range for this role is between $53,000 and $55,000, with exact compensation depending on factors such as experience level and skill set.
Is this position remote?
Yes, the role is fully remote, though candidates must be located within the State of Ohio and may be required to travel within Central Ohio one to two times annually for training.
What licensing is required to apply?
Applicants must hold an active license in Ohio as a Registered Nurse, Licensed Social Worker, Licensed Independent Social Worker, Licensed Professional Counselor, or Licensed Professional Clinical Counselor.
Does the employer offer visa sponsorship for this job?
No, the position is not eligible for work authorization sponsorship, including H-1B sponsorship or STEM EAD extensions.
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