Ohio Licensed Incident Management Investigator

A company is looking for an Incident Management Investigator to conduct clinical case investigations related to incidents submitted to the incident management system.

Key Responsibilities

Conduct interviews with members, claimants, caregivers, and facility staff as part of the investigation process

Collaborate with various internal departments and external partners to ensure thorough investigations and develop care plans

Identify potential areas of concern including fraud, waste, and abuse, while assisting the department in meeting regulatory deadlines

Required Qualifications

Associate degree in nursing (ADN) or Bachelor of Science / Arts degree in health or social work field, or equivalent work experience

Minimum of three (3) years of experience in healthcare or homecare

Preferred two to four (2-4) years of investigative experience

Current, unrestricted license as a Registered Nurse (RN), Licensed Social Worker (LSW), or Licensed Independent Social Worker (LISW) in the state of practice