Remote LPC Investigator: Healthcare Compliance & Medicaid

Staffing Solutions Organization LLC (SSO); Ohio; Remote; USD 53.000 - 55.000; Vollzeit

Benefits dieser Stelle

Quarterly bonuses

Health insurance

401(k) with employer match

Paid time off

Flexible spending account

Additional employee perks

Zusammenfassung

Staffing Solutions Organization LLC (SSO) is seeking a Licensed Professional Counselor to join our remote Healthcare Investigator team in Ohio. The role conducts investigations into Medicaid incidents, analyzes documentation, interviews involved parties, and ensures compliance with Ohio Medicaid and HCBS regulations.

You will work independently from home with occasional local training travel, collaborating with law enforcement and service agencies as needed.

Qualifikationen

• Licensed LPC/LPCC in Ohio.
• Minimum 1 year of HCBS-related experience.
• Experience with incident investigations and reporting.
• Ability to coordinate with law enforcement and regulatory agencies.
• Strong communication and documentation skills.

Aufgaben

• Investigate reported Medicaid incidents to ensure health and welfare.
• Review clinical, incident, and billing records for accuracy.
• Conduct interviews using effective listening techniques.
• Document all activities and findings in the incident system.
• Identify violations and risks; draft clear reports.
• Educate providers on applicable rules and best practices.
• Coordinate referrals to external agencies as needed.
• Prepare referrals to Ohio Department of Medicaid for misconduct.

Kenntnisse

Critical thinking

Analytical skills

Organizational skills

Report writing

Interviewing

Independent work

Team collaboration

Decision making

Professional communication

Microsoft Word

Microsoft Excel

Microsoft Outlook

Internet-based systems

Ausbildung

LPC or LPCC – Ohio

Tools

Microsoft Word

Microsoft Excel

Microsoft Outlook

Internet-based systems

Jobbeschreibung

Staffing Solutions Organization LLC (SSO) is seeking a Licensed Professional Counselor to join our remote Healthcare Investigator team in Ohio. The role conducts investigations into Medicaid incidents, analyzes documentation, interviews involved parties, and ensures compliance with Ohio Medicaid and HCBS regulations.

You will work independently from home with occasional local training travel, collaborating with law enforcement and service agencies as needed.