Remote Ohio RN Investigator – Healthcare Compliance

Staffing Solutions Organization LLC (SSO); Columbus (OH); Remote; USD 53,000 - 55,000; Full time

Benefits offered by this job

Quarterly performance bonuses

Medical, dental, and vision insurance

401(k) with discretionary employer "匹"

Paid time off and holidays

Flexible spending accounts

Additional employee perks

Job summary

Staffing Solutions Organization LLC (SSO) is seeking a Healthcare Investigator I for a fully remote role within Ohio. The investigator will conduct Medicaid-related incident investigations, review records, and coordinate with stakeholders to ensure compliance with Ohio Medicaid and HCBS regulations.

Minimum qualifications include an Ohio RN license and at least 1 year of HCBS experience. The role offers quarterly bonuses based on productivity and quality, with standard business hours and

Qualifications

• Active Ohio RN license required.
• Minimum 1 year of paid HCBS experience in incident investigation or related field.
• Ability to document investigations clearly and professionally.

Responsibilities

• Conduct investigations of incidents involving Medicaid recipients and providers.
• Review documentation including clinical and billing records.
• Interview recipients, providers, witnesses and others using active listening.
• Document all investigative activities and conclusions in the system.
• Identify violations and risks; prepare clear investigation reports.
• Coordinate referrals to external entities as appropriate.

Skills

Critical thinking

Organizational skills

Verbal and written communication

Interviewing & active listening

Independence & team collaboration

Decision making

Professionalism & diversity

MS Word, Excel, Outlook

Education

RN license – Ohio

Tools

Microsoft Word

Microsoft Excel

Outlook

Internet-based systems

Job description

Staffing Solutions Organization LLC (SSO) is seeking a Healthcare Investigator I for a fully remote role within Ohio. The investigator will conduct Medicaid-related incident investigations, review records, and coordinate with stakeholders to ensure compliance with Ohio Medicaid and HCBS regulations.

Minimum qualifications include an Ohio RN license and at least 1 year of HCBS experience. The role offers quarterly bonuses based on productivity and quality, with standard business hours and