Ohio Licensed Incident Management Investigator

Job Summary

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