HCBS Incident Investigator

Immediate need for a talented HCBS Incident Investigator. This is a 03+months contract to Hireopportunity with long-term potential and is located in Dayton OH (Remote). Please review the job description below and contact me ASAP if you are interested.

Job ID: 25-78225

Pay Range: $25 - $27/hour.  Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).

Key Responsibilities:

• Shift Time & Working Days: 8am – 5pm, Mon to Fri, OT dependent on business needs
• Review submitted incidents for appropriateness. 
• Create incidents within Ohio’s Incident Management system, documenting in client’s EMR-TruCare. 
• Calling regulatory, protective and law enforcement agencies as needed. 
• Collaborating with care coordination teams, ODM’s contracted investigative entity and ODM’s care coordination team.
• This role involves collaboration with multiple disciplines and entities, working with care coordination, UM, ODM, regulatory, investigative and protective authorities. 

Key Requirements and Technology Experience: 

• Key Skills; Medicaid and MyCare, Master’s in SW or therapy
• Requires critical thinking skills and clinical nursing/BH knowledge. 
• Requires investigative skills, teamwork and autonomy. 
• Incorporates work with both Medicaid and MyCare teams while assisting our members in both plans.
• Must haves: OH license, knowledge of OH Medicaid and MyCare regulations and managed care contracts. 2 years clinical experience
• Nice to haves: behavioral health background; knowledge of Microsoft excel and outlook, OH incident reporting.
• Area of agency on aging, OH Managed Care
• Critical thinking, self-motivated, strong clinical background
• Must be independent, yet works well with a team
• Fast learner, computer savvy
• Education/Certification Required: Master’s in SW or therapy, but can have RN

Our client is a leading Healthcare Industry and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.

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