Remote Medicaid Compliance Investigator (RN/LSW/LPC)
Staffing Solutions Organization LLC
- Remote job
Staffing Solutions Organization LLC is seeking a Healthcare Investigator to safeguard Medicaid recipients across Ohio. This fully remote role investigates incidents, analyzes records, interviews involved parties, and documents findings to ensure compliance with HCBS regulations. Ohio‑licensed professionals (RN/LISW/LPC) with HCBS experience, strong analytical skills, and the ability to work independently in a remote setting are preferred. Some travel to Central Ohio for training may be required. #J-18808-Ljbffr Staffing Solutions Organization LLC
- Third Space Therapy, a remote-first group practice, seeks Associate Therapists to provide telehealth therapy to Medicaid members. We handle scheduling, billing, and credentialing... ...hours toward licensure. Must hold a valid LSW or LPC in Ohio and a Master's in Counseling,...Remote jobLpcFlexible hours
- ...you will have the flexibility to work remotely* as you take on some tough challenges.... ...unrestricted Idaho license in one of the below: RN, LCSW, LMSW, LSW, LCPC, LPC, LMFT, LAMFT ~1+ years of experience working with people that have Medicaid / Medicare or who have significant...Remote jobLpcMinimum wageFull timeWork experience placementLocal area
$48k - $53k
...Healthcare Investigator - State Of Ohio (Multiple Openings) Work Location: Remote – Must be a licensed LSW, RN, or LPC in the State of Ohio. Pay Range... ...investigating incidents involving Medicaid recipients and/or... ..., and ensures compliance with Ohio Medicaid and...Remote workLpcH1bWork at officeWork from homeFlexible hours$117 per hour
...7/hour | Flexible Schedule | Remote Pay & Flexibility Hourly... ...payer network Built-In Compliance: Ongoing compliance resources... ...including Medicare Advantage and Medicaid Benefits Fast Client... ...Accepted licenses include: LMHC, LPC, LPCC, LCPC, LCSW, LICSW,...Remote workLpcBi-weekly payHourly payExtra incomeFull timePart timePrivate practiceFlexible hours$62.4k
...Heat Holistic Lifestyle Program is currently seeking a motivated and compassionate LSCW/LSW/LAPC/LPC/LDC/LCDAC to join our team. This position offers a hybrid/remote work environment in the Social Service industry. Candidates must hold an active New Jersey license to be...Remote workLpcFull time- ...Community Health Plan (PCHP) Special Investigations Unit is to implement an effective compliance program that includes prevention... ...obtained license. Three years Medicaid or CHIP Fraud, Waste, and Abuse... ...at least one of the following: RN, LPC, LCSW, LMHC, LVN, PT, OT or ST...LpcWork at office
$72.7k
...documented and conducted in compliance with applicable... ...experience with RN licensure or a... ...Registered Nurse (RN) Medicaid managed care and/or... ...Social Worker (LSW)-Non-Specific - State... ...Professional Counselor (LPC) - Non-Specific... ...Office-Based or Remote Position Physical...Remote workLpcFull timeContract workFor contractorsWork at officeLocal areaShift work- ...complex fraud, waste, and abuse investigations, the full-time Senior Fraud... ...actions while working remotely. Key responsibilities Lead... ...identify potential fraud and compliance concerns Prepare comprehensive... ...healthcare regulations, including Medicaid and Medicare, preferred...Remote workFull time
$65k - $88.6k
...Healthcare Investigator Humana is looking for an experienced Healthcare... ...investigation to maintain compliance with Humana and governmental... ...product lines (Medicare, Medicaid, Commercial) Industry Trend... ...at Home. While this is a remote position, occasional travel...Remote workTemporary workFor contractorsApprenticeshipWork experience placementLocal areaWork from homeHome officeMonday to Friday- Ellenco Estágios e Treinamentos seeks a Medicaid Fraud Investigator to join its Special Investigations Unit. This role focuses on identifying healthcare... ...and communication skills, and MS Office proficiency. Remote work from the Chicago area is preferred. #J-18808-Ljbffr...Remote job
- ...seeking a Telehealth Clinician to join their team. This full-time remote position allows you to work from anywhere in Ohio.... ...ensuring safe client care. A Bachelor's or Master’s degree along with LPC or LSW licensure is required. The position offers competitive pay and...Remote jobLpcFull time
$40 - $50 per unit
Daybreak Health is seeking a Bilingual Associate Therapist (LSW/LPC) to provide teletherapy to Latino students in Illinois. This remote position offers free supervision, guaranteed pay for cancellations, and flexible scheduling options. Applicants must have an active LSW...Remote jobLpcFlexible hours- ...burden on therapists, making this a sustainable alternative to remote-only practices that often lead to burnout. Ellie's culture... ..., social work, or related fieldClinical license (LMFT, LPC, LCSW, LAC, LAMFT, LSW) or provisional licensure in New JerseyStrong diagnostic and...Remote workLpcHourly payWork at officeLocal areaWork from homeFlexible hours
$40 per hour
A substance use disorder treatment center is seeking a Remote Telehealth Clinician for part-time weekend shifts. The role involves leading... ..., conducting individual counseling, and requires a valid LPC or LSW license. This position offers a competitive pay rate of up to $...Remote jobLpcPart timeShift workWeekend work- ...Conducting fraud, waste, and abuse investigations, the full-time remote Fraud Investigations Analyst will lead quality control efforts, manage regulatory deliverables, and ensure compliance with Medicaid standards while preparing documentation for regulatory inquiries...Remote workFull time
- Highland Springs is seeking an Assessment Specialist (RN, LSW, or LPC) for Full-time Night Shift. A $5,000 sign-on bonus is offered. The role supports assessment and treatment planning for patients in a behavioral health setting. As part of Lifepoint Health, you will collaborate...LpcFull timeRelocation packageNight shift
$60k - $80k
...burden on therapists, making this a sustainable alternative to remote-only practices that often lead to burnout. Ellie's culture... ..., social work, or related fieldClinical license (LMFT, LPC, LCSW, LAC, LAMFT, LSW) or provisional licensure in New JerseyStrong diagnostic and...Remote workLpcHourly payWork at officeWork from homeFlexible hours$40 - $50 per hour
...Spanish/English therapists to serve our growing caseload of Latino students and families across Illinois. This is a remote, associate-level role (LSW or LPC) with free supervision, guaranteed pay, and flexible scheduling. Many of our partner school districts serve large...Remote jobLpcFlexible hoursWeekend workAfternoon shift- ...through compassionate behavioral healthcare.We are seeking a Compliance Investigator to join our Corporate Compliance team. In this highly... ...-quality care.Location: Franklin, TN corporate office with remote work flexibilityTravel: Up to 25%Responsibilities Lead Compliance...Remote workWork at office
$29.81 - $40.24 per hour
...apply for the Assessment Specialist (RN) role at Denver Springs 1 week ago... ...regulations. RN Licensure, LBSW, LSW, CSW, LPP, LPCC, LPC, MPFT, MFTC, LMFT, ACA, ACC, ADDC,... ...Manager ECMC Enforcement Advisor (Compliance Specialist IV) - Remote/Hybrid. Special Agent: Education/...Remote workLpcHourly payFull timeSummer workFlexible hoursShift work$107.7k - $199.3k
...complex, sensitive, and high-impact internal investigations across the organization. Serves as a... ...best practices, regulatory compliance, and risk mitigation. Requires exceptional... ..., and a flexible approach to work with remote, hybrid, field or office work schedules...Remote workFull timePart timeWork at officeFlexible hours- ...will guide members toward resources, align operations with enterprise goals, and ensure compliance with healthcare regulations while driving program improvements. The role involves remote work with significant travel to field sites (50-75%), overseeing up to 15 associates,...Remote job
- ...Legal and Regulatory Support team, the full-time Research Investigator will conduct compliance reviews of customer complaints related to regulated... ...synthesizing findings into clear summaries while working remotely. Key responsibilities Conduct compliance reviews of customer...Remote workFull time
$25 - $45 per hour
...Federal Background Investigator Conduct federal background investigations and prepare reports of investigations in compliance with Federal Investigative Standards, all laws, and other required federal agency regulations. Work cases throughout the geographic area of...Remote workHourly payContract workTemporary workPart timeFor contractorsWork at officeLocal areaHome officeFlexible hoursShift work- ...Compliance Investigator-IThe mission of the Colorado Department of Revenue (CDOR) is to become a trusted partner to every Coloradan to help them... ...problems that arise in their establishments.This is a remote position primarily conducted via telework/work-from-home arrangements...Remote workTemporary workPart timeWork experience placementWork at officeLocal areaWork from homeHome office
- ...Investigating and resolving claims, the full-time Claims Investigator will analyze P&C insurance claims for validity, negotiate settlements, and ensure compliance while working in a hybrid or remote capacity. Key responsibilities Investigate, evaluate, and resolve low...Remote workFull time
- .... is seeking a dynamic professional to join the Fraud Investigations team, focusing on IL Medicaid. The role includes leading investigators, coordinating... ...departments in a hybrid setup with three days in office and two remote days. The ideal candidate has a criminal justice or...Remote workWork at office
- ...care. Position is full-time and works remote and in the community. Requirements... ...caregivers, reporting and data management, and compliance. Experience in at least one of the... ...: State of Ohio Clinical licensure; LSW, LPC or above. Must maintain active...Remote workLpcFull timeWork from home
- ...Zillion Technologies, Inc in Glen Allen, MO is seeking a Debit Card Disputes Clerk/Financial Investigations Support Specialist to investigate debit card disputes and maintain compliance with various regulations. The ideal candidate will have excellent communication...Remote workFull timeWork at office
$75k - $90k
...operational infrastructure, compliance oversight, and defined clinical... ...clinicians seeking fully remote work from home, minimal documentation... ...Professional Counselor (LPC) Minimum 3 years post‑graduate... ...clinical documentation Medicaid and insurance credentialing experience...Remote workLpcFull timePart timeTraineeshipPrivate practiceWork from home
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