Remote Ohio RN Investigator - Healthcare Compliance
Staffing Solutions Organization LLC
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 #J-18808-Ljbffr
$65.97k - $124.99k
...A healthcare services provider is seeking a Clinical Fraud Investigator II, requiring an Associate Degree in Nursing and CPC certification... ..., investigating claims for compliance, and collaborating with... ...investigation. This role offers remote work flexibility within certain...Remote work- ...seeking a Licensed Professional Counselor to join our remote Healthcare Investigator team in Ohio. The role conducts investigations into Medicaid... ...documentation, interviews involved parties, and ensures compliance with Ohio Medicaid and HCBS regulations. You will work...Remote jobLocal areaWork from home
- UnitedHealth Group is seeking a Senior Investigator to gather and analyze data, determine... ...aberrances, and prepare comprehensive compliance packages. The role supports collaboration... ...claims, and up to 25% travel within Ohio. Remote work option is available, with strong...Remote job
$60.2k - $107.4k
...reside in t h e state of Ohio, you will have the flexibility to work remotely* as you take on some... ...system to ensure compliance and auditability requirements... ...behavior through an Investigation Summary and compliance... ...(CFE), Accredited Healthcare Fraud Investigator (AHFI...Remote jobMinimum wageFull timeWork experience placementLocal area- ...To manage complex medical malpractice claims, the full-time Ohio Licensed RN Consultant will investigate, analyze, and evaluate high exposure claim issues while working remotely. Key responsibilities Handles complex or high exposure claim issues and advises Nurse Consultant...Remote workFull timeWork at office
- ...Integra Partners is seeking a Compliance Analyst to be an integral member of the Legal team. You will monitor for FWA issues, investigate and audit provider billing and UM auth practices... ...ensure timely audits of vendors and healthcare providers within the network. #J-1880...Remote work
- ...Martin's Point Health Care Inc. is seeking a SIU Investigator (Remote) to lead investigations into suspected fraud, waste and abuse across... ...will have a bachelor’s degree in a related field, 5+ years in healthcare fraud investigation, Medicare Advantage knowledge, and...Remote work
$53k - $55k
...the people they serve. Registered Nurse Healthcare Investigator - State of Ohio Work Location: Remote – Must be a licensed RN in the State of Ohio. Pay Range : $5... ...internal and external stakeholders, and ensures compliance with Ohio Medicaid and HCBS regulations....Remote workFull timeH1bWork at officeFlexible hours- ...Providing investigative support for special investigation unit activities, the full-time Healthcare Fraud Investigator will focus on the prevention... ...and abuse, while working remotely. Key responsibilities... ...external review, ensuring compliance with regulations Coordinates...Remote workFull time
$65k - $88.6k
...for conducting comprehensive investigations of reported, alleged or... ...Responsibilities Analyze healthcare payment methodologies, billing... ...documentation integrity, and compliance with applicable policies and... ...Waste Work Style Fully remote in South Carolina, with occasional...Remote workFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday- ...Optum is seeking an SIU Lead Investigator to drive investigations into healthcare fraud, abuse, and related conduct. You will triage... ...illegal activities while maintaining compliance with laws and policies. You will work remotely from anywhere in the U.S., collaborating...Remote work
- ...Centene Corp. is hiring a SIU Investigator to conduct fraud, waste, and abuse investigations remotely in Texas. You will review... ...reports and collaborate with compliance, legal, and external agencies... ...The role requires 2+ years in healthcare investigations, a bachelor's...Remote work
$85k - $105k
...Healthcare Fraud InvestigatorCGS is seeking a Healthcare Fraud Investigator to provide legal support for a large government project in Nashville, TN. The candidate must... ...Healthcare Fraud experience including compliance, auditing duties, and other duties in Section...Remote workWork experience placementWork at officeLocal area$85k - $105k
...Healthcare Fraud InvestigatorEmployment Type: Full-Time, Mid-Level Department: Litigation... ...Support CGS is seeking a Healthcare Fraud Investigator to provide Legal Support for a large... ...Healthcare Fraud experience including compliance, auditing duties, and other duties in Section...Remote workFull timeWork experience placementWork at officeLocal area$68.3k - $113.9k
...steps. Our partner is looking for a Healthcare Fraud Investigator based in the United States. In this role... ...or legal proceedings. This fully remote opportunity offers the chance to apply... ...documentation to support effective monitoring, compliance, and reporting of investigative...Remote workContract workWork at office- Integrity Management Services, Inc. in the United States is seeking a Senior Investigator to lead healthcare program integrity investigations. You will identify fraud, waste, and abuse, analyze complex data, and develop investigative findings supporting enforcement actions...Remote job
$96k - $132k
...Clinical Investigator (Solventum) At Solventum, we enable... ..., smarter, safer healthcare to improve lives. As a... ...studies are conducted in compliance with approved study documentation... ...~ Nurse Licensure (RN) or Physician... ...Duties allow for some remote work but require travel...Remote workH1bRelocation packageFlexible hours3 days per week- ...Executive Staff Recruiters / ESR Healthcare in the United States is seeking an experienced Federal Criminal Investigator for a remote contractor role. The position focuses on reviewing... ...steps, case workflows, and compliance measures, leveraging GS-1811 or GS-1801...Remote workFor contractors
$90k - $100k
...Response Center through a 100% remote work arrangement. This... ...the detection and response to healthcare fraud, waste, and abuse (FWA... ...Analyst include: Support federal investigators and subject matter experts... ...audits, case development, compliance reviews, or related analytical...Remote workShift work$25.58 - $28.78 per hour
...building a better future for healthcare. That starts by offering... ...The Dental Fraud and Abuse Investigator is responsible for providing... ...caseload. Monitors day to day compliance of cases to ensure that the... ...required to support remote or hybrid work. Must be comfortable...Remote workHourly payFull timeWork experience placementWork at officeAfternoon shift$63.3k - $114.3k
...is responsible for conducting internal investigations of concerns of misconduct or potential... ...Knowledge of the Corporate Integrity and Compliance Program and regulations.Certified Fraud... ...Hybrid) role: 3 days in office; 2 days remote.Pay Transparency Statement At Health...Remote workWork experience placementWork at officeFlexible hours3 days per week- ...themselves to making a difference in the healthcare industry, and in people's lives.... ...the clinical floor and administrative compliance. Unlike remote roles, this position relies heavily on... ...-site UM Nurse is a Registered Nurse (RN) responsible for performing admission...Remote workFull timeImmediate startShift work
- ...Registered Nurse (RN) | Intermediate Care Location: Asheville... ..., NC Agency: Concentric Healthcare Staffing Pay:... ...experience in Med-Surg, Telemetry (remote), and/or Step-Down (PCU) settings... ...certification acknowledges compliance with the Joint Commission’s national...Remote workWeekly payFull timeContract workTemporary workImmediate startNight shiftWeekend work
- ...Registered Nurse (RN) | Intermediate Care Location: Silverdale... ..., WA Agency: Concentric Healthcare Staffing Pay:... ...telemetry strips; collaborate with remote telemetry monitor technicians... ...JCAHO certification acknowledges compliance with the Joint Commission’s...Remote workWeekly payFull timeContract workTemporary workImmediate startNight shiftWeekend work
- ...Registered Nurse (RN) | Intermediate Care Location: Seattle... ..., WA Agency: Concentric Healthcare Staffing Pay:... ...interpret telemetry strips via remote cardiac monitoring Manage... ...JCAHO certification acknowledges compliance with the Joint Commission’s national...Remote workWeekly payFull timeContract workTemporary workImmediate startNight shiftWeekend work
- ...Registered Nurse (RN) | Intermediate Care Location: Roanoke... ..., VA Agency: Concentric Healthcare Staffing Pay:... ...Ketamine Familiarity with remote telemetry monitoring and tele... ...JCAHO certification acknowledges compliance with the Joint Commission’s national...Remote workWeekly payFull timeContract workTemporary workImmediate startShift workNight shiftWeekend work
- ...Registered Nurse (RN) | Intermediate Care Location: Asheville... ..., NC Agency: Concentric Healthcare Staffing Pay:... ...experience in Med-Surg, Telemetry (remote), and/or Step-Down (PCU) settings... ...certification acknowledges compliance with the Joint Commission’s national...Remote workWeekly payFull timeContract workTemporary workImmediate startNight shiftWeekend workDay shift
- ...Registered Nurse (RN) | Intermediate Care Location: McKinney... ..., TX Agency: Concentric Healthcare Staffing Pay:... ...Lift, Roving B450 monitors, and remote telemetry Perform procedures... ...shifts (7:00 PM – 7:00 AM) Compliance with dress code: Royal Blue scrubs...Remote workWeekly payFull timeContract workTemporary workImmediate startShift workNight shiftWeekend work
- ...organization as well as assuring compliance with regulation and accreditation... ...Position Details This position is remote/hybrid. Must be based in Missouri,... ...(BSN) with master’s degree in healthcare related field. Licensure : RN with current unrestricted license...Remote workFull time
- ...Registered Nurse (RN) | Intermediate Care Location: Greensboro... ..., NC Agency: Concentric Healthcare Staffing Pay:... ...progressive care department with remote cardiac monitoring support... ...support staffing needs Pass a compliance EKG exam prior to unit placement...Remote workWeekly payFull timeContract workTemporary workImmediate startWeekend workDay shift
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