Investigator
HeartShare Wellness LTD
The Investigator is responsible for conducting thorough, objective, and timely investigations involving incidents and allegations concerning individuals receiving services. This position ensures investigations are completed in accordance with applicable NYS OPWDD Part 624 and Part 625 regulations, NYS SED requirements, and Heartshare policies and procedures. Responsibilities include conducting interviews, gathering and analyzing evidence, preparing comprehensive investigative reports, identifying findings, and developing recommendations to support the safety, protection, and well-being of individuals served. The Investigator also maintains accurate investigation records, meets regulatory reporting deadlines, and collaborates with internal departments and external oversight agencies.Essential Functions and Primary Responsibilities of Position:Participates in in-service trainings and on-site workshops as required for professional growth and development. Attends external trainings and workshops at direction of management.Demonstrates an understanding of the purpose of investigations and the importance of protecting individuals receiving services.Conducts thorough, objective, and impartial investigations in accordance with investigator training, agency procedures, and applicable NYS OPWDD Part 624 and Part 625 regulations and NYS SED requirements.Ensures investigations are completed, documented, and submitted within mandated deadlines, providing timely follow-up to OPWDD, the Justice Center, and HeartShare’s Incident Review Committee (IRC), as needed.Reviews incident classifications and develops appropriate investigative questions and interview plans based on the nature of each allegation.Conducts timely, professional, and sensitive interviews; obtains signed written statements and maintains investigator notes as part of the investigation record.Collects and reviews all relevant supporting documentation, including individual service plans, staff records, incident reports, medical documentation, photographs, and prior incident history.Ensures investigative reports clearly summarize evidence, address investigative questions, explain findings, identify delays, and provide relevant recommendations.Ensures required documentation is submitted for abuse and neglect investigations, including OPWDD 163 forms, Immediate Protective Measures, clinical assessments when applicable, and completed files for WSIR uploading.Maintains organized investigation records, archives completed files annually, and assists with annual trends analysis.Collaborates effectively with the Investigations team and other agency departments while maintaining professionalism and confidentiality.Demonstrates strong written and verbal communication skills, attention to detail, organization, time management, and the ability to prioritize responsibilities and meet deadlines.Works independently, demonstrates initiative, follows through on assignments, and participates in ongoing professional development and required training.Bachelor’s degree in Social Work, Psychology, Human Services, Special Education, Public Administration, or a related field from an accredited four-year college or equivalent. RequiredExperience:One year of direct experience working with individuals with developmental disabilities.Experience in adult services programs, including day and residential services, preferred.Previous investigative experience is a plus.Additional Requirements and Qualifications:Strong verbal and written communication skills.Excellent attention to detail.Ability to work effectively with coworkers and individuals at all levels, including administrative, management, and direct support staff.Knowledge of Part 624 and Part 625 regulations, or the ability to learn and apply these regulations.Ability to work under pressure and meet deadlines.Ability to accept and respond appropriately to supervision.Flexibility, a strong work ethic, and willingness to assume additional responsibilities and work beyond normal business hours when required.Proficiency in Microsoft Office Suite, including Word, Excel, PowerPoint, and Access.The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job.Constantly required to exchange accurate informationConstantly operates a computer and other office toolsFrequently required to stand and administer assessments to children and adultsOccasionally moves about inside a buildingMust be able to lift or move up to 25 poundsTravel to other agency sitesThe work environment outlines the physical environment, working conditions and time spent working.Professional office environment with a balance of independent work and cross-functional collaboration.Dynamic human services environment serving diverse populations with a strong focus on compassion, flexibility, and responsiveness.Trauma-informed and client-centered workplace requiring adaptability, professionalism, and teamwork.BenefitsWhat we offer once YOU join our growing family:At Heartshare we offer a comprehensive benefit package based on full-time/part-time status. You can expect:Rewarding Work in a team environment.Paid vacation, sick, personal days, and holidays.403(B) retirement plans with employer contribution.Health, dental, vision and life insurance.Employee Assistance Program (EAP).Flexible spending account (Dependent Care, Medical, Parking, and Transit).Employee Appreciation Programs and Events.Tuition Assistance Program.Professional Development opportunities.Gympass DiscountVerizon Wireless Discount.BJs Membership discount.Discounts on Broadway tickets, movie tickets, theme parks, sporting events, gift certificates & moreHeartshare is an Equal Opportunity Employer (EOE). If you need to request accommodation during the recruiting process, please reach out to View email address on click.appcast.io HeartshareWho WE ARE:For over 150 years, Heartshare has been dedicated to championing and empowering New Yorkers society has too often overlooked andunderestimated.To learn more about Heartshare, please visit our website at or follow us on Twitter LinkedIn YouTube Instagram Facebook #J-18808-Ljbffr HeartShare Wellness LTD
$65.81k
...Job Title: Criminal Investigator 3 Agency: State Board of Pardons and Paroles Shift: Not Applicable (United States of America) Compensation Details: $65,808.19 Job Description: Criminal Investigator III (DOM) District Operations Manager Ideal Candidate will have 3 or...SuggestedLocal areaImmediate startRemote workTrial periodShift work$97.59k
...mobile devices, and network media including video surveillance footage. Serve as Subject Matter Experts to best guide ADAs and Investigators to properly seize, preserve, and collect digital evidence. Provide guidance to junior Lab personnel in various data extraction techniques...SuggestedTemporary workWork at officeNight shiftWeekend work- Sexual Assault Forensic ExaminerNYC Health + Hospitals is the largest public health care system in the United States. We provide essential outpatient, inpatient and home-based services to more than one million New Yorkers every year across the city's five boroughs. Our...SuggestedFull timeWork at officeWork from homeShift work
$17 per hour
The Mount Sinai Health System is seeking a qualified clinician for the SAVI Program at the Icahn School of Medicine. In this role, you will respond to sexual assault survivors in the Emergency Department, providing specialized medical assessment, trauma-informed treatment...SuggestedHourly payFull timeShift work- Forensics Subject Matter Experts Timeframe: Immediate About the Positions Strategic Capacity Group (SCG) is seeking an experienced Forensics Subject Matter Experts (SMEs) with expertise in Drug Chemistry to serve as advisors, trainers, and mentors. The SMEs...SuggestedImmediate startRemote work
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...the status quo, question assumptions, and work together to turn bold ideas into meaningful progress. The Opportunity The Fraud Investigator plays a critical role in protecting the financial assets, operational integrity, and reputation of Nymbus clients by leading advanced...Work at officeLocal areaRemote workFlexible hours$77.1k - $92.52k
...Investigator PositionThe Investigator will be responsible for triaging, investigating and resolving instances of healthcare waste and billing errors conducted by the medical profession, insured members or the broker community. You will be utilizing information from claims...- ...qualified employers under the Federal Government’s Paid Student Loan Forgiveness Program (PSLF) Responsibilities: The SIU Fraud Investigator is responsible for identifying, investigating, and resolving allegations and indicators of fraud, waste, and abuse (FWA) involving...Full timePart timeWork at officeFlexible hours
$65k - $88.6k
...Become a part of our caring community The Fraud and Waste Professional is responsible for conducting comprehensive investigations of reported, alleged or suspected fraud involving South Carolina's Medicaid Program. The Fraud and Waste Professional coordinates investigation...Full timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday- ...Centene Corporation is seeking an SIU Investigator in the United States to conduct fraud, waste, and abuse investigations using referrals, claims data, medical records, and interviews. You will prepare reports, coordinate with internal teams, and support program integrity...Remote work
- Role Title: Federal Criminal Investigator Role Type: Contractor Location: Remote Our team is engaging Federal Criminal Investigators to participate in an innovative project with a leading client. In this role, you'll apply your expertise to help train next-generation AI...For contractorsRemote work
$51k - $82k
...Visit peraton.com to learn how we're keeping people around the world safe and secure. Program Overview Performs data analysis, investigation, and medical review to detect, prevent, deter, reduce, and make referrals to recover fraud, waste, and abuse in Medicare and Medicaid...Contract workTemporary workFor contractorsRemote workFlexible hoursShift workNight shift- ...Elderplan is seeking a SIU Fraud Investigator in New York, NY to identify, investigate, and resolve fraud, waste, and abuse involving providers, vendors, and members. Under the direction of the SIU Director and Manager, you will analyze claims, enrollment, medical records...
- ...CVS Health is seeking a Senior Investigator to conduct high-level investigations of known or suspected healthcare fraud and abuse. You will handle complex cases, often involving multiple perpetrators, and participate in presenting findings to clinical and legal partners...
- ...MJHS Health System is seeking a SIU Fraud Investigator to identify, investigate, and resolve fraud, waste, and abuse across Elderplan’s product lines in New York. This role requires deep knowledge of Medicaid/Medicare regulations and collaboration with compliance, legal...
- ...by visiting our Website or connecting with us on LinkedIn, YouTube, Twitter, Facebook, or Instagram. About This Opportunity The Investigator II reviews exception reports, account activity, and other indicators of potential fraud to identify, investigate, and help prevent...Work experience placementLocal area
- ...Allied Universal is hiring an SIU Investigator to independently investigate fraudulent insurance claims across workers’ compensation, general liability, property, and disability. The role requires strong documentation, data gathering, and collaboration with law enforcement...Weekend work
- ...development: Dedicated in-house training team focused on helping you reach your full potential Responsibilities The Fraud Investigator II role is focused on independently managing a broad range of fraud case types and contributing to fraud prevention initiatives....Full timeWork experience placementWork at officeLocal areaRemote workWork from home
- ...A healthcare company in New York is seeking a Fraud Investigator to conduct in-depth investigations of reported fraud. Responsibilities include mentoring other investigators, investigating Medicaid fraud cases, and maintaining relationships with law enforcement. Candidates...
$32 - $38 per hour
...Overview Company Overview: Advance Your Career in Insurance Claims with Allied Universal® Compliance and Investigation Services. Allied Universal® Compliance and Investigation Services is the premier destination for a career in insurance claim investigation. As a global...- ...with an understanding that one needs to have a “roll up your sleeves” attitude to help make things happen. Job Summary A Special Investigations Unit (SIU) Desk Investigator within an insurance company plays a crucial role in assisting the SIU and claims departments with...Work at officeRelocation package
$26 - $33 per hour
...Job Type Full-time, Part-time Description Command Investigations LLC is seeking an Insurance Claims Investigator with a minimum of one year of experience to become part of a dynamic team. This is a great opportunity for individuals with prior claims...Hourly payFull timePart timeSecond jobWork at officeRemote workFlexible hoursNight shift- GEICO is seeking a Senior Field Security Investigator to join the SIU team in New York City and surrounding areas. You will conduct investigations of suspected fraud or other illegal activities against the Company, including interviewing witnesses, gathering statements...
$27 - $33 per hour
...Job Type Part-time Description Command Investigations LLC is seeking an Insurance Claims Investigator with a minimum of one year of experience to become part of a dynamic team. This is a great opportunity for individuals with prior claims investigation...Hourly payPart timeSecond jobWork at officeRemote workFlexible hoursNight shift$28 - $32 per hour
...Overview Company Overview: Advance Your Career in Insurance Claims with Allied Universal® Compliance and Investigation Services. Allied Universal® Compliance and Investigation Services is the premier destination for a career in insurance claim investigation. As a global...Work at officeLocal area- ...Background Investigator The New York City Department of Investigation (DOI) is one of the oldest law enforcement agencies in the country; its mission is to combat municipal corruption. DOI serves the people of New York City by acting as an independent and nonpartisan...Full time
- NYC Health + Hospitals seeks a Sexual Assault Forensic Examiner (SAFE) to join the Sexual Assault Response Team. Under clinical oversight, the SAFE performs forensic evidence collection, ensures quality and chain of custody, and delivers compassionate, patient-centered ...
- Neighborhood Defender Service in Harlem seeks an Investigator to support the Criminal Defense Practice. You will collaborate with attorneys, social workers, and client advocates to prepare hearings and trials, and to gather information for defense theory. You will interview...
$88.01k - $163.06k
Criminal Investigator - Northeast Area Field Office (NEAFO) Hiring Agency: Office of the Inspector General, USPS Department: Other Agencies and Independent Organizations Key Responsibilities This announcement provides a reassignment opportunity for a current 1811 to the...For contractorsWork at officeRemote workRelocation- ...Affirmative Civil Enforcement (ACE) Investigator Employment Type: Full-Time, Experienced CGS is seeking an experienced ACE Investigator with extensive knowledge and skills in investigative techniques and fraud detection to provide assistance for a large Federal...Full timeWork at officeLocal areaRemote workFlexible hours
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