HCBS Incident Investigator

Centene Corporation•Remote-OH, OH

1d•$70,100 - $126,200•Hybrid

About The Position

This role will be responsible for the development, implementation, investigation, monitoring and oversight of incident reporting at the member and organizational level. The primary functions will include incident reporting identification, investigation, inter-departmental coordination, and external partnership collaboration. This position ensures Buckeye's compliance with our contractual and regulatory requirements, including but not limited to, Centers for Medicare Services (CMS), the Ohio Department of Medicaid (ODM) and the Ohio Administrative Code (OAC). Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.

Requirements

A degree in Nursing, Social Work, and/or Counseling.
Five years of experience required.
Must have knowledge of LTSS, Waiver and Incident Reporting.
RN, LSW, LISW, LPC or LPCC required.
Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT

Nice To Haves

Bachelor's in nursing
Master's in social work and/or Counseling.

Responsibilities

Development, coordination, and maintenance of initial and ongoing education as it pertains to Incident Reporting in accordance with regulatory requirements.
Identification, investigation and processing of incidents, as applicable, and in alignment with state/federal regulations (Abuse, neglect, misappropriation, exploitation, health, and welfare, among others)
Collaboration of Incident Management with state contracted investigation organization.
Investigation of incidents that do not fall to the stated contracted investigation organization.
Oversight of prevention plan determination and resolution.
Audit Incidents to assure compliance and alignment for annual state/federal audit.
Collects and reviews clinical documentation and makes a determination of substantiation/substantiation based on investigation.
Performs other duties as assigned.
Complies with all policies and standards.