Brandon Schabbel

SIU Healthcare Fraud Investigator HealthCare Support is actively seeking an SIU Healthcare Fraud Investigator to fill an opening in Los Angeles, California. Daily Responsibilities for SIU Healthcare Fraud Investigator:

• Conduct complex independent investigations resulting from the discovery of suspicious claims or incidents involving members and service providers that could potentially involve fraud, waste, or abuse.
• Reviews information contained in standard claims processing system files (e.g., claims history, provider files) to determine provider billing patterns and to detect potential fraudulent or abusive billing practices or vulnerabilities in Medi-Cal/Medicare policies and initiates appropriate action.
• Compiles and maintains various documentation and other reporting requirements. Maintains chain of custody on all documents and follows all confidentiality and security guidelines.
• Monday to Friday 8AM - 5PM

Required Qualifications for SIU Healthcare Fraud Investigator:

• Bachelor’s degree in criminal justice or Related Field (Prefer Master’s Degree) – will consider 7 years of experience in exchange for no degree
• 3+ years in healthcare fraud investigation/detection
• Excellent research skills and the ability to support conclusions with documentary evidence.

Preferred Qualifications for SIU Healthcare Fraud Investigator:

• Managed Care experience strongly preferred
• Certified Fraud Examiner (CFE)
• Accredited Health Care Fraud Investigator (AHFI)
• Certified Professional Coder (CPC) designation by the American Academy of Professional Coders

Benefits for SIU Healthcare Fraud Investigator:

• Health Insurance
• Dental Insurance
• Life Insurance
• Employee Assistance Program (EAP)
• Access to Investment Accounts
• Career and educational tools within our Ingenovis ACT (advocacy) Program

Pay Details: $43.29 to $48.39/Hour Interested in Being Considered? If you are interested in applying to this position, please click Apply Now for immediate consideration. For additional questions, you may contact us at [email protected]. Please include your phone number, Job Title, and location and our recruiters will reach out. Healthcare Support Staffing, LLC is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.

RN Clinical Manager

  HealthCare Support is actively seeking an RN Clinical Manager with one of the nation's leaders in post-acute healthcare services in  Hapeville, GA.   Daily Responsibilities for the RN Clinical Manager:

• Overseeing a team of 10+ clinicians and support staff
• Coordinate patient care, approve orders, resolve concerns, and ensure quality standards are met
• Lead team meetings, case conferences, and provide coaching, training, and performance support
• Monitor key performance indicators (KPIs), documentation, admissions, and regulatory compliance
• Provide occasional field support as needed for staffing gaps or staff training

  Required Qualifications for the RN Clinical Manager:

• Current Registered Nurse licensure in the state of practice
• 2+ years of management or supervisory experience in a home care setting
• Licensed driver with a reliable, insured automobile per state and agency requirements

  Benefits for the RN Clinical Manager:

• Medical, Dental, Vision Insurance
• FSA & HSA Options
• 401(k) with Company Match
• 6 Paid Holidays + 2 Floating Holidays (based on hire date)
• PTO: 15 days (1–5 years), 20 days (5–10 years), 26 days (10+ years)

Shift & On-Call Details:

• Monday–Friday, 8am–5pm (Office-based)

Pay Details:

• $90-100K DOE

  Interested? Click Apply Now or connect with our Recruiter directly:

• Call: 407-636-5738
• Email: [email protected]
• Schedule: https://calendly.com/obhcs

 

Healthcare Support Staffing, LLC is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.   #LI-JA2 #LI-Hybrid