Nurse Investigator

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The mission of the Department of Law is to serve the citizens of the State of Georgia by providing legal representation of the highest quality to the agencies, officers and employees of state government and by honorably and vigorously carrying out the constitutional and statutory responsibilities of the Attorney General.
Job Summary:
Under the direction of the Medicaid Fraud Unit Director, assists in healthcare investigations by: reviewing provider and recipient records, by making determinations of medical necessity, by making determinations as to whether services were provided and properly documented, and by making determinations as to whether proper diagnostic and procedure codes were used in submitting claims to the Georgia Medicaid Program. Maintains a comprehensive understanding of current policies and procedures of the Georgia Medicaid Program. Participates as a member of an interdisciplinary team in Healthcare fraud investigations, and provides support to members of other disciplines in such investigations. Participates in interviews of subjects and witnesses, and prepares written summaries of such interviews. Prepares written reports of findings and opinions as directed by the prosecutor. May testify as a witness in grand jury and trial court proceedings.
DUTIES AND RESPONSIBILITIES:
The above statements are intended to describe the general nature and level of work being performed by persons assigned to this title. They may not include all job duties performed by employees on this job title, and every position does not necessarily require these duties.
Minimum Qualifications:
Preferred Qualifications:
SALARY COMMENSURATE WITH EXPERIENCE
ADDITIONAL INFORMATION:
A criminal background check is completed on all candidates; employment is also contingent upon the completion and satisfactory results of the background investigation. Candidates strongly considered for the position will also be required to submit a Department of Law employment application and waiver, Georgia Department of Revenue Tax Clearance letter and copies of official college transcripts.
The Office of THE ATTORNEY GENERAL does not discriminate on the basis of race, color, national origin, sex, religion, age or disability in employment or services.