Registered Nurse, Non-Institutional (Nurse Investigator) / 60018429, 61096625

Two (2) Positions Available The Agency's mission is to be boldly innovative in improving the health and quality of life for South Carolinians. This position is located in  Medical Service Review , Richland County.  This is an in-office role and not a telecommute or remote position. Are you the One?  We are looking for a Registered Nurse, Non-Institutional (Nurse Investigator) who, in a NON-CLINICAL setting, identifies fraud, waste, and abuse in the Medicaid Program by reviewing post paid claims.

Conducts post-payment reviews of medical providers. Identifies and recovers excessive and inaccurate payments to providers and ensure compliance with the applicable Medicaid laws, regulations, and...