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Nurse Investigator - State Healthcare Fraud Control Unit

Division : Criminal Justice Division
Section : State Healthcare Fraud Control Unit
Location: Atlanta, Georgia

Job Opening Date: continuous recruitment
Job Closing Date: open until filled
Salary: $42,000 minimum Annual

Duties & Responsibilities
As part of an investigative team in the preparation of cases of healthcare fraud, the Nurse Investigator applies clinical knowledge and experience in the review of medical records and the comparison of services documented to claims submitted. Makes determinations based on criteria that is relevant to the fraud investigations. Prepares charts, graphs and other demonstrative exhibits to illustrate findings. Performs duties as part of an investigative team. May prepare trial exhibits as well as serve as an expert witness at trial.

Minimum Training & Experience
MINIMUM Qualifications: RN License and two years of Nursing Experience. PREFERRED Qualifications: Bachelors of Science in Nursing; additional years of nursing experience; experience in the analysis of medical claims and/or claims data; experience in the detection and investigation of healthcare fraud.

This posting is for continuous recruitment purposes only.  In event the Department has a vacancy, your application information will be considered.  Along with a resume, applicants must complete and submit a Department of Law (General) application & waiver, which can be foundwhich may be found on the Department’s website at:  ALONG with a copy of their RN License. SALARY IS COMMENSURATE WITH EXPERIENCE. Please mail your completed application & license to: the address below, Attn: WK Brown, Director of Human Resources. Applications will be screened for the position's preferred qualifications. A criminal background check is completed on interviewed applicants who are being strongly considered for the position.

All qualified and interested applicants should submit their resume, copy of their RN License as well as a completed Department of Law application & waiver to:

Human Resources Director
Department of Law
40 Capitol Square S.W.
Atlanta, Georgia 30334

You will find the 'general' application under 'Careers', click applications.

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

Human Resources * 40 Capitol Square * Atlanta, GA. 30334
(404) 656-3305

If you wish to obtain a copy of this in an alternate form, please call:
(404) 657-7313(V.), (404) 657-9993(TDD)