The State of Connecticut, Department of Social Services, is recruiting for one (1) Quality Control Reviewer Central Office - Quality Assurance - Quality Control Unit, Hartford, CT.
In order to be considered for this job opening, you must be a current employee of the Department of Social Services who has permanent state status, and meet the Minimum Qualifications as listed on the job opening. You must specify your qualifications on your application.
Candidates selected for interview must bring the following at the time of interview:
- two most recent service ratings and the past two years of attendance records.
Should you have questions pertaining to this recruitment, please contact Kelly Geary at firstname.lastname@example.org, 860-424-5083
PURPOSE OF JOB CLASS (NATURE OF WORK)
In a state social service agency this class is accountable for performing the full range of technical tasks related to the quality control of benefits and/or assistance programs.
EXAMPLES OF DUTIES
Reviews cases through case record analysis and full field investigation for conformance with pertinent state laws, regulations, policies and federal regulations; pursues each case to a definitive conclusion on eligibility and correctness of payment or documentation; identifies or assists in identifying broad causes for ineligibility and incorrect payments or documentation and suggests various corrective actions; works with department or division to help implement corrective actions; undertakes high priority special reviews and projects; completes and ensures accuracy of required federal and state reports; reviews methods of determining eligibility; maintains policy manuals and provides updates in response to changes in state and federal laws or regulations; performs related duties as required.
KNOWLEDGE, SKILL AND ABILITY
Considerable knowledge of relevant state and federal laws, statutes and regulations; considerable knowledge of relevant agency policies and procedures; knowledge of principles and techniques of time and case management; interpersonal skills; oral and written communication skills; considerable interviewing ability; organizational ability; ability to prepare reports; analytical ability.
SOCIAL SERVICES: Considerable knowledge of public assistance principles, methods and process.
VOCATIONAL REHABILITATION: Knowledge of applicable laws and statutes pertaining to vocational rehabilitation programs for persons with disabilities.
MINIMUM QUALIFICATIONS - GENERAL EXPERIENCE
BOARD OF EDUCATION AND SERVICES FOR THE BLIND:
Seven (7) years of technical experience in performing case review of federal and/or state programs that serve persons with disabilities.
Seven (7) years of technical experience in the determination of client eligibility for public assistance or investigation of real or personal client assets in conjunction with eligibility determinations.
MINIMUM QUALIFICATIONS - SPECIAL EXPERIENCE
One (1) year of the General Experience must have been in the class of Eligibility Services Specialist or Social Services Lead Investigator.
MINIMUM QUALIFICATIONS - SUBSTITUTIONS ALLOWED
1. College training may be substituted for the General Experience on the basis of fifteen (15) semester hours equalling one-half (1/2) year of experience to a maximum of four (4) years for a Bachelor's degree.
2. A Master's degree in a closely related area may be substituted for one (1) additional year of the General Experience.
Considerable knowledge applying Medicaid policy ; experience conducting comprehensive Medicaid reviews; experience using eligibility systems; ability to analyze documents and utilize applicable reporting tools..
Incumbents in this class may be required to travel.
AN AFFIRMATIVE ACTION/EQUAL OPPORTUNITY EMPLOYER
The State of Connecticut is an equal opportunity/affirmative action employer and strongly encourages the applications of women, minorities, and persons with disabilities.