What are the responsibilities and job description for the Children’s Services Quality Assurance Specialist position at Brown County?
Under general supervision, this position collaborates with internal and external providers on meeting or exceeding programmatic state statute and Medicaid requirements and standards. This position also provides leadership and technical consultation to staff in support of quality improvement and best practice efforts. This position supports two of the Children’s Services Unit programs; Children’s Long-Term Support (CLTS) and Comprehensive Community Services (CCS-Youth).
Ensure program and staff compliance with applicable county, state and federal guidelines related to the provision of service. Assists unit supervisors with annual Metastar and DHS compliance reviews. Provide staff immediate feedback on compliance concerns or issues and problem solve solutions.
Maintain a high level of understanding of federal, state, county and local laws and regulations that impact funding and service delivery for the CCS and CLTS programs.
Attend and participate in program staff meetings.
Review required internal and external documentation to evaluate the appropriateness and quality of support and services being provided. Provide education and support on current best practices and quality service provision to internal and external service providers.
Assist supervisors with onboarding education on topics such as compliance and quality practices. Use adult learning principles to deliver education to staff in an appropriate and individualized manner.
Facilitate collaboration and maintain positive working relationships with Brown County support staff including finance, contracts and purchasing. Review and audit claims to ensure they meet all standards necessary for Medicaid reimbursement, ensuring program integrity and preventing waste, fraud and abuse.
Participate in communication and problem solving with the external provider network about programmatic compliance and expectations to assist the Children’s Services Manager and Contracts Manager. Ensuring the provider network is compliant with documentation, training, service frequency, qualifications and billing.
Enter and maintain client data into Wisconsin PPS (Program Participation System) as needed. Tracks data and completes DHS surveys as needed.
Assist supervisors with ensuring service authorizations are accurate and cost effective.
Participate actively in meetings with regional and state partners on program topics.
Facilitate communication and maintain positive working relationships with consumers, informal support systems, co-workers, health professionals, courts, legal representatives, contracted providers and the public at large.
NON-ESSENTIAL DUTIES:
Performs related functions as assigned
MATERIALS AND EQUIPMENT USED:
General office equipment
Computer
Education and Experience:
Bachelor’s degree in social work or related human services field.
Two years’ experience in direct practice with individuals with disabilities.
Experience in Quality Assurance practice preferred.
Licenses and Certifications:
Valid WI Driver’s License
Knowledge of principles, methods and practices of human services work.
Knowledge of federal, state, and local legislation, rules and regulations pertaining to CLTS and CCS.
Knowledge of quality management techniques, procedures, principles and evaluation methodologies.
Maintains the confidential nature of consumer and business information, including staff performance.
Ability to perform varied and somewhat complex clerical tasks independently.
Ability to establish and maintain effective working relationships with staff and consumers.
Ability to understand and carry out fairly complex oral and written instructions.
Effective interpersonal skills, communication skills and a flexible approach.
Skill in the operation of a variety of office machines (i.e. copy machine, fax machine, telephone, and personal computer).
Ability to work the required hours of the position. Business hours for the unit are Monday-Thursday 7:30-5 and Friday 7:30-11:30.
PHYSICAL DEMANDS:
Lifting 20 pounds maximum with frequent lifting and/or carrying of objects weighing up to 10 pounds.
Intermittent standing, walking and sitting; occasional driving.
Using hand(s)/feet for repetitive single grasping, fine manipulation, pushing and pulling, and operating controls.
Occasional bending, twisting, squatting, climbing, reaching, and grappling.
Communicating orally in a clear manner.
Distinguishing sounds at various frequencies and volumes.
Distinguishing people or objects at varied distances under a variety of light conditions.
This position description should not be interpreted as all inclusive. It is intended to identify the major responsibilities and requirements of this job. The incumbents may be requested to perform job-related responsibilities and tasks other than those stated in this description.
Salary : $29