QUALITY CONTROL CASE REVIEWER jobs in United States
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NYC Department of Social Services · 1 month ago

QUALITY CONTROL CASE REVIEWER

The NYC Department of Social Services is responsible for overseeing social services programs and ensuring compliance with standards. They are seeking a Quality Control Case Reviewer to conduct audits and quality control reviews of SNAP benefits, analyze error trends, and prepare documentation for corrective actions.

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Responsibilities

Review POS, HRA One Viewer of imaged/scanned documents, Welfare Management System (WMS) data and other pertinent data to obtain information on the current financial status and eligibility criteria of cases in receipt of SNAP benefits
Audit for the EQAS QC on 16 cases each month randomly selected from a MIS run of active Cash Assistance and Non-Cash Assistance (NGA) SNAP cases
Conduct telephone interviews with SNAP participants using appropriate interview techniques in Order to obtain critical information
Complete a desk audit to secure documentation pertinent to quality control eligibility criteria
Compares Paperless Office System (POS) case record, Welfare Management System (WMS) and One Viewer information to the interview/desk audit information to determine if discrepancies exist
Secure collateral information to verify the accuracy of the information provided from the POS record, participant interview information and HRA One Viewer documentation
Initiate third-party contacts to clarify and identify any variances, discrepancies or inadequate documentation discovered during the review of State Quality Control errors or in the EQAS audit
Prepare manual budgets to replicate the actual amounts issued to the SNAP household for the month under review for State QC or EQAS cases
Perform re-calculation of SNAP budget based on the data obtained to determine the correctness of the payment amounts issued for the review month according to Federal QC Food and Nutrition Service (FNS) guidelines and methodology
Record the information and documentation obtained from the POS case record, One Viewer, interviews, computer matches and collateral sources onto the standardized QC workbook (W-907SS) in accordance with Federal/State QC standards
Prepare audit correspondence to Family Independence Administration CA/NGA center offices on standardized forms identifying payment errors and specifying the nature, error element, causal factor, timing and budget calculations
Provide detailed information for corrective action purposes on State QC and EQAS payment errors to recover, reduce and prevent SNAP eligibility and payment errors
Complete the Consumer Satisfaction Survey (CSS) on the SNAP EQAS sample population regarding voluntary responses related to courtesy and respect and overall satisfaction with services
Research Federal and State policies and regulations to evaluate if City procedures were properly applied and compliant with the New York State system

Qualification

Auditing casesEligibility determinationWelfare Management System (WMS)Microsoft WordMicrosoft ExcelAnalytical skillsSupervisory experienceDocumenting audit findingsInterpreting state directivesCommunication skills

Required

A baccalaureate degree from an accredited college and three years of satisfactory full-time progressively responsible clerical/administrative experience, one year of which must have been in an administrative capacity or supervising staff performing clerical/administrative work of more than moderate difficulty
An associate degree or 60 semester credits from an accredited college and four years of satisfactory full-time progressively responsible clerical/administrative experience including one year of the administrative supervisory experience described in '1' above
A four-year high school diploma or its educational equivalent approved by a State's department of education or a recognized accrediting organization and five years of satisfactory full-time progressively responsible clerical/administrative experience including one year of the administrative supervisory experience as described in '1' above
Education and/or experience equivalent to '1', '2', or '3' above. However, all candidates must possess the one year of administrative or supervisory experience as described in '1' above
Education above the high school level may be substituted for the general clerical/administrative experience (but not for the one year of administrative or supervisory experience described in '1' above) at a rate of 30 semester credits from an accredited college for 6 months of experience up to a maximum of 3½ years

Preferred

Possess strong knowledge of State policies and agency procedures
Possess experience in auditing cases and in identifying eligibility determination errors
Ability to effectively document and narrate audit findings
Experience in responding to federal and state auditors and in justifying the agency's eligibility determination
Ability to interpret state Administrative Directives (ADM), General Information System (GIS) messages and Local District Memoranda (LDM)
Proficient in the use of WMS, EmedNY, CentraPort database, SOLQ, SAVE, Microsoft Word and Excel
Experience in supervising staff
Possess analytical and case review skills
Excellent communication skills

Benefits

Public Service Loan Forgiveness

Company

NYC Department of Social Services

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The Department of Social Services (DSS) is comprised of the administrative units of the NYC Human Resources Administration (HRA) and the Department of Homeless Services (DHS).

Funding

Current Stage
Late Stage

Leadership Team

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Ann Marie Scalia
General Counsel & Chief Legal Officer
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Beatriz Fritschler, MPA
Deputy Commissioner, Strategic Partnerships
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