State of Maine · 14 hours ago
Quality Assurance Caseworker
Portland, Maine
Full-time
Onsite
New Grad, Entry Level
$25.68/hr - $34.65/hrThe State of Maine's Department of Health and Human Services is seeking a Quality Assurance Caseworker to ensure compliance with state and federal regulations for client case files. The role involves conducting reviews, analyzing trends, and providing guidance to agencies on documentation standards.
Art
Responsibilities
Conduct comprehensive reviews of client case files to ensure compliance with state, federal, and agency regulations, policies and best practice
Extensive documentation audited for accuracy, completeness, timeliness
Analyze trends and patterns to identify issues or areas for improvement
Track performance indicators and outcomes to ensure program safety and compliance
Prepare corrective action plans and follow up to ensure compliance
Provide coaching, guidance, and technical assistance to agencies on policy interpretation and documentation standards
Serve as a resource for best practices and process clarification
Provide detailed reports and findings regarding issues and areas in need of improvement
Collaborate with supervisors, program managers, and multidisciplinary teams to address quality concerns
Participate in staff meetings and policy review discussions
Safeguard client confidentiality and sensitive information while ensuring services support client safety, well-being and rights
Conduct onsite reviews of agencies to evaluate compliance with federal regulations and licensing standards. Assess case records, service delivery practices and operational procedures to ensure quality, safety, and effectiveness of services
Facilitate meetings with provider agencies to review quality assurance benchmarks
Communicate with provider agencies on a quarterly basis reviewing data related to reportable event compliance
Community outreach and education when applicable
Advocating for and coordinating provision of services including reviewing, analyzing, and documenting person-centered plans
Maintaining accurate case records of assessments, activities, and plans; writing summaries, reports, letters, and memos
Collaborating with Adult Protective Services and Crisis Prevention/Intervention Services when necessary to stabilize and secure emergency needs
Analyzing data and preparing reports for quality outcomes
Utilizing the QA Sharepoint database keeping it updated with required documentation
Presenting data reports to assigned agencies on a quarterly basis
Qualification
Required
Bachelors Degree from an accredited educational institution in Social Work/Social Welfare; OR a Bachelors Degree in a related social service/social welfare/social work area which includes at least 12 courses in behavioral science, social science, or social work
Must have or be eligible for conditional or full licensure as a Licensed Social Worker (LSW) as determined by the Maine State Board of Social Worker Licensure
Possession of a valid Class C Maine Motor Vehicle Operator's License
Preferred
Experience in adult case management
Writing PCP's and applying for waiver services
Familiarity with MaineCare and Long Term MaineCare
Benefits
13 paid holidays
12 days of sick leave
3+ weeks of vacation leave annually
Health Insurance Coverage
Health Insurance Premium Credit
Dental Insurance
Retirement Plan
Parental leave
Company
State of Maine
Welcome! We in Maine take pride in our quality of life, our entrepreneurial spirit, and our strong, independent heritage.
Founded in 1933
10001+ employees
Funding
Current Stage
Late StageTotal Funding
$0.76MKey Investors
The National Endowment for the Arts
2019-05-18Grant· $0.76M
Leadership Team
Carole Reuschle
CEO of the Cabin
Joseph Zamboni
Chief Operating Officer
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