Social Services Inspector II
About the position Positions in this job family are assigned responsibility for conducting internal and external audits and field investigations and performing federally or state-mandated quality control audits to evaluate the effectiveness of agency programs. Some positions will perform follow-up reviews and advocate for clients and program changes. Duties include investigating welfare fraud and employee violations of agency policy, regulations and applicable state and federal laws. Some positions in this job family will conduct investigations and inquiries to protect the rights of clients, act as client advocate and file grievances on behalf of clients. The Medicaid Services Unit, through contractual agreements with the State Medicaid Agency and the Centers for Medicare and Medicaid Services, assures the health and safety of each program participant and is responsible for ensuring providers offer quality services to all Members. These audits, conducted to safeguard Providers are in compliance with State and Federal rules and regulations, confirm that services are delivered as authorized on the person-centered service plan, that Member needs are being met, that Provider documentation is thorough and complete, and that Members are satisfied with service delivery.
Responsibilities
- Works independently and as part of a team to complete comprehensive provider audits for multiple Home and Community-Based Service programs.
- Assures the health and safety of each program participant and is responsible for ensuring providers offer quality services to all Members.
- Conducts audits to safeguard Providers are in compliance with State and Federal rules and regulations.
- Confirms that services are delivered as authorized on the person-centered service plan, that Member needs are being met, that Provider documentation is thorough and complete, and that Members are satisfied with service delivery.
- Conducts provider audits through a combination of Member record review, Provider personnel file review, and Member phone interview.
- Will also be available to assist with financial and special requested audits as needed.
Requirements
- A bachelor’s degree and three years of professional experience in investigation, auditing, social work, juvenile justice, personnel administration, law enforcement or child support enforcement, working with persons with intellectual disabilities
- OR an equivalent combination of education and experience.
- Must possess a valid driver's license and maintain required car insurance.
- Must be able to frequently lift up to 15 lbs for transporting computer.
- Must have stable and reliable home Internet (not a hot spot) for teleworking or will be required to work in office.
Benefits
- Full State Employee Benefits
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