Quality Assurance Specialist

Quality Assurance

Conducts quality assurance activities to assure contract compliance and effective resource utilization with contracted entities. Works with staff to provide internal quality assurance reviews to ensure quality services to clients and monitor program effectiveness in Region 8. Gathers information and prepares corrective action/monitoring plans as needed. Reviews quality measures standards, identifies deficiencies in service delivery methods and provides recommendations as needed. Conducts QA meetings for staff and one to one as needed. Identifies deficiencies and provides feedback to program supervisors on a regular basis. Ensures that case managers are properly documenting all activities in the appropriate database as determined by central office or regional needs. Run and maintain ongoing reports to ensure staff compliance.

Program & Client Services

Serves as Case Management Coordinator for the SHSS staff as well as providing case management support to the program population for PCS, CFC, CSHCN-SP, NBS, and CPW programs. Duties include assisting with identifying, planning, and coordinating training for staff and providers. Will serve as a mentor and trainer to new Case management staff when directed. Maintains case files Provides Specialized Social Work consultation and assessment to families of children who are medically fragile and other identified populations to determine Personal Care Services Eligibility. Conducts assessments for PCS/CFC and Birth Defects cases.

Community Organization

• Provide program presentations to community, agencies and health entities.
• Participate in the public health responses to disaster and emergencies.
• Participates as a team member for the Department of Social Work Emergency Response Team with other DSHS programs in Region 8.
• Responds to public health emergencies, including, but not limited to, disease outbreaks, biological, environmental and weather emergencies.
• Completes required training necessary to fulfill the duties of the role.
• Complies with DSHS immunization policy.
• Maintains an acceptable driving record that meets the standards developed by the Texas Department of Public Safety (DPS) and safely operates either a state-owned, personal or rental vehicle to conduct state business.

Knowledge, Skills, and Abilities

• Knowledge of Case Management principles and practices.
• Knowledge of children’s programs, such as Medicaid, CSHCN, Case Management for Children & Pregnant Women, CPS/Foster Care, SSI, NBS, NBHS, Lead, Early Childhood Intervention (ECI), and CHIP.
• Knowledge of quality assurance and technical assistance policies and procedures.
• Knowledge of community resources on a local, state and national level.
• Knowledge of the cultural and socioeconomic issues related to health and disabilities.
• Skill in using computer software programs in word processing, spreadsheets, databases, electronic mail and Internet, specifically MS Word, PowerPoint, Excel, Access and Outlook.
• Skill in compiling monthly reports, travel reports, and time activity reports.
• Skill in conducting in-home family needs assessments and developing service plans.
• Skill in providing presentations and trainings.
• Skill in conflict resolution, mediation, and problem solving.
• Ability to work effectively as a team member in an interdisciplinary setting.
• Ability to interpret and apply program policies and procedures.
• Ability to provide professional leadership.
• Ability to maintain confidentiality.

Registrations, Licensure Requirements or Certifications

• Current license to practice Social Work in the State of Texas