Job Information
Adams County Government Quality Assurance Lead - 165684 in Westminster, Colorado
Quality Assurance Lead - 165684
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Quality Assurance Lead - 165684
Salary
$56,457.97 - $81,864.06 Annually
Location
Westminster, CO
Job Type
Regular Full-time
Job Number
06693
Department
Human Services
Division
HS Self Sufficiency
Opening Date
08/26/2024
Closing Date
9/17/2024 4:30 PM Mountain
Our Mission
At Adams County, our team members engage in top-notch opportunities to grow and expand their impact. We cultivate an inclusive and innovative culture where diversity matters! Diversity, Equity & Inclusion (DEI) is a core cultural competency at Adams County, and we actively seek and welcome applicants that bring diverse experiences and value inclusion.
Cultural Competencies/EEO
Adams County is an equal opportunity employer. We strive to have a workforce that reflects the community we serve. No person is unlawfully excluded from employment opportunities based on race, color, national origin, ancestry, religion, creed, sex, sexual orientation, gender expression, gender identity, age, disability, genetic information, veteran status,marital status or any other legally protected characteristic.
Position classification
Remote First -- Job duties and expectations require very limited to no time in the office. There may be scheduled infrequent exceptions which require the employee to be onsite.
Description
Benefits
Questions
What Success Looks Like In This Job
This position is designed for an experienced Community Support Case Manager who is highly skilled in the development, training, and accurate and timely issuance of all programmatic benefits. The successful candidate will work in both an independent and team-oriented atmosphere while utilizing strong behavioral and analytical skills to assist the QA/Training Supervisor(s) in development and performance analysis of all Community Support Case Manager team members, which includes: developing trainings, leading training cohorts, providing direction to team members and classroom management, performing case reviews, second level case reviews for accuracy, audit preparation, trend analysis, client merge activities, preparing case information for court hearings, and other duties list below. The candidate is expected to remain highly proficient with all current and future program policy requirements, as well as in the use of analysis tools, including Microsoft Excel, Access, and other databases, computer systems, and training methods. There are four primary areas of focus as a Community Support Lead, which includes training and development, certified trainer, quality assurance (QA), and claims.
Examples of Duties for Success
Complete case file reviews for Case Managers, identifying errors and providing feedback/training for correction as needed.
Complete Supervisor Authorizations in CBMS.
Validate accuracy of Lead and Supervisor Pre-Authorizations and Case Reviews (Third Party Reviews), identifying errors and providing feedback/training for correction as needed.
Pull case file records and prepare for State and Federal QA audits for all programs.
Complete data analysis of accuracy trends, root causes of untimely processing, and other key performance indicators (KPIs) as assigned by leadership, in a timely and accurate fashion.
Assist leadership in the identification of business practices and processes that impact the timeliness and accuracy of the department.
Assist with Management Evaluation preparation, coordination, corrective action plan development, and implementation of new business processes and practices.
Gather critical information and supporting evidence for corrective action plan or management decision letter rebuttals and submit to leadership or the respective State or Federal agency.
Coordinate, facilitate, and/ or participate in county workgroups designed to analyze root causes of identifiable QA trends, draft proposals to remedy, and submit to leadership for review.
Pull case files, accuracy and performance metrics, and case reviews as requested by State and Federal partners.
Assist with tracking performance benchmarks of new team members to assist with training requirements, trends, areas of success, and opportunities.
Assist with client complaints, research case and case managers’ actions and decisions, determine root causes, record complaint information, and remedy the client complaint in a timely and accurate manner.
Perform CBMS client merges as required.
Ability to work all program areas (like a Community Support Case Manager III) to assist the Community Support team during high work volume times.
Assist other Community Support Case Manager Lead focuses (Training and Development, Certified Trainer, and Claims) when needed.
Perform other duties as assigned, such as participating in CBMS User testing, staying current with CBMS Builds, participating in Knowledge Transfer calls and trainings, attending State eligibility program meetings, and supporting Economic Mobility Division training and timeliness efforts as needed.
Qualifications for Success
Knowledge Of:
Eligibility rules and regulations for all assistance programs is required and includes:
Adult Financial
Colorado Works
Food Assistance
Medical Assistance
Case processing policies and procedures.
Office and internal policies and procedures.
Principles and practices of supervision and training.
Skill To
Research and interpret rule.
Research and analyze complex issues for purposes of developing curriculum, facilitations, project plans, claims, trends, etc.
Develop and deliver curriculum to meet key learning objectives and to strategically create connection points to the County’s goals and initiatives.
Utilize and train others to employ all research tools used in eligibility determination and apply those tools to information discovered through investigation and examination.
Ability To
Apply basic math and read, interpret, and apply manual regulations.
Communicate clearly and concisely, both verbally and in writing.
Work quickly and accurately, with minimal supervision at times, to complete time-sensitive tasks.
Develop and maintain positive working relationships with those contacted during work.
Differentiate between relevant and non-relevant information when making eligibility decisions.
Input data accurately and detect errors/make corrections.
Participate in interviewing for new team members.
Maintain objectivity and confidentiality.
Work effectively and positively with individuals of diverse cultural and socioeconomic backgrounds and educationally diverse populations.
Personally commit to champion the County's norms and values as an individual and professional commitment to design facilitations for others that reinforce the County's cultural expectations.
More Qualifications for Success
Experience:
At least three (3) years of experience determining eligibility for multiple programs.
Experience as a Community Support Case Manager II/III with consistently high case accuracy rate is preferred.
Working experience and knowledge of all programs – Adult Financial, Colorado Works, Food Assistance, and Medical Assistance. Experience with LTC is preferred but not required.
Education and Training;
High school diploma or GED equivalent required.
An Associate's or Bachelor's Degree is strongly preferred and may substitute for one year of required experience.
Additional analytical, statistical, or other related higher education is preferred.
License or Certificate:
None.
Background Check:
Must pass a criminal background check.
Other:
Ability to work in a standard office environment.
Adams County complies with Colorado’s Job Application Fairness Act (“JAFA”). JAFA prohibits employers from asking individuals to disclose their age, date of birth, or dates of school attendance or graduation on an initial employment application. However, additional application materials such as certifications and transcripts containing this information may be required for certain positions; if such additional materials are requested, applicants may redact information that identifies the applicant’s age, date of birth, or dates or attendance or graduation.
Adams County provides a comprehensive benefits package to employees that goes above and beyond what is offered at most organizations.
Clickhere (https://youtu.be/ILAvllPaGb4) to watch our video about why Adams County is an Employer of Choice!
Benefits You Expect:
AFLAC Supplemental Medical Insurance
Basic Term Life & Optional Term Life Insurance
Deferred Compensation Plan
Dental/Vision/Medical Plans
Generous Vacation/Sick leave
Long-Term Disability
Retirement Plan
Short-Term Disability
Plus some you might not expect:
Employee Assistance Program
Employee Fitness Center
Employee Health Clinics
Flexible Work Schedules
Recreation Center Discounts
Training & Tuition Reimbursement Programs
Wellness programs
Lactation friendly certified workplace
01
Please be aware that your cover letter and resume will not be accessed in the initial screening process, so you must complete your application and supplemental questions with as much detail as possible. Any personally identifiable information (PII) such as name and address will be redacted from applications that meet the minimum screening requirements and are forwarded to the hiring manager. If the hiring manager selects you to advance in the hiring process, your cover letter and resume will then be accessible to the hiring team. Information provided on the application is used to determine if a candidate meets minimum qualifications. Only information provided at the time of the application being completed will be considered and additional information that is not listed on the application will not be considered when deciding if a candidate meets or does not meet the qualifications. Applicants are STRONGLY encouraged to include all information and details on their application. I understand and agree that only information provided at the time of my application will be used to determine if I meet the minimum requirements for this position.
Yes, I understand and agree
Yes, I understand but disagree.
02
Please select how you meet the minimum qualifications.
At least two (2) years of experience determining eligibility for multiple programs AND a Bachelor's Degree.
At least two (2) years of experience determining eligibility for multiple programs AND an Associate's Degree.
At least three (3) years of experience determining eligibility for multiple programs AND a High School Diploma or GED equivalent.
None of the above.
03
Are you an internal employee?
Yes
No
04
Please describe your case management experience with Public Assistance programs: Health First Colorado (including Long Term Care), Supplemental Nutrition Assistance Program, Colorado Works, and Adult Financial.
05
Please explain how attention to detail can make a difference in Quality Assurance.
06
How do you stay organized while adapting to changing demands?
Required Question
Agency
Adams County
Address
4430 S. Adams County Parkway, Suite C4000BBrighton, Colorado, 80601-8213
Website
http://www.adcogov.org/current-career-opportunities
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