Child and Youth Services, Clinical Practices/Protocols, Contract Review, Data Analysis, Department of Health and Human Services, Documentation, Financial Control, Maintain Compliance, Performance Analysis, Process Improvement, Provider Contracting, QoS (Quality of Service), Regulatory Compliance, Technical Support, Trend Analysis
The Continuous Quality & Improvement team within the Department of Health & Human Services (DHHS) is looking for a Community Based Service Reviewer I to provide technical assistance and review quality of services and treatment being provided by contracted providers serving Division of Child and Family Services (DCFS), Division of Juvenile Justice and Youth Services (DJJYS),and Division of Services for People with Disabilities (DSPD) across the state.The Community-Based Services Reviewer I performs contract reviews and implements comprehensive reviews of DHHS external services as assigned or mandated. Includes activities related to service quality, and program compliance. Provides technical assistance, in consultation with senior staff, on grants and contracts for contracted providers. Technical assistance includes reviewing federal, state, department and/or division requirements and ensuring compliance with those requirements. Other duties include monitoring and analyzing the performance of contractors, and ensuring proper fiscal control for services.Key responsibilities and day to day responsibilities of this position:Assisting with determining the scope and objective of reviews/projects.Identifying and promoting strengths in provider and clinical practices.Gathering input from children, youth, individuals and families regarding services.Working with colleagues to obtain information necessary to complete reviews/projects.Analyzing and summarizing data.Ensuring compliance with applicable laws, rules, and department policies.Recognizing existing and potential weaknesses and providing recommendations for improvement.Gathering documentation to create work papers necessary to support your review findings.Identifying trends in the review process for system improvement.Writes clear and concise reports.Collaborating with providers and teams to identify how to strengthen services.