Human Services System Quality Review Specialist* (County Promotional)

SAN-Bernardino-Count; San Bernardino (CA); On-site; USD 70,000 - 95,000; Full time

Job summary

San Bernardino County seeks a Quality Review Specialist for the Human Services System to perform complex eligibility audits, reviews, and investigations for programs such as CalWORKs and CalFresh. You will interview customers and verify data to ensure accurate benefit determinations across multiple counties and units.

Responsibilities include preparing concise reports, coordinating with other departments, and interpreting evolving federal/state policies.

Qualifications

• Education: Eight (8) semester units of completed college coursework in behavioral/social science or business/public administration.
• Substitution: One (1) year of additional qualifying journey-level experience may substitute for the required education.

Responsibilities

• Review, evaluate, investigate, and gather information to determine accuracy of facts reported by customers.
• Advise applicants and recipients of rights/responsibilities, and resolve discrepancies.
• Interview and obtain information from applicants/recipients for verifying facts.
• Prepare written correspondence and reports with recommendations or to justify eligibility determinations.

Education

Eight (8) semester units of college coursework in behavioral/social science or business/public administration

Completion of the San Bernardino County Management Leadership Academy program (MLA) credits

Job description

This recruitment is only open to current San Bernardino County, San Bernardino County Fire Protection District, or Special Districts employees who hold a regular, contract, extra-help, recurrent, Public Service Employee (PSE), Work Experience Program (WEX) or intern position. Former PSE, WEX, or interns are eligible to apply up to 6 months from the end of their assignment.

Your County employment must be clearly listed in the work experience section of the application.

The Human Services Program Integrity Division (HS PID) and the Human Services Research, Outcomes, and Quality Support (HS ROQS) units are recruiting for Human Services System (HSS) Quality Review Specialists who perform quality review work for one or more categories of public assistance such as CalWORKs, CalFresh, Foster Care, etc. HSS Quality Review Specialists conduct specialized eligibility audits, reviews, and investigations for the various public assistance programs. Incumbents also interview customers, individuals, and representatives of business/government organizations for fact verification and discrepancy resolution regarding the correct issuance of cash aid, CalFresh, General Relief, and other public assistance programs. Positions are primarily located in San Bernardino but some field-based positions also exist. Vacancies are anticipated in CalWORKS and CalFresh, but eligible list may be used for other vacancies as they arise.

Field-based positions require regular travel throughout the County for home visits and work outside of the office. County vehicles are available for use while traveling. Candidates available for a field-based position should indicate such availability on the supplemental questionnaire.

Additional Duties

• Review, evaluate, investigate, and gather information regarding income, household composition, financial obligations, and assets to determine the accuracy and completeness of all facts reported by customers during initial and continuing eligibility determinations.
• Advise applicants, recipients, and the general public of rights and responsibilities, and secure declarations when discrepancies are discovered. Answer program related inquiries and regulation interpretation to public officials, other departments, and the general public.
• Interview and obtain necessary information from applicants, recipients, and representatives of business or government organizations for the purpose of verifying facts and/or resolving discrepancies pertinent to the correct determination of eligibility for public assistance programs.
• Prepare clear and concise written correspondence and reports with recommendations for appropriate corrective action or to justify eligibility determination made by the welfare department for appealed cases. If needed, specialists will attend to make verbal statements at fair hearings and answer questions regarding the eligibility determination made by the welfare department.
• Confer with other departments, divisions, counties and other government agencies in order to verify dates, resolve discrepancies and provide information in accordance with established procedures, policies, and regulations.
• Participate in training sessions, such as conferences, seminars, or mentoring assignments. Perform detailed presentations on the functions of the Quality Review Unit to onboarding and cross training staff.
• Stay up to date on new and revised federal, state, and county legislation, laws, rules, regulations, policies, and procedures pertaining to public assistance programs.
• Process complex budgets, void, terminate, rescind, correct, or activate recovery accounts.

For more detailed information, refer to Quality Review Specialist job description.

Benefits

To review job-specific benefits, refer to: Summary of Benefits and the Memoranda of Understanding (MOU).

Conditions of Employment

• Pre-Employment Process: Prior to appointment, applicants must pass a background investigation, including fingerprinting, and verification of employment history and education.
• Travel: Travel throughout the County may be required and employees will be required to make provisions for such transportation.
• Sponsorship: San Bernardino County is not able to consider candidates that will require visa sponsorship at the time of application or in the future.

Education and Experience

Education: Eight (8) semester (12 quarter) units of completed college coursework in behavioral/social science or business/public administration. Completion of the San Bernardino County Management Leadership Academy (MLA) program will be accepted toward the required coursework on the basis of four (4) quarter units of credit per MLA track completed. A list of completed college coursework or legible transcripts must be submitted with the application if the applicant does not possess an Associate's degree or higher in one of the qualifying fields of study indicated above. Substitution: One (1) year of additional qualifying journey-level experience indicated below may substitute for the required education.

Experience: Three (3) years of journey-level experience, equivalent to an Eligibility Worker II, or higher, in San Bernardino County, determining eligibility for public assistance programs in a California Department of Social Services. Candidates must have been employed in this capacity within the last six (6) months. Note: Eligibility Worker I/Trainee experience is NOT considered qualifying and must be clearly separated on the application from time spent as a journey-level Eligibility Worker II or higher. Employment Services Specialist/Trainee experience is also not considered qualifying.

Candidates with eligibility experience with CalWORKs, CalFresh, Foster Care, and General Relief are strongly encouraged to apply. Recent experience in CalFresh and CalWORKS with case processing is highly desirable for current vacancies.

Equal Employment Opportunity

San Bernardino County is an Equal Employment Opportunity (EEO) and Americans with Disabilities Act (ADA) compliant employer, dedicated to ensuring equal employment opportunities for all employees and applicants.

ADA Accommodation: If you have a disability and need accommodations during the testing process, please submit the Special Testing Accommodations Request Form within one week of the recruitment filing deadline.

Veterans' Preference: Eligible veterans and their spouses or widows/widowers who are not current County employees may receive additional Veterans' Preference points. For details and instructions on how to request these points, please refer to the Veterans' Preference Policy.

For more important details, review the Applicant Information and County Employment Process.