QUALITY CONTROL REVIEWER

RI Council 94; Rhode Island; On-site; USD 66,000 - 77,000; Full time

Job summary

RI Council 94 seeks a Quality Control Reviewer in the Department of Human Services Regulatory Compliance to audit case records and assess eligibility, payment accuracy, and service delivery. The role involves desk reviews, occasional home visits, and participation in federal surveys, with standard 8:30am–4:00pm schedule, Monday–Friday, 35 hours.

Candidates should have a college degree and experience in social case work; background checks and compliance with DHS policies and federal standards are

Qualifications

• A working knowledge of social case work principles, practices and techniques.
• Thorough knowledge of the provisions of the federal and state laws relating to social service assistance.
• Ability to establish and maintain effective working relationships with social service recipients.
• Ability to make field visits to homes of clients and evaluate elements of social study, eligibility, and needs of the recipient, and make reports thereon.
• Ability to work as one team on fact finding surveys and help prepare final written reports.

Responsibilities

• To review the work of the Social Service and/or Field Staff through quality control audits of the case records of all categories of assistance recipients to determine the extent to which the program of the agency is being implemented in the fields of eligibility, correctness of payment, and services; to participate in various quality control surveys requested by the federal government and Director of the Department of Social and Rehabilitative Services.
• To review the work of the Social Service Field staff through quality control audits of the case records of public assistance recipients by desk analysis of the case records and field visits to the homes of the client to determine the extent to which the program of the agency is being implemented.
• To make field visits to the homes of the clients to evaluate social study elements such as: nature of home environment, home management, health care education, and potential for employment.
• To determine eligibility of the client by evaluating such factors as: age, residence, death, unemployment, and personal assets of the client.
• To participate in various quality control surveys or research requested by the federal government and director of Department of Social and Rehabilitative Services, and to help prepare final written reports.
• To make reports of defects or errors of individual case actions to the casework supervisor of Local Public Assistance Agency.

Skills

Social case work knowledge

Communication and reporting

Team collaboration

Education

College degree

Job description

QUALITY CONTROL REVIEWER# State of Rhode Island External Career Site## QUALITY CONTROL REVIEWERApply: Shepard Building: Statewide: Full time: Posted 2 Days Ago: End Date: September 28, 2026 (7 days left to apply): JR103803# **Department**Department of Human Services# **Division**Regulatory Compliance# **Salary**$65,836.00 - $76,598.00# **Job Profile**JC-02829200-77 - Quality Control Reviewer (RIASSE L580 DHS DCYF BHDDH DOC)# **Scheduled Work Days & Work Hours**Monday - Friday; 8:30am - 4:00pm35 Hours - StandardRestricted/Limited to the leave of the prior incumbent# **Job Requisition Number**JR103803 QUALITY CONTROL REVIEWER (Open)# **Pay Grade**C00A24 A# **Classification**Quality Control Reviewer# **Class Definition****GENERAL STATEMENT OF DUTIES:** To review the work of the Social Service and/or Field Staff through quality control audits of the case records of all categories of assistance recipients to determine the extent to which the program of the agency is being implemented in the fields of eligibility, correctness of payment, and services; to participate in various quality control surveys requested by the federal government and Director of the Department of Social and Rehabilitative Services; and to do related work as required.**SUPERVISION RECEIVED:** Works under the general supervision of a supervisor from whom work assignments are received; work is reviewed in process and upon completion for conformance to agency policy, and Federal and professional standards of performance**ILLUSTRATIVE EXAMPLES OF WORK PERFORMED:*** To review the work of the Social Service and/or Field Staff through quality control audits of the case records of all categories of assistance recipients to determine the extent to which the program of the agency is being implemented in the fields of eligibility, correctness of payment, and services; to participate in various quality control surveys requested by the federal government and Director of the Department of Social and Rehabilitative Services.* To review the work of the Social Service Field staff through quality control audits of the case records of public assistance recipients by desk analysis of the case records and field visits to the homes of the client to determine the extent to which the program of the agency is being implemented.* To make field visits to the homes of the clients to evaluate social study elements such as: nature of home environment, home management, health care education, and potential for employment.* To determine eligibility of the client by evaluating such factors as: age, residence, death, unemployment, and personal assets of the client.* To participate in various quality control surveys or research requested by the federal government and director of Department of Social and Rehabilitative Services, and to help prepare final written reports.* To make reports of defects or errors of individual case actions to the casework supervisor of Local Public Assistance Agency.* To do related work as required.**REQUIRED QUALIFICATIONS FOR APPOINTMENT:****KNOWLEDGES, SKILLS AND CAPACITIES:** A working knowledge of social case work principles, practices and techniques; a thorough knowledge of the provisions of the federal and state laws relating to al social service assistance; the ability o establish and maintain effective working relationships with social service recipients; the ability to make field visits to homes of clients and evaluate elements of social study, eligibility, and needs of the recipient, and make reports thereon; the ability to work as one team on fact finding surveys and help prepare final written reports; and related capacities and abilities.**EDUCATION AND EXPERIENCE:****Education:** Such as may have been gained through: graduation form a college of recognized standing; and**Experience:** Such as may have been gained through: employment as a full time social case worker in a public or private case work agency.**Or,** any combination of education and experience that shall be substantially equivalent to the above education and experience.# **Supplemental Information**A successful QC Reviewer will have the ability to work independently, to manage work assignments according to standards and department expectations while adhering to strict monthly deadlines to keep the review process on schedule. Work requires an understanding of DHS programs- policy, and eligibility criteria- and the ability to make decisions based on data. The candidate must be able to complete both data entry and communicate findings clearly through written narratives and documentation while meeting both quality and timeliness goals. The QC Reviewer should be driven by curiosity and should be committed to maintaining the integrity of SNAP records. In addition, the preferred candidate will need to demonstrate positive customer service skills. The individual hired to fill this position will have access to Federal tax Information (FTI), as defined in IRS Publication 1075, and, as such, must undergo a national fingerprint background screening in accordance with the criteria set forth in regulation 220-RICR-40-00-2 (IRS Publication 1075 – Background Check Process and Criteria), available at https://rules.sos.ri.gov/regulations/part/220-40-00-2. Additionally, the individual is being hired to an E-Verify site which contains FTI and must have their employment eligibility validated through E-Verify. https://www.e-verify.gov/sites/default/files/everify/posters/IER\\_RighttoWorkPoster.pdf https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify\\_Participation\\_Poster\\_ES.pdf# **Benefits**For information regarding the benefits available to State of Rhode Island employees, please visit the Office of Employee Benefits' website at http://www.employeebenefits.ri.gov/.Also, be advised that a new provision in RI General Law 35-6-1 was enacted requiring direct deposit for all employees. Specific to new hires, the law requires that all employees hired after September 30, 2014 participate in direct deposit. Accordingly, any employee hired after this date will be required to participate in the direct deposit system. At the time the employee is hired, the employee shall identify a financial institution that will serve as a personal depository agency for the employee.