Quality Control Reviewer (Social Services)

State of Connecticut - Department of Children & Families; Hartford (CT); On-site; USD 30,000 - 42,000; Part time

Job summary

State of Connecticut - Department of Children & Families is seeking a Quality Assurance Reviewer to conduct structured QA reviews of Title IV‑E eligibility determinations for foster care, adoption, subsidized guardianship and prevention services. You will review case documentation for accuracy and compliance, identify trends and assist with corrective actions.

The role supports federal audits and program reviews, communicates QA findings to staff, and helps strengthen the accuracy and

Qualifications

• Seven years of technical experience in determining client eligibility for public assistance.
• Experience in conducting investigations related to eligibility findings.
• Substitution options include college credits or a related Master's degree.

Responsibilities

• Perform QA reviews of Title IV-E eligibility determinations for foster care, adoption, subsidized guardianship, and prevention services.
• Review case documentation for accuracy and compliance with state and federal rules.
• Identify trends, provide corrective actions, and monitor outcomes for audits and program reviews.
• Communicate QA findings and collaborate with staff to ensure consistent application of requirements.
• Assist in identifying process improvements and strengthening eligibility accuracy.

Skills

Public assistance principles

Interpersonal skills

Oral and written communication

Analytical skills

Time and case management

Organizational skills

Interviewing ability

Report writing

Education

Bachelor's degree

Master's degree in a related area

Tools

Case management system

Eligibility systems

Job description

Introduction

Do you have technical experience in the determination of client eligibility for public assistance and investigations? If so, we invite you to explore this unique position in state service!

POSITION HIGHLIGHTS

• LOCATION: On-site in Hartford, CT
• SHIFT: Part-time | 20 hours per week | first shift
• SCHEDULE: to be determined by the hiring manager with the employee, based on the needs of the agency.

BENEFITS AND BALANCE AT THE STATE OF CONNECTICUT

• State Employee Retirement System;
• A variety of medical and dental plans;
• Sick and personal leave;
• The State of CT is an eligible Public Services Loan Forgiveness employer, meaning you may be eligible to have qualifying student loans forgiven after 10 years of service.

Visit the State Employee Benefits Overview page to learn more! In addition, the State puts an emphasis on:

• Providing limitless opportunities;
• Hiring for diverse and fresh perspectives;
• Performing meaningful work and;
• Encouraging a healthy work/life balance!

Our state has a lot to offer - from fun activities for all ages, to great food and shopping, to beautiful state parks and forests, to our diverse cultures and rich history. Connecticut is a great place to live! Learn more about Connecticut here.

YOUR ROLE

The Quality Assurance Reviewer will be responsible for conducting structured quality assurance reviews of Title IV‑E eligibility determinations for foster care, adoption, subsidized guardianship, and prevention services. The position will review case documentation and eligibility determinations for accuracy and compliance, identify trends and areas for improvement, and assist with monitoring and implementing Title IV‑E State Plan requirements. The position will also support federal audits and program reviews by assisting with documentation, identifying corrective actions, and monitoring compliance outcomes. The Quality Assurance Reviewer will collaborate with program, fiscal, policy, and other agency staff to communicate QA findings, provide recommendations, and support consistent application of Title IV‑E requirements. The position will also assist in identifying process improvements and strengthening the accuracy and reliability of eligibility determinations and related claiming activities.

ABOUT US

DCF has a mission to work together with families and communities so that children can grow up healthy, safe, smart, and strong. Region 2 serves children and families in the territories of New Haven and the surrounding areas. We are very proud of our diverse and dedicated workforce who strive every day to meet the needs of those we encounter. Our family-centered, strength-based approach to our work seeks to improve the well‑being of the children and families we serve.

START WITH US. STAY WITH US. GROW WITH US.

Purpose of Job Class (Nature of Work)

In a state social service agency this class is accountable for performing the full range of technical tasks related to the quality control of benefits and/or assistance programs.

EXAMPLES OF DUTIES

• Reviews cases through case record analysis and full field investigation for conformance with pertinent state laws, regulations, policies and federal regulations;
• Pursues each case to a definitive conclusion on eligibility and correctness of payment or documentation;
• Identifies or assists in identifying broad causes for ineligibility and incorrect payments or documentation and suggests various corrective actions;
• Works with department or division to help implement corrective actions;
• Undertakes high priority special reviews and projects;
• Completes and ensures accuracy of required federal and state reports;
• Reviews methods of determining eligibility;
• Maintains policy manuals and provides updates in response to changes in state and federal laws or regulations;
• Performs related duties as required.

KNOWLEDGE, SKILL AND ABILITY

• Considerable knowledge of public assistance principles, methods and process;
• Relevant state and federal laws, statutes and regulations;
• Relevant agency policies and procedures;
• Knowledge of principles and techniques of time and case management;
• Interpersonal skills;
• Oral and written communication skills;
• Organizational skills;
• Analytical skills;
• Considerable interviewing ability;
• Ability to prepare reports;

MINIMUM QUALIFICATIONS - GENERAL EXPERIENCE

Seven (7) years of technical experience in the determination of client eligibility for public assistance or investigation of real or personal client assets in conjunction with eligibility determinations.

MINIMUM QUALIFICATIONS - SPECIAL EXPERIENCE

One (1) year of the General Experience must have been in the class of Eligibility Services Specialist or Social Services Lead Investigator.

MINIMUM QUALIFICATIONS - SUBSTITUTIONS ALLOWED

• College training may be substituted for the General Experience on the basis of fifteen (15) semester hours equalling one-half (1/2) year of experience to a maximum of four (4) years for a Bachelor's degree.
• A Master's degree in a closely related area may be substituted for one (1) additional year of the General Experience.

PREFERRED QUALIFICATIONS

• Experience conducting quality assurance or compliance reviews in child welfare, social services, or human services programs.
• Experience reviewing eligibility determinations and documentation for Title IV‑E programs.
• Experience applying Title IV‑E, federal, and state regulations to eligibility, claiming, and reimbursement.
• Experience supporting audits, program reviews, compliance monitoring, or corrective action activities.
• Experience analyzing case records or program data to identify errors, trends, or compliance concerns.
• Experience using case management or eligibility systems to verify, document, and communicate case information.

SPECIAL REQUIREMENTS

Incumbents in this class may be required to travel.

Conclusion

AN AFFIRMATIVE ACTION/EQUAL OPPORTUNITY EMPLOYER

The State of Connecticut is an equal opportunity/affirmative action employer and strongly encourages the applications of women, minorities, and persons with disabilities.

ACKNOWLEDGEMENT

As defined by Sec. 5-196 of the Connecticut General Statutes, a job class is a position or group of positions that share general characteristics and are categorized under a single title for administrative purposes. As such, a job class is not meant to be all-inclusive of every task and/or responsibility.