QUALITY REVIEW SPECIALIST - 60022603
About The Position
The Department of Children and Families’ Office of Quality and Innovation serves as a catalyst for elevating performance statewide to support positive outcomes for Florida families. The Office of Quality Office and Innovation seeks collaborative, action-focused, and transparent professionals dedicated to quality customer service to help support a team of quality reviewers. This career service position is responsible for conducting quality reviews to support the continuous quality improvement of behavioral health services statewide. Reporting to the Quality Review Supervisor, the reviewer evaluates behavioral health systems of care and performs objective case reviews to assess the quality, consistency, and effectiveness of services provided to individuals with mental health and substance use challenges. The Reviewer delivers structured, data-informed feedback to operational leaders to promote accountability, best practices, and improved outcomes across the system. This position is not a remote position. The work location will be determined based on the selected candidate. This position exercises independent judgment within established review frameworks and operates under the guidance of the Quality Review Supervisor for Special Reviews.
Requirements
- Demonstrated professional experience in social work, psychology, public health, behavioral health, or a related human services field required.
- Experience working in behavioral health services, including mental health or substance use programs.
- Experience assessing behavioral health services and program operations to ensure quality, compliance and effective outcomes.
- Experience preparing reports, presenting findings, or providing recommendations to leadership or stakeholders.
- Experience collaborating with multidisciplinary teams, providers, or community partners.
- Knowledge of behavioral health systems, service delivery standards, and regularity requirements, including federal and state laws and polices related to substance use and mental health services.
- Understanding of evidence-based and promising behavioral health practices and their application across departmental programs.
- Experience assessing and monitoring behavioral health services and program operations, including system level and case level reviews.
- Understanding of continuous quality improvement and the ability to integrate quality processes across programs.
- Ability to apply systems thinking to operational decisions and maintain a holistic, integrated approach to quality.
- Agility and adaptability in applying and designing quality review approaches and instruments to ensure objective, valid and reliable findings.
- Strong critical thinking, analytical, and problem-solving skills.
- Excellent written and verbal communication skills, including conflict resolution and the ability to convey findings clearly to diverse audiences.
- Proficiency in Microsoft Word and Excel.
- Ability to manage multiple projects, prioritize tasks, and work collaboratively to drive improvements.
Responsibilities
- Conduct reviews of behavioral health services across the state to assess service quality, compliance, and effectiveness.
- Prepare and deliver clear, timely reports of findings to leadership and stakeholders, including identified strengths, deficiencies, and recommendations for improvement.
- Review documentation and provide findings to operation staff to support service quality and improvement.
- Participate in the design, development, and refinement of quality review tools, instruments and methodologies aligned with leadership priorities, evidence-based practices, and departmental performance metrics.
- Maintain ongoing communication and collaboration with the Quality Review Supervisor and review team to ensure consistency, accuracy, and alignment in review activities.
- Engage with SAMH staff, managing entities, providers, regional representatives, and other stakeholders through meetings, interviews, and focus groups to gather feedback and inform quality improvement efforts.
- Ensure critical deficiencies identified during quality reviews are escalated and communicated to designated personnel within established time frames.
- Collaborate with the Office of Quality and Innovation analytics team to support accurate data analysis, interpretation of findings, and meaningful reporting of review outcomes.
Benefits
- Working for the State of Florida is more than a paycheck. The State’s total compensation package for employees features a highly competitive set of employee benefits.
- For a more complete list of benefits, visit www.mybenefits.myflorida.com.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
Number of Employees
1,001-5,000 employees
