SENIOR HUMAN SERVICES PROGRAM SPECIALIST - 60046518

State of Florida•Hialeah, FL

2d•Onsite

About The Position

The Florida Department of Children and Families (DCF) is the state of Florida’s social services agency. The agency oversees services for child safety, fostering, adoption, domestic violence, adult protective services, refugees, homelessness, mental health, substance abuse, child care providers, human trafficking and public assistance. The agency’s mission is to work in partnership with local communities to protect the vulnerable, promote strong and economically self-sufficient families, and advance personal and family recovery and resiliency. Within DCF, the Economic Self Sufficiency (ESS) Program helps to promote strong and economically self-sufficient communities by determining eligibility for food, cash and medical assistance for individuals and families on the road to economic recovery. Under the ESS Program, the Office of Public Benefits Integrity (OPBI) is responsible for investigating public assistance fraud or misuse regarding the SNAP (Food Assistance), D-SNAP (Disaster Food Assistance), TANF (Cash Assistance), and Medicaid programs by individuals or merchants. SENIOR HUMAN SERVICES PROGRAM SPECIALIST - 60046518 - ESS OPBI Quality Management The Headquarters Senior Human Services Program Specialist is charged with timely and accurate completion of federal and state mandated reviews of eligibility decisions made by Florida Department of Children and Families Economic Self Sufficiency (ESS) staff in the Supplemental Nutrition Assistance Program (SNAP), Medicaid and Temporary Cash Assistance (TCA). Specialist must demonstrate the ability and organizational skills to work independently. The specialist is responsible to provide data to be used as technical assistance to assist the agency in meeting accuracy thresholds in SNAP, Medicaid (Family and SSI-Related), and TCA determinations at both state and federal levels. Extensive knowledge of SNAP, Medicaid (all programs) and TCA policy is required. Expertise in the FLORIDA system, The Worker Portal and other ESS systems is required. Specialist must be proficient in the use of computers, web-based systems and Microsoft Office applications, including Word and Excel.

Requirements

Must be a current DCF Economic Self Sufficiency employee.
Must have at least 4 years’ experience determining eligibility for Food Assistance, Medicaid, and Cash Assistance programs
Must have experience conducting QMS Quality Assurance Case Readings
Must be willing to travel extensively, including overnight travel.
Must have a valid driver’s license.

Nice To Haves

At least two years (24 months) experience monitoring or reviewing cases for accuracy and correct eligibility for Food Assistance, Medicaid, and Cash Assistance policy.
Experience as an Economic Self Sufficiency Supervisor
Bilingualism

Responsibilities

Conduct Management Evaluation (ME) Reviews by creating valid case review samples, timely and accurately reviewing cases as well as tracking case corrections, collecting and analyzing statistical data, conducting on-site reviews to observe operational functions and procedures, timely and accurately submitting report of findings, providing corrective action guidance and technical assistance.
Review all agency material on file pertinent to the assistance unit under review, including the computerized eligibility determination system and related cross-matched data systems.
Codes and completes reviews in the Quality Management System (QMS), spreadsheets or other documents in a timely manner as prescribed for each assignment.
Complete all documentation in the appropriate system and provides sufficient narrative to support the determination and provide the ability for corrective action to be taken.
Provide clarifying information regarding any review questioned in the state rebuttal process.
Prepare a detailed analysis, evaluation, and consultative report of region or customer call center performance based on desired outcome measures, performance indicators and other criteria.
Consults with staff members to develop solutions for programmatic operational problems identified during the Management Evaluation review.
Ensures that each region's corrective action plan (CAP) is received upon receipt of the ME report and that all necessary actions are included.
Evaluates CAP and determines what follow-up action is needed to eliminate errors and discrepancies that are below standard.
Provide technical assistance to regions on program improvement by providing corrective action plan (CAP) guidance, monitoring circuit/region CAPs to ensure compliance is met and providing technical assistance on case reading tools.
Maintains knowledge of state policy and procedure changes and how those changes are interpreted for management evaluation reviews.