ICWA Quality Assurance Specialist
Any individual who receives an offer of employment or will receive a payroll check are required to submit to a drug and alcohol test as a condition of obtaining employment.
Mille Lacs Band Member/American Indian preference applies
The ICWA Quality Assurance Specialist plays a key role in verifying daily operations and processes to ensure internal standards are met in the Family Services department. This position will perform various inspections and audits on a routine schedule and perform audits at random. This position will identify deficiencies, resolve workflow issues, develop quality standards, keep accurate and organized documentation of all inspections and audits performed and assists in delivering training to staff as directed.
• Associate degree required, Bachelor’s Degree in Business, Management, Accounting or other related field, preferred.
• Two years in financial operations or child welfare experience preferred.
• Extensive knowledge and experience working with Native American communities, culture, customs and cultural laws is preferred.
• Ability to work independently with little or no supervision is required.
• Excellent communication, organization, and management skills are required.
• Excellent collaborative skills working with multiple MLBO departments, counties, Minnesota Department of Human Services, and Federal agencies are required.
• Ability to understand and interpret state statutes pertaining to Tribal Child Welfare.
• Ability to gather data, compile information and prepare reports.
• Ability to work under pressure in a fast-paced environment, multitask and prioritize.
• In lieu of education, special consideration to include experience. A minimum of 5 years of experience in financial operations or child welfare.
• Must have a current valid Minnesota driver’s license.
• Must be insurable under the Mille Lacs Band Drivers Insurance policy.
• Must pass a background check.
• Must pass a pre-employment drug and alcohol test.
• As a mandated reporter, must understand the process and assessment parameters of
DUTIES AND RESPONSIBILITIES
• Assists with developing internal quality standards for the department as directed.
• Participates in State and/or Federal audits to assist in ensuring file compliance as needed.
• Participates in training to stay informed on MNDHS standards for claiming CWTCM reimbursement.
• Collaborates with HHS Finance department to ensure the reimbursements are maximized by capturing every reimbursable expenditure.
• Collaborates with HHS Quality/Compliance department to audit quality measures and compliance with Band, State, and Federal policies/procedures and laws.
• Assists with eligible reimbursements related to foster care, childcare, clothing vouchers, diapers, and other reimbursable expenditures are documented and billed for. Ensure records are maintained with standard compliance.
• Assists with social worker documentation being worded appropriately for receiving the reimbursement, including EPC language, court reports, and other pertinent documentation.
• Collaborates with Lead Social Workers to ensure social workers are trained on language and data entry in child files to reduce errors that impact reimbursement and quality measures.
• Assists in training new social workers to maximize eligibility and revenues.
• Runs error reports and identifies database system errors on a scheduled basis.
• Collaborates with Lead social workers to correct case management errors on a timely basis. Work closely with social workers to correct errors generating lost revenue and resubmitting those claims to the HHS Finance Department.
• Assists in providing policies, procedures, to all new staff and reviews onboarding materials on an annual basis, at minimum, to ensure information meets internal standards and compliance.
• Responsible for completing policies and procedures for CWTCM billing and ensuring each worker has been trained on and has a copy of billing policies and procedures. Ensure staff receive annual training and maintain staff training logs.
• Responsible for tracking billable claims submitted by each billable case worker per month.
• Responsible for flagging employees who are not achieving target goals for billing.
• Responsible for providing reports regarding case workers’ monthly performance for billing.
• Ensure child eligibility worksheets, child case management case plans, out of home placement plans, independent living skills plans, CWTCM plans, required original vital documentation and medical assistance numbers are complete in the child’s file for CWTCM billing purposes. Ensure workers complete required forms prior to submitting claims.
• Review and audit CWTCM billing claims before they are submitted to HHS Finance Department to make sure they are billable and meet criteria for billing submissions.
• Conduct reviews of electronic and hard copy files to make sure there is supporting documentation for the claims.
• Works collaboratively with Office of Solicitor General, HHS departments, Tribal Court and other Band Departments or other agencies related to maintain internal compliance.
• Works closely with foster care team on internal compliance with foster care licensing requirements and files in accordance with applicable rules, policies and Band Statutes.
• Works closely with investigations and intake team on internal compliance with investigations and intake requirements and files in accordance with applicable rules, policies and Band Statutes.
• The hours are typically Monday through Friday, 8am-5pm, but extra hours may be necessary to meet deadlines and maintain workload.
• Regular periods of moderate stress levels. The primary source of stress deals with workload and deadlines.
• Work is exclusively indoors in a controlled climate area.
• Minimal threat of personal danger or risk.
• Work is performed in an office setting with frequent sitting, occasional standing and walking. Local travel is required, limited travel outside the state may be required.
• Work from home may be permissible with a signed telework agreement.