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Quality Assurance Caseworker

$25.68 - $34.65 per hour

State of Maine

Human Services CaseworkerDepartment of Health and Human Services (DHHS)Opening Date: August 17, 2026Closing Date: August 28, 2026Job Class Code: 5069Grade: 22 (04)Salary: $25.68 - $34.65 per hour**Pay includes a $3.00/hour stipend. An additional $1.00/hour stipend is available with a relevant Master's degree.Position Number: 03030-4133Location: Portland (this position will require travel throughout Cumberland and York counties with on-site visits.)Currently, this position is not eligible for visa sponsorship or STEM OPT extensions.Core Responsibilities:As a Quality Assurance Caseworker for the Office of Aging and Disability Services, you will:• Conduct comprehensive reviews of client case files to ensure compliance with state, federal, and agency regulations, policies and best practice.• Extensive documentation audited for accuracy, completeness, timeliness.• Analyze trends and patterns to identify issues or areas for improvement.• Track performance indicators and outcomes to ensure program safety and compliance.• Prepare corrective action plans and follow up to ensure compliance.• Provide coaching, guidance, and technical assistance to agencies on policy interpretation and documentation standards.• Serve as a resource for best practices and process clarification.• Provide detailed reports and findings regarding issues and areas in need of improvement.• Collaborate with supervisors, program managers, and multidisciplinary teams to address quality concerns.• Participate in staff meetings and policy review discussions.• Safeguard client confidentiality and sensitive information while ensuring services support client safety, well-being and rights.• Conduct onsite reviews of agencies to evaluate compliance with federal regulations and licensing standards. Assess case records, service delivery practices and operational procedures to ensure quality, safety, and effectiveness of services.• Facilitate meetings with provider agencies to review quality assurance benchmarks.• Communicate with provider agencies on a quarterly basis reviewing data related to reportable event compliance.• Community outreach and education when applicable.Your workload will include:• Advocating for and coordinating provision of services including reviewing, analyzing, and documenting person-centered plans.• Maintaining accurate case records of assessments, activities, and plans; writing summaries, reports, letters, and memos.• Collaborating with Adult Protective Services and Crisis Prevention/Intervention Services when necessary to stabilize and secure emergency needs.• Analyzing data and preparing reports for quality outcomes.• Utilizing the QA Sharepoint database keeping it updated with required documentation.• Presenting data reports to assigned agencies on a quarterly basis.Minimum Qualifications:In order to qualify, you must have a Bachelors Degree from an accredited educational institution in Social Work/Social Welfare; OR a Bachelors Degree in a related social service/social welfare/social work area which includes at least 12 courses in behavioral science, social science, or social work; AND must have or be eligible for conditional or full licensure as a Licensed Social Worker (LSW) as determined by the Maine State Board of Social Worker Licensure.Please submit a copy of your transcripts with your application materials. Applications without transcripts will be deemed incomplete and not processed.The background of well-qualified candidates will include experience in program and quality improvement, familiarity with MaineCare, and coaching and technical assistance. Please describe this experience in your cover letter.NECESSARY SPECIAL REQUIREMENTS: Applicants must have or be eligible for conditional or full licensure at the Licensed Social Worker (LSW) level as issued by the Maine State Board of Social Worker Licensure. An LSW requires an earned BA/BS in social work/social welfare. An LSW-Conditional requires an earned BA/BS in a field related to social work/social welfare.Possession of a valid Class C Maine Motor Vehicle Operator's License.*Chapter 10 of the Maine State Board of Social Worker Licensure regulations defines a field related to social work or social welfare as including but not limited to: "behavioral science, social and behavioral sciences, childhood development, education, human development, mental health and human services, psychology, educational psychology, rehabilitation services, and sociology."The board will consider degrees in other areas on an individual basis. For additional information on degree requirements, contact the Maine Board of Social Work Licensure at View phone number on click.appcast.io.Thinking about applying?Research shows that people from historically excluded communities tend to apply to jobs only when they check every box in the posting. If you're currently reading this and hesitating to apply for that reason, we encourage you to go for it! Let us know how your lived experience and passion set you apart.Agency information:The Department of Health and Human Services (DHHS) is dedicated to promoting health, safety, resilience, and opportunity for Maine people. The Department provides health and social services to approximately a third of the State's population, including children, families, older Mainers, and individuals with disabilities, mental illness, and substance use disorders. The Department also promotes public health, operates two state psychiatric hospitals, and provides oversight to health care providers.The Office of Aging and Disability Services (OADS) within DHHS is responsible for ensuring the safety, support and well-being of Maine's older citizens, vulnerable adults and adults with disabilities.Application Information:For additional information about these positions, please contact Peter Auger at View email address on click.appcast.io submit all documents or files in PDF or Word format.To request a paper application, please contact View email address on click.appcast.io of working for the State of Maine:Work-Life Fit – Rest is essential. Take time for yourself using 13 paid holidays and 3+ weeks of vacation leave annually. Vacation leave accrual increases with years of service, and overtime-exempt employees receive personal leave. When you or immediate members of your family are ill, utilize 12 days of sick leave per year.Health Insurance Coverage – The State of Maine pays 85%-95% of employee-only premiums ($12,213.60 - $13,650.48 annual value), depending on salary. Use this chart to find the premium costs for you and your family, including the percentage of dependent coverage paid by the State.Health Insurance Premium Credit – Participation decreases employee-only premiums by 5%. Visit the Office of Employee Health and Wellness for more information about program requirements.Dental Insurance – The State of Maine pays 100% of employee-only dental premiums ($365.28 annual value).Retirement Plan – The State contributes the equivalent of 14.06% of the employee's pay towards the Maine Public Employees Retirement System (MainePERS), on behalf of the employee.Gym Membership Reimbursement – Improve overall health with regular exercise and receive up to $40 per month to offset this expense.Health and Dependent Care Flexible Spending Accounts – Set aside money pre-tax to help pay for out-of-pocket health care expenses and/or daycare expenses.Public Service Student Loan Forgiveness – The State of Maine is a qualified employer for this federal program. For more information, visit the Federal Student Aid office.Living Resources Program – Navigate challenging work and life situations with our employee assistance program.Parental leave is one of the most important benefits for any working parent. All employees who are welcoming a child—including non-birthing and adoptive parents—receive six weeks of fully paid parental leave. Additional, unpaid leave may also be available, under the Family and Medical Leave Act.Voluntary Deferred Compensation – Save additional pre-tax funds for retirement in a MaineSaves 457(b) account through payroll deductions.State employees are eligible for an extensive and highly competitive benefits package, covering many aspects of wellness. Learn about additional wellness benefits for State employees from the Office of Employee Health and Wellness.Note: Benefits may vary somewhat according to specific collective bargaining agreements and are prorated for anything less than full-time.There's a job and then State of Maine

Vacancy posted 2 days ago
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