Administrative Case Review Specialist (#MDDZ01)
$55,182.00 Yearly Min / $68,978.00 Yearly Mid / $82,774.00 Yearly Max

A class incumbent reviews, adjudicates, establishes, and directs changes in treatment plans and/or services provided to clients by all of the divisions within the Department on a regional or statewide basis.

• Review of approximately 400-500 cases/year.

A class incumbent reports to a technical superior. Incumbents conducts conferences to assess planning and services/treatments, convening a meeting of all concerned parties. Incumbents audit case records which document services and either approve, or direct changes in the treatment plan and/or services provided by all the divisions. An incumbent investigates service/treatment delivery in extraordinary cases, such as those where there has been death or injury to a child, or serious deviation from Departmental policies and procedures. Work includes mediation of inter-divisional case disputes. Incumbents have complete authority to direct changes in treatment and assign responsibility for implementing out the revised services/treatment plan in order to insure the maximum quality of service is provided to the client. Incumbents provide consultation and training to departmental employees based upon results of case review.

Essential functions are fundamental, core functions common to all positions in the class series and are not intended to be an exhaustive list of all job duties for any one position in the class. Since class specifications are descriptive and not restrictive, incumbents can complete job duties of similar kind not specifically listed here.

• Assesses the planning and services/treatments for children and families active with all divisions within the department.
   
• Audits case records and/or conducts review conferences with all concerned parties to validate treatment goals for individual clients and the services/treatments to be rendered.
   
• Assesses immediate and long-term needs of clients and directs changes in plans and treatments as necessary.
   
• Mediates and adjudicates inter-divisional disputes on the services and treatments to be offered to the children and their families.
   
• Directs and assigns the responsibility for services to be performed by treatment staff, clinicians and management staff.
    
• Investigates volatile, and sensitive circumstances of unusual incidents in the provision of services/treatments.
    
• Identifies problem areas in the system, compiles information regarding unmet needs, and service gaps. Prepares reports, discusses deficiencies and makes recommendations.
   
• Provides consultation, technical assistance and training to professional department staff.
   
• Represents department on committees with community, professional, federal and state officials and conducts special case investigation and Boards of Inquiry as requested. Participates in appeal hearings.
   
• Compiles statistics involving demographics, such as age of children, family configuration or type of placement for inclusion in CYCIS.
   
• Monitors activities of Citizen Review Committees, and serves as a consultant to local members of citizen review committees. 

The intent of the listed knowledge, skills and abilities is to give a general indication of the core requirements for all positions in the class series; therefore, the KSA’s listed are not exhaustive or necessarily inclusive of the requirements of every position in the class.

• Knowledge of the techniques and principles of dispute mediation.
• Knowledge of administrative, management, and supervisory practices.
• Knowledge of current social work theory/principles/strategies.
• Knowledge of social, economic, psychological and health factors and the manner in which they may affect the social behavior of individuals and families.
• Knowledge of individual, family and group behavior with emphasis on the family as a unit,
  normal and impaired functioning, and intervention strategies.
• Knowledge of all departmental programs, standards and contracts.
• Knowledge of programs and policies of public/private community services organizations.
• Knowledge of State and Federal laws/regulations regarding social service programs and
  practices.
• Skill in mediating disputes among professionals from diverse disciplines.
• Skill in adjudicating plans and services for clients.
• Skill in evaluating and analyzing individual and family functioning, including the influence of
  developmental, psychological, and social forces.
• Skill in identifying a pattern of inefficient, ineffective or inappropriate service provision.
• Skill in conducting sensitive investigations.
• Skill in inductive analysis of case facts leading to case findings and disposition.
• Skill in consultation with professional staff and managers.
• Skill in teaching and training.
• Skill in report writing and communication orally.
• Skill in administration and management.
• Skill in conducting group meetings.
• Skill in applying the principles and practices of effective management in evaluating and
  analyzing special projects and other programs.
• Ability to establish and maintain effective working relationships with clients, associates, social
  service representatives and the public.
• Ability to communicate sensitive issues in a tactful manner.
• Ability to interpret, apply and explain the laws and regulations governing departmental
  programs and specific policies and procedures.

JOB REQUIREMENTS for Administrative Case Review Specialist
Applicants must have education, training and/or experience demonstrating competence in each of the following areas:

1. Possession of a Bachelors degree or higher in Behavioral or Social Science or related field.
2. At least three years experience providing casework to families and children in the child welfare or juvenile justice system.
3. Three years experience in case management which includes assessing, planning, developing, implementing, monitoring, and evaluating options and services to meet an individuals human service needs.
4. Three years experience in making recommendations for continuation or changes to operations, programs, services, policies or procedures based on findings.
5. Three years experience in interpreting laws, rules, regulations, standards, policies, and procedures.
6. Six months experience in narrative report writing.
7. Six months experience in staff supervision which includes planning, assigning, reviewing, and evaluating the work of others.
8. Possession of a valid Driver's License (not suspended, revoked or cancelled, or disqualified from driving).