Human Service Worker III

This position serves as a senior-level specialist within the PAES Quality Control (QC) Unit and acts as a subject matter expert ensuring the accuracy and integrity of state and local financial and medical assistance programs. The primary function of this role involves conducting in-depth case reviews and comprehensive audits for HSW I, II, and III staff to ensure strict adherence to federal, state, and local policy guidelines. The selected candidate will perform detailed assessments of medical and financial needs, ensuring all procedures for initial and continuing eligibility are followed for programs including Medicaid, SNAP, TANF, General Relief, and Refugee Assistance

This announcement will fill three Quality Control positions, one of which will be specialized for the QC Appeals Team. The selected candidate for this function will be responsible for identifying and rectifying case errors once an applicant has filed an appeal with DMAS or VDSS. This includes compiling comprehensive case evidence and composing formal appeal summaries for presentation. Furthermore, this position requires representing the county at informal hearings and pre-hearing conferences, necessitating the ability to identify the root cause of appeals and clearly interpret complex policies for clients.

Quality Control positions are instrumental in identifying systemic quality deficiencies and policy-related matters, particularly regarding VaCMS contributory factors. The selected candidate will assist with training initiatives to improve overall unit compliance and prepare case documentation for federal, state, and local audits. Using complex state and local IT systems alongside the Microsoft Office Suite, the HSW III documents information, verifies data, and generates critical reports. As a leader within the unit, the HSW III is expected to provide a professional example, resolve conflicts independently, and ensure that all established deadlines are met through effective task prioritization.

Note: This job announcement will fill existing vacancies and any upcoming HSW III positions within the PAES Quality Control (QC) Unit located at the Department of Family Services' offices.

MINIMUM QUALIFICATIONS:
Any combination of education, experience, and training equivalent to the following:
(Click on the aforementioned link to learn how Fairfax County interprets equivalencies for "Any combination, experience, and training equivalent to")
Graduation from an accredited four-year college or university with a bachelor's degree plus two years of human services or related professional work experience.

Contingent upon the area of assignment, some positions within this class may require specific certification(s) prior to employment and/or the ability to acquire necessary certification(s) within a specified time period following employment. The certifications are identified in the position description and employment advertisement.

CERTIFICATES AND LICENSES REQUIRED:
None.

NECESSARY SPECIAL REQUIREMENTS:
The appointee to the position must satisfactorily complete a criminal background check and a Child protective services check.

This position is considered essential personnel and will be required to report to work during times designated countywide as approved for unscheduled leave regardless of the emergency situation (i.e., weather, transportation, other disaster).

PREFERRED QUALIFICATIONS:

• Bachelor's degree
• Current or recent experience determining eligibility for Medicaid, SNAP, TANF, General Relief and/or Refugee Cash assistance programs in the state of Virginia.
• Knowledge of federal, state, and local laws governing eligibility for Medicaid, SNAP, TANF, General Relief and/or Refugee Cash Assistance programs and the ability to apply them correctly.
• Demonstrated experience training and reviewing the work of less experienced staff determining eligibility for Medicaid, SNAP, TANF, General Relief and/or Refugee Cash assistance programs.
• Experience and proficiency in working in VaCMS and MMIS.
• Proficiency in using Microsoft Office Suite applications (Word, Excel, PowerPoint, and Outlook).
• Concise oral and written communication skills.
• Excellent organizational and interpersonal skills.

Fairfax County is home to a highly diverse population, with a significant number of residents speaking languages other than English at home (including Spanish, Asian/Pacific Islander, Indo-European, and many others.) We encourage candidates who are bilingual in English and another language to apply for this opportunity.