Senior Case Reviewer
Listed on 2026-01-12
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Administrative/Clerical
Healthcare Administration, Government Administration, Clerical, Business Administration -
Government
Healthcare Administration, Government Administration
Location: New York
Job Overview
The DSS Accountability Office (DSS-AO) is responsible for protecting the integrity of social services programs administered by the New York City Department of Social Services (DSS) and ensuring that DSS complies with all statutory, regulatory and contractual standards.
The Process Evaluation Review Team (PERT) is tasked with aggressively monitoring program compliance with Agency policy and changes under welfare reform. This is accomplished through analyzing processes that are designed to ensure program compliance and foster uniform interpretation/application of policy.
OQI/ PERT is recruiting for one (1) Principal Administrative Associate, to function as a Senior Case Reviewer who will:
- Conduct legally mandated case reviews to comply with various lawsuit stipulations, settlements and agreements (Reynolds, Lovely H., MKB, Dajour, Davila, Brown, etc...). Convert audit findings into reports that are presented to Family Independence Administration Operations.
- Meet with the Office of Legal Affairs, Policy and Procedures and FIA prior to publishing the final report. CA PERT auditors prepare lawsuit packets for each case in the audit for electronic transmission to NYC Corporation Counsel.
- Conduct case reviews of applications for cash assistance, Medicaid and/or SNAP benefits and cases recertified for ongoing assistance to measure timeliness of expedited SNAP requests, appropriate responses to no‑food and non‑food emergencies, appropriate handling of reasonable accommodation requests, correct employability assessments, correct determination of benefits, timely referrals for various social services (Homeless Diversion Unit, Office of Child Support Enforcement, Domestic Violence Unit, Customized Assistance Services, etc.).
- Monitor compliance with mandated deadlines of eligibility determinations of applications and recertification cases. Measure timeliness and adequacy of notices. Review Paperless Office System (POS) entries. Review Welfare Management System (WMS) information to determine if cases are coded appropriately, accurately and system generated output/coding based on case activity is correct.
- Observe on‑site application and recertification interviews at FIA locations citywide to measure quality of service and accuracy of actions taken, the professional demeanor of interviewer, correctness of information relayed during customer interaction to determine whether appropriate action was taken.
- Participate in entrance and exit meetings with center and regional management to discuss the audit and facilitate corrective action plans.
- Perform other related process reviews as required.
PRINCIPAL ADMINISTRATIVE ASSOC - 10124
QualificationsInformation
The City of New York is an inclusive equal opportunity employer committed to recruiting and retaining a diverse workforce and providing a work environment that is free from discrimination and harassment based upon any legally protected status or protected characteristic, including but not limited to an individual's sex, race, color, ethnicity, national origin, age, religion, disability, sexual orientation, veteran status, gender identity, or pregnancy.
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