Social Services Inspector III or IV

Job Description:

Social Services Inspector III or IV

Description

Job Posting Title
Social Services Inspector III or IV

Agency
340 OKLAHOMA STATE DEPARTMENT OF HEALTH

Supervisory Organization
340 Office of Client Advocacy

Job Posting End Date (Continuous if Blank)
December 26, 2024
Note: Applications will be accepted until 11:59 PM on the day prior to the posting end date above.

Estimated Appointment End Date (Continuous if Blank)

Full/Part-Time
Full time

Job Type
Regular

Compensation
The annual salary for this position is Up to 56,411.17 based on education and experience.

Why you’ll love it here!

RESPECT. COLLABORATION. SERVICE. The Oklahoma State Department of Health (OSDH) is committed to leading Oklahoma to prosperity through health. Our mission is to protect and promote health, prevent disease and injury, and cultivate conditions by which Oklahomans can thrive. Check out why we are passionate about public health and believe it is the career for you!!!

Oh yeah, did we mention perks? We know that benefits matter and that is why we offer a competitive benefits package for all eligible employees.

• Generous state paid benefit allowance to help cover insurance premiums.
• A wide choice of insurance plans with no pre-existing condition exclusions or limitations.
• Flexible spending accounts for health care expenses and/or dependent care.
• Retirement Savings Plan with a generous match.
• 15 days of vacation and 15 days of sick leave the first year for full time employees.
• 11 paid holidays a year.
• Student Loan repayment options & tuition reimbursement.
• Employee discounts with a variety of companies and venders.
• Longevity Bonus for years of service

Job Description

Location: 123 Robert S Kerr

Salary: Up to 56,411.17 based on education and experience

Full Time /Part Time: Full time

Work Schedule: Monday - Friday

Primary Hours: 8:00 am - 5:00 pm

Position Description:

Positions in this job family are assigned responsibility for conducting internal and external audits and field investigations and performing federally or state mandated quality control audits to evaluate the effectiveness of agency programs. Some positions will perform follow-up reviews and advocate for clients and program changes. Duties include investigating welfare fraud and employee violations of agency policy, regulations and applicable state and federal laws. Some positions in this job family will conduct investigations and inquiries to protect the rights of clients, act as client advocate and file grievances on behalf of clients.

Duties:

Duties include, but are not limited to:

• Carries a caseload comprised of audits and investigations; analyzes and evaluates employee actions and program effectiveness or operations at the local level.
• Verifies client compliance with agency regulations; contacts client and verifies essential information, such as income and benefits received by client; summarizes information and prepares case reports.
• Reviews selected cases for eligibility for TANF, day care, food stamps and medical assistance; ensures completeness of documentation of eligibility factors; and ensures correctness of denial or termination of services.
• Visits and reviews various types of contractors, including but not limited to, residential care providers, day care facilities to determine compliance with laws and regulations and to perform financial reviews; conducts assessments of state institutions and internal operations; reviews payments to contractors or grantees to ensure that funds were spent appropriately and that services were provided.
• Investigates violation of Medicaid or other welfare programs and assignment agreements on the part of physicians, hospitals and other providers; positions may refer potential fraudulent practices to appropriate law enforcement.
• Acts a client advocate; protects rights of clients assigned to State Human Services or Juvenile Affairs facilities, or other state contracted providers, files grievances on behalf of clients.
• Coordinates activities of a client grievance system, acts as client grievance facilitator and addresses and may investigate allegations of client mistreatment, exploitation, abuse, and neglect.
• Monitors agency and facility, and contract provider’s policy and procedures, identifies policy violations and unauthorized practices, and recommends corrective action.
• May conduct welfare fraud investigations; coordinates fraud investigation surveillance activities with other state and federal agencies; appears and testifies as a witness in a court trial; may perform investigations in the capacity of a certified police officer.
• Performs field investigations regarding employee error rates, employee worker’s compensation cases and third party liability cases.
• Performs investigations on vulnerable children and adults in the areas of abuse, neglect, and exploitation in accordance with all state and federal laws.
• Reviews and analyzes personnel actions and procedures for compliance with the Oklahoma Personnel Act and Merit Rules for Employment; investigates alleged violations of personnel laws and regulations.

Other Duties

• Demonstrates knowledge of and supports mission, vision, value statements, standards, policies and procedures, operating instructions, confidentiality standards, and the code of ethical behavior.
• Works effectively in team environment, participating and assisting their peers.

Minimum Qualifications:

• Education and Experience requirements at this level consist of a bachelor’s degree and four years of professional experience in investigation, auditing, social work, juvenile justice, personnel administration, law enforcement, child support enforcement, or working with person with intellectual disabilities; or an equivalent combination of education and experience.
  • Level III is a specialist level where employees are assigned responsibilities of difficult and complex investigations and audits, lead worker or investigator, mentor, or back-up supervisor. In addition to the duties performed at Level II, tasks will include, but are not limited to, multiple suspect investigations, audits or reviews. Cases and/ or audits assigned to this level employee are multifaceted and may include several levels of investigation, audit and/or review. This level employee requires minimal supervision. Employees may complete investigations, perform quality control reviews, or conduct audits to evaluate the effectiveness of program operations. Employees at this level may participate in research and development of computerized investigation/audit programs to aid in the work of the unit or division.
  • Level IV is a leadership level where incumbents provide direct supervision of lower-level staff. Responsibilities may include assignment of investigations and audits to lower-level staff; performing advanced reviews, audits, and investigations; and conducting investigations of alleged fraudulent activities in connection with violations of policy, procedure, or law. Employees at this level will serve as supervisor and train and advise subordinate staff in the review, evaluation, and investigation of program operations at the local level; assign work of lower-level staff; conduct staff meetings to discuss results of audits and investigations; direct compilation of information and the preparation of audit and investigative reports. In addition, employees will plan, develop, supervise, and coordinate investigations which may require acting in the capacity of a certified peace officer; audit and review documentation for program compliance within agency areas, direct surveillance activities in connection with fraud investigations and serve as a member of an inner-office review team. Assemble case and investigative findings and compile all information into reports to be made to appropriate division personnel for action.

Application Requirements:

• If education, certification, or licensure is required to meet qualifications, applicants must provide documentation at the time of application.
• All applicants are subject to a background check and must be legally authorized to work in the United States without visa sponsorship.

Special Requirements

Applicants for some positions may require current certification by the Oklahoma Council on Law Enforcement Education and Training as a peace officer. Some positions may require two years in qualify control, auditing or the investigations of abuse, neglect, or exploitation, fraudulent activities in connection with Medicaid or social services programs, or criminal investigations at levels III and IV. Applicants must be willing and able to fulfill all job-related travel normally associated with this position. Some agencies may have determined positions in this job family to be safety sensitive as defined by 63 O.S. § 427.8.

Physical Demands and Work Environment:

While performing the duties of the job, employees are frequently required to stand, walk, lift, and reach. Must be willing to perform all job-related travel associated with this position. Combination of office, vehicle, and homes. Travel may include traveling during inclement weather.

Telework: This position is hybrid and is subject to OSDH policy and supervisor’s discretion.

Equal Opportunity Employment

The State of Oklahoma is an equal opportunity employer and does not discriminate on the basis of genetic information, race, religion, color, sex, age, national origin, or disability.

Current active State of Oklahoma employees must apply for open positions internally through the Workday Jobs Hub .