Class Code Pay Plan Class Title Eff.Date
5687  HC - 23 QUALITY REVIEW SPECIALIST  Aug 9, 2013
In the Departments of Developmental Services and Public Health this class is accountable for independently performing a full range of tasks in the evaluation and monitoring of programs and services for persons with developmental disabilities or other related conditions.
Department of Developmental Services: Incumbents in this class have primary responsibility for the required quality assurance and improvement activities of facilities, programs and agencies for compliance with state and federal laws, regulations, policies, standards for licensure and participation in Medicaid Waiver programs for persons with developmental disabilities.
Department of Public Health: Incumbents in this class have primary responsibility for evaluating and monitoring compliance with federal regulations for Intermediate Care Facilities-MR Certification. Incumbents may also evaluate the quality of service and compliance with state and federal statutes and regulations of other facilities and services licensed by the Department.
Works under the general supervision of a Quality Review Specialist Supervisor or other employee of a higher grade.
May lead lower level employees as assigned.
Performs on site inspections through reviewing, monitoring and evaluating programs and services; observes persons served and staff interactions and conducts interviews of staff, persons served and family members or guardians; interprets federal and state regulations regarding facilities under their jurisdiction; prepares reports on facilities, programs and/or agency findings for compliance with pertinent federal and state regulations and communicates results; maintains records of inspections and subsequent recommendations; meets with providers in cases of non-compliance and suggests plans or correction as needed; provides on-going consultation and technical assistance in relation to requirements and implementation of program standards; investigates complaints regarding licensed or certified facilities, programs and agencies; identifies situations of serious threat to client health and/or safety and recommends corrective action; assesses outstanding corrective actions and follow-up items; conducts outreach to family members or guardians; reviews and evaluates medical records, individual plans, case notes, legal and fiscal documents; assists in the development of regulations, policies and standards for quality assurance; may research, analyze and contribute to the development and implementation of new quality measures and methods; may determine appropriateness of individual services and supports on an ongoing basis; may prepare data for legal proceedings regarding service quality to persons served; may participate in administrative and legal proceedings; may coordinate team inspection procedures; performs related duties as required.
Knowledge of and ability to interpret and apply relevant state and federal laws, statutes and regulations; knowledge of principles and practices of inspection, evaluation, compliance and quality improvement; knowledge of state policies and local ordinances; knowledge of principles and practices of health inspectors and fire inspectors; knowledge of modern methods of care, treatment and education of persons served with developmental disabilities such as mental retardation or autism spectrum disorder; interpersonal skills; oral and written communication skills; ability to perform inspections and client reviews; ability to utilize computer software; ability to evaluate active treatment service.
General Experience:
Six (6) years of experience in writing, implementing and/or evaluating individual client programs for persons with developmental disabilities or other related conditions.
Special Experience:
One (1) year of the General Experience must include experience on an interdisciplinary team addressing the residential, programmatic or educational needs of persons with developmental disabilities or other related conditions.

Note: For State Employees, the Special Experience will be interpreted at the level of Supervising Developmental Services Worker 1 or Supervising Developmental Services Worker 2.
Substitutions Allowed:
College training may be substituted for the General Experience on the basis of fifteen (l5) semester hours equalling six (6) months of experience to a maximum of four (4) years for a Bachelor's degree.
2. A Master's degree in the behavioral sciences, child development, counseling, education, nursing, psychology or licensure as a Physical Therapist or Occupational Therapist may be substituted for one (1) additional year of the General Experience.
Incumbents in this class may be required to possess a current Connecticut license for the appropriate disciplines.
Incumbents in this class may be required to travel.
This replaces the specification for the class of Quality Review Specialist in the Salary Group HC 23 approved effective July 18, 2008. (Revised to modify Special Experience)

5687A 8/9/13 cm
CC Final#  Occup. Group Bargaining Unit EEO
5687  1962  (25)-Patient and Inmate Care
(11)-HEALTH PROF (P-1)