QUALITY ASSURANCE SPECIALIST, HEALTH SERVICES (State)
In New Jersey, Quality Assurance Specialist, Health Services is filled through the competitive process: candidates take a civil service exam and are hired off a ranked list, not picked at will.
Qualifying takes a master's degree, 4 years of relevant experience, and a professional license. The FY 2027 range lands between $87,507 and $128,719, and state payroll currently lists about 339 people in the title, most of them at Human Services.
How to apply
This title is filled by competitive examination.
See every real route in, and where to apply. 4 agencies employ it. We don't track live vacancies.
See all 4 employers and how to apply →Who employs this title
Quality Assurance Specialist, Health Services appears on the State payroll at 4 departments, most of them at Department of Human Services.
State departments
| Employer | Employees |
|---|---|
| Department of Human Services | 251 |
| Department of Health | 78 |
| Department of Corrections | 6 |
| Department of Children and Families | 4 |
State payroll and independent authority payroll are separate systems and are never merged. See data sources.
Who employs this title
State payroll records show 339 people working under this title. The median actual salary is $114,886. The agencies employing the most are:
- Human Services (251)
- Health and Senior Services (78)
- Corrections (6)
- Children and Families (4)
Counts from NJ YourMoney agency payroll. See statewide workforce analytics.
Official job specification
The text below is the official specification published by the New Jersey Civil Service Commission. The plain-language summary and analysis above are derived from it by NJ Civil Service Navigator. Source: the official specification page at NJ CSC.
Definition
Under the supervision of a Quality Assurance Coordinator or other supervisory official in an institution, agency, or central office location, performs program and/or facility evaluations of all aspects of clinical care, support, and administrative services provided by any departmental unit or facility; does related work as required.
Examples of work
- Collects, reviews, and analyzes data to contribute to better utilization of resources in such areas as risk management, program evaluation, infection control, utilization review, and staff development.
- Identifies and analyzes factors that contribute to inappropriate utilization of services, situations, or processes, and which promote or reduce optimum client care.
- Reviews clinical and social service records, treatment team functioning, and facility programs/services for compliance with policies, procedures, federal and state accreditation and professional standards, and other related standards for optimum clinical care.
- Participates as a member of the Quality Assurance Team in the analysis and evaluation of a variety of documents to identify problems and recommend appropriate changes including but not limited to the areas of:
- a. clinical necessity for admission/discharge b. necessity for extended stay c. clinical necessity for professional care/services rendered d. quality of care/services rendered e. timeliness of care/services rendered f. incident review and others
- Reports findings and provides recommendations to the quality assurance coordinator and quality assurance committees and/or administrative staff.
- Provides technical assistance and serves as resource person to various levels of staff, as needed.
- Assists in organizing and preparing for surveys by the Joint Commission on Accreditation of Hospitals, an Intermediate Care Facility Mental Retardation Committee, Medicaid, the Bureau of Standards and Inspections, the U.S. Department of Veterans Affairs, and other organizations which may conduct surveys.
- Identifies staff development needs and provides recommendations.
- Will be required to learn to utilize various types of electronic and/or manual recording and information systems used by the agency, office, or related units.
Experience
Four (4) years of experience as a Registered Nurse, one (1) year of which includes the monitoring and/or evaluation of clinical or human services records and programs in a mental health, geriatric, health care setting, or human services agency.
License
A license as a Registered Nurse in the State of New Jersey.
Appointees will be required to possess a driver's license valid in New Jerrsey only if the operation of a vehicle, rather than employee mobility, is necessary to perform essential duties of the position.
Knowledge, skills and abilities
- Knowledge of quality assurance and utilization review principles and methods.
- Knowledge of the techniques used to gather, review and analyze data.
- Ability to comprehend and apply provisions, standards and regulations such as those of the Social Security Act, JCAH, and ICF/MR and the manuals of operational procedures and policies related to disability insurance provisions of the Act and Federal Social Security and related parts of New Jersey Public Law, and to comprehend, analyze, and interpret basic legislation, regulations, and procedures.
- Ability to analyze data collection forms, methods, procedures, techniques, and workflow in order to identify and resolve problems.
- Ability to comprehend and interpret information and data.
- Ability to arrive at sound and accurate judgmental decisions concerning areas involving interpretation.
- Ability to prepare clear, sound, accurate, and informative reports.
- Ability to use, comprehend, and interpret descriptive and inferential statistics.
- Ability to maintain essential records and files.
- Ability to learn to utilize various types of electronic and/or manual recording and information systems used by the agency, office or related units.
- Ability to read, write, speak, understand, or communicate in English sufficiently to perform the duties of this position. American Sign Language or Braille may also be considered as acceptable forms of communication.
- Persons with mental or physical disability are eligible as long as they can perform the essential functions of the job after reasonable accommodation is made to their known limitations. If the accommodation cannot be made because it would cause the employer undue hardship, such persons may not be eligible.
Note
The examples of work for this title are for illustrative purposes only. A particular position using this title may not perform all duties listed in this job specification. Conversely, all duties performed on the job may not be listed.
A Bachelor's degree, and three (3) years of experience in the field of quality assurance in a mental health, geriatric, health care setting, or human services agency which includes monitoring and/or evaluation of clinical or human services records and programs, may be substituted for the above license and experience requirements.
A Master's degree in Public Health or a health care related field may be substituted for one (1) year of indicated experience.