QA - QI Specialist

UNAVAILABLE; Langhorne (Bucks County); On-site; USD 59,000 - 72,000; Full time

Benefits offered by this job

Health Insurance

Dental & Vision Insurance

PTO

On-site Medical Center

403b retirement plan

Continuing education programs

Tuition assistance

Career growth opportunities

Job summary

Woods Services in Langhorne, PA seeks a QA/Data Analyst to coordinate Quality Improvement and Quality Assurance activities. You will manage data, perform chart reviews, and report KPI outcomes to drive performance improvements across departments.

Requires a Bachelor's in related field with 2–5 years in healthcare quality or compliance; CP-HQ/Lean-Six Sigma certifications are a plus. Local travel and CPR/First Aid may be required.

Qualifications

• Bachelor's degree in Healthcare Administration, Public Health, Social Work, Psychology, or a related field required (Master's degree preferred).
• 2–5 years healthcare experience with at least 2 years in quality management, regulatory compliance, risk assessment, or clinical auditing.
• Proficiency in gathering, tracking, analyzing, and visualizing quality metrics and KPIs using data management tools.
• Preferred certifications: Certified Professional in Healthcare Quality (CPHQ), Lean/Six Sigma (Yellow/Green/Black Belt).

Responsibilities

• Conduct quality reviews to ensure licensing, certification, accreditation and care standards.
• Gathers and reports statistical information on service utilization and outcomes.
• Oversees chart reviews and identifies areas for improvement.
• Develops monthly audit reports and supports QA projects.
• Coordinates with departments to maintain policies and procedures.

Skills

Data analysis

Quality metrics tracking

KPI reporting

Data visualization

Education

Bachelor's degree in Healthcare Administration, Public Health, Social Work, Psychology, or related field

Master's degree preferred

Tools

Data management tools

Job description

Overview

We want you to join our team! We need deeply compassionate, committed, and highly talented staff. The Woods organization is guided by their mission to support children and adults with disabilities or challenges to achieve their highest potential and independence through innovative and individualized approaches that promote learning and personal fulfillment.

Benefits

• Medical, Dental, and Vision Insurance
• Life and Disability Insurance
• PTO -Paid time off
• On-site FREE medical center
• 403b retirementplan
• Continuing education programs
• Tuition-assisted program
• Career growth opportunities

Salary: Starting at $65000 / annually - depending on experience / education

Job Summary

Primarily responsible for coordinating Quality Improvement and Quality Assurance activities including licensing, performance-based data collection, entry and overall management of data reflecting organizational performance metrics. Responsibilities include but are not limited to conducting quality chart reviews, managing data sets, KPI and outcome reporting, CQI reviews, ensuring timely data reports, assisting in data analysis for documenting trends and collaborating with various departments and stakeholders around data integrity and potential solutions. This is a non-supervisory role.

Responsibilities

• Conducts quality reviews in accordance with licensing, certification, accreditation and managed care requirements and coordinates the flow of communication regarding areas for improvement.
• Conducts quality reviews for medical necessity and services provided.
• Gathers and reports upon statistical and narrative information regarding the utilization of services, discharges and quality of services, as required by leadership.
• Oversees the chart review in accordance with accreditation and licensing standards, and identifies areas in need of improvement.
• Compiles quality and performance outcome data to be used to help facilitate performance improvement.
• Reviews clinical documentation to assure compliance with managed care and other funding requirements; compliance with grant-funded requirements, that treatment recommendations are aligned with service planning documents, KPI’s and performance measures.
• Identify ways to add value to treatment and discharge planning and work with clinical and care coordination staff to implement improvements.
• Collaborate with all departments to develop and maintain policies and operational procedures with established oversight systems to ensure full compliance with all funder, local and state regulatory and credentialing bodies for all programs.
• Develop and submit monthly reports to the AVP detailing results and areas of need in each audit.
• Supports additional data and quality improvement projects as needed.
• Performs the skills of CPR, the use of the AED, and First Aid on a resident in need, without delay.
• Other duties as assigned.

Qualifications

• Bachelor's degree in Healthcare Administration, Public Health, Social Work, Psychology, or a related field required (Master's degree preferred).
• Minimum of two to five years of experience in healthcare, behavioral health, or outpatient clinical operations, including at least two years directly dedicated to quality management, regulatory compliance, risk assessment, or clinical auditing.
• Proficiency in gathering, tracking, analyzing, and visualizing quality metrics, key performance indicators (KPIs), and outcome measures using data management tools is required.
• Preferred certifications: Certified Professional in Healthcare Quality (CPHQ), Lean/Six Sigma Certification (Yellow, Green, or Black Belt).
• Must have own transportation, possess a current/valid Driver's License, an acceptable Motor Vehicle Record (MVR) as mandated by Woods’ insurance company.
• Local travel is expected.
• Must obtain and maintain an active CPR and First Aid Certification.
• Must be able to lift a minimum of 50 pounds, be agile, physically pursue clients on foot, physically restrain, bend, squat, stretch, reach, push up and stand for several hours at a time.

About Woods Services

Woods Services is a Pennsylvania and New Jersey-based non-profit population health network and advocacy organization that along with its six affiliate organizations provides life-long innovative, comprehensive, and integrated health, education, housing, workforce, behavioral health, and case management services to more than 22,000 children and adults in the intellectual and developmental disability, child welfare, behavioral and brain trauma public health sectors who have complex and intensive medical and behavioral healthcare needs.

Our Langhorne campus is home to 550 residents and provides outpatient and day programs.