QA - QI Specialist

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

Benefits offered by this job

Medical, dental, vision insurance

Life and disability insurance

PTO

On-site medical center

403b retirement plan

Continuing education programs

Tuition-assisted program

Career growth opportunities

Job summary

Woods Services in Langhorne, PA, seeks a dedicated Quality Improvement/Quality Assurance coordinator responsible for licensing compliance, data collection, KPI reporting, and data integrity across departments.

The role focuses on non-supervisory analysis, chart reviews, and collaboration to drive performance improvements; requires a Bachelor's in a healthcare field and 2–5 years in healthcare operations.

Qualifications

• Bachelor’s degree in a relevant field (healthcare, public health, social work, psychology) required; Master’s preferred.
• Experience: 2–5 years in healthcare/behavioral health or outpatient operations with focus on quality management, regulatory compliance, risk assessment, or clinical auditing.
• Ability to gather, track, analyze, and visualize quality metrics and KPIs using data tools.

Responsibilities

• Conduct quality reviews per licensing, certification, accreditation, and managed care requirements; communicate areas for improvement.
• Assess medical necessity and services provided in quality reviews.
• Collect and report statistical and narrative data on service utilization, discharges, and outcomes.
• Oversee chart reviews for accreditation/licensing standards and identify improvement areas.
• Compile quality and performance data to support performance improvement.
• Ensure documentation aligns with funding requirements and service planning documents; verify KPI alignment.
• Identify ways to add value to treatment and discharge planning and work with staff to implement improvements.
• Develop and maintain policies and procedures with oversight to ensure compliance with funders and regs.
• Prepare monthly AVP reports detailing results and needs.
• Support additional data and quality improvement projects as needed.
• Perform CPR, AED use, and First Aid on residents when needed.
• Other duties as assigned.

Skills

Data analysis

KPI tracking

Quality metrics

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

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.