QUALITY ASSURANCE SPECIALIST

Apis Services Inc; Doylestown (Bucks County); On-site; USD 49,500 - 60,500; Full time

Job summary

Apis Services Inc is seeking a Quality Assurance Specialist in Doylestown, PA. This regular full-time, hybrid role supports the Sr. Director and Directors with investigations across multiple affiliates, ensuring quality services and compliance with HIPAA and regulations.

The position requires a bachelor’s or associate’s degree in health systems (or related field) with experience in Credible platform, plus strong MS Office skills. Some travel and after-hours work may be necessary.

Qualifications

• Bachelor’s degree in health systems required.
• Associate’s degree in health systems with relevant experience is preferred.
• At least two years’ experience implementing/supporting Credible platform.

Responsibilities

• Partners with Quality Department to ensure quality service delivery and reduce fraud, waste, and abuse.
• Ensure compliance with EHR components and all regulations and licensing requirements.
• Address domain configuration, reporting, and training needs with EHR Manager and Staff Development.
• Support implementation/merging of Credible EHR domains and maintain domain wellness.
• Advise teams on best practices for using EHR in service delivery.
• Review and analyze system effectiveness and plan improvements.
• Provide EHR trainings and support as requested.
• Maintain confidentiality per HIPAA and company policies.
• Promote trauma-informed approach when handling complaints/investigations.
• Collect data for incident reports, consumer feedback, outcomes, and compliance reports.
• Prepare data for licensing visits and external information requests.
• Assist with credentialing/contracting documents as needed.
• Assist in records management in paper and electronic form.
• Develop solutions with management for department problems.
• Participate in PQI committees when assigned.
• Be flexible for after-hours emergencies related to compliance or EHR issues.

Skills

Credible platform experience

MS Office proficiency

Education

Bachelor’s degree in health systems or related field

Associate’s degree in health systems or related field + 2 years experience in social service

Two years’ hands-on operational experience with Credible platform

Tools

Credible platform

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Quality Assurance Specialist

Regular Full Time Professional CHOR ECI-S MAIN ST, Doylestown, PA, US

7 days ago Requisition ID: 9081

Salary: $55,000.00 Annually

Build a Career with Purpose

Summary of Position: The Quality Specialist supports the Sr. Director and Directors with investigations for CHOR YFS (which includes the entities doing business as Children’s Home of Reading, Edison Court, Affinity Services, and Community Prevention Partnerships), Crossroads Programs, Inc. and other affiliates as assigned. The Quality Specialist ensures proper implementation of policy and procedures and ensures provision of quality services throughout all entities. This is a hybrid position. Some travel may be required depending on needs of affiliates. Occasional after hours may be necessary in emergency situations.

Duties and Responsibilities

• Partners with Quality Department and program team members to ensure quality service delivery and reduce fraud, waste, and abuse.
• Assists with ensuring compliance with EHR components and agency policies and procedures, all federal, state, and local regulations and laws, and all licensing and accreditation regulations.
• Addresses any domain configuration, reporting, and/or training needs collaboratively with the EHR Manager and Staff Development Department.
• Supports implementation and/or merging of Credible EHR domains.
• Effectively maintains administration of domains, a.k.a. responsible for “domain wellness”.
• Is knowledgeable of and advises teams on best practices on use of EHR for service delivery.
• Reviews and analyzes the effectiveness and efficiency of existing systems and develops strategies for improvements.
• Provides/Assists EHR New Hire, End User, and Administrative Trainings and support, as requested.
• Adheres to all policies and procedures, with the most stringent attention to complying with all governmental and HIPAA mandated patient confidentiality regulations. Holds all company and employee information at the highest level of confidentiality.
• Follows and promotes a trauma‑informed approach when assisting with client and employee complaints/investigations.
• Facilitates data collection in areas such as incident/accident reports, completion of consumer feedback surveys to identify any programmatic concerns, outcome measurements, and compliance reporting.
• Completes record compliance audits, and aggregates results.
• Gathers and sends data for external requests for information. Assists with preparations for licensing, county or other visits when needed.
• As needed, completes credentialing/contracting documents.
• Assists with records management as required, both in paper and electronically.
• Assists in developing solutions to identified department problems in cooperation with management.
• Participates in PQI committees when assigned.
• Remains flexible to provide assistance with emergencies in the evening or weekend hours for any significant compliance concerns or EHR‑related problems.

Qualifications

Education/Experience

• Bachelor’s degree in health systems, or related field.
• Associate’s degree in health systems, or related field plus two years’ experience preferably in social service.
• Two years’ experience implementing/supporting or hands‑on operational experience with Credible platform.
• High level of computer literacy with MS Office products.

Language Ability

• Ability to read, write and comprehend information.
• Ability to effectively communicate with residents, peers, clients, employees, and administration.
• Ability to professionally write detailed reports.
• Reasoning Ability.
• Ability to apply common sense understanding to carry out detailed and sometimes involved written and oral directions. Ability to interpret routine instructions without difficulty.
• Ability to apply rational/calm reasoning when confronted with difficult and/or ambiguous situations.

Computer Skills

Knowledge of Microsoft Office applications.

Required Trainings

• State and Federal Compliance Requirements
• First Aid/CPR
• Basic Training/Understanding of Passive Restraint Techniques-MAB, SCM
• Fire Training
• Crisis Response
• Health Issues
• PREA Regulations & Investigations
• Confidentiality/HIPAA
• Credible trainings as appropriate
• Accreditation training
• Quality/Compliance training.
• 40 hours of annual training after initial year of employment (30 hours initial year)

Physical Demands

The physical demands described are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to sit; walk; use hands; reach with hands and arms; and talk or hear. The employee is occasionally required to climb or balance. The employee must occasionally lift and/or move up to 25 pounds.