Quality Management Specialist
$58,300–$58,300 year
On-sitePhiladelphia, Pennsylvania, United States
Philadelphia, Pennsylvania, United StatesOn-siteFull Time$58,300–$58,300 yearMasters Degree
Full TimeMasters Degree
Job Summary
Track and trend reported quality issues, produce trend analysis, and investigate clinical quality incidents to complete required reports and documentation. Facilitate provider teaming meetings, conduct on-site visits, monitor Quality Improvement Plan submissions, and prepare letters to providers. Assist with coding of Significant Incident Reports and determine appropriate follow-up levels. Requires a Master's degree, three years of post-graduate experience, and knowledge of PA Act 68. Candidates must be Philadelphia residents or become so within six months.
Required Qualifications
- Master's degree in behavioral health, healthcare or social sciences
- Minimum of 3 years of post-graduate experience with at least 2 years of experience in a health care or quality management setting
- Proficient in Microsoft Office applications
- Excellent written and verbal communication skills
- Must have knowledge of PA Act 68, Appendix H and medical necessity criteria
- Customer service skills
- Training and facilitating skills
- Strong interpersonal skills
- Thorough knowledge of DBH and DHS systems and services
- Must be a current Philadelphia resident or become a resident within six months of hire
- Must be legally authorized to work in the United States without requiring sponsorship now or in the future
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