Demo

Quality and Compliance Specialist

Trinity Health PACE
Coatesville, PA Full Time
POSTED ON 2/19/2025
AVAILABLE BEFORE 4/17/2025
Employment Type:
Full time
Shift:

Description:

Location: Coatesville, Pennsylvania

Status: Full Time

Shift: 8 am to 430 pm Mon – Fri, (1 day per week Remote)

Position Purpose:

The primary purpose of the role of Quality and Compliance Specialist is to oversee quality assurance, performance improvement, and compliance activities. Working closely with the Quality and Compliance Director, you'll ensure adherence to regulatory standards and foster a culture of continuous improvement across medical services, home care, and contracted services.

Position Details:

Position will support Mercy LIFE Chester County. Other centers may be supported as needed.

Position will also require travel to other locations for meetings and coverage for other facilities as needed. Home base location assignment may change as to support ongoing quality coverage needs.

Position will allow remote work one day per week on Tuesday, Wednesday or Thursday. Exact day will be determined by hiring manager.

What You Will Do:

  • Manage multiple safety, quality, and process improvement projects as they relate to quality and safety initiatives.

  • Coordinate data collection, analysis, and action plan to improve process and outcome.

  • Lead performance improvement initiatives and develop corrective action.

  • Support the interdisciplinary team providing guidance on CMS regulations and survey readiness.

  • Maintain a constant state of survey readiness and ensure reporting requirements are met.

  • Supports organizational safety event review and analysis, including intensive case analysis, and Root Cause Analysis (RCA) practices.

  • Analyzes patient safety data and recommends/implements proactive solutions.

  • Facilitates the selection and provides leadership in conducting proactive risk assessments, including the Failure Mode and Effects Analysis

  • Facilitate the grievance and appeals process.

  • Develop and implement audit tools for clinical processes and utilization.

  • Monitor infection control data and ensure compliance with regulatory requirements.

  • Prepare and submit monthly quality metrics.

Minimum Qualifications:

  • Bachelor's degree

  • Two years of quality/compliance or performance improvement experience preferred.

  • Experience working in a healthcare environment preferred.

  • One year working with a frail or elderly population preferred.

  • Experience with performance improvement tools and Lean Six Sigma preferred.

  • Strong analytical skills, problem-solving capabilities, and proficiency in data analysis and report preparation.

  • Excellent interpersonal, communication, and presentation skills, with the ability to collaborate effectively across teams.

  • Proficiency with Microsoft Office/ability to adapt to various software platforms as needed.

  • Highly organized with the ability to prioritize tasks, manage conflicts, and work independently with minimal supervision.

  • Valid driver’s license insurance and use of personal vehicle required.

  • Willingness to travel occasionally within the geographic region.

Position Highlights and Benefits:

  • Comprehensive benefit including 1st Day medical coverage, dental, vision, paid time off, 403B and educational assistance.

  • Access to daily pay and employee referral incentives.

  • Supportive environment with a patient-centered focus.

  • Opportunities for professional development.

Ministry/Facility Information

Mercy LIFE Chester County, a part of Trinity Health PACE, provides high-quality care to seniors in the communities we serve. Our interdisciplinary team offers comprehensive services, allowing seniors to remain independent at home.

We are guided by core values of reverence, commitment, safety, justice, stewardship, and integrity.

Apply for this unique position now!

Our Commitment to Diversity and Inclusion


Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.

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