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Job Type:

Regular

Scheduled Hours:

40

Job Summary:

The Program Manager Laboratory Quality, Safety, Accreditation formulates strategic goals, assigns objectives, manages projects, reviews/analyzes data, and establishes standards of practice with effective monitors for the Laboratory System and Preferred lab Partners, LLC. The Program Manager recommends and implements processes for improved functionality of the entire laboratory system and joint venture related to Quality and Safety in accordance with organization and accreditation standards. The Program Manager Laboratory Quality, Safety, Accreditation coordinates and monitors the daily operational activities of the assigned group or individuals and serves as the liaison for the group with other functional units of the organization and the Joint Venture.

Demonstrate respect, dignity, kindness and empathy in each encounter with all patients, families, visitors and other employees regardless of cultural background.

Job Description:

• Implement, maintain, and improve quality and safety management systems for system laboratory and joint venture.
• Identify gaps or deviations in the quality management system and initiate corrective and preventative actions.
• Demonstrate advanced knowledge of current regulatory requirements of federal, state, and local governments and other accrediting and licensure bodies pertaining to medical laboratories (e.g. FDA, CAP, CLIA, ISO). 
• Establish systems to maintain alignment with accreditation and regulatory requirements.
• Ensure effectiveness of laboratory activities via internal and external audits, mock inspections, and surveys and any other means approved by laboratory leadership 
• Report to laboratory leadership on the performance of the quality management system and strategize needs for improvement. 
• Demonstrate team leadership and change management skills consistently.
• Develop and deliver employee, student, and client education and training in quality and safety related areas. 
• Collaborate with Medical and Administrative Directors in establishing and prioritizing projects. 
• Ensure inspection readiness at all times by maintaining current quality data, document control systems, performing regular safety audits, and validating new data sources as indicated.
• Other duties as assigned.

Education, Credentials, Licenses:

• Bachelor’s degree in Medical Laboratory Science or related field

Specialized Knowledge: 

• Variety of Information/Data Systems or BI tools and applications.
• Experience in CQI
• Ability to effectively collaborate within and external to the Health System Laboratory Division
• Strong understanding of Microsoft Office (Excel)
• Strong understanding of statistics with the ability to analyze data and recognize variances
• Good interpersonal communication, public speaking and organizational skills
• Understanding of HIPAA compliance
• Knowledge/familiar with CAP and TJC standards

Kind and Length of Experience: 

• 6 years of clinical laboratory experience with increasingly responsible positions.
• 3 years of Supervisory or Quality Assurance experience along with Experience in implementation and oversight of a quality management system in a clinical laboratory or regulatory environment
• Experience with the application and inspection process for CLIA, CAP and TJC.

FLSA Status:

Exempt

Right Career. Right Here. If you're looking for the right careers in healthcare, the right place to be is at St. Elizabeth. Join us, and you'll take pride in the level of care we offer our community.