Clinical Laboratory Quality Program Manager

Job Details

Develop, implement and maintain the Quality Management Program to comply with the legal requirements of CMS (CLIA), Pennsylvania Department of Health, and the standards of accreditation bodies including CAP, TJC guidelines, standards and the requirements of GLP and established standards of care. Supervise the performance of the Point of Care Coordinator and program staff. Work closely with the Director, POCT and Lab Leaders to ensure the coordination and implementation of the QA and POCT programs.

Job Description

Essential Functions:

• Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson.
• Evaluates Clinical Laboratories performance improvement processes and provides Chair and Administrative Director with recommendations and implementation plans.
• Responsible for new policy and procedure development. Review department policies and procedures annually or as needed in conjunction with department directors, section directors and supervisors.
• Responsible for CAP (College of American Pathologists) laboratory inspection and mid-cycle self-assessment and review required for laboratory accreditation.
• Collect, organize, monitor and distribute information related to laboratory quality and process improvement functions to laboratory and hospital administration.
• Prepare summarized QA reports related to laboratory activity including pre-analytical errors, post analytical errors, turnaround time limits, proficiency testing, etc. Review with Laboratory Administrative Director.
• Responsible for regulated and Laboratory Accreditation Program required laboratory proficiency testing (enrollment, monitoring, reporting and review).
• Chair quarterly departmental safety committee meetings to review safety practices and OSHA regulations and laboratory compliance with safety standards. Prepare agenda and minutes of meeting discussions.
• Perform and compile Joint Commission tracers throughout the department.
• Keep current with developing requirements and standards for CAP, Joint Commission, PA DOH (Department of Health), and CLSI (Clinical and Laboratory Standards Institute) and ensure the lab is in compliance.
• Assure that all applicable licensure is maintained for the department.
• Chair monthly departmental performance improvement committee meetings to review accreditation
• compliance, process improvement and quality within the laboratory. Prepare agenda and minutes of meeting discussions.
• Represent the department at all performance improvement related committees, task forces, etc.
• Other related duties as assigned

Minimum Education and Experience Requirements:

Education: B.S in Medical Laboratory Science or other appropriate discipline. Master's degree in Medical Laboratory Science or related field preferred AND Experience: 5 years laboratory experience preferred. Experience with software that can apply to QA functions (e.g. Epic, Qlik, Excel, PowerPoint, etc.) preferred.

Minimum Certifications, Registration or License Requirements:

ASCP (American Society for Clinical Pathology) certification or equivalent is preferred.

Work Shift

Workday Day (United States of America)

Worker Sub Type

Regular

Employee Entity

Thomas Jefferson University Hospitals, Inc.

Primary Location Address

117 S 11th Street, Philadelphia, Pennsylvania, United States of America

Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University , home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health , nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.

Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status.

Benefits

Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits, which provide colleagues with access to group rates on insurance and discounts. Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service. All colleagues, including those who work less than part-time (including per diem colleagues, adjunct faculty, and Jeff Temps ), have access to medical (including prescription) insurance.

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