- Assists the BCHC Leadership in the development, implementation, and evaluation of ongoing service programs which assure quality patient care programs consistent with the hospital mission. Performs/participates in assessment for laboratory programs as assigned. Participates in program development proposal as requested by BCHC Leadership. Implements unit level program with defined parameters. Evaluates program to identify effectiveness. Submits reports regarding the above within the time frame specified by leader of the Laboratory Department.
- Accurately identifies real/potential problems affecting the service and implements solutions with follow through and communication. Responds to reported problems/complaints based on urgency. Completes the investigative process as defined by procedure. Fully documents the complaint, the investigative findings, and the follow up letters and reports. If corrective action is identified, plan implemented within the time frame specified and evaluated for effectiveness. Identifies potential for problems within existing system by direct observation or analysis of data. Institutes corrective action. Evaluates effectiveness of corrective action. Communicates all of the above to Director over the Laboratory Department on a routine basis.
- In collaboration with BCHC Leadership and the Laboratory Medical Director, is responsible for effective and efficient fiscal management of department operations to ensure proper utilization of organizational and financial resources. Manages hours worked, including overtime for all unit personnel. Monitors and controls supply use. Recommendations regarding changes of products/par levels reflect cost, quality and standardization. Participates in the budget process by recommending staffing plan and personnel mix to service the unit. Projects and recommends capital equipment needs for the unit and provides back up documentation and justification. Interprets budget to staff and enlists their cooperation in cost containment as evidenced by monthly financial. Monitors and verifies department invoices and charges.
- Maintains laboratory equipment and rooms in proper working condition. Responsible for service agreements and warranties on equipment. Schedules preventative maintenance checks and corrective maintenance as needed.
- Is responsible for staff scheduling, evaluations, performance and discipline. Responsible for approving payroll adjustment sheets of the staff. Responsible for scheduling daily coverage in unit areas. Plans for long term staffing needs. Maintains effective and appropriate staffing by monitoring employee turnover, overtime and absenteeism. Evaluates staff performance and sets personal goals for each staff member. Provides discipline when needed to staff members in collaboration with the Director over the Laboratory Department through established BCHC policies and procedures. Keeps personnel up to date with Laboratory clinical information and practices including orientation, in-service education and continuing education. Evaluates care delivery, services, and personnel on an ongoing basis.
- Responsible for daily management and leadership of staff. Includes, but not limited to contract review, policy and procedures review, financial management, identifying future growth opportunities, process improvement, quality assurance, reporting and ordering lab specific items. Manages all laboratory staff, including regulatory compliance (CLIA), competency, training, certification, and other technical duties as needed. Lead team meetings/huddles within the department to communicate departmental and organizational updates. Works with management to address any laboratory staff job-related concerns, which could include performance or behavioral. Attends meetings and participates on committees as requested as representative of the lab.
- Evaluate collected laboratory data and prepare reports assessing accuracy, completeness, timeliness, progress, adverse trends, and appropriate recommendations or conclusions.
- Participate in the development of new medical laboratory procedures and techniques.
- Monitor workflow, assessment of staffing levels and reassignment as needed. Follow up to ensure work is completed.
- Provide advanced problem solving, troubleshooting, interpretation/consultation, verification of specimen quality and test results, serving as technical consultant for the laboratory. Performs proper specimen collection to set-up, evaluate, execute, and report ordered laboratory tests.
- Follows BCHC's exposure control plans/bloodborne and airborne pathogens. Demonstrates knowledge of techniques, procedures and correct use of protective barrier equipment (Universal Precautions). Assures a safe environment by instituting appropriate control measures. Attends annual education programs.
- Assists the Director over the Laboratory Department and the Laboratory Medical Director to monitor/maintain unit compliance with regulatory, accrediting, and hospital policy for patient services and environmental and personnel safety. As agreed to with Executive Director of Ambulatory Services and/or CNO, reports unit compliance with regulatory agencies' standards (i.e., OSHA, DPH, FDA, NRC) to appropriate personnel. Monitors safe environment as evidenced by documentation of follow-up action plan on incident reports. Ensures staff attendance at safety programs as evidenced by attendance reports. Monitors unit specific equipment for safe use, as evidenced by up-to-date electrical checks, use of maintenance log and/or removal of unsafe equipment from the unit. Monitors staff understanding of established emergency, infection control and/or universal precautions procedures as evidenced by performance management reports, incident follow-ups, staff meeting minutes and direct observation.
- Collaborates with Laboratory Medical Director and BCHC Leadership to oversee the unit’s Process Improvement (PI) program, also referred to as Quality Plan that monitors and evaluates critical aspects of care. On an annual basis identifies critical aspects/elements of care to be monitored as part of PI yearly process. Submits monthly and quarterly reports as scheduled. Dissemination of unit's PI results is typically evidenced in staff meeting minutes.
- Ensures that proficiency testing samples are tested as required by CLIA; the results are returned within the timeframes established by the proficiency testing program. All proficiency testing reports are reviewed by the appropriate staff to evaluate the laboratory's performance. Identify any problems that require corrective action. Develop action plan to address any deficiencies. Approved corrective action plan is followed when any proficiency testing results are found to be unacceptable or unsatisfactory.
- Provides leadership and oversight for the operation and administration of the laboratory; including the employment of personnel who are competent to perform test procedures, Record and report test results promptly, accurately, and proficiently. Assuring compliance with all applicable regulations.
- Demonstrates leadership. Inspiring and motivating others to perform well. Effectively influences the actions and opinions of others. Accepts feedback from others. Gives recognition to others as appropriate. Provides guidance in goal setting, problem solving and competence of staff in a timely manner. Demonstrates the ability to cope with and manage change, as well as help others do the same. Keeps staff informed of BCHC developments and encourages their participation in problem solving at BCHC and community levels. Establishes and maintains effective channels of communication.
- Participates in interdisciplinary team planning, implementation and evaluation. Collaborates with physicians and surgeons to provide quality patient care to inpatients and outpatients. Works with ancillary staff to ensure smooth continuum of care for patients. Trains staff to communicate and collaborate with patient care team to optimize patient care. Conduct implementation support and periodically rounding of laboratory in clinics that are located off site.
Provide operational coverage as needed. Ability to support the lab department by working in the lab as needed.
EDUCATION & TRAINING REQUIREMENTS
- Associates Degree in Medical Laboratory Science or like degree is required. Bachelor’s Degree preferred.
- Certification as a Medical Laboratory Technician (MLT) or Medical Lab Scientist (MLS) from an accrediting body is required.
- Basic Life Support certification preferred.
WORK EXPERIENCE REQUIREMENTS
- Previous managerial or supervisory experience (2-3 years minimum) in a laboratory preferred.
- Previous experience with adhering to CLIA laboratory regulations is preferred.
- Demonstrated competence in the area of laboratory procedures required.
- Demonstrated leadership ability and potential managerial competency. Evidence of this includes, but is not limited to, effective communication skills, ability to deal well with people, ability to problem solve, ability to confront/resolve issues, ability to motivate others, ability to plan, organize and direct the activities of others.
- Excellent team player and communication skills required.
- Significant skill and knowledge in IS applications / automated technology is desired.
- Must hold a valid driver’s license and meet organizational insurability standards when driving any company vehicle for work-related reasons.