Responsible for the design and implementation of Genetic and General Laboratory policies and procedures to ensure quality standards. Familiar with a variety of the concepts, practices, and procedures. Performs internal audits, recommends, and implements quality improvement initiatives. Assists with CAP, AHCA, and CLIA inspections and maintains licensure requirements. Relies on extensive experience in Laboratory medicine and utilizes judgment to plan and accomplish goals.
Minimum Job Requirements:
Bachelor of Science in related field.
Florida state professional license required – Active and in good standing throughout employment.
5 years Lab supervisory experience.
Job Specific Duties:
Safety and Quality:
Manages the daily operations of the clinical and main Labs, Virology, and Histology Section Chiefs and staff, as well as, all QA initiatives and functions.
Accountable for Lab inspections, apps, and renewals by FDA, ACHA CAP, CLIA, and others. Collaborates with Section Chiefs to ensure standards are met. Responsible for general checklist to ensure compliance for Safety and Chemicals & AABB.
Creates a schedule for mock audits, works together with lab leadership to ensure compliance with all quality assurance standards.
Review weekly recalls from the ECRI and takes appropriate follow up action.
Collaborating with Section Chiefs and nursing leadership to put together initiatives to improve turnaround times and goal of improving turnaround times by 5%.
Provide a work environment safe and free from hazards; immediately inform Lab Director of safety issues and hazards; adhere to health and safety policies and procedures; participate in safety programs.
Conducts the Environment of Care review for the Lab including the fire drills and safety rounds.
Reviews quality assurance and improvement data with Laboratory Leaders, communicates with other nursing, highlighting critical values & trends, and prepares monthly & quarterly reports.
Reviews and summarizes monthly QC, TAT, and volume for all Lab area, reviews trending reports to make adjustments to staffing, reports to Leadership, and reporting out to Quality PI teams.
Reviews incident occurrences reports with medical and administrative directors, communicates with other departments involved and produces monthly and quarterly trending reports. Notifies stakeholders to improve performance.
Accountable as proficiency testing coordinator; order, receive, distribute all surveys (up to 100 per month), and review all results.
Obtains current regulations, licensing requirements, and guidelines from federal, state, and other accrediting or licensing agencies. Completes applications for laboratory licensing and accreditation.
Operations:
Writes, review, and revise policies and procedures (general, safety, and chemical) adhering to hospital and laboratory guidelines in consultation with Laboratory Directors.
Manages procedures including scheduling changes and progressive disciplinary action in a timely and accurate manner.
Monitor and evaluate Section Chief’s competencies by direct observation, blind tests, and QC; following all regulatory requirements with CAP survey, FDA, AABB, CMS, and DNV.
Leads lean initiative to improve processes for opportunities to deliver higher quality, cost effective care, and greater customer service which impact can be measured by way of metrics.
Scheduling oversight with Administrative team.
Lead and participate in Main Lab & Section Chief meetings, Trauma Committees, CSR, ROC, EOC, PI Policy and Procedure, Center for Cancer and Blood Disorder, Throughput committee, and Director meetings.
Leadership:
Oversees and supervises day to day operations and staffing; edits and reacts to unplanned events and challenges while assuring quality services within timeframes.
Provides timely mentoring and coaching to office staff and Med Techs to ensure quality and accuracy of all hospital testing, fosters staff empowerment, open communication, leads, and guides staff to build an engaged team.
Accountable for students and interns; coordinates all internships with Barry and Miami Dade students for the lab rotation.
Conducting all onboarding of all new staff and assignments; ensures collaboration with Section Chiefs or Lab staff and works with TM&E in all recruitment activities.
Knowledge/Skills/Abilities:
Master’s degree preferred.
Ability to communicate promptly, clearly, and courteously both verbally and writing.
Able to work cooperatively and constructively with physicians, patients, families, and co-workers.
Ability to problem solves and to adapt standard clinical procedures to the individual client's need.
Ability to interpret, adapt, and react calmly under stressful conditions.
Ability to use interpretive and analytical skills in laboratory procedures.
Knowledge of and ability to perform laboratory techniques and use laboratory instruments.
Maintains confidentiality of sensitive information and adheres to HIPAA guidelines.