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Lahey Health Manager Laboratory Quality Control in Burlington, Massachusetts

Welcome To

Welcome to Lahey Hospital & Medical Center, part of Beth Israel Lahey Health. Lahey Hospital & Medical Center is a world-renowned tertiary medical center known for its innovative technology, pioneering medical treatment and leading-edge research. A teaching hospital of Tufts University School of Medicine, the hospital provides quality health care in virtually every specialty and subspecialty, from primary care to cancer diagnosis and treatment to kidney and liver transplantation. It is a national leader in a number of health care areas, including stroke, weight management and lung screenings, among many others. Lahey also helps to advance medicine through research and the education of tomorrow's health care leaders.

About the Job

Position Summary: Reporting to the Executive Director and under the general guidance of the CLIA Director, the Quality Control Manager is responsible and accountable for overseeing and monitoring all activities related to the Laboratory’s Quality Management and Regulatory Compliance Program. Compliance with regulatory and inspection agencies include but are not limited to The Joint Commission (TJC), Department of Public Health (DPH), College of American Pathologists (CAP), Centers for Medicare and Medicaid Services (CMS), Occupational Safety and Health Act (OSHA) Department of Environmental Protection (DEP), Food and Drug Administration (FDA), Massachusetts Water Resource Authority (MWRA), Department of Transportation (DOT) and the privacy and confidentiality requirements of the Health Insurance Portability and Accountability Act (HIPAA). Manager will use decision support tools to lead quality initiatives and will work with medical directors and laboratory managers to improve performance and ensure improvements are sustained. This position also includes oversight and compliance with academic affiliation programs serving as a liaison between the laboratory clinical instructors and affiliate program directors. The Manager accepts responsibility for the overall managerial and operational functions necessary to ensure fulfillment of the department mission, as well as Lahey Hospital & Medical Center’s mission.

Essential Duties & Responsibilities including but are not limited to:

Operational/Quality Assurance/Compliance Functions

  • Oversee and ensure compliance with federal, state and local regulatory agencies. Actively monitors regulations and statutes impacting laboratory activities to ensure ongoing compliance.

  • Oversee preparation and maintenance of quality, safety and compliance policies and procedures. Ensure procedures are communicated throughout the laboratory.

  • Oversee and chair laboratory safety committee activities. Participate on and report to various quality, safety and process improvement committees.

  • Oversee, assess and monitor all activities related to performance improvement and proficiency testing. Provide guidance to laboratory sections on process improvement monitors and special projects for improvement opportunities. Meets quarterly with each laboratory section to discuss quality metrics.

  • Value and respond to customer feedback by taking corrective action to improve services.

  • Oversee reference laboratory testing which includes updates and coordination of test requirement changes, validation and monitoring of results and test utilization review.

  • Oversee and coordinate courier schedules for reference laboratory testing.

  • Oversee coordination of affiliated college student’s clinical practicums ensuring ongoing program compliance.

  • Oversee laboratory participation in research studies.

    Personnel Functions

  • Schedule colleagues to meet department workload within budgetary limits.

  • Participate in employment interviews and recommend qualified candidates for vacancies.

  • Follow LHMC and departmental policies for orientating and training new colleagues.

  • Ensure all colleagues fulfill their annual mandatory requirements (competency, safety, education, etc.) and that documentation is prepared for each requirement.

  • Work with section managers to ensure optimal utilization of staff and facilitate cross training of staff.

  • Discuss disciplinary concerns with Executive Director. Conduct counseling and disciplinary sessions with colleague when performance warrants. Prepare required documentation.

  • Prepare colleague performance appraisals to include past performance and new goals.

Fiscal Management

  • Prepare a budget annually with the Executive Director.

  • Monitor actual expenses to budget and explain variances. Adjust operations as needed.

  • Contribute to department goal of optimization of resources and revenue enhancement.

Administration

  • Ensure optimal utilization of staff and space.

  • Set priorities and organize work time to meet them.

  • Improve services by working with department managers and technologists to achieve a common goal.

  • Support new ideas and changes within the department. Adapt to change and situations in a positive manner and work together to affect that change.

  • Keep all colleagues updated on current changes, memos, and miscellaneous information.

  • Accept, complete, and report on special assignments within the agreed upon time.

  • Communicate with colleagues through regularly scheduled laboratory meetings. Encourage input from members of the team.

  • Set a positive example by maintaining a productive and cooperative working atmosphere.

  • Work collaboratively to solve problems, to improve processes, and to integrate services within the department and with other departments.

  • Develop a proactive plan to meet future departmental/LHMC needs.

General Expectations including but are not limited to:

Personal Actions

  • Make independent judgments and decisions necessary to support the overall operation of the section...

  • Incorporate LHMC Standards of Behavior and Mission Statement into daily activities.

  • Comply with all LHMC and department specific policies.

  • Follow established safety procedures as stated in the Laboratory Safety and Infection Control Manuals.

  • Comply with behavioral expectations of the department and LHMC.

  • Establish and maintains courteous and effective interactions with patients, physicians, management, visitors and other members of the health care team through responsiveness, accuracy of information, and professionalism.

  • Demonstrate an understanding of job description, performance expectations, and competency assessment.

  • Demonstrate a commitment toward meeting and exceeding the needs of our customers and consistently adhere to our customer service standards.

  • Demonstrate a commitment to stay current in management and scientific knowledge by joining a related professional organization, completing 10 hrs. /yr. continuing education, including attending 4 lectures/workshops.

Minimum Qualifications:

Education: Baccalaureate degree including laboratory internship at an institution certified by the National Accrediting Agency for Clinical Laboratory Sciences (NAACLS).

Licensure, Certification, Registration: Certification by American Society of Clinical Pathologists (ASCP) Board of Registry or by American Medical Technologists (AMT) for Medical Laboratory personnel.

Skills, Knowledge & Abilities:

  • Ability for strategic thinking, decision making, leadership and organizational planning,

  • Knowledge of clinical tests and standards necessary to perform complex tests and accurately report result.

  • Analytic ability to perform complex tests, interprets findings, perform calculations, calibrate instruments, etc.

  • Ability to concentrate for long periods of time, utilize good judgment, work accurately under pressure and handle stress to meet deadlines.

  • Manual dexterity and acuity necessary to prepare specimens, prepare solutions, screen specimens, and operate instrumentation and a computer.

  • Interpersonal verbal and written English language skills sufficient to exchange information with physicians and other colleagues.

Experience: A minimum of five years full-time experience as a medical technologist, with at least 1-2 years of management experience that includes knowledge of state, federal and local regulatory and accreditation requirements as well as quality improvement principles.

SHIFT: 40 hours, 1st shift

About Us

Beth Israel Lahey Health is an integrated system providing patients with better care wherever they are. Care informed by world-class research and education. We are doctors and nurses, technicians and social workers, innovators and educators, and so many others. All with a shared vision for what healthcare can and should be. We are committed to attracting, developing and retaining top talent. We strive to create a diverse and inclusive workplace that reflects the communities in which we work and serve. With a team approach to care, we encourage learning and growth at all levels and offer competitive salaries and benefits.

Equal Opportunity Employer/Minorities/Females/Disabled/Veterans.

REQNUMBER: 161395-1A

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