COORDINATOR - Lab Compliance in Robinson, Illinois at Crawford Memorial Hospital
Job Description
Job Title: Lab Compliance Coordinator
Home Department: Laboratory
Location: On-Site
Reports To: Director- Lab
Direct Reports: None
FLSA Classification: Exempt
Position Summary
This position is responsible for the daily management of the quality and compliance procedural elements of the Lab. It will assist the Laboratory Director to ensure the laboratory stays in full compliance with all the regulations by creating and monitoring competency programs, handling required proficiency testing, reviewing and monitoring quality and maintenance data, and working as a liaison with other departments for information and assistance.
General Duties, Tasks and Responsibilities
- Serves as the point for quality and compliance procedural elements of the lab with ability to advise and implement as appropriate, coordinating with Director when needed.
- Creates and monitors competency for laboratory staff, and provides training/instruction, to ensure all regulations are met and in compliance.
- Creates competency for and works as a liaison to the nursing staff for laboratory testing.
- Ensures laboratory supplies are stocked at appropriate levels, and maintains good communication with the Materials Management team to work within hospital purchasing guidelines.
- Responsible for the laboratory meeting all requirements for proficiency testing as defined by CLIA through selection of appropriate events; ordering, assigning, and submitting results; reviewing and providing follow up of results as needed. Ensures documentation of all proficiency testing is organized and stored in an easily retrievable method.
- Monitors all quality and environmental data along with maintenance records. Ensures all records are forwarded to the Medical Director for review and are organized and stored in an easily retrievable method.
- Annually reviews all laboratory policies and procedures, presents changes/updates/deletions to the Laboratory Director and Medical Director.
- Ensures all testing systems in the lab provide quality services in all aspects of test performance; pre analytic, analytic, and post analytic phases of testing.
- Acts as a coordinator for all laboratory information systems and EMR needs; works to get changes and correction(s) made as needed, trains staff and works with other department contacts to solve issues involving the systems.
- Provides consultation to Laboratory Director in researching and selecting new methods and procedures for the Laboratory.
- Assists the Laboratory Director to coordinate new methods; Ensure validations and verifications are completed; Assign training as needed for staff/and ensure all documentation is organized and stored in an easily retrievable method.
- Functions as a staff MLS, when needed.
- Serves as designee in absence of Director.
Organizational Expectations
- Complies with all established standards, policies, and procedures ensure a safe environment for patients, visitors, and staff.
- Maintains compliance with confidentiality and HIPAA regulations.
- Participates in performance improvement activities.
- Performs other duties as assigned.
Education Requirements
- Bachelor's Degree in Medical Technology, Biology or Clinical Laboratory Science Required
- Completion of a Clinical Laboratory Science training program which meets CLIA requirements Required
Certification /Licensure Requirements
- Current MLS Certification Required
Experience Requirements
- Laboratory minimum 5 years Preferred
Computer Skills
- Strong computer skills including Microsoft Office and the ability to navigate EMR systems
Additional Skills
- Ability to work independently, prioritize and complete tasks in a timely manner
- Capable of taking initiative to make decisions and is an advocate for change and improvement
- Excellent management skills and ability to motivate a team environment
- Knowledge of state, federal, accreditation and regulatory agency laws and requirements
Acknowledgement
This job description is intended to describe the general nature and level of work being performed. It is not intended to be an exhaustive list of all responsibilities, duties, or qualifications required. Management reserves the right to modify the duties and responsibilities of this position as operational needs dictate.
Employee Signature: _______________________________________________________ Date: ________________________
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