Qureos Mentor

South Shore Health

Job Description Summary The Laboratory Supervisor, Ambulatory, is responsible for the technical and administrative supervision of the Ambulatory Laboratories. The laboratory supervisor will be available as needed to provide supervision on site, by telephone or through electronic consultation. All duties will be performed in accordance with established policies, procedures and standards, and will comply with criteria mandated by appropriate accrediting and licensing agencies. This role is also a technical position wherein the incumbent is scheduled to work all the technical benches regularly and must therefore be competent in all laboratory areas. The position is under the general direction of the Operations Manager, and in conjunction with the CLIA Director and/or Chief of Pathology Job Description Job Responsibilities: 1 - Supervises all work performed within the laboratory. This includes, but is not limited to, responsibility for quality of all tests performed, organizing workflow and prioritizing work as needed. a - Reviews all test results and QC data generated as per established criteria by regulatory agencies. b - Maintains a procedure manual that is accurate, up-to-date and in compliance with format and content established by Clinical & Laboratory Standards Institute (formerly NCCLS), and other regulatory agencies. Review and updates at least annually and maintains documentation of all changes to procedures. Formally communicates all procedural changes to staff and documents staff acknowledgement of these changes. c - Oversees Instrument Maintenance Program and assures maintenance is performed, as defined in the policies & procedures. Establishes written maintenance logs, troubleshooting guidelines, written problem/resolution logs and works with vendor to assure all activities, including Preventive Maintenance are performed to maintain the instruments to perform optimally. d - Assures that tests are performed within established turn around times and regularly seeks opportunities to improve service and meet/exceed patient/client needs. e - Assures consistently high quality test result records as evidenced by data review, Quality Control, Proficiency Testing, CLIA Inspections or other regualtry bodies under which clinical laboratory reports such as CMS, FDA, and MA DPH, and feedback from clinician. f - Assures Competency of Staff in all test modules, lab sections, including Safety, LIS, and in interpreting Quality Control Data. g - Develops comprehensive systems to monitor the quality of work. This plan (QC, QA, & Proficiency Testing) is written and shared with staff to ensure consistent compliance. h - Act as point person for lab staff, support staff, and providers regarding policy and testing questions. 2 - In collaboration with other section supervisors, schedules work assignments and plans work schedules of employees to maintain consistent and adequate coverage of the entire laboratory. a - Posts schedule of staff thirty (30) days in advance. b - Posts daily assignments on a weekly basis and updates to meet the needs of each department to assure adequate coverage. c - Meets regularly with SSHS Management Team to schedule department wide staffing issues. Collaborates with peers to assure cross coverage and that minimum staffing needs are consistently met. d - Shares in rotation to provide coverage for vacancies, absences, and paid time off. Is responsible for assuring the adequacy of coverage. 3 - Establishes & maintains an effective inventory control system that assures inventory levels that consistently meet the demands of the workload. a - Prepares laboratory purchase orders and submits for approval. Adheres to procedures regarding acquisition of, and payment for, goods and services. b - Establishes a formal procedure for assessing inventory levels and involves the staff in participation in this process. c - Focus is on efficient use of reagents and supplies that is consistent with workload volume and budgeted resources. 4 - Hires, trains, and ensures competency of staff. a - Orients and trains new employees to perform all procedures following established protocol. Documents all training of new employees and completes evaluation form within the 90 day probationary period. b - Trains all employees when new procedures, instruments or methods are established. Provides staff with written and practical exercises and tools to learn procedures and demonstrate compliance. c - Prepares and implements annual Competency Plan and maintains documentation of technical competency of all staff who perform testing, as per departmental and Health System Competence Policies & Procedures. d - Documents communications with staff when policies or procedures are changed or introduced to assure staff understanding and compliance. e - Develops performance goals/objectives with each staff member to promote maximum productivity, proficiency and professional growth, as evidenced by written goals on performance appraisals. 5 - Consistently and fairly implements Human Resources Policies to promote positive employee relations. a - Collaborates with Human Resources on the effective recruitment and selection of qualified employment candidates. b - Ensures employee compliance with all Health System & Departmental policies & procedures. c - Conducts annual performance evaluations on all departmental staff. Completes employee performance appraisals thoroughly and submits on time. d - Provides ongoing and timely feedback to staff relating to performance issues. Consistently recognizes employees for exceptional service to patients and others. e - Conducts at least one mid-cycle performance assessment for all direct reports to provide feedback relating to attainment of goals, performance and behavioral expectations. f - Keeps the Operations Manager and/or Director informed of significant Performance issues and seeks counsel as to appropriate courses of action. g - Follows human resources policies to implement progressive discipline, when necessary. 6 - In collaboration with the Operations Manager, Executive Director and CLIA, is responsible for the evaluation, selection, and documentation of testing of all new instruments, methods and procedures for testing performed in the laboratory. a - Serves as primary contact for vendors and makes recommendations regarding equipment status, reagent costs, service agreements, etc. Monitors expenditures and performs cost analysis on equipment purchases/rental agreements. b - Follows established protocols for implementing new instrumentation and/or procedures as per CLSI Guidelines. c - Solicits feedback from physicians & other caregivers as to the adequacy of testing protocols. 7 - Maintains accurate and complete documentation required by regulatory agencies, including quality control, Performance Improvement, instrument maintenance service records and other record keeping requirements of the laboratory licensing and accrediting agencies and organizations. a - Is responsible for the performance of all Quality Control required to maintain precision, accuracy, and quality of testing. Establishes a comprehensive QC program that is in compliance of industry standards. b - Implements new procedures as needed to ensure compliance with state regulations and all regulatory agencies ( CLIA, JCAHO) and as needed, CMS, FDA, MA DPH. c - Documents all QC on a daily basis, submits monthly and quarterly Quality Control/Assurance reports. d - Oversees performance of Proficiency Testing among staff, documents results, submits reports at appropriate time, reviews results with staff, and submits documentation of investigation and corrective action on all unacceptable performance challenges. Assures that all staff participate in Proficiency Testing as part of on-going technical Competency process. e - Maintains and updates the laboratory procedure manuals , according to Hospital policy and NCLSI standards. f - Reviews and signs off on all procedures on at least an annually basis according to CLIA requirements, JCAHO and all regulatory agencies. g - Annually establishes departmental Performance Improvement Initiatives that are consistent with, and support SSH strategic planning initiatives and Annual SSH Performance Goals. h - Identifies opportunities for improvement and incorporates into formal PI plan that meets JCAHO and other regulatory agency requirement standards. Collects and reviews data and plans response to findings. i - Keeps staff engaged in PI initiatives, and shares quarterly reports at staff meetings. 8 - Responsible for the fiscal management of laboratory; assures proper utilization of organization's financial resources. a - Establishes and submits budget within designated deadlines according to all budgetary policies and procedures. b - Effectively utilizes resources within established budget; notifies Director of all variances anticipated, or incurred. Identifies and implements actions needed to bring expenses in line with budget. c - Performs assessment of the efficiency of the utilization of all resources in the department, including personnel management, equipment/reagent evaluation and method development. d - Prepares bi-weekly FTE utilization reports and budget reports monthly, and submits responses as scheduled . click apply for full job details

Laboratory Supervisor, Ambulatory

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South Shore Health

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Laboratory Supervisor, Ambulatory