John Peter Smith Hospital

Who We Are

JPS Health Network is a $950 million, tax-supported healthcare system in North Texas. Licensed for 582 beds, the network features over 25 locations across Tarrant County, with John Peter Smith Hospital a Level I Trauma Center, Tarrant County's only psychiatric emergency center, and the largest hospital-based family medical residency program in the nation. The health network employs more than 7,200 people.

Acclaim Multispecialty Group is the medical practice group featuring over 300 providers serving JPS Health Network. Specialties range from primary care to general surgery and trauma. The Acclaim Multispecialty Group formed around a common set of incentives and expectations supporting the operational, financial, and clinical performance

outcomes of the network. Our goal is to provide high quality, compassionate clinical care for every patient, every time.

Why JPS?

We're more than a hospital. We're 7,200 of the most dedicated people you could ever meet. Our goal is to make sure the people of our community get the care they need and deserve. As community stewards, we abide by three Rules of the Road:

1. Own it. Everyone who wears the JPS badge contributes to our journey to excellence.

2. Seek joy. Every day, every shift, we celebrate our patients, smile, and emphasize positivity.

3. Don't be a jerk. Everyone is treated with courtesy and respect. Smiling, laughter, compassion - key components of our everyday experience at JPS.

When working here, you're surrounded by passion, diversity, and dedication. We look forward to meeting you!

For more information, visit www.jpshealthnet.org.

To view all job vacancies, visit www.jpshealthnet.org, www.jpshealthnet.org/careers, or www.teamacclaim.org.

Job Title:

Lab Quality & Safety Manager - Lab Administration (mls needed)

Requisition Number:

39203

Employment Type:

Full Time

Division:

CLINICAL/PROF SERVICES - LAB

Compensation Type:

Salaried

Job Category:

Director / Management Level

Hours Worked:

M - F 8am - 5pm

Location:

John Peter Smith Hospital

Shift Worked:

Day

Job Description:

Job Summary: The Lab Quality and Safety Mgr is responsible for maintaining a working knowledge of laboratory quality, regulatory and safety requirements relative to the College of American Pathologists, CLIA, CMS and TJC guidelines. The incumbent will under the direction of the Director of Laboratory Services and oversight from the Medical Director, conduct internal auditing to ensure Network compliance with CAP and other regulatory agencies. Responsible for quality control, laboratory safety, regulatory compliance and performance/process improvement. Coordinates standard operating procedures (SOP) and document management control.

Essential Job Functions & Accountabilities:

1. Maintains departmental employee files and records according to state, federal, CAP, HIPAA, JCAHO, and JPS guidelines.
2. Assists technical leaders to coordinate the timely review, revision and approval of the lab policies/procedures.
3. Ensures that departmental policies/procedures are consistent and promote compliance with CAP, CLIA, Joint Commission and other agencies.
4. Provides oversight for quality control program in compliance with applicable regulatory standards to include reagent inventory control and management of reagent and QC lot numbers.
5. Provides education, annual competencies and training to staff as directed and with the assistance of department technical leaders.
6. Assists with the development, review and reporting of quality monitors for all lab sections and reports to the appropriate management groups under the direction of the Lab Medical Director and the Director of Laboratory Services.
7. Assists technical leaders with writing validation plans and summaries for new equipment and testing.
8. Manages unusual occurrence reporting including statistics, records and reporting to the appropriate management groups under the direction of the Lab Medical Director and the Director of Laboratory Services.
9. Works with the Director of Laboratory Services in the delivery of a clear and concise quality plan and ensures all staff are knowledgeable of ongoing quality indicators and the goals of the quality management program.
10. Ensures through collaborative effort with appropriate nursing and physician leadership personnel in all Network lab testing sites and functions comply with lab regulatory standards, including but not limited to those established by CLIA’88, CAP, FDA and other regulatory agencies that appropriate records and documentation are maintained.
11. Provides routine internal auditing for safety and CAP compliance assuring adherence to regulatory standards and that processes mirror approved SOPs.
12. Develops, plans, implements, and evaluates educational activities that foster the development of competent learners through orientation, competency validation, in-service trainings, and continuing education. Maintains records of training activities and competencies.
13. Works with partner MT and MLT programs providing student guests a clinical experience that is in accordance with the values of JPS.
14. Participates in nurse training as it relates to lab specific functions such as phlebotomy and POC testing.
15. Develops, plans, implements and evaluates process improvement opportunities focused on the delivery of precise quality services in the lab.
16. Job description is not an all-inclusive list of duties and may be subject to change with or without notice. Staff are expected to perform other duties as assigned.

Qualifications:

Required Qualifications:

• Bachelor's Degree in a Chemical, Physical, Biological, or Clinical Laboratory Science or Medical Technology from an accredited college or university.
• Documented evidence that meets qualifications as established by the Clinical Laboratory Improvement Amendment of 1988 (CLIA ’88) are met.
• Intermediate level experience in Microsoft Office Suite Word and Excel software
• Experience using College of American Pathologists (CAP) document management and related compliance management tools.
• 6 plus years of clinical laboratory experience.
• 2 plus years of leadership experience.

Preferred Qualifications:

• Masters Degree in a Chemical, Physical, Biological, or Clinical Laboratory Science or Medical Technology from an accredited college or university.
• American Society for Clinical Pathology (ASCP) MT or MLS Certification.

Location Address:

1500 S. Main Street

Fort Worth, Texas, 76104

United States

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