Position Summary: Assists the Manager of Quality Management to monitor and maintain the accreditation and credibility of the clinical laboratories based on industry standards. Collaborates with laboratories and facilitates efforts of all laboratory departments to remain in constant compliance with all regulatory agency requirements. Monitors balanced scorecard metrics.

Essential Duties:

Assists to ensure laboratory compliance by serving the laboratories as a resource regarding Clinical Laboratory Improvement Amendments of 1988 (CLIA '88) regulations, CAP accreditation standards, and various state accreditation standards, CDC guidelines and permits, licenses for all labs, and audit to assure all testing facilities/personnel have appropriate licensure and accreditation as deemed by federal, state, and local Monitors safety environment of laboratories through safety audits. Monitors adherence to CDC safety guidelines for BSL2 and BSL3 facilities. Performs quality audits. Author audit plan, document findings, review responses, and ensure that corrective action is implemented when non-conformances are found. Leads document revisions, including authoring and document control activities. Author laboratory wide quality performance monitoring reports, including development of laboratory wide quality dashboard. Leads improvement activities and initiatives for laboratories and implement improvements via partnerships and collaborations. Helps to ensure proficiency testing and event systems are actively maintained, trended, and reviewed for timely closure. Facilitate activities required for occurrence closure and proficiency review completion. Partner and collaborate with laboratory wide teams for laboratory wide quality improvements. Makes recommendations to improve laboratory quality and performs extra projects of increasing complexity and skill and completes projects as directed and approved by the manager. Implements continuous improvement programs to continually improve processes and programs, including electronic improvement programs. Supports laboratories through development and maintenance of a quality purposeful presence program. Participates in preparation for inspections where required including revision of laboratory manuals and procedures. Identifies areas of risk in accordance with regulatory guidelines.

Competencies:

Accountability: Accepts full responsibility for self and contribution as a team member; displays honesty and truthfulness; confronts problems quickly; displays a strong commitment to organizational success and inspires others to commit to goals; demonstrates a commitment to National Jewish Health. Coaching and Teaching Others: Providing timely guidance and feedback to help others strengthen specific knowledge/skill areas needed to accomplish a task or solve a problem. Creativity and Innovation: Applies creative problem-solving skills to develop solutions to problems; recognizes and demonstrates the value in taking "smart" risks and learning from mistakes; develops multiple alternatives and understands the feasibility of each; effectively shares and implements his/her ideas. Generates innovative solutions in work situations; tries different and novel ways to deal with work problems and oppor Decision Making: Identifying and understanding issues, problems, and opportunities; comparing data from different sources to draw conclusions; using effective approaches for choosing a course of action or developing appropriate solutions; taking action that is consistent with available facts, constraints, and probable consequences. Drive for Results: Setting high goals for personal and group accomplishment; using measurement methods to monitor progress toward goals; tenaciously working to meet or exceed goals while deriving satisfaction from that achievement and continuous improvement. Informing and Communicating: Clearly conveying information and ideas th ough a variety of media to individuals or groups in a manner that engages the audience and helps them understand and retain the message. Impact and Influence: Using appropriate interpersonal styles and techniques to gain acceptance of ideas or plans; modifying one's own behavior to accommodate tasks, situations, and individuals involved. Taking advantage of opportunities to make a difference and have an impact. When used well, the intended outcome of this competency is the creation of goodwill, trust, and respect while motivating people to want to follow you even when they don't have to. Peer Relationships: Interacts with others in a constructive, positive, and respectful manner, regardless of individual differences. Assists team members or co-workers in achieving personal goals and completing assignments. Problem Solving: Uses issue identification, data relation and comparison, pattern recognition and information gathering to create analyses and make recommendations. Continuous Learning and Development: Actively identifying new areas for learning; regularly creating and taking advantage of learning opportunities; using newly gained knowledge and skill to enhance their contribution to the organization.

Minimum Qualifications

Education: Bachelor's degree required. Work Experience: A minimum of six years working in Quality Program required, clinical laboratory experience preferred. Experience in participating in preparing for regulatory inspection and accreditation programs is preferred. Special Training, Certification or Licensure: Certified in quality management and regulatory compliance preferred Salary Range: $70,000 - $85,000

Benefits At National Jewish Health, we recognize that our outstanding faculty and