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Manager, Hospital Lab, Single Non-Tertiary Hospital, (1139)

Department: SANTA FE MEDICAL CENTER
Location: Santa Fe, NM

Schedule: Monday-Friday 0800-1700 with weekends, holidays, on-call, and other shifts as needed.

Location: Santa Fe Medical Center

Salaried

JOB SUMMARY:

Responsible for the overall direction and management of the operations (technical performance, personnel, education, training, and administrative functions) of a single non-tertiary Hospital Laboratory and associated patient centers/branch laboratories; coordination of activities with other areas of the organization and with internal and external customers to ensure that financial, regulatory, and quality standards are met. Work closely with Director and Medical Director regarding decisions on matters relating to patient care, technical performance, quality and finances. Must be able to travel on a regular basis.

ESSENTIAL FUNCTIONS:

1. Department management and staff oversight:

a. Responsible for the overall supervision of laboratory staff.

b. Ensure that appropriate application, interview and selection processes are established and followed, including, but not limited to interviews with peers and supervisors. Personally interview final candidates and work with Human Resources in making finaselections.

c. Ensure completion of annual and six-month performance evaluations and approve compensation process of all staff.

d. At least quarterly ensure staff members have knowledge of career ladder opportunities.

e. At least quarterly, communicate with direct reports regarding their performance, provide recognition and counsel them as appropriate. Let direct reports know when they are and are not meeting job expectations. Provide guidance to direct reports on how to improve performance.

f. Conduct direct report disciplinary actions within five (5) working days of determinationof policy or procedure violation.

g. Manage dismissal actions utilizing Human Resources for advice and seeking approval from the appropriate leadership regarding the proposed action.

h. Ensure employee time records are reviewed, documented requests for corrections madeand approved by payroll close.

i. At least quarterly, conduct time keeping records audit and provide documentation to Director.

j. Ensure supervisors (if applicable) are conducting staff coaching, recognition, counselingas needed.

k. Ensure supervisors (if applicable) are conducting appropriate disciplinary actions within five (5) working days of determination of policy or procedure violation.

l. Be available to assist staff with questions and problem solving.

m. Maintain appropriate channels of communication.

n. Listen effectively and with the purpose of understanding employee concerns, questionsideas and opinions. Actively solicit staff input and feedback.

o. Coordinate and conduct departmental staff meetings at least bi-monthly.

p. Attend Sponsor/TriCore Laboratory Agenda Planning Group (LAPG) meetings on a regular basis.

q. Attend hospital leadership meetings as assigned.

2. Education and Training

a. In conjunction with the Director and Medical Director, consult with physicians, clients and hospital staff regarding appropriate testing, test results and interpretations.

b. Ensure new employees receive standardized orientation and training.

c. Ensure staff are competent and competency status is approved by Medical Director (or designee, excluding transfusion medicine) prior to working independently.

d. Ensure staff members receive competency opportunities annually.

e. Ensure staff members who do not pass assigned competencies or refuse to participate in them are removed from duties until competencies are completed successfully.

3. Financial

a. Prepare and submit annual budget proposals on time.

b. Ensure supplies/reagents are ordered as required to meet the laboratory needs.

c. Ensure staffing levels are appropriate to meet patient care demands and financial expectations.

d. Review and justify monthly variances to financial budget.

e. Timely submit capital and contract requests as appropriate.

4. Quality Assurance (QA)/Compliance

a. Chair site specific monthly quality meetings with Medical Director and supervisors.

b. Demonstrate ability to consistently improve quality standards through implementationof appropriate action plans approved by the Director and Medical Director.

c. Evaluate the needs and expectations of the “customers” of the area annually and implement new quality programs/indicators designed to ensure that the quality of services meet or exceed customers’ expectations.

d. Lead, facilitate and/or participate in Quality Management and other process improvement teams as assigned.

e. Actively support and implement company and department procedures, policies and strategies to support the corporate vision.

f. Ensure company policies and procedures are followed. If variances are required, ensurean EPHEMRA is documented prior to the variance.

g. Maintain inspection readiness. Verify compliance to all applicable federal and accreditation regulations, professional standards and practices, and implement corrective actions for areas found out of compliance.

h. Ensure patient, employee and organizational confidentiality.

i. Notify Medical Director and Director of adverse patient events immediately.

j. Ensure staff initiates TR2 and/or problem reports for all errors.

k. Ensure timely completion of action plans for all TR2/MIDAS (PHS)/PSNs (UNMHSC)/problem reports.

l. Maintain all laboratory records, reports, statistics, logs and files for regulatory and business purposes in an organized manner. Ensures such records are retrievable within two hours.

5. Workflow/Efficiency

a. Identify opportunities for new or improved services to both internal and external customers and present to Medical Director and Director. Implement new or improved services as directed.

b. Look for ways to get maximum benefit from all resources. Oversee assessment of department staffing levels and maximize efficiencies. Initiate requests for additional resources as appropriate, including cost justifications. Develop and monitor standards for measuring cost effectiveness.

c. Participate in development of TriCore Request for Proposal responses and new laboratory acquisitions as directed.

6. Customer service and communication

a. Maintain effective communication and coordination with other departments within theorganization.

b. Serve as a liaison to the communication process to keep customers and staff informed of testing and service changes. Assure that all relevant customer needs are met.

7. Technical

a. Maintain an up-to-date understanding of new requirements and technology through continuing education.

b. Coordinate with the Director, Hospital Administration and Medical Director to ensure that test menus and services are consistent with the hospitals’ patient care and financial expectations.

c. Ensure Quality Control is performed, documented and acceptable prior to patient testing.

d. Ensure Technical performance of the laboratory is acceptable including but not limitedto calibrations, validations, quality control establishment, instrument maintenance and temperature control.

e. Ensure proficiency testing is performed, evaluated and corrective actions taken as appropriate in a timely manner.

f. Provide feedback and approval of new procedures as requested.

g. Consult with medical staff and other health care providers on matters relating to laboratory services.

The above statements describe the general nature and level of work being performed by individualassigned to this classification. This is not intended to be an exhaustive list of all responsibilitieand duties required of personnel so classified.

MINIMUM EDUCATION:

Bachelor’s Degree in Medical Technology, Medical Laboratory Sciences, Clinical Laboratory Sciences, Biology, Chemistry, or relevant degree.

MINIMUM EXPERIENCE:

Five years clinical laboratory or specialty experience with at least one year of management/supervisory experience.

OTHER REQUIREMENTS:

ASCP certification or equivalent.

Must be insurable by TriCore’s automobile insurance.

IMMUNIZATION REQUIREMENTS:

Prove immunity to Hepatitis B or be immunized or sign a waiver refusing hepatitis immunization. Provide documentation of a PPD test conducted not more than 90 days prior to date of hire or have a PPD test conducted.

GENERAL REQUIREMENTS:

1. Attend managerial meetings and other meetings or workgroups as assigned.

2. If assigned multiple sites, visit each site at least twenty (20) days each quarter.

3. Maintain working relationships with vendors.

4. Effective time management skills.

5. Ability to manage multiple priorities and to work in a high productivity/ high stress environment.

6. Ability to deal with difficult and sensitive situations.

7. Problem solving skills, reasoning ability and good independent judgment.

8. Follow company safety and personnel policies.

9. Strong supervisory and management skills including interviewing, leadership and team building skills. Ability to work effectively in a team environment and to develop and maintain a climate of open communication and teamwork within the department.

10.Strong communication/interpersonal skills with both internal an external customers.

11.Ability to listen effectively to staff concerns, ideas and questions and to deal effectively with conflict situations.

12.Ability to develop and maintain morale of department staff.

13.Ability to provide effective feedback to department staff regarding relevant information, changes and regarding their own performance.

14.Able to provide constructive criticism in a timely and appropriate manner and to provide feedback regarding positive performance.

15.Actively solicit feedback from staff as appropriate.

16.Strong PC skills.

17.Must maintain an up to date knowledge of laboratory medicine through self-study and continuing education.

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