Compliance Coordinator- Lab Administration Full-time Day Shift

Northwestern Memorial Healthcare • Palos Heights, IL

77d

About The Position

The Compliance Coordinator reflects the mission, vision, and values of Northwestern Memorial, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The Compliance Coordinator will work with Medical Directors and Managers to assure regulatory compliance of department activities and provides consultation to other hospital departments and committees regarding regulatory requirements in Transfusion Medicine (Blood Bank), the Pathology Laboratories, or the Blood Gas laboratory, as applicable. The Compliance Coordinator will maintain the highest degree of expertise in quality, compliance, regulatory, and accreditation requirements through attendance at professional, association and scientific meetings, and through continual dialogue with regulators and experts in the field.

Requirements

• Bachelors Degree
• Minimum 5 years experience in clinical laboratory, Transfusion Medicine, or Blood Gas Laboratory.
• Clinical/professional expertise.
• Knowledge of CAP and TJC Standards; IDOT, OSHA and CLIA regulations; CLSI guidelines.
• Knowledge of AABB standard and FDA regulations (applies to Blood Bank)

Nice To Haves

• Masters Degree in related field
• Experience with quality systems
• American Society of Quality, CQA
• MT ( ASCP) certification
• Experience as quality inspector or quality assurance officer.
• Experience with the DMAIC quality system.

Responsibilities

• Develops and maintains a quality management system relative to the technical evaluation and improvement of services in relation to physician and patient care requirements.
• Facilitates compliance with all federal, state, local, TJC, CAP, CLSI, and other multi-disciplinary, hospital regulations, policies and procedures.
• Plans and facilitates departmental preparations for accreditation inspections.
• Reviews and catalogs departmental incident reports, non-conformances and critical incident reports.
• Provides assistance to senior staff in analysis and corrective action plan development in response to incidents.
• Orients, trains and oversees activities of senior staff responsible for laboratory and departmental document control.
• Serves as, or works in cooperation with, the department primary Safety and Emergency Management Officer.
• Provides training to departmental staff on quality, compliance and safety issues.
• Authors and maintains their respective Laboratory Quality Plan, as required by applicable regulatory agencies.
• Develops agendas and creates meeting minutes for department and hospital quality meetings.
• Establishes ongoing quality data collection which enables monitoring of testing systems.
• Manages departmental supply recalls in accordance with regulatory requirements.
• Develops and supervises departmental operation audits and communicates results to laboratory management.
• Conducts audits and evaluates and prepares reports recommending improvements in process and workflow for laboratory sections in compliance with DMAIC principles.
• Authors and revises, as needed, departmental SOPS related to compliance, quality and laboratory general policies.
• Assures that research activities performed in the section are in compliance with Hospital Research policies.
• Maintains departmental quality, accreditation and regulatory records.

Benefits

• Tuition reimbursement
• Loan forgiveness
• 401(k) matching
• Lifecycle benefits

What This Job Offers

• Job Type: Full-time
• Education Level: Bachelor's degree
• Number of Employees: 5,001-10,000 employees