About The Position

This position exists to provide operational management and technical oversight of Fort Logan laboratory services through supervision of subordinate laboratory staff, administration of laboratory and CLIA-waived testing activities, quality and performance improvement functions, regulatory compliance activities, procurement and inventory management, laboratory policy and procedure administration, and technical laboratory consultation. The Colorado Mental Health Institute at Fort Logan (CMHHIFL) is one of two state hospitals serving our community. The vision of CMHHIFL is to provide the highest quality mental health services to persons with complex, serious, and persistent mental illness within the resources available. Our mission is to support those individuals in achieving their recovery goals and reaching their full potential. CMHHIFL provides inpatient treatment to adult patients, generally between the ages of 18-59. The hospital currently has 154 adult inpatient beds, seven treatment milieus serving civil and forensic individuals. Medical services, occupational therapy, neuropsychological-rehabilitation services, and trauma-informed care services are available for all patients throughout the hospital. The Medical Services Section exists to promote and protect the health of patients and staff by overseeing, providing, and coordinating all medically related care and clinical analyses necessary for the proper evaluation and treatment of the hospital’s patients, and by managing the infection control, employee health, and emergency response programs for the hospital. The Laboratory and Specimen Processing Center provides expertise and professional knowledge to collect, process, and/or guide the specimen process in a manner that ensures integrity to provide the most accurate specimen results to be used in patient care.

Requirements

  • Six (6) years of relevant experience in an occupation related to the work assigned to this position OR A combination of related education and/or relevant experience in an occupation related to the work assigned to this position equal to six (6) years.
  • Must possess and maintain an active, valid Medical Technologist (MT), Medical Laboratory Scientist (MLS), or Clinical Laboratory Scientist (CLS) certification through ASCP, AMT, or other nationally recognized certifying organization as a condition of and throughout employment and remain in compliance with all applicable certification maintenance requirements.

Nice To Haves

  • Experience supervising laboratory personnel, including scheduling, performance management, training, coaching, competency assessments, and performance evaluations.
  • Experience performing clinical laboratory testing, specimen collection, phlebotomy, specimen processing, and referral laboratory coordination.
  • Experience administering and maintaining CLIA-waived laboratory testing programs.
  • Experience developing and implementing laboratory policies, procedures, quality control, and quality assurance activities.
  • Experience interpreting and applying laboratory regulations, accreditation standards, and compliance requirements, including CLIA, Joint Commission, and Department of Public Health standards.
  • Experience managing laboratory operations, workflow processes, equipment maintenance, inventory control, and procurement activities.
  • Experience analyzing laboratory quality indicators, utilization data, and operational performance measures.
  • Experience serving as a laboratory subject matter expert and providing technical consultation to healthcare professionals.
  • Knowledge of CLIA regulations and laboratory accreditation requirements.
  • Experience administering waived laboratory testing programs and point-of-care testing.
  • Knowledge of laboratory quality assurance, quality control, and performance improvement methodologies.
  • Experience with specimen collection, phlebotomy, specimen processing, and referral laboratory operations.
  • Experience developing laboratory policies, procedures, and workflow improvements.
  • Ability to interpret laboratory regulations and implement compliance strategies.
  • Experience conducting staff training, competency assessments, and performance evaluations.
  • Strong analytical and problem-solving skills related to laboratory operations and patient care.
  • Experience with laboratory information systems, electronic health records, and related healthcare technology.
  • Experience managing laboratory budgets, procurement activities, contracts, and inventory.
  • Relevant years of state service experience.

Responsibilities

  • Develop, manage, supervise, and oversee all clinical laboratory operations, regulatory compliance activities, and technical laboratory services: Supervises and oversees all clinical, laboratory, administrative, and supervisory operations, including subordinate laboratory staff, scheduling, training, competency assessments, performance evaluations, coaching, staff development, and disciplinary actions. Develops, oversees, and approves work processes and workflow schedules
  • Serve as subject matter expert, advocate, and representative for the Fort Logan Medical Services laboratory with regard to laboratory matters; the incumbent is Fort Logan’s voice to challenge external agency protocols on behalf of our staff and patients.
  • Develops, revises, implements, and maintains laboratory policies, procedures, and operational guidelines to ensure standardization of laboratory practices and compliance with regulatory and accrediting requirements.
  • Analyzes clinical and quality control specimens by manual and automated methods of CLIA-waived testing: Manages and oversees the hospital point-of-care blood glucose monitoring program, including equipment procurement, implementation, troubleshooting, calibration (including linearity testing), data management, maintenance coordination, training, assessment of competency for authorized users, and regulatory compliance.
  • Administers and oversees the hospital’s CLIA (Clinical Laboratory Improvement Amendments) waived and designated point-of-care testing programs and ensures compliance with all program requirements including certification and training of staff, quality control activities, competency assessments, development and revision of policies and procedures, implementation of additional testing methodologies, documentation requirements, and ongoing regulatory compliance.
  • Interprets regulatory standards (Joint Commission, CLIA, Department of Health, etc.) and offer guidance to departmental leadership for meeting and maintaining compliance.
  • Maintains ongoing laboratory survey readiness and coordinates preparation activities for Joint Commission, CLIA, Department of Health, and other regulatory reviews.
  • Provides clinical interpretation and guidance with regard to test selection, specimen processing methods, troubleshooting, and quality control activities.
  • Provides technical oversight, training, and evaluation of subordinate employees in phlebotomy, specimen accessioning, and specimen processing.
  • Provides education and training to non-laboratory personnel (e.g. Nursing, Medical Staff) about laboratory test-related matters, clinical interpretation, test selection, etc.
  • Works to achieve operational efficiencies and reduce the frequency of repeated unnecessary venipunctures to the hospital’s patients.
  • Receives, addresses, and/or directs inquiries from physicians, nursing staff, administrative staff, and external stakeholders.
  • Maintains meticulously organized records (laboratory requisitions, laboratory reports, invoices, temperature logs, etc.)
  • Ensures uninterrupted availability of laboratory supplies by tracking quantities and out-dates and replenishing inventory as needed.
  • Operates and oversees maintenance, monitoring, troubleshooting, and operational readiness of laboratory equipment to ensure peak performance.
  • Develops administrative protocol for the proper tracking, recording, processing, and distribution of studies, requisitions, results, and after-hours processes.
  • Analyzes events for vulnerabilities and makes necessary changes to procedures.
  • Reviews all critical results, report them to the Performance Improvement Officer, and process any amended reports as necessary to ensure seamless handling of critical lab values.
  • Prepares, analyzes, and reports laboratory quality indicators, utilization trends, billing discrepancies, and performance improvement activities to Medical Services leadership and the Quality Council.
  • Monitors laboratory billing processes, reconciles invoices and charges, investigates discrepancies, and maintains fiscal accountability.
  • Oversees CLIA-waived and point-of-care testing activities, including implementation of testing methodologies, quality control review, competency assessments, policy and procedure updates, documentation requirements, and ongoing regulatory compliance.
  • Interprets regulatory standards (Joint Commission, CLIA, Department of Health, etc.) to ensure up-to-date policies/procedures and operations and offer guidance to hospital leadership to meet and maintain compliance.
  • Tracks and coordinates laboratory report distribution to clinical units.
  • Assists in the development of purchase orders and contracts by working with departmental leadership to assess needs and ensure technical bid specifications are properly addressed.
  • Serves as the subject matter expert in laboratory matters, including laboratory systems, workflow development, equipment selection, and technical consultation.
  • Attains a high level of proficiency with the systems used by the hospital (e.g. electronic health record, referral laboratory systems, etc.)
  • Supervises and oversees all specimen processing activities and subordinate laboratory staff: Supervise, evaluate, coach, and develop subordinate laboratory staff through competence assessments, ongoing education, performance evaluations, performance management activities, and workflow oversight
  • Develops worklists and evaluates workflows and workloads to ensure the most efficient and effective laboratory operations.
  • Enters patient data and study requisition information into laboratory systems to generate appropriate service codes, specimen processing instructions, and accession information.
  • Ensures proper patient information and test data are accurately entered into laboratory information systems
  • Generates required referral documentation to accompany specimens submitted to referral laboratory and ensure the accurate processing and reporting of results.
  • Prepares specimens for the referral laboratory analysis by properly processing specimens including centrifuging specimens and separating blood into serum/plasma; preparing requisitions; collating, wrapping, and appropriately storing specimens; meeting carrier pick-up times and/or arranging for special transport services.
  • Exercises professional judgment and laboratory expertise in determining proper specimen processing methods and techniques.
  • Provides technical guidance and instruction to subordinate staff regarding specimen collection, specimen processing, and laboratory procedures.
  • Independently perform phlebotomy and collect quality blood specimens from patients with challenging behavioral and mental health presentations through venipuncture and finger sticks during morning rounds on patient units, in seclusion rooms, patient rooms, and laboratory settings, as needed to support laboratory operations and patient needs.
  • Provides cross-coverage and operational support within the Medical Services department, within the scope of practice and competency, to maintain continuity of patient care and departmental operations.

Benefits

  • Strong, secure, yet flexible retirement benefits including a PERA Defined Benefit Plan or PERA Defined Contribution Plan plus 401(k) and 457 plans
  • Medical and dental health plans
  • Employer supplemented Health Savings Account
  • Paid life insurance
  • Short- and long-term disability coverage
  • 11 paid holidays per year plus vacation and sick leave
  • State of Colorado Employee BenefitHub Resource Center
  • Employee Wellness program
  • Excellent work-life programs, such as flexible schedules, training and more
  • Remote work arrangements for eligible positions
  • Some positions may qualify for the Public Service Loan Forgiveness Program
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