Laboratory Quality Program Manager

The Nemours Foundation•Wilmington, NC

9d•Hybrid

About The Position

Nemours Children's Health is seeking a Laboratory Quality Program Manager to join their team in either Wilmington, Delaware or Orlando, Florida. This role serves at the health system level, ensuring compliance with applicable regulatory agencies governing clinical and anatomical pathology laboratories, as well as all aspects of transfusion medicine (Blood Bank, Cellular Gene Therapy laboratory, Apheresis). The position is accountable for creating processes and systems to monitor quality data and performance, and for recommending strategies to improve performance, safety, and compliance in collaboration with lab and medical leadership. This role requires close collaboration with the departments of Quality and Safety and Continuous Improvement to ensure adherence to Nemours’ performance improvement standards. The Laboratory Quality Program Manager will attend applicable meetings and may present lab quality data results in various forums. This hybrid position requires both in-person and remote support, with an expectation to travel between NCHFL & NCHDE Hospitals and other Nemours locations as needed.

Requirements

Bachelor's degree in Medical Technology or Health Sciences OR Bachelor’s degree in a chemical, physical or biological science with an Associate’s degree in Medical Laboratory Technology required.
Minimum of 5 years’ experience in laboratory medicine required.
One-year supervisory experience, such as a supervisor or Lead Tech required.
MT(ASCP), MLS(ASCP), MT(AMT), or CLS(NCA), or equivalent certification required.

Nice To Haves

Master’s degree in business and/or clinical specialty preferred.
Previous quality management experience preferred.
ASQ or other quality certification preferred.

Responsibilities

Ensures compliance with all applicable regulatory and accreditation standards governing the clinical and anatomical pathology laboratories as well as all aspects of transfusion medicine (Blood Bank, Cellular Gene Therapy laboratory, Apheresis; for example, CAP, CMS, Joint Commission and AABB, FACT, as well as any state/federal licensure).
Oversees compliance of Proficiency Testing, CAP standards, non-conforming events, procedure/policy and process review.
Serves as the department representative during all audits/inspections, assisting auditors with any inquiries and reporting findings to management.
Identifies and monitors Key Performance Indicators (KPIs) for the lab.
Communicates with lab and medical leadership when targets are not achieved.
Establishes the PI model to improve performance.
Works collaboratively with laboratory leadership to implement, maintain and regularly review quality control programs.
Identifies and resolves technical problems ensuring appropriate remedial action is taken and documented whenever test systems deviate from established performance specifications.
Works collaboratively with the applicable technical supervisors to create, monitor and maintain relevant IQCP documents.
Works with the technical supervisors to devise streamlined competency documents for staff and holds accountability for the competency assessment program overall.
Presents quality metrics to leadership monthly and to the Quality and Safety forums, etc.
Compiles a CAP-compliant year-end summary of the overall quality management of the laboratories to be reviewed and approved by the Medical Director.
Serves on relevant laboratory and organizational committees and work groups including the Quality and Safety Committees.
Pursues knowledge of current and future advances in medical laboratory sciences and applies to the laboratory.
Remains aware of developments in the quality field by reading current technical literature, maintaining memberships in professional organizations and/or attending technical industry conferences/meetings.