Laboratory Quality Systems Manager

Position Summary
Under the direction of the Administrative Director, the Laboratory Quality Systems Manager is responsible for monitoring the quality and appropriateness of laboratory services to pursue opportunities to improve patient care and to resolve identified problems. This includes, but is not limited to, coordinating integration of laboratory Quality Systems Management/Continuous Quality Improvement (QSM/CQI) program with goals and mission of University Hospital CQI program/activities and for assurance of compliance with regulatory agency and institutional standards regarding Safety, ensuring compliance with all regulatory agencies (NYSDOH CLEP, CAP, CLIA, JCAHO, FDA, etc.) in regard to Quality Systems Management and Clinical Laboratory Personnel Educational Program Standards, coordinates Department of Laboratories in-service Educational Programs for staff development and training in sync with regulatory Clinical Laboratory Personnel Educational Program Standards, coordinating benchmarking efforts and assists in Ad Hoc administrative projects, acting as a Document Control Administrator (DCA) for Document Control Software at Stony Brook University Hospital Department of Laboratories, Stony Brook Southampton Hospital and Stony Brook Eastern Long Island Hospital Clinical Laboratories, and performs all other day to day activities concerning quality, safety, personnel training and benchmarking.

Duties of the Laboratory Quality Systems Manager may include the following but are not limited to:
· Monitors, on a continuous basis, the quality and appropriateness of laboratory services in an objective and systemic manner in order to pursue opportunities to improve patient care and to resolve identified problems:
o Responsible for compliance with all regulatory agencies (NYSDOH CLEP, CAP, CLIA, JCAHO, FDA, etc.) in regard to Quality Systems Management Standards and Performance Improvement Standards.
o Responsible for designing intra-departmental QA monitors for incorporation into the Laboratory Quality Systems Management Program.
o Creation and implementation of documentation formats to be utilized in identification of problems and corrective actions.
o Establishes coordinated Laboratory Quality Systems Management plan involving multiple departments and disciplines in a collaborative effort to improve performance for patient health outcomes.
o Responsible for reporting relevant Quality Systems Management corrective actions to the appropriate committees or departments in a timely manner.
o Ensures that, as part of the annual appraisal of the institution's quality assurance program, the effectiveness of monitoring, evaluation and problem solving activities of the Laboratories Quality Systems Management Program is reviewed for appropriate corrective action.
o Participates in various departmental and institutional Quality Systems Management committees.
o Coordinates policy development for the Laboratory Quality Systems Program.
o Develops, implements and monitors interdepartmental collaborative efforts for communication of laboratory's role in patient care.

· Coordinates Department of Laboratories in-service Educational Programs.
o Creation of standardized formats for documentation of all educational activities
o Coordinator of Clinical Practicum Rotations for the Department of Laboratories with Stony Brook Department of Health Technology and Managements Clinical Laboratory Sciences Program etc.
o Creates standardized formats for documentation of all educational activities. Implementation of in-service educational programs offering formal continuing medical educational units (CMEs).
o Responsible for compliance with all regulatory agencies (NYSDOH CLEP, CAP, CLIA, JCAHO, FDA, etc.) in regard to Educational Program Standards. Establishes recertification process to meet mandated requirements.

· Coordinates Department of Laboratories Safety Program.
o Assures compliance with regulatory agency and institutional standards regarding safety
o Coordinates laboratory service response to institutional education safety issues.
o Develops, implements and monitors laboratory policies and ensures initiatives are aligned with SBUH Safety policies and initiatives e.g. patient safety, emergency management plan d) Represents the laboratories on various institutional safety committees

· Coordinates benchmarking efforts to include:
o Department of Laboratories representative to various institutional benchmarking programs, i.e., Action OI, Vizient etc.
o Responsible for Department of Labs response to all Institutional benchmarking informational requests
o Coordinates Lab specific benchmarking programs which includes information gathering, documentation and analysis
o Reports results on an ongoing basis to appropriate clinical and administrative staff
o Utilizes analysis of all benchmarking programs for Quality Systems efforts

· Performs additional Ad hoc administrative projects as requested
· Acts as a Document Control Administrator (DCA) for Document Control Software for Stony Brook University Hospital Department of Laboratories, Stony Brook Southampton Hospital (SBSH) and Stony Brook Eastern Long Island Hospital (SBEILH) Clinical Laboratories. Duties include but are not limited to:
o Coordination of the implementation and execution of all laboratory policies & procedures on the Document Control Software at Stony Brook University Hospital and migration of Laboratory Policies & Procedures to Policy Tech for SBSH and SBEILH. Continuing collaboration with SBSH and SBEILH leadership to ensure a successful migration. Ensures that the Clinical Laboratories policies & procedures are standardized as much as possible.
o Ongoing maintenance of Document Control Software for the Dept. of Labs at Stony Brook University Hospital and collaboration as DCA for the Clinical Laboratories at SBSH and SBEILH.
o Manage Laboratory user access and permissions and trouble shoot issues with the program and its applications at Stony Brook University Hospital and coordinate user access and permissions at SBSH and SBEILH.
o Site visits as necessary to SB Southampton Hospital and SB Eastern Long Island Clinical Laboratories.
o Assist the SBSH and SBELIH Laboratory Administrative Directors with ongoing issues and training as necessary. Assists in creation of a Laboratory User's Manual for those hospitals for Policy Software.
o Assist the SB Southampton and SB Eastern Long Island Hospital Administrative Directors with back-up system process.

Qualifications
Required Qualifications:
· Bachelor's degree in medical technology/clinical laboratory sciences, chemical, physical or biological sciences.
· 5 years' experience as a medical technologist is required. A minimum of 2 years' experience in Quality Systems Management responsibilities including meeting regulatory/accreditation requirements, and performance improvement in a healthcare setting is required.
· Knowledge of all relevant regulatory agency standards is required.
· Experience in in-service educational programs and clinical Laboratory Benchmarking Programs are required.
· Competency with computer applications, e.g. Microsoft Office (word, excel and PowerPoint) required.
· Excellent interpersonal and written skills are required. Candidate must be able to think tactically and strategically.

Preferred Qualifications:
· MS degree in a Health Care discipline
· 3 years of supervisory experience.
· ASCP or NY SED licensure as a Clinical Laboratory Technologist or equivalent.

Special Notes: This position will remain posted until filled or for 90 days max.

An initial review of all applicants will occur two weeks from the posting date. For full consideration, applications must be received before the initial review date (which is within two weeks of the posting date). If within the initial review no candidate was selected to fill the position posted, additional applications will be considered for the posted position; however, the posting will close once a finalist is identified, and at minimal, two weeks after the initial posting date. Please note, that if no candidate were identified and hired within 90 days from initial posting, the posting would close for review, and possibly reposted at a later date.

Stony Brook Medicine is a smoke free environment. Smoking is strictly prohibited anywhere on campus, including parking lots and outdoor areas on the premises.

All Hospital positions are subject to changes in pass days and shifts as necessary. This position may require the wearing of respiratory protection, which may prohibit the wearing of facial hair.

The selected candidate must successfully clear a background investigation. Prior to start date, the selected candidate must meet the following requirements: Successfully complete pre-employment physical examination and obtain medical clearance from Stony Brook Medicine's Employee Health Services (The hiring department will be responsible for any fee incurred for examination), submit (3) written references, and provide a copy of any required New York State license(s)/certificate(s). Please be advised that failure to comply with any of the above requirements could result in a delayed start date and/or revocation of the employment offer.

The best ideas in medicine start with the best people. At Stony Brook Medicine, our highest calling is to put the power of ideas to work in our patients' lives. Stony Brook Medicine integrates and elevates all of our health-related initiatives: education, research and patient care. Stony Brook Medicine is Long Island's premier academic medical center. With 603 beds, we serve as the region's only tertiary care center and Level 1 Trauma Center, and are home to the Stony Brook Heart Institute, Stony Brook Cancer Center, Stony Brook Children's Hospital, Stony Brook Neurosciences Institute, and Stony Brook Digestive Disorders Institute. We also encompass Suffolk County's only Level 4 Regional Perinatal Center, state-designated AIDS Center, state-designated Comprehensive Psychiatric Emergency Program, state-designated Burn Center, the Christopher Pendergast ALS Center of Excellence, and Kidney Transplant Center. It is home of the nation's first Pediatric Multiple Sclerosis Center.

Stony Brook University is committed to excellence in diversity and the creation of an inclusive learning, and working environment. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, pregnancy, familial status, sexual orientation, gender identity or expression, age, disability, genetic information, veteran status and all other protected classes under federal or state laws.

This function/position has been designated as "essential." This means that when the Hospital is faced with an institutional emergency, employees in such positions may be required to remain at their work location or to report to work to protect, recover, and continue operations at Stony Brook Medicine, Stony Brook University Hospital and related facilities.

Pursuant to Executive Order 161, no State entity, as defined by the Executive Order, is permitted to ask, or mandate, in any form, that an applicant for employment provide his or her current compensation, or any prior compensation history, until such time as the applicant is extended a conditional offer of employment with compensation. If such information has been requested from you before such time, please contact the Governor's Office of Employee Relations at (518) 474-6988 or via email at info@goer.ny.gov.

IF YOU NEED A DISABILITY-RELATED ACCOMMODATION, PLEASE CALL THE UNIVERSITY HUMAN RESOURCE SERVICES DEPARTMENT AT (631) 632-6161 OR THE UNIVERSITY HOSPITAL HUMAN RESOURCES DEPARTMENT AT (631) 444-4700. IN ACCORDANCE WITH THE TITLE II CRIME AWARENESS AND SECURITY ACT, A COPY OF OUR CRIME STATISTICS IS AVAILABLE UPON REQUEST BY CALLING (631) 632-6350. IT CAN ALSO BE VIEWED ON-LINE AT THE UNIVERSITY POLICE WEBSITE AT http://www.stonybrook.edu/police

For more information and to apply, visit: https://stonybrooku.taleo.net/careersection/2/jobdetail.ftl?job=2001710





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