Compliance Coordinator - Point of Care Testing North Region Coverage

Qualifications

At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry.

As an integral part of our team, you'll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system. We pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, our goal is to take care of our employees.

Ready to join our quest for better?

• Area of coverage includes Downtown Chicago and some northern suburbs
• Roughly 20-30% of workdays will require travel for site visits
• Some flexibility to work from home but will also have a designated workspace at 541 N. Fairbanks Ct., Chicago, IL.
• Must have a valid driver’s license and be willing to travel to off-site locations
• Reimbursable mileage

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.

• Develops and maintains a quality management system relative to the technical evaluation and improvement of services in relation to physician and patient care requirements. Documents all significant activities and recommends corrective action as necessary.
• Facilitates compliance with all federal, state, local, TJC, CAP, CLSI, and other multi-disciplinary, hospital regulations, policies and procedures. Reports significant events to NMH management and Medical Directors as required.
• Plans and facilitates departmental preparations for accreditation inspections. Responsible for inspections related to quality assurance, compliance and general laboratory policy and practice.
• Reviews and catalogs departmental incident reports, non-conformances and critical incident reports. Prepares regular reports regarding tracking and trending of quality issues, and presents the findings to appropriate management personnel.
• 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, and/or the laboratory liaison with NMH Safety, Emergency Management and Environment of Care departments.
• Orients, trains and oversees activities of the departmental Safety Officers to ensure compliance with hospital and regulatory agency requirements.
• 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…