Laboratory Quality Program Manager

Job Description

Nemours Children's Health is seeking a Laboratory Quality Program Manager to join our team in either Wilmington, Delaware or Orlando, Florida. Nemours Children’s Health is an internationally recognized children’s health system. With more than 1.7 million patient encounters annually, we provide medical care in five states through two freestanding state‑of‑the‑art children’s hospitals — Nemours Children’s Hospital, Delaware and Nemours Children’s Hospital, Florida.

Our pediatric network includes 80 primary‑urgent‑and specialty care practices and more than 40 hospitalists serving 19 affiliated hospitals.

Nemours Children’s Health is an internationally recognized children’s health system. With more than 1.7 million patient encounters annually, we provide medical care in five states through two freestanding state‑of‑the‑art children’s hospitals — Nemours Children’s Hospital, Delaware and Nemours Children’s Hospital, Florida. Our pediatric network includes 80 primary‑urgent‑and specialty care practices and more than 40 hospitalists serving 19 affiliated hospitals. The Laboratory Quality Program Manager 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);

CAP, CMS, JC, AABB, FACT, etc. Accountable to create processes and systems to monitor quality data and performance. Accountable to recommend, along with lab and medical leadership, strategies to improve performance, safety and compliance. Must work closely with the departments of Quality and Safety and Continuous Improvement ensuring Nemours’ performance improvement standards are followed. Will attend applicable meetings and potentially present lab quality data results in various forums.

Applies a combination of analytical, communication and reasoning skills to accurately and efficiently ensure that procedures adhere to safety and compliance rules and regulations.
In support of the system, this role is a hybrid position requiring both in‑person and remote support with an expectation to travel between both NCHFL & NCHDE Hospitals and other Nemours locations, as deemed necessary.

• 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. In this capacity, 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 (KPI) s 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…