Histology Laboratory Manager

Fiscal Responsibility

• Takes full fiscal responsibility for section oversights, including but not limited to: preparing and managing an operating budget, managing staffing expenses and overtime (OT), capital budget, analyzing billing codes, preparing return on investment business analysis, fully supporting the revenue integrity of the Laboratory including accurate charges, billing and collections.

• Continually audits test billing codes to ensure accuracy.

• Continually monitors overtime to achieve BMC’s goal of <1.8% OT.

• Contributes to departmental goals of improving cost effectiveness, optimization of resources and revenue enhancement.

• Updates equipment maintenance and service agreements in collaboration with the Supply Chain department, with standards such as two years of service included with all new equipment and upgrades included during agreed upon life span.

Quality, Compliance and Safety

• Ensures quality and compliance data for all sections is collected, analyzed, reviewed and disseminated in accordance with the requirements of accrediting agencies, particularly the College of American Pathologists (CAP) and BMCs Patient Quality and Safety department.

• Oversees and ensures all RL6 Incident Safety reports are followed up to completion in a timely manner.

• Informs Operations Director(s) in detail regarding STARS reports of high critical levels.

• Works with Manager(s) of Quality & Compliance to prepare reports for Quality Improvement Program (QUIP) monthly reviews.

• Ensures ongoing compliance with all applicable regulatory agencies for department section (including but not limited to: CLIA, TJC, OSHA, DPH, HCFA, FDA, AABB, NCCLS).

• Participates in hospital-wide Quality Assurance Program as designed by regulatory agencies, by the BMC Quality and Patient Safety Department or by the departmental/sectional Quality Assurance Policies.

• Participates in planning, data collection, monitoring evaluation and action on assigned projects within agreed upon time frames.

• This includes appropriate turnaround time studies and program logs as described in the departmental/sectional policy.

• Supports technical staff throughout the department in management of Quality Control and Quality Assurance data in accordance with the Quality Control Policies of the department.

• Ensures manager maintenance of Policy and Procedure Manuals using the NCCLS format in compliance with regulatory agencies ensuring documentation of supervisor and medical director annual review.

• Review performed in Media Lab.

• Ensures familiarity with and proper usage of all required safety equipment including spill response kits and proper use of PPE.

• Demonstrates a concern for patient safety and welfare and a commitment to the mission of the BMC.

• Utilizes BMC values as the basis for decision making and to facilitate the division's hospital mission.

• Follows established hospital infection control and safety procedures.

Technical Expertise

• Utilizing scientific experience and expertise, provides appropriate guidance and/or resolution for problems (i.e., problems involving analytic instrumentation equipment, tests systems clinical correlation, therapeutic decision making, backup systems, and system performance).

• Plans, evaluates and implements new or different methodologies and technology that enhance or expand laboratory services in areas of oversight.

• Reviews (monthly) documentation in areas of oversight that all equipment and instrumentation are properly maintained and in good working order.

• Monitors managers for complete equipment record keeping including PM’s, service calls and IQ/OQ/PQ.

• Utilizing scientific experience and expertise, provides appropriate guidance and/or resolution for problems (i.e., problems involving analytic instrumentation equipment, tests systems clinical correlation, therapeutic decision making, backup systems, and system performance).

Human Resources

• Interviews and aids in candidate selection with input from hospital staff, such as Human Resources personnel, the Medical Director of the Laboratory Section, and the technical staff.

• Recommends salary rates for new employees while maintaining intra-departmental equity.

• Provides guidance to managers for the orientation of all testing personnel to ensure that they can effectively perform procedures in accordance with laboratory standards.

• Provides oversight of the counseling and disciplinary action process by coordinating activities with input from hospital staff, such as Human Resources personnel, the Medical Director of the Laboratory section, and other personnel as needed.

• Executes disciplinary action consistent with hospital and departmental policies and procedures.

• Documents as required.

• Embraces the BMC Performance Management Process by providing on-going feed-back to staff and written annual evaluations.

• Completes recommended manager training.

• Ensures managers establish and document competency assessment of the technical staff.

• Provides continuing education opportunities to staff.

• Embraces and actively supports employee engagement, provides huddles and other forms of inter-departmental communication.

• Works with other managers and supervisors to ensure the optimal utilization of the staff for the overall benefit of the department.

• Facilitates cross training and other programs involved in intersectional cooperation.

• Accurately documents staff attendance and ensures compliance with hospital policy regarding time management.

• Demonstrates a commitment to continue self-development in management skills and scientific knowledge by attending at least one management and/or scientific workshop per year.

• Demonstrates reliability: follows hospital and departmental policies and procedures; demonstrates consistent attendance and punctuality at work and departmental meetings; and completes work assignments within assigned time frames.

• Provides coordination and consolidation of laboratory job descriptions, updates as required.

Communication

• Communicates with staff through scheduled regular meetings.

• Ensures agenda and summarizes meeting minutes to staff members via email or other transparent method.

• Demonstrates willingness to accept instruction, guidance and/or feedback from staff, peers.

• Effectively communicates with the medical and nursing staff to ensure the highest quality of service to user departments, individuals and caregivers.

• Effectively cooperates and communicates with staff, members of other hospital departments.

• Ensures a customer service focused environment at BMC’s laboratories.

• Values and responds to customer feedback by taking appropriate action to improve suboptimal services.

Other

• Project management as assigned, requiring SME execution of project management software such as ProjectPlace.

• Performs other duties as needed.

• Must adhere to all of BMC’s RESPECT behavioral standards.

(The above statements in this job description are intended to depict the general nature and level of work assigned to the employee(s) in this job. The above is not intended to represent an exhaustive list of accountable duties and responsibilities required)

JOB REQUIREMENTS

EDUCATION:

• Requires an Associate’s Degree or Bachelor’s degree from an accredited university or college in Biological Sciences, or related Clinical Laboratory Science which includes successful completion of a supervised course of clinical internship in an approved hospital laboratory, or a Bachelor’s degree in a life science (for example Chemistry, Biology or Biochemistry etc.).

CERTIFICATES, LICENSES, & REGISTRATIONS:

• Preferred: Certification by American Society of Clinical Pathologists (ASCP) or National Credentialing Agency (NCA) or equivalent agency as a Histotechnician (HT) or Histotechnologists (HTL), Pathologist Assistant (ASCP)

EXPERIENCE:

• Minimum of 5 years’ experience in a pathology laboratory required.

• Supervisory experience in a clinical pathology is strongly preferred.

• In depth familiarity with requirements of accrediting agencies, particularly The Joint Commission and College of American Pathologists.

KNOWLEDGE AND SKILLS:

• Outstanding organizational and interpersonal skills as well as strong leadership qualities to effectively manage area of charge.

• In-depth scientific understanding of the areas of charge and must be knowledgeable about and able to perform all tasks delineated in the job description of a Histotechnologist.

• SPECIAL WORKING CONDITIONS (Responsible for on-call, 24 hr. coverage, etc.):

• May need to provide 24 hr.

• On-call coverage.