National Jewish Health

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Manager, Quality Management - Advanced Diagnostic Laboratories

at National Jewish Health

Posted: 7/13/2020
Job Status: Full Time
Job Reference #: 13337

Job Description

National Jewish Health/*National Jewish Health - Main Campus/Clinical Lab - Administration

Denver, CO

Full Time (40 hours per week)

Work Hours: 8:00 am - 5:00 pm

Req # 13337


Position Summary
Monitors, maintains, and coordinates the accreditation, compliance, and credibility of the clinical laboratories based on industry standards and all regulatory agencies. In collaboration with other management personnel in the laboratory matrix structure, manages the development and implementation of quality assurance programs with all processes in the hospital laboratories.  Develops and monitors balanced scorecard metrics.

Essential Duties

  1. Manages and develops an effective staff: providing effective communication, leadership, guidance and resources. Determines staff qualifications and competency:  recruits, interviews, selects, hires, trains, orients, mentors, evaluates, coaches, counsels, disciplines, and rewards.  Establishes and monitors staff safety and regulatory compliance.
  2. Partners with lab directors, managers, supervisors and their designees to develop mechanisms to assure compliance with all rules, regulations, and guidelines of CLIA, CAP, JCAHO, Medicare, GLP, GCP, ISO15189 Standards, and various state accreditation standards, permits, or licenses for all labs .
  3. Monitors the oncology satellite laboratory sites to sustain quality systems and ensure compliance with regulations.
  4. Responsible for overseeing that GLP and GCP processes are implemented effectively in applicable laboratories.  Lead QA Unit for studies tested on site, including all inspections and audit activities.  
  5. Monitors mechanisms to verify compliance with accrediting and regulatory requirements.  
  6. Verifies that all tests are monitored through an appropriate proficiency-testing program.
  7. Working with the Associate Executive Director, oversees prompt and complete reporting of occurrences and/or serious quality issues and assures effective corrective action including issuance of revised reports as applicable. Ensure a process is in place to resolve customer complaints regarding pre-analytical, analytical, and post-analytical issues.
  8. Coordinates internal inspection process of the laboratory units and specimen collection site to ensure compliance with regulations. In partnership with Associate Executive Director, review and ensure that corrective action is implemented when non-conformances are found.
  9. Working with the Executive Director, oversees that each Laboratory Director has a set of scorecard metrics that give a balanced view of the laboratories’ performance. 

Other Duties

  1. Participates in laboratory, hospital, and medical staff committee meetings as required and consult with medical, nursing, and administrative staff on a regular basis to coordinate and improve patient care. Incorporates integration of lab quality improvement initiatives with that of the hospital.
  2. Responsible for maintaining a high level of proficiency and current knowledge of trends in methodology, technology, and ways to manage quality and metrics in the clinical laboratory.


  1. Accountability:  Accepts full responsibility for self and contribution as a team member; displays honesty and truthfulness; confronts problems quickly; displays a strong commitment to organizational success and inspires others to commit to goals; demonstrates a commitment to National Jewish Health.
  2. Adaptability: Maintaining effectiveness when experiencing major changes in work responsibilities or environment; adjusting effectively to work within new work structures, processes, requirements, or cultures.
  3. Creativity and Innovation: Applies creative problem-solving skills to develop solutions to problems; recognizes and demonstrates the value in taking “smart” risks and learning from mistakes; develops multiple alternatives and understands the feasibility of each; effectively shares and implements his/her ideas. Generates innovative solutions in work situations; tries different and novel ways to deal with work problems and opportunities.
  4. Customer Focus: Ensuring that the customer perspective is a driving force behind business decisions and activities; crafting and implementing service practices that meet customers’ and own organization’s needs.
  5. Decision Making: Identifying and understanding issues, problems, and opportunities; comparing data from different sources to draw conclusions; using effective approaches for choosing a course of action or developing appropriate solutions; taking action that is consistent with available facts, constraints, and probable consequences.
  6. Drive for Results: Setting high goals for personal and group accomplishment; using measurement methods to monitor progress toward goals; tenaciously working to meet or exceed goals while deriving satisfaction from that achievement and continuous improvement.
  7. Informing and Communicating: Clearly conveying information and ideas through a variety of media to individuals or groups in a manner that engages the audience and helps them understand and retain the message.
  8. Peer Relationships: Interacts with others in a constructive, positive, and respectful manner, regardless of individual differences. Assists team members or co-workers in achieving personal goals and completing assignments.
  9. Perseverance/Resourcefulness: Works to apply new approaches to existing challenges when delegated; is open-minded and will find new solutions when obvious problem or gap exists; validates accuracy of information collected; uses internal knowledge bases or best practices.
  10. Problem Solving: Uses issue identification, data relation and comparison, pattern recognition and information gathering to create analyses and make recommendations.
  11. Talent Management for Leaders: Clearly establishes and communicates expectations and accountabilities; monitors and evaluates performance; provides effective feedback and coaching; identifies development needs and helps employees address them to achieve optimal performance. 

Supervisory or Managerial Responsibility    
Manages 1-5 employees


Core Values

  1. Be available to work as scheduled and report to work on time.
  2. Be willing to accept supervision and work well with others.
  3. Be well groomed, appropriately for your role and wear ID Badge visibly.
  4. Be in compliance with all departmental and institutional policies, the Employee Handbook, Code of Conduct and completes NetLearning by due date annually.
  5. Fosters an inclusive workplace where diversity and individual differences are valued and leveraged to achieve the vision and mission of the institution.
  6. Adheres to safe working practices and at all times follows all institutional and departmental safety policies and procedures. 
  7. Wears appropriate PPE as outlined by the infection control policies and procedures.
  8. Demonstrates compliance with all state, federal and all other regulatory agency requirements.

Minimum Qualifications

  1. Education: Bachelors in a scientific discipline or closely related field required.  Masters preferred.
  2. Work Experience: A minimum of 5 years working in Quality Management Program required, clinical laboratory experience preferred. Minimum of 3 years experience leading the work of others via direct or indirect supervision required. Experience in participating in preparing for regulatory inspection and accreditation programs preferred.
  3. Special Training, Certification or Licensure: Certified in quality management and regulatory compliance preferred.





Application Instructions

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