Job Summary:
This role oversees the development, implementation, and maintenance of training, competency, and quality control programs for waived testing across Owensboro Health clinical sites. It ensures compliance with Joint Commission standards through policy development, site visits, and collaboration with clinic leadership, while serving as a technical resource and supporting accreditation readiness and regulatory compliance.
Job Responsibilities:
Directs training and competency programs for waived testing performed at Owensboro
Health/Owensboro Health Medical Group clinical sites as needed. Develops training and competency materials specific to the needs of the location.
Works with department and clinic leadership to ensure that orientation, initial training and annual competencies that are compliant with Joint Commission performance goals are completed for waived testing procedures
Develops and drafts required policies and procedures for waived testing.
Assists clinic leadership in maintaining, modifying, and reviewing policies and procedures.
Develops and maintains a spreadsheet of all POC testing and locations to facilitate accountability of compliance with required waived testing requirements.
Travels to clinic/outreach clinical sites as needed to maintain oversight.
Serves as a resource to assist clinical sites in choosing waived testing that best fulfills their needs while working toward a goal of standardization of methodologies and processes.
Participates in accreditation/survey events at these locations. Partners with clinic leadership to develop and implement an action plan and response to any deficiency identified during a regulatory/accreditation event.
Assists clinic leadership in implementing a quality control program for any waived test performed that is compliant with Joint Commission performance goals and meets organizational quality requirements.
Serves as a resource to answer technical questions and concerns related to waived testing.
Participates in periodic mock survey/tracer events conducted by the organization to assess compliance with required regulatory standards.
Skills and Attributes:
Requires critical thinking skills and decisive judgment.
Works under minimal supervision.
Must be able to work in a stressful environment and take appropriate action.
Position Requirements:
Work Experience
A minimum of 2 years' relevant experience required
Education
Bachelor's degree or higher in Science or related field required upon hire
Licensure/Certification/Registration
MT - Certified as a Medical Technologist through American Society for Clinical Pathology (ASCP) required upon hire OR
MT - Certified as a Medical Technologist through American Medical Technologists (AMT) required upon hire OR
MLS - Certified as a Medical Laboratory Scientist through American Society for Clinical Pathology (ASCP) required upon hire OR
CLS - Clinical Laboratory Scientist through American Society for Clinical Pathology (ASCP) required upon hire OR
CLS - Clinical Laboratory Scientist through American Medical Technologists (AMT) required upon hire OR
PBT – Phlebotomy Technician through American Society of Clinical Pathology (ASCP) required up on hire OR
PBT – Phlebotomy Technician through American Medical Technologists (AMT) required upon hire
Organizational Responsibilities:
Supports Owensboro Health’s Mission, Vision, Core Commitments, and business interests. Adheres to all organizational policies and procedures. Executes all tasks and behaves in a manner consistent with a culture of compliance, safety and a high reliability organization.
Additional Job Information:
This job description describes the general nature and level of work required by the position. It is not intended to be an all-inclusive list of qualifications, skills, duties, responsibilities or working conditions of the job. Specific duties and responsibilities consistent with the general nature and level of work described may vary by department and additional related duties may be assigned as needed. Some duties listed may not apply to all employees with this job description.
The job description is subject to change with or without notice, and Management reserves the right to add, modify or remove any qualification or duty. Nothing in this job description changes the existing at-will employment relationship between the Organization and the employee occupying the position.
Standard ADA Settings:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Physical Demands: (Clinical- Office/Clinic)
Standing: 75%
Walking: 75%
Sitting: 50%
Lifting 0-25 lbs: 25%
Lifting 25-75 lbs: 25%
Lifting over 75 lbs: 25%
Carrying 0-25 lbs: 25%
Carrying 25-75 lbs: 25%
Carrying over 75 lbs: 25%
Pushing/Pulling 0-25 lbs: 75%
Pushing/Pulling 25-75 lbs: 50%
Pushing/Pulling over 75 lbs: 50%
Climbing: 50%
Bending/Stooping: 75%
Kneeling: 50%
Crouching/Crawling: 50%
Reaching: 75%
Talking: 75%
Hearing: 75%
Repetitive Foot/Leg Movements: 25%
Repetitive Hand/Arm Movements: 75%
Keyboard Data Entry: 75%
Running: 25%
Vision: Depth Perception: 75%
Vision: Distinguish Color: 75%
Vision: Seeing Far: 75%
Vision: Seeing Near: 75%
Hazardous Drug Risk Exposure:
Risk Level: Low-Risk
Owensboro Health Core Commitments
INTEGRITY - We conduct ourselves with a high level of responsibility, reliability and honesty because we take seriously the trust of our patients and coworkers.
RESPECT - We value and accept the unique talents and contributions of every patient, customer and team member in the Owensboro Health community.
TEAMWORK - We build a spirit of connectivity and fellowship by striving together to overcome obstacles, surpass goals, celebrate accomplishments and plan the future.
INNOVATION - We foster original ideas and creative solutions that improve our daily work and promote the mission of Owensboro Health.
SERVICE - We focus on service to patients, customers and team members by anticipating their needs, thoughtfully meeting those needs and continually improving the quality of everything we do.
EXCELLENCE - We reach beyond basic expectations to expand our knowledge and awareness, produce exceptional work and provide outstanding service.
Owensboro Health is a nonprofit health system with a mission to heal the sick and to improve the health of the communities it serves in Kentucky and Indiana. The system includes Owensboro Health Regional Hospital, nationally recognized for design, architecture and engineering; Owensboro Health Muhlenberg Community Hospital; the Owensboro Health Medical Group comprised of over 200 providers at more than 20 locations; three outpatient Healthplex facilities, a certified medical fitness facility, the Healthpark; a surgical weight loss center and program, and the Mitchell Memorial Cancer Center.
On average each year, we have 16,000 inpatient admissions, deliver 2,000 babies and provide the region’s only Level III NICU. Owensboro Health physicians perform nearly 24,000 surgical procedures, including nearly 200 open-heart surgeries. Our physicians and staff have 70,000 Emergency Department visits, more than a million outpatient visits annually. Visit our home page for more information.
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