Company: Beaumont Hospitals
Location: Royal Oak
Posted on: June 12, 2021
Responsible for managing all aspects of the Laboratory
compliance program including conducting and overseeing internal
compliance audits and investigations; developing and implementing
content for laboratory compliance education and training; and
collaborating with the Laboratory Compliance Committee to define,
implement and maintain policies and procedures that support the
Laboratory Compliance Plan and help ensure ethical business
practices and compliance with Federal, State and local laws and
accrediting requirements. This position reports to the Outreach
- Conducts or oversees internal laboratory investigations
including communications, self-assessments, monitoring and auditing
to identify compliance vulnerabilities and risks and improve
effectiveness of the Laboratory Compliance Plan. Analyzes data and
presents findings including recommended corrective and preventative
action plans to the Laboratory Compliance Committee. Prepares
department compliance reports as required by Compliance. Monitors
status of remedial actions including conducting or overseeing
follow-up monitors or audits.
- Develops, implements, and maintains the Laboratory Compliance
Plan and associated policies and procedures in collaboration with
the Laboratory Compliance Committee. Monitors regulatory and
accrediting publications to proactively identify potential
compliance risks for more detailed evaluation. Collaborates with
Operations and others as appropriate to develop and maintain lab
- Establishes compliance education content and develops learning
tools and communications that support staff and client compliance
education activities. Monitors mandatory education to ensure
- Investigates complaints or conduct access certification reviews
as requested by Compliance Audit, Risk and IT Security Department.
Reviews contracts, agreements and other documents for compliances
risks seeking legal advice where appropriate. Maintains laboratory
services agreements and works directly with Beaumont Health Office
of the General Counsel to update content based on operational need
and laboratory service models. Initiates the appropriate Laboratory
agreement with external parties utilizing approved BH contract
database and maintains oversight to completion.
- Manages day-to-day operation of the Laboratory Compliance
program including overseeing compliance activities assigned to Data
Technician or other support staff.
This document represents the major duties, responsibilities, and
authorities of this job, and is not intended to be a complete list
of all tasks and functions. It should be understood, therefore,
that incumbents may be asked to perform job-related duties beyond
those explicitly described.
To perform this job successfully, an individual must be able to
perform each essential duty satisfactorily. The requirements listed
below are representative of the knowledge, skill and/or ability
required. Reasonable accommodations may be made to enable
individuals with disabilities to perform the essential duties.
- Education / Training:
- Bachelor's degree required.
- Work Experience:
- 3-5 years lab or compliance experience. Preferred: Knowledge of
compliance principles and regulatory requirements.
- Certification, Licensure, Registration:
- MT (ASCP) or CLS /Laboratory Certification preferred.
- Other Qualifications:
- Excellent communication skills (verbal and written), computer
software proficiency (Word, Excel, Access, Power Point, etc).
Excellent analytical skills and ability to handle several
responsibilities simultaneously. Experience doing on-line research.
Specialized in the area of keeping on top of regulatory matters and
changes and being able to handle multiple issues at one time.
Keywords: Beaumont Hospitals, Royal Oak , Compliance Coordinator, Other , Royal Oak, Michigan
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