CHRISTUS Santa Rosa Hospital - Westover Hills (CSRH-WH) is a 253-bed hospital serving the fastest- growing area of San Antonio. Specialized care includes orthopedic and surgical care with advanced spine surgery, Intensive Care, complex neurology for treating stroke and other neurovascular issues, comprehensive cardiovascular care from diagnostics to open heart surgery, vascular lab, sleep center, women?s services, a newborn nursery, the CHRISTUS Weight Loss Institute, wound care, rehabilitation, emergency services, and more. The campus also boasts an Outpatient Imaging Center, an Ambulatory Surgery Center, and four medical plazas, one of which houses our CHRISTUS Santa Rosa Family Medicine Residency Program and CHRISTUS Santa Rosa Family Health Center.
Summary:
Responsible for organizing, planning, directing, evaluating and providing general oversight for all laboratory operations within CHRISTUS Santa Rosa - Medical Center, which includes outreach services, computer operations, pre and post analytic testing, associate safety, and equipment/supply inventory expense control. Provides essential leadership and administrative support to laboratory associates. Ensures standards of care are consistent with the System?s Mission and all regulatory requirements. Works closely with hospital administration to facilitate the achievement of the department?s goals. Promotes the development of associates and process improvement initiatives to maintain quality, cost-effective services and patient, physician and associate satisfaction.
Responsibilities:
Maintains consistency with Administrative and Departmental policies with appropriate behavior, dress, attitude, attendance, confidentiality, professionalism, and reliability.
Represents facility in community activities as means of promoting the organization and its mission as evidenced by:
Membership in civic organizations such as Lions Club, Heart Association, Rotary, etc.
Active participation in local professional chapters
Assures areas of responsibility are in compliance with regulatory agencies including educating all appropriate parties and seeking Process Improvement as evidenced by:
TJC, CAP, and OSHA standards
State and Federal regulations
Patient, Physician and Associate Satisfaction Surveys
Internal and external audits
Improved policies, procedures, and practices
Comparison of department or area outcomes to other CHRISTUS facilities
Maintains focus on providing a safe work environment. Pro-actively designs & implements an organized process to address Safety/Risk Management issues as evidenced by:
Attendance at Department Safety/Risk Management education programs
Implements annual Department Safety/Risk Management plan
Safety variances trends
Has expected rates of injuries, lost days, etc. for similar types of departments or areas
Takes initiative and identifies opportunities to deal with issues including customer complaints and associate related issues including staffing, retention, recruitment, turnover, communication, performance management, etc. as evidenced by:
Associate, Patient, and Physician Satisfaction Surveys
Regulatory Compliance
Process Improvement activities
Turnover Rates
Department Meeting minutes
Provide examples of initiatives taken to better meet customer needs and/or organizational goals
Ensures the competence of all staff members is assessed, evaluated, demonstrated, maintained, and improved continually. Ensures staff compliance with education requirements and encourages staff involvement in activities that support the organization as evidenced by:
TJC Standards
Department Education records
Healthstream (HLC) records
Department Meeting minutes including Compliance topics as appropriate
Regulatory compliance
Department Orientation for new staff
Associate Evaluations and, if necessary, Performance Improvement Plans
Needs Assessment
Meets Management Behavioral Expectations as evidenced by:
Timely completion of 100% of annual and introductory period evaluations.
Meets agreed upon due dates such as complete and meaningful Service Line Reports, Department Payroll approvals, Budgets, Special Projects, Potential Compensatory Events, Quality Reporting, and Fire Drill documentation.
Supports Communication Plan by holding regular monthly department meetings, attending regularly scheduled Management Meetings, attending majority of Associate Town Meetings, and attending Cultural Diversity, Integrity training or other mandatory meetings.
Shares Patient and Associate Satisfaction survey results in department meetings as recorded in department meeting minutes.
Operating and capital budgets are effectively developed, monitored, and managed. Efforts are undertaken to control or reduce cost and/or reduce inventory levels while improving outcomes as evidenced by:
Budgeted Units of Service and controlling costs by Units of Service
Process Improvement opportunities identified and/or implemented
Needs Assessments
Feasibility studies and analyses
Comparative bench marking database
Internal Standards
Actively identifies new customers. Promotes new or expanded services as a means to increase revenue or enhance/compliment current services as evidenced by:
Customer, Patient, and Physician Satisfaction Surveys
Feasibility Studies and Analysis
Business Progress Reviews and Follow-up
Community Needs Assessment
Requirements:
Education/Skills
Baccalaureate degree in Clinical Laboratory Science or natural sciences required. MBA, MHA, or Masters degree in administration preferred.
Demonstrated ability to problem solve and be supportive/innovative of new processes.
Strong critical thinking skills.
Knowledge of change management and team dynamics.
Ability to develop and maintain productive relationships with customers.
Strong financial, regulatory and reimbursement knowledge a plus.
Excellent oral and written communication skills. Knowledge of common software programs (Word, Excel, Access, Outlook, etc.) and LIS/HIS.
Experience
Four years experience is CLIA defined, high-complexity laboratory required. Minimum two years management experience required.
Multi-hospital system experience preferred.
Knowledge of accreditation requirements: Clinical Laboratory Improvement Act (CLIA), College of American Pathologists (CAP), and The Joint Commission (TJC), as applicable.
Licenses, Registrations, or Certifications
M.T. (ASCP) or CLS (NCA) preferred.
Membership in professional organization(s) preferred.
CHRISTUS Health is an international faith-based, not-for-profit health care system based in Irving, Texas, with more than 60 hospitals in Texas, Louisiana, New Mexico, Chile, Colombia and Mexico. CHRISTUS Health is made up of 50,000 Associates providing compassionate and individualized care at more than 600 centers, including community hospitals, clinics, long-term care facilities and health ministries. Sponsored by the Sisters of Charity of the Incarnate Word of Houston, Sisters of Charity of the Incarnate Word of San Antonio and the Sisters of the Holy Family of Nazareth, our mission is to extend the healing ministry of Jesus Christ to every individual we serve.