Compliance Coordinator - Heme/Coag/Flow/Micro, Full-Time, Days

Northwestern Memorial Hospital; Chicago (IL); On-site; USD 55,000 - 76,000; Full time

Job summary

Northwestern Medicine in Chicago, IL is seeking a Compliance Coordinator for the laboratory services including Transfusion Medicine, Blood Bank, Pathology, and Blood Gas areas. You will ensure regulatory compliance, quality planning, and ongoing audits across departments.

The role emphasizes collaboration with Medical Directors and department managers, maintaining up-to-date regulatory knowledge, and leading staff training and documentation to support accreditation and quality improvement

Qualifications

• Bachelor's Degree required; 5+ years in clinical laboratory, Transfusion Medicine, or Blood Gas Laboratory
• Knowledge of CAP and TJC Standards; IDOT, OSHA and CLIA regulations; CLSI guidelines
• Experience with quality systems and regulatory audits
• Strong collaboration with Medical Directors, Managers, and hospital departments

Responsibilities

• Develops and maintains a quality management system relative to evaluation and improvement of services.
• Facilitates compliance with federal, state, local, TJC, CAP, CLSI and other regulations.
• Plans and facilitates accreditation inspections and audits; reports findings to management.
• Maintains quality data collection and prepares reports on trends and corrective actions.
• Provides training on quality, compliance and safety to staff; creates SOPs and lab policies.

Skills

CAP/TJC standards knowledge

OSHA/CLIA regulations

Interdepartmental communication

Education

Bachelor's Degree

Master's Degree (preferred)

Tools

DMAIC quality system

Job description

The salary range for this position is $40.62 - $54.84 (Hourly Rate)
Placement within the salary range is dependent on several factors such as relevant work experience and internal equity. For positions represented by a labor union, placement within the salary range is guided by the rules outlined in the collective bargaining agreement.
We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section located at jobs.nm.org/benefits to learn more.
Northwestern Medicine is powered by a community of colleagues who are purpose-driven and committed to our mission to deliver world-class care. Here, you\'ll work alongside some of the best clinical talent in the nation leading the way in medical innovation and breakthrough research with Northwestern University Feinberg School of Medicine.
We recognize where you\'ve been, and we support where you\'re headed. We celebrate diverse perspectives and experiences, which fuel our commitment to equity and culture of service.
Grow your career with comprehensive training and development opportunities, mentorship programs, educational support and student loan repayment.
Create the life you envision for yourself with flexible work options, a Reimbursable Well-Being Fund and a Total Rewards package that support your physical, mental, emotional, and financial well-being.
Make a difference through volunteer opportunities we offer in local communities and drive inclusive change through our workforce-led resource groups.
From discovery to delivery, come help us shape the future of medicine.
Benefits:
$10,000 Tuition Reimbursement per year ($5,700 part-time)
$10,000 Student Loan Repayment ($5,000 part-time)
$1,000 Professional Development per year ($500 part-time)
$250 Wellbeing Fund per year ($125 for part-time)
Matching 401(k)
Excellent medical, dental and vision coverage
Life insurance
Annual Employee Salary Increase and Incentive Bonus
Paid time off and Holiday pay
Description
This role covers the following lab areas: Hematology, Hemostasis, Flow Cytometry and Microbiology
The Compliance Coordinator reflects the mission, vision, and values of Northwestern Memorial, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.
The Compliance Coordinator will work with Medical Directors and Managers to assure regulatory compliance of department activities and provides consultation to other hospital departments and committees regarding regulatory requirements in Transfusion Medicine (Blood Bank), the Pathology Laboratories, or the Blood Gas laboratory, as applicable.
The Compliance Coordinator will maintain the highest degree of expertise in quality, compliance, regulatory, and accreditation requirements through attendance at professional, association and scientific meetings, and through continual dialogue with regulators and experts in the field.
Responsibilities:

• Develops and maintains a quality management system relative to the technical evaluation and improvement of services in relation to physician and patient care requirements. Documents all significant activities and recommends corrective action as necessary.
• Facilitates compliance with all federal, state, local, TJC, CAP, CLSI, and other multi-disciplinary, hospital regulations, policies and procedures. Reports significant events to NMH management and Medical Directors as required.
• Plans and facilitates departmental preparations for accreditation inspections. Responsible for inspections related to quality assurance, compliance and general laboratory policy and practice.
• Reviews and catalogs departmental incident reports, non-conformances and critical incident reports. Prepares regular reports regarding tracking and trending of quality issues, and presents the findings to appropriate management personnel.
• Provides assistance to senior staff in analysis and corrective action plan development in response to incidents.
• Orients, trains and oversees activities of senior staff responsible for laboratory and departmental document control.
• Serves as, or works in cooperation with, the department primary Safety and Emergency Management Officer, and/or the laboratory liaison with NMH Safety, Emergency Management and Environment of Care departments.
• Orients, trains and oversees activities of the departmental Safety Officers to ensure compliance with hospital and regulatory agency requirements.
• Provides training to departmental staff on quality, compliance and safety issues.
• Authors and maintains their respective Laboratory Quality Plan, as required by applicable regulatory agencies.
• Develops agendas and creates meeting minutes for department and hospital quality meetings.
• Establishes ongoing quality data collection which enables monitoring of testing systems. Maintains knowledge and utilizes appropriate resources to provide consultative, educational, technical, or informational services as needed to self, staff or patients.
• Manages departmental supply recalls in accordance with regulatory requirements.
• Develops and supervises departmental operation audits and communicates results to laboratory management.
• Conducts audits and evaluates and prepares reports recommending improvements in process and workflow for laboratory sections in compliance with DMAIC principles.
• Assures that responses to audits, both internal and external, are well documented.
• Authors and revises, as needed, departmental SOPS related to compliance, quality and laboratory general policies. Reviews and documents review of laboratory and departmental SOPS for compliance with regulatory standards and internal policies.
• Assures that research activities performed in the section are in compliance with Hospital Research policies.
• Maintains departmental quality, accreditation and regulatory records.

Additional Functions

• Develops and maintains a higher level of expertise in the specific areas of responsibility.
• Participates in and presents at laboratory meetings and continuing education programs.
• Participates in hospital quality and safety meetings as assigned.

LEADERSHIP/PROBLEM SOLVING

• Adheres to Patients First Management standards on leadership, communication and visibility.
• Coordinates critical situations involving patients, staff, and visitors and consults with manager or administrator for guidance as needed (e.g., complaints, discipline, the press, etc.).
• Facilitates effective interdepartmental communication of incidents with appropriate personnel (Manager, Administrator, Medical Staff; etc.).
• Promotes philosophy and objectives of the Hospital, Division and Department.
• Identifies and communicates key issues and trends to manager.

PROFESSIONAL/PERSONAL DEVELOPMENT

• Establishes and executes personal development objectives as part of annual objective setting process which complements current position.
• Identifies and pursues activities/development opportunities which are appropriate for position and personal development objectives, e.g., participation/leadership in relevant professional groups associations, continuing education as participant, presenter, and planner.
• Assesses and communicates staff development needs to Manager.

Qualifications

Minimum Requirements:
Education:

• Bachelors Degree

Experience:

• Minimum 5 years experience in clinical laboratory, Transfusion Medicine, or Blood Gas Laboratory.
• Clinical/professional expertise.

Behavioral Attributes:

• Knowledge of CAP and TJC Standards; IDOT, OSHA and CLIA regulations; CLSI guidelines.
• Knowledge of AABB standard and FDA regulations (applies to Blood Bank)

Preferred:

• Masters Degree in related field
• Experience with quality systems
• American Society of Quality, CQA
• MT ( ASCP) certification
• Experience as quality inspector or quality assurance officer.
• Experience with the DMAIC quality system.

Equal Opportunity
An Northwestern Medicine is an equal opportunity employer (disability, VETS) and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.

Background Check
Northwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check. Results are evaluated on a case-by-case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act.

Artificial Intelligence Disclosure
Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person.

Benefits
We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more.

Sign-on Bonus Eligibility (if sign-on bonus offered for position): Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign on bonus. Exception: New graduate internal employees seeking their first licensed clinical position at NM may be eligible depending upon the job family.