Manager, Newborn Screening - University of Nevada, Reno

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Item 9-M-December 5, 2014
ADMINISTRATIVE FACULTY POSITION DESCRIPTION QUESTIONNAIRE
To expedite and facilitate the PDQ review process, please send the PDQ and Org Chart electronically to
marshag@unr.edu for discussion and for initial review before routing PDQ for approval signatures.
Questions - call UNR Faculty HR at 682-6114
INSTRUCTIONS: See http://www.unr.edu/hr/compensation-and-evaluation for complete instructions.
Incumbent(s) Name (if applicable): Bonifacio Dy
Position #(s): 12155
Current Title: Manager, Newborn Screening (NSPHL)
Current Range: 3
(JCC:67440)
Department: Nevada State Public Health Laboratory College/Division: School of Community
(Moved from Pathology Department)
Health Science /VP, Health Sciences
Account #(s): 1206-119-1223
Action Proposed: (check all that apply)
( ) New position: Proposed Range:
Proposed Title:
( ) Title Change, Proposed Title:
( ) Proposed Reassignment from Range
to Range
(X) Revised PDQ only (no change in range or title)
JCC (Current
( ) Line of Progression (show titles below)
or new HR
Range:
assigned):
I certify that the statements in this description are accurate and complete to the best of my knowledge.
____________________________________________________________
Employee’s Signature
__________________
Date
I/we have reviewed the statements in this form and they accurately reflect the job assignments.
_______________________________/_____________________________
Stephanie Vanhooser, Adm Dir, NSPHL / L.D. Brown, Dir, NSPHL
Immediate Supervisor’s Signature
__________________
Date
____________________________________________________________
Trudy Larson, Director, SCHS / Thomas Schwenk, VP, HS / Dean, UNSOM
Director/Chair/Dean
__________________
Date
Approved for Salary Placement Committee review.
____________________________________________________________
__________________
Pres / Vice Pres / Vice Prov Signature Stacy Burton, Vice Provost, Faculty Affairs
Date
Action Approved by the Provost/President (Completed by Faculty HR):
67440 Range:
3
Pos #(s): 12155
JCC:
EEO: 3H
Eff: 12/1/2014
Approved Title: Manager, Newborn Screening (NSPHL)
Employee signs on “final” stamped approved PDQ and sends to HR for personnel file.
Employee Signature:_______________________________________________ __________________
Date
Printed Name: ____________________________________________________
Rev: 10/1/2012
Position Description – Manager, Newborn Screening
Page 2
1. Summary Statement: State the major function(s) of the position and its role in the
university. Attach an organizational chart with positions, ranges, and names for the division
which reflects the position in it as well as those supervised in the department. (This section is
used for advertisement of the position.)
The Manager for the Newborn Screening Section of the Nevada State Public Health Laboratory
(NSPHL) is responsible for the coordination and administration of the Newborn Screening Analytical
Program which accepts newborn screening blood spot samples from statewide clientele. The
Manager coordinates and provides daily oversight and supervision of the Newborn Screening
Program sections and monitors performance measures. The position assures the Laboratory
Information Management System (LIMS) utilized in area of responsibility is working as designed and
documented appropriately. LIMS processes are tested and validated before being used in the
production LIMS environment. The position assures employees are adequately trained, perform
necessary competency assessments on regular intervals, and participate in national proficiency
testing programs. The Manager participates in the long-range planning for the unit. The position acts
as the Technical Consultant for the Newborn Screening Follow-up division as well as for hospitals,
birthing centers, and midwives located statewide. The Manager promotes the NSPHL, assures the
upmost professionalism is demonstrated by staff, stimulates a positive outlook/employee behavior,
and develops action plans to improve service to its clients. NSPHL sections of responsibility are
regulated/accredited by various bodies including: College of American Pathologists (CAP) and the
Clinical Laboratory Improvement Amendments – 1988 (CLIA). The position reports to the
Administrative Director of the NSPHL within the School of Community Health Science (SCHS).
2. List the major responsibilities, including percentage of time devoted to each. Provide
enough detail to enable a person outside the department to understand the job (percentage
first with heading and then bulleted information).
45% - Laboratory Analytical Operations
 Assure all available samples are tested in accordance with assigned employee schedules and
analyses are inline with published turn-around-times (TAT)
 Consult with other agency offices, physcians and county health departments regarding the
significance of test results
 Ensure reporting of all presumptive abnomral results
 Immediately notify the senior administrator regarding any problems/reasons for not meeting
work schedule/TAT or possible instrument/method problems
 Compiles reports, statistical data and cost analyses required in the management of the
NSPHL newborn screening program
 In conjunction with the senior administrator, establish, maintain, and implement departmental
and laboratory policies and procedures; develop and implement appropriate Quality
Assurance/Quality Control (QA/QC) protocols
 Handle multiple priorities such as providing testing services, coordinating followup
notifications/testing, assuring timlieness of sample processing and documentation of
presumptivie or borderline findings
 Process and analyze samples using appropriate and approved methodologies including
reagent preparation, sample handling and instrument maintenance while adhering to QA/QC
protocols
 Perform bench work duties in areas of responsibility to assure departmental compliance is
being achieved and evaluate current protocols; bench time should be performed a minimum of
10% to maximum of 40% of the employee’s work time
Position Description – Manager, Newborn Screening
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Assure analytical data for Hemoglobinopathies, Amino Acidemias, Fatty Oxidation Disorders,
Organic Acidemias and other Metabolic, Genetic and Endocrine disorders are processed,
tested, and entered into the Laboratory Information Management System (LIMS) timely and
appropriately
Perform QA/QC functions documenting results as defined by laboratory protocols and file
analytical and QA/QC documentation; review and verify QA/QC reports on a monthly basis
Evaluate competency, quality assessment and quality control data regularly; review
completion of projects and maintain compliance with the Clinical Laboratory Improvement
Amendments Certificate (CLIA) and CAP regulations
In conjunction with the senior administrator, assure staff participates in research and
development functions as appropriate to expand analytical services of the NSPHL
Manage resources efficiently to achieve organization goals and objectives
Identify opportunities for improvement; recommend and implement changes aligned with the
organization’s strategic goals
20% - Department Operations Management and Compliance
 Plan, organize, coordinate and oversee the daily operation of the NSPHL Newborn Screening
program assuring compliance with State, Federal and Safety regulations.
 Maintain current knowledge of technological advancements and incorporate the new
technology and/or methods into the workflow of the NSPHL
 Assure both State and Federal regulations are followed to assure maintenance of
certifications/licensure; submit corrective action reports to various auditors, inspectors and
regulators from State and Federal agencies as appropriate
 Assure QA protocols, safety plans, departmental protocols, and other University and/or
NSPHL protocols are are up-to-date and regularly reviewed by the appropriate personnel and
followed by staff
 Ensure compliance with current safety requirements including the proper handling, storage,
use and disposal of hazardous materials
 Review data generated in departments to affirm compliance with protocols, acceptability of
data interpretations and meeting of laboratory turn-around-times (TAT’s)
 Review technical literature to assure current methods and equipment are being utilized to
provide quality results and efficiency in the departments
 Research and develop new analytical methods and analyses (as appropriate) to enhance the
newborn screening program at the NSPHL; develop client notification announcements for new
analytical procedures
 In conjunction with the senior administrator, select appropriate equipment and assure it is
functioning properly by monitoring equipment routinely; assure staff is trained appropriately for
any new assays implemented
15% - Employee Supervision
 Participate in the hiring process of staff to assure quality candidates are obtained to enhance
operations at the NSPHL
 Train, supervise, and evaluate staff members; define work assignments of staff and schedule
employees accordingly; assign departmental tasks as required
 Develop and maintain work performance standards (WPS) and ensure WPS are reviewed
regularly and updated as appropriate
 Assure adequate staffing to meet analytical deadlines and training and cross-training of staff to
ensure compliance with State and Federal regulations as well as assure NSPHL testing can
continue during staff absenteeism; assure staff is scheduled to maximize efficiencies and
personnel shifts are made when necessary to accommodate fluctuating workload
 Assure compliance in completion of proficiency testing and competency assessments to
maintain certifications, licenses and/or accreditations
Position Description – Manager, Newborn Screening
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Perform annual staff competency assessments and employee reviews; initiate employee
disciplinary procedures as required
Keep abreast of employee issues and/or concerns and provide resolutions
Act as the Technical Consultant for the NSPHL Newborn Screening Program assisting with lab
result interpretation, confirmation testing and communication of presumptive results
10% - Teaching/Community Service
 Participate in UNSOM and/or School of Community Health teaching activities to provide
educational material to medical and/or public health students
 Assure the Newborn Screening Lab is available and in clean order to provide tours for
community action groups, governmental officials and community members
 Attend biannual meetings with the Newborn Screening and Genetic Advisory Council for
further improvement of the program and to keep abreast of changing newborn screening
national standards
 Attend regular conferences with follow-up staff and specialists for updates and review of
presumptive positives
 Provide a weekly activity report to Administrative Director and the Follow-up Coordinator
5% - Laboratory Information Management System (LIMS)
 Evaluate the newborn screening applications of the LIMS and the departmental LIMS workflow
 Commumnicate with LIMS vendor programmers as necessaary to request/explain
changes/issues with the NSPHL LIMS software
 Document and define software needs, author customization requests, test and validate
departmental LIMS software and communicate with programmers as necessary
 Assure staff are adequately trained to utilize the LIMS
 Routinely evaluate the software for effectiveness and appropriateness
 Develop and maintain departmental LIMS operating procedures
5% - Performance Measures
 In conjunction with the senior administrator, develop and maintain departmental performance
measures and benchmarks for the newborn screedning sections
 Monitor performance measures by evaluating departmental compliance with established
measures by reviewing workload, labor utilization and staff cross-training capabiliites
 Periodically review other public health laboratories’ performance measures for consistency
and appropriateness of performance measures and benchmarks
 Assess reagents, supplies, and labor utilized to perform each departmental method
annually,or as new methods are developed, for annual NSPHL cost analyses
 Assure departmental expenditures for grants and contracts are communicated to Accounting
when purchases are requested
3. Describe the level of freedom to take action and make decisions with or without
supervision and how the results of the work performed impact the department, division and/or
the university as a whole.
Level of Freedom:
The Manager must make independent determinations of the analytical methods to utilize in the
NSPHL and their legal defensibility. The position makes personnel judgments in hiring, performance
evaluation, discipline, motivation, training needs and department labor availability. The incumbent
analyzes atypical sample acceptance and makes decisions on method to utilize as well as
documentation for the report. The position evaluates all data from the department to assure
compliance with regulations and protocols. The position interacts regularly with various auditors,
Position Description – Manager, Newborn Screening
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inspectors and regulators from State and Federal agencies and is responsible for corrective action
reports as well as newborn screening programmatic staff statewide and personnel involved in sample
collection and/or confirmatory testing. The position evaluates equipment that is not performing
properly and determines resolution of problem. The position assesses safety issues and assures
corrective action and ensures staff is trained and in compliance with safety protocols. The position
ensures that the LIMS is operating appropriately and whether software needs to be updated to benefit
the department. The position consults with the Administrative Director in setting long-range goals for
the unit, gaining approval of major equipment purchases and consulting on employee disciplinary
issues as required.
Impact:
The NSPHL is heavily regulated by Federal and State agencies for proper laboratory procedures,
biohazardous material tracking and documentation, etc. If the NSPHL is found to be out of
compliance with any of these regulations, the NSPHL would be fined and possibly closed. The
reputation of NSPHL and the University could possibly be irreparably harmed. The LIMS is crucial to
the successful and accurate compilation of data and records for the NSPHL and its clients. The
unsatisfactory operation of data recording would hurt its clients throughout the state
4. Describe the knowledge, skills (to include cognitive requirement and verbal and written
communication), and abilities (to include task complexity, problem solving, creativity and
innovation) essential to successful performance of this job (in bullet format).
Knowledge of:
 General clinical laboratory equipment, procedures, techniques and quality control/assurance
 Administration of Public Health regulations – State and Higher Education Rules and
Regulations
 Hazardous waste materials such as chemicals and/or bio-hazardous materials
 Academic community and medical environment
 Related safety, health, and environmental regulatory compliance standards, laws, and
regulations, such as Occupational Safety and Health Administration (OSHA), CLIA, CAP, etc.
 Laboratory licensing requirements and operational mandates
Skills:
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Supervision and mentoring of staff and sample collection personnel.
Strong verbal and written communication with both university staff and NSPHL clients
Analytical and problem resolution skills
Proficiency in use of a personal computer and current software applications including but not
limited to Microsoft Office Suite (Word, Access, Excel, PowerPoint, and email) including
medical laboratory information systems, both local area networks and large laboratory
information system technologies
Training of staff on laboratory equipment, safety measures, quality control and quality
assurance
Reporting to university, State, and/or Federal agencies
Strong customer service skills
Laboratory technical skills and understanding of workflow
Ability to:
 Work with hazardous materials such as chemicals and/or bio-hazardous materials
 Assess employee morale issues and develop mechanisms to improve employee satisfaction
 Maintain confidentiality of information
 Maintain a respectful, responsible, professional work environment
 Research and compile data for reports
Position Description – Manager, Newborn Screening
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Be sensitive to gender, disabilities, and cultural and ethnic diversity issues
Maintain professional business and work ethics and standards
Act as authority in area of expertise
5. Describe the type of personal contacts encountered in performing the duties of the job.
Explain the nature and purpose of these contacts: i.e., to provide services, to resolve
problems, to negotiate.
Internal
NSPHL management
Environmental Health and Safety
Office
External
Federal and State agencies,
auditors, inspectors and
regulators
Reason for Contact
To discuss long-range goals, personnel issues, workflow issues,
implementation of new protocols and workflow procedures as well
as general updates regarding operations of the areas of
responsibility.
To coordinate issues regarding hazardous chemicals and/or biohazardous materials
Reason for Contact
To coordinate and ensure corrective action reports are completed
6. Indicate the minimum qualifications which are necessary in filling this position should it
become vacant. Please keep in mind the duties/responsibilities of the position rather than the
qualifications of the incumbent.
a.
Minimum educational level, including appropriate field, if any.
Bachelor’s Degree from a regionally accredited institution with preferred emphasis or
major in a science related field
b.
Minimum type and amount of work experience, in addition to the above required
education necessary for a person entering this position.
Bachelor’s Degree and four years, or a Master’s Degree and two years, of
management/supervisory experience in a clinical laboratory setting, i.e., Newborn
Screening Lab, to include performing laboratory testing, monitoring productivity, and
utilizing current laboratory information system technologies
Preferred Licenses or Certifications:
Certification by the American Society of Clinical Pathologists (ASCP) as a Medical
Technologist (MT)(ACSP) or equivalent
c.
Indicate any license or certificate required for this position.
State of Nevada laboratory personnel certification as a General Supervisor or the
ability to obtain one within three months of hire
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