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Divisional Mgr Laboratory Quality Assurance and Compliance

VMFH Division Support Services Tacoma, Washington
Requisition ID 2021-177449 Employment Type Full Time Department Clinical Laboratory Services Hours/Pay Period 80 Shift Day Weekly Schedule Monday - Friday(8:00am - 5:00pm) Remote No Category Management

As the flagship hospital of CHI Franciscan, St. Joseph Medical Center offers a range of health services, including emergency care, cancer care and more.

In 2020, united in a fierce commitment to deliver the highest quality care and exceptional patient experience, Virginia Mason and CHI Franciscan Health came together as natural partners to build a new health system centered around the patient: Virginia Mason Franciscan Health. Our combined system builds upon the scale and expertise of our nearly 300 sites of care, including 11 hospitals and nearly 5,000 physicians and providers. Together, we are empowered to make an even greater impact on the health and well-being of our communities. 

CHI Franciscan and Virginia Mason are now united to build the future of patient-centered care across the Pacific Northwest. That means a seamlessly connected system offering quality care close to home. From basic health needs to the most complex, highly specialized care, our patients can count on us to meet their needs with convenient access to the region’s most prestigious experts and innovative treatments and technologies. 

As a part of our organization, we currently offer the following benefits:

  • Competitive starting wages (DOE) and training to grow within the company
  • Paid Time Off (PTO)
  • Health/Dental/Vision Insurance
  • Flexible health spending accounts (FSA)
  • Matching 401(k) and 457(b) Retirement Programs
  • Tuition Assistance for career growth and development
  • Care@Work premium account for additional support with children, pets, dependent adults, and household needs
  • Employee Assistance Program (EAP) for you and your family
  • Voluntary Protection: Group Accident, Critical Illness, and Identify Theft
  • Adoption Assistance
  • Wellness Program


This job is responsible for developing, managing, educating and evaluating the lab regulatory, safety, point of care, business and compliance functions for the assigned CHI Franciscan Health (CHI-FH) market and PacLab to meet or exceed accreditation standards, including policy, process and procedure development and implementation.  An incumbent is the centralize point-of-contact for all regulatory agencies/issues, and is specifically responsible as the lab compliance and safety officer, ensuring organizational compliance with lab-related joint commission and Department of Health standards for point of care testing.

Essential Duties:

  • Communicating and implementing hospital regulatory requirements in the laboratory in policy and practice;
  • Developing, reviewing and maintaining the laboratory chemical hygiene plan and it’s requirements;
  • Acting as the lab representative for accreditation and regional safety and disaster planning;
  • Providing oversight, policy development and corrective action guidance to clinical managers and educators relating to point of care;
  • Developing regional laboratory employee training and competency programs and tools, including general laboratory safety orientation program; 
  • Managing the lab assistant trainer and client service teams. 



Education/Work Experience Requirements

Bachelor of Science degree in an approved Medical Technology program, with completion of one year internship in a clinical laboratory setting, OR

Bachelor of Science degree in a related science field, with two years experience in a clinical laboratory setting that would demonstrate attainment of the requisite job knowledge/abilities, or equivalent college level courses and experience.  


A minimum of six years of progressively responsible work experience in a clinical laboratory setting that would demonstrate attainment of the requisite job knowledge/abilities, with emphasis in Accreditation, including two years in a supervisory or management capacity.  

Recent evidence of successful completion of safety inspections preferred.


MT (ASCP), CLS (NCA), HHS or equivalent.



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Equal Opportunity

CommonSpirit Health™ is an Equal Opportunity/Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law. For more information about your EEO rights as an applicant, please click here.

CommonSpirit Health™ will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c). External hires must pass a post-offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances. If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA). CommonSpirit Health™ participates in E-Verify.