Under general supervision of the Field Director, reviews assigned functions in Pathology and Clinical Laboratory Program throughout the United States and in some foreign countries. Provides general evaluation services, education, and consultation consistent with applicable Joint Commission standards, policies, and protocols. Determines the degree of compliance with applicable standards.
Conducts a thorough and credible evaluation of assigned services that meet laboratory accreditation criteria. Plans, reviews and apportions review time so that all review requirements are addressed thoroughly. Reviews and evaluates pre-survey information; researches, collects, organizes, and interprets information from multiple sources. Interviews physicians and staff to determine level of compliance with standards. Analyzes documents, such as performance data, and use of clinical practice guidelines, to assess the level of compliance with Joint Commission standards, evidence of performance improvement, and quality of care.
Using established review protocols:
Analyzes written self-descriptive program information.
Participates in and/or conducts all required conferences and interviews; analyzes all data submitted by the organization.
Documents all recommendations, providing adequate indication of non-compliance.
Submits review findings in a complete and accurate manner to the Clinical Laboratory Scientist Surveyor.
Interprets and explains the intent of the standards to the organization’s personnel. Consults with the organization during review concerning non-compliance, opportunities for improvement, and remedial action required. Recommends publications and other resources that clarify standards and/or demonstrates compliance with standards.
Pathologist, Board Certified in Clinical and Anatomic Pathology
General Knowledge and Experience
Five years of recent clinical experience, including at least two years in management, preferably laboratory, and two years demonstrated responsibility for oversight, decision-making, management, and improvement in histopathology and cytology.
Demonstrated knowledge of pathology industry including trends, performance measurement, and improvement.
Demonstrated knowledge of compliance requirements related to CLIA’88.
Currently practicing in area of Anatomic Pathology
Ability to research, collect, organize, interpret, and communicate information for multiple sources (i.e., documentation, observation, interviews) to assess the degree of compliance with Joint Commission standards.
Ability to critically review and analyze performance measurement data.
Ability to objectively assess organization performance.
Ability to differentiate and assess the adequacy of alternative/innovative approaches to standards compliance, consistent with survey policy and protocols.
Ability to analyze and synthesize survey findings to provide conclusions, recommendations, and educational opportunities.
We are currently hiring for our next orientation class scheduled for February 14, 2019.
Telecommuting is allowed.
Internal Number: 2018-3691
About The Joint Commission
Our Mission: To continuously improve health care for the public, in collaboration with other stakeholders, by evaluating health care organizations and inspiring them to excel in providing safe and effective care of the highest quality and value.
Vision Statement: All people always experience the safest, highest quality, best-value health care across all settings.