Infection Control RN Manager

St. John's Hospital•Leavenworth, KS

About The Position

At Saint John Hospital, our dedicated team of professionals is committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, Saint John Hospital is actively seeking new members to join its award-winning team! In addition to acute care services, Saint John Hospital specializes in 24/7 emergency care, senior behavioral health, skilled nursing, ambulatory care, including outpatient surgical services, imaging services including 3D mammography, Diagnostic Imaging and Ultrasound, Rehabilitation Services including Physical, Occupational and Speech/Language Therapy and Audiology. Saint John is certified as an Advanced Disease-Specific Care for Acute Stroke Ready Hospital from The Joint Commission and the American Heart Association/American Stroke Association. Saint John is 5-star rated for Treatment of Sepsis (2018-2020) and Treatment of Heart Failure (2020) by Healthgrades. The hospital is a part of Prime Healthcare Services and affiliated with Providence Medical Center in Kansas City, Kan. To learn more, visit www.saintjohnleavenworth.com or call 913-680-6000. The Manager of Infection Control/Performance Improvement supervises, assesses, plans, implements, and evaluates the hospital surveillance, prevention/control of infection management and develops, manages, and integrates a comprehensive Performance Improvement (PI) Program to achieve positive results in quality, efficiency, safety, and satisfaction. The ICP Manager assists with policy and procedure development and implementation while maintaining CDC, OSHA, TJC or AOA HFAP/DHS/CMS and other regulatory agency directives. Acts as a primary education consultant to hospital employees, physicians, patients, volunteers and visitors in safe Infection Control/Prevention practices. Coordinates all hospital infection control activities and interventions with the Pharmacy, Therapeutics, Nutrition, and Infection Control (PTNIC) Committee, Medical Staff and hospital employees. Responds to potential exposures by communicating with patients, physicians, employees, and regulatory agencies. Assists in coordinating the hospital employee health and worker’s compensation program. Performs safety rounds of the physical plant to ensure basic Infection Control/Prevention and safety practices are adhered to in all hospital departments to maintain a safe environment for patients, physicians, volunteers, visitors, and hospital employees. ICP Manager will conduct and or facilitate internal audits, reviewing supporting documentation, and appraise preparedness of the other Infection prevention personal in the hospital/ department. Required to work closely with colleagues in producing information analysis for retro, concurrent, and real time monitoring. The Managerial oversight responsibility of the Performance Improvement Program is to develop and share best practices for improving performance in quality, safety, perception of care, value, and efficiency; to develop/ maintain scorecards for all Service Lines with defining expected outcomes & benchmarks based on Quality, Safety, Satisfaction and Value; to complete Clinical Assessment, Diagnosis and Treatment for the Service Lines. Responsible for coordinating and managing hospital wide performance improvement activities including continued survey readiness. Responsible for oversight of ongoing publicly reported quality initiatives undertaken by the organization, like Core Measures, Patient Satisfaction, etc. Works collaboratively with Administration and Leadership. Ensures execution and communication of Performance Improvement and Patient Safety activities occurs from the department level to Board of Trustees. The scope of activities in managing the PI Program, includes creating collaborative customer relationships; planning appropriate group processes; creating & sustaining a participatory environment; guiding the group to appropriate & useful outcomes; building and maintaining professional knowledge; employing evidence-based practice; integrating best research with expertise & patient values for optimal care; working in interdisciplinary teams; application of performance improvement methodologies to minimize waste, decrease errors, increase efficiency and ultimately improve care and appropriate utilization of informatics to communicate, manage knowledge with clinical expertise and patient values for optimal care.

Requirements

Graduate from an accredited school with an Associate’s Degree in medicine, nursing, epidemiology, microbiology, public health or other life science related field.
Current Kansas state RN license and maintain current.
Current BLS certificate upon hire and maintain current
Must maintain knowledge of local regulatory standards and OSHA regulations.
Experience in reviewing charts for quality care issues.
Good computer skills. Detail-oriented organizational skills. Must be able to handle multiple cases, directions, and follow-through.
Good communication skills, both verbally and written. Experience with Medical Staff communication.
Coordination of internal departments and external entities to ensure compliance with company policies, and state/federal regulatory and accreditation standards.

Nice To Haves

Bachelor’s Degree preferred.
Successful completion of formal APIC courses in Infection Control, preferred.
Completion of Certified Infection Control (CIC) credential, preferred.
Expertise in microbiology, antibiotic usage, and clinical practices, preferred.
Minimum two (2) years of experience in acute care, preferred.
1 year of experience in quality improvement, preferred.
Team facilitation and experience with hospital accreditation standards and survey process, preferred.
Certified professional in healthcare quality preferred.

Responsibilities

Supervises, assesses, plans, implements, and evaluates the hospital surveillance, prevention/control of infection management
Develops, manages, and integrates a comprehensive Performance Improvement (PI) Program to achieve positive results in quality, efficiency, safety, and satisfaction.
Assists with policy and procedure development and implementation while maintaining CDC, OSHA, TJC or AOA HFAP/DHS/CMS and other regulatory agency directives.
Acts as a primary education consultant to hospital employees, physicians, patients, volunteers and visitors in safe Infection Control/Prevention practices.
Coordinates all hospital infection control activities and interventions with the Pharmacy, Therapeutics, Nutrition, and Infection Control (PTNIC) Committee, Medical Staff and hospital employees.
Responds to potential exposures by communicating with patients, physicians, employees, and regulatory agencies.
Assists in coordinating the hospital employee health and worker’s compensation program.
Performs safety rounds of the physical plant to ensure basic Infection Control/Prevention and safety practices are adhered to in all hospital departments to maintain a safe environment for patients, physicians, volunteers, visitors, and hospital employees.
Conduct and or facilitate internal audits, reviewing supporting documentation, and appraise preparedness of the other Infection prevention personal in the hospital/ department.
Producing information analysis for retro, concurrent, and real time monitoring.
Develop and share best practices for improving performance in quality, safety, perception of care, value, and efficiency
Develop/ maintain scorecards for all Service Lines with defining expected outcomes & benchmarks based on Quality, Safety, Satisfaction and Value
Complete Clinical Assessment, Diagnosis and Treatment for the Service Lines.
Coordinating and managing hospital wide performance improvement activities including continued survey readiness.
Responsible for oversight of ongoing publicly reported quality initiatives undertaken by the organization, like Core Measures, Patient Satisfaction, etc.
Works collaboratively with Administration and Leadership.
Ensures execution and communication of Performance Improvement and Patient Safety activities occurs from the department level to Board of Trustees.
Managing the PI Program, includes creating collaborative customer relationships; planning appropriate group processes; creating & sustaining a participatory environment; guiding the group to appropriate & useful outcomes; building and maintaining professional knowledge; employing evidence-based practice; integrating best research with expertise & patient values for optimal care; working in interdisciplinary teams; application of performance improvement methodologies to minimize waste, decrease errors, increase efficiency and ultimately improve care and appropriate utilization of informatics to communicate, manage knowledge with clinical expertise and patient values for optimal care.