Manager of Quality & Infection Prevention Baptist Health Citizens Hospital Talladega, AL

Baptist Health • Homewood, AL

89d • Onsite

About The Position

The Manager, Quality Services and Infection Prevention provides strategic leadership and operational oversight for quality performance and infection prevention. It ensures high-quality patient care through system wide establishment of clinical practices, regulatory compliance, and performance improvement initiatives. Works closely with the hospital's nursing, medical staff, executives, and quality team to support the Baptist Health goals. The position is responsible for surveillance, analysis, and reporting of hospital-acquired infections (HAIs), staff education, and the development of policies that align with national standards and organizational goals.

Requirements

• Bachelor’s degree in clinical field; Registered Nurse, Medical Technologist or Registered Respiratory Therapist.
• Minimum of three (3) years’ clinical experience with ability to demonstrate previous experience in quality initiatives within the healthcare institution.
• Actively seeking learning opportunities related to Infection Prevention and Control.
• Knowledge in spreadsheet generation, graphics, and word processing applications.

Nice To Haves

• BSN or MSN preferred.
• Active nursing license preferred.
• Licensure/Certification in Infection Control (CIC) within three (3) years of hire through the Certification Board of Infection Control and Epidemiology Inc. – renewed every five years.

Responsibilities

• Communicates corporate quality and safety initiatives to all team members and physicians.
• Develops and monitors action plans for clinical quality and infection prevention improvement.
• Leads implementation of strategies focused on quality, safety, and service across departments.
• Collaborates with performance improvement teams and quality councils to identify and act on improvement opportunities.
• Monitors hospital progress on quality scorecards and Board metrics.
• Participates in and leads performance improvement activities aimed at reducing infection risks.
• Ensures compliance with infection control practices and regulatory standards (JCAHO, AHCA, OSHA, CMS, CDC).
• Develops and maintains health system policies and procedures that meet national infection control standards.
• Conducts surveillance, analysis, and reporting of hospital-acquired infections (HAIs).
• Investigates clusters and outbreaks, compiling data into actionable reports.
• Educates employees on infection prevention practices and regulatory requirements.
• Develops and delivers educational programs across the organization.
• Establishes and maintains positive working relationships with medical staff, hospital leadership, and allied health/support services.
• Collaborates with operational and clinical teams to support a culture of safety.
• Participates in the integration of healthcare technology and information systems to support service needs.
• Uses data analytics to inform infection prevention strategies and performance metrics.
• Assists in the development, implementation, and evaluation of the Infection Prevention and Control Program.
• Conducts focus reviews and facilitates resolution of infection control issues.
• Leads infection prevention and quality committees.
• Reports findings and recommendations to appropriate stakeholders.
• Maintains compliance with all Baptist Health / Orlando Health policies and procedures.
• Represents Quality Services and Infection Prevention on committees and task forces as assigned.
• Provides education and training related to quality and patient safety for the staff.
• Produces reports of analysis and improvement plans to constituents.
• Makes regular visits to the various departments within Baptist Health to promote the culture of quality and safety, to serve as a resource for the staff as related to quality and safety, and to observe the daily operations within the practices to identify potential areas for process improvement or enhancements to patient safety.

Benefits

• Medical, Dental, Vision
• 403(b) Retirement Savings Plan
• Health Savings Account (HSA)
• Flexible Spending Account (FSA)
• Paid Time Off (up to 5 weeks to start)
• Life Insurance
• Extended Leave Plan (ELP)
• Family Care (childcare, elder care, pet care)
• Paid Parental Leave
• Pet Insurance
• Car Insurance
• Educational Benefits including tuition reimbursement & monthly payments to help pay down any graduated school debt

What This Job Offers

• Job Type: Full-time
• Career Level: Manager