Senior Quality Safety & Infection Program Manager

Banner Health • Page, AZ

2d

About The Position

Great careers are built at Banner Health. We understand that talented health care professionals appreciate having options. We are proud to offer our team members many career and lifestyle choices throughout our network of facilities. Apply today, this could be the perfect opportunity for you. Page Hospital emphasizes a uniquely holistic approach to recovery. The care provided to each patient goes beyond physical needs, caring for the person’s spiritual and emotional well-being in an environment uniquely designed for healing. As a Quality Safety and Infection Prevention Program Senior Manager, you will be responsible for Quality, Infection Prevention and Patient Safety (Q/IP/PS) monitoring, surveillance, data analysis, and performance improvement. If you have a passion for this line of work and want to join a dynamic team that supports each other to offer a flexible work schedule, apply today! Your pay and benefits are important components of your journey at Banner Health. Banner Health offers a variety of benefits to help you and your family. We provide health and financial security options so you can focus on being the best at what you do and enjoying your life. Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care. POSITION SUMMARY This position promotes high reliability in clinical performance and patient safety through assessment, facilitation and prioritization of improvement activities, overseeing performance improvement projects and ensuring successful clinical project implementation at operating entities. This position additionally has oversight and direction of the infection prevention program for all departments throughout a facility or ambulatory setting, including surveillance, infection prevention and control measures, and education for employees. The position works closely with both system and operating entities to improve quality, infection prevention, patient safety and outcomes of clinical care. All work processed by the team member is considered confidential and protected from discovery, pursuant to state statutes.

Requirements

• Requires Bachelor’s degree or equivalent in nursing or other healthcare related field. Or a Bachelor’s degree with five years of healthcare related experience.
• RN license in state worked OR a clinical background with current license/certification or equivalent experience.
• Senior Quality Safety & Infection Program Manager will be expected to achieve Certification of Infection Control (CIC) after completing 4 years in the position and attaining Infection Prevention work experience.
• Infection Prevention Team members working primarily in an acute or ambulatory job location will be expected to maintain an active Basic Life Skills certification.
• Must have a proficiency level typically attained with five years experience in Quality Management/Performance Improvement.
• Requires at least two years management experience or demonstrated leadership abilities through successful large scale projects.
• Must possess demonstrated flexibility in responding to the needs of multiple constituencies with a service-oriented philosophy.
• Demonstrated ability to lead and facilitate multi-disciplinary teams.
• Must possess demonstrated skill in problem analysis, project management, conflict resolution and oral and written presentations.
• Requires ability to balance and manage multiple projects.

Nice To Haves

• BSN/Master’s degree in nursing or Master’s in other healthcare related field.
• Association for Practitioners in Infection Control (APIC) training course or equivalent.
• Certifications: CIC, CPHQ, CPPS or other relevant certifications.
• Computer skills, research and basic statistical knowledge is preferred.
• Additional related education and/or experience preferred.

Responsibilities

• Responsible for oversight and assessment of clinical performance data, infection prevention data, and care delivery practices. Collaborates with administrators, physicians, clinical leaders and staff to identify improvement opportunities utilizing quantitative techniques, knowledge of health care operations and systems thinking. Obtains and uses literature, evidence-based practice and benchmark data whenever possible.
• Conducts focused surveillance for healthcare-associated infections (HAIs), detects and records HAIs on a systematic and current basis, analyzes HAIs and prepares reports for the Infection Control Committee of the facility or ambulatory setting. Reports communicable diseases as required by regulation.
• Improves clinical performance identifies causes of variation, serves as a subject matter expert and supports implementation of systems and processes to facilitate effective clinical practice. Leverages results from clinical performance, infection prevention, peer review, regulatory, patient safety and others to align performance improvement opportunities with system and local teams.
• Facilitates prioritization of improvement activities with system and entity leadership, based on current risk assessment and performance. Conducts collection, aggregation and analysis of data, i.e. clinical performance, surveillance, etc. Initiates epidemiological investigations of significant clusters of infections and single cases of unusual infection. Coordination and dissemination of information to support administrative and clinical decision making. Collaborates with the appropriate process owner(s) to identify opportunities for improvement.
• Establishes and oversees the development and implementation of annual quality plans with administrative, service line and process owners. Strategizes with entity leadership to plan and coordinate local Quality Councils.
• Manages and coaches performance improvement activities and oversees projects in collaboration with project leaders and administrators. Serves as a subject matter expert and/or facilitates improvement teams to plan, implement, and coordinate entity activities to maximize clinical and operational outcomes. Participates on improvement teams, guiding teams on system defined improvement methodologies and processes.
• Reviews and assists with implementation of policies, procedures and guidelines as they relate to infection prevention. Conducts infection prevention education and in-service programs to departments, including orientation for new employees. Conducts construction, renovation, environmental, and infection prevention rounds, ensuring compliance with system policy and national and/or professional standards for a safe environment.
• Achieves and maintains professional competencies in assessment, performance improvement, surveillance, infection prevention, change/project management, and patient safety. Competency and expertise are obtained through independent study, internal development courses, attending education workshops, reviewing professional publications, establishing personal networks, board certification, and participating in professional organizations. Serves as a consultant and subject matter expert for physicians, nurses, department managers, supervisors, and other professional and non- professional staff members.
• Responsibility for Quality Improvement (QI), Infection Prevention (IP) and Patient Safety at a single entity and additionally is involved in system-level IP, QI and patient safety activities. Internal customers include all assigned entity administrators, physicians, staff, volunteers and corporate administrators, leadership team and staff. External customers include public health agencies, general public, accreditation and regulatory organizations, payers, patients and physicians.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees