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Baptist Memorial Manager-Infection Prevention & Improvement RN - NM Quality Improvement BMH North MS in Oxford, Mississippi

Summary

The Infection Prevention Manager is responsible for the coordination and management of all infection prevention program activities across the continuum of care, including surveillance, data abstraction and analysis, internal and regulatory reporting, staff education and collaboration with all disciplines and departments. Directs the development, implementation and evaluation of the Infection Prevention Plan. Provides leadership, direction and mentoring to the Infection Prevention staff. Maintains a strong focus on performance improvement activities to include root cause analysis, risk assessments and outbreak investigation.

Responsibilities

  • Performs and directs Infection Prevention surveillance for hospital-acquired infections based on the National Healthcare Safety Network (NHSN) guidelines. Reports communicable diseases to the health department, as required. Notifies System Infection Prevention Director and entity Quality Director of any identified trends or issues.

  • Ensures correct isolation procedures are practiced. Proactively and consistently monitors the healthcare environment to ensure compliance with regulatory standards and infection prevention policies and procedures. Addresses deficiencies proactively by providing feedback and guidance to leaders regarding infection prevention issues.

  • Participates in quality and process improvement initiatives addressing infection prevention issues at both the entity and system level.

  • Collaborates with Employee Health on safety and exposure issues.

  • Demonstrates the ability to build trusting collaborative relationships with multi-disciplinary teams to support patient care needs. Leads and/or actively participates in multi-disciplinary team meetings.

  • Demonstrates skill in applying evidence-based practice guidelines and regulatory standards (CMS, TJC, DNV-GL, OSHA, etc.) when: assessing the environment; observing patient care activities and processes and developing/revising policies and procedures.

  • Acts as the subject matter expert and leader regarding infection prevention issues. Develops and revises policies and procedures that are consistent with system guidelines, evidence-based guidelines and regulatory standards.

  • Manages the development of goals and objectives based upon the annual risk assessment results. Participates in performance improvement projects to address these goals

  • Develops, implements and evaluates the Infection Prevention Plan.

  • Demonstrates initiative in professional development and continuing education. Attends professional meetings and educational offerings.

  • Trains and mentors other Infection Preventionists.

  • Participates in all Infection Control Risk Assessments (ICRA) for construction and renovation projects. Makes recommendations regarding construction and renovation and conducts regular rounds on active projects to ensure compliance with regulatory standards.

  • Manages the preparation of Infection Prevention data. Presents and discusses pertinent data at various committee meetings.

  • Prepares and presents educational workshops, lectures, discussions or one-to-one instruction on infection prevention topics. Provides community education on Infection Prevention topics.

  • Understands, applies and supports departmental/entity/system policies, guidelines, procedures and standards.

  • Exhibits efficiency, competency and professionalism that promotes a positive work environment.

  • Manages the development of the Infection Prevention department's operating budget and capital expenses, as appropriate. Monitors and analyzes financial reports and justifies variances.

Requirements, Preferences and Experience

Education

Preferred: BSN preferred

Minimum:

Experience

Minimum: Five (5) years of clinical experience as a registered nurse required. Minimum of three years of experience in Infection Prevention preferred. Management experience preferred.

Licensure, Registration, Certification

Minimum: Current licensure as registered nurs; Certification in Infection Control (CIC) required or attain within 2 years

Special Skills

Minimum: Ability to communicate verbally and in writing with all levels of staff, management and physicians. Ability to work without close supervision and to exercise independent judgement is a professional area. Ability to organize multiple tasks and projects and maintain control of work flow.

Training

Minimum: Knowledge of Infection Prevention including regulatory requirements commensurate with education/experience. Critical thinking skills in evaluating and resolving complex issues.

About Baptist Memorial Health Care

At Baptist, we owe our success to our colleagues, who have both technical expertise and a compassionate attitude. Every day they carry out Christ's three-fold ministry-healing, preaching and teaching. And, we reward their efforts with compensation and benefits packages that are highly competitive in the Mid-South health care community. For two consecutive years, Baptist has won a Best in Benefits award for offering the best benefit plans compared with their peer groups. Winners are chosen based on plan designs, premiums and the results of a Benefits Benchmarking Survey.

At Baptist, We Offer:

  • Competitive salaries

  • Paid vacation/time off

  • Continuing education opportunities

  • Generous retirement plan

  • Health insurance, including dental and vision

  • Sick leave

  • Service awards

  • Free parking

  • Short-term disability

  • Life insurance

  • Health care and dependent care spending accounts

  • Education assistance/continuing education

  • Employee referral program

Job Summary:

Position: 1297 - Manager-Infection Prevention & Improvement RN

Facility: BMH - North Mississippi Oxford Hospital

Department: NM Quality Improvement BMH North MS

Category: Leadership & Administration

Type: Clinical

Work Type: Full Time

Work Schedule: Days

Location: US:MS:Oxford

Located in the Oxford, MS metro area REQNUMBER: 24017

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