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  • Job Objective: A brief overview of the position.
      • Manages the planning, development, implementation, evaluation/continuous improvement of the infection prevention and control program for the hospital and associated ambulatory care clinics. Also manages the physician peer review RN Outcomes Analysts and the Covid-19 Infection Prevention Incident Command Center (IPICC) staff
  • Reports to
      • Administrative Director – Quality and Performance Improvement
  • Supervises
      • RN Infection Preventionists
      • RN Outcomes Analyst (physician peer review)
      • Infection Prevention Incident Command Center (IPICC) staff
  • Ages of Patients
      • Neonate/ Infant
      • Pediatric
      • Adolescent
      • Adult
      • Geriatric
  • Blood Borne Pathogens
      • High Potential
  • Qualifications
    • Education
        • Required: BSN
        • Preferred: Master's degree in nursing, public health, epidemiology, environmental health, microbiology or other public health related field
    • Licensure/Certification
        • Required: California RN License
        • Preferred: Certification in Infection Control; CIC® credential awarded by the Certification Board of Infection Control and Epidemiology, (CBIC)
    • Experience
        • Required: Minimum five (5) years of experience as an Infection Control Professional
        • Required: Minimum three (3) years of experience in an established infection prevention/control program in an acute care hospital including minimum (2) years of program management
        • Preferred: Demonstrated knowledge/experience in leading performance improvement initiatives
  • Essential Responsibilities
    • Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations
    • Program Management:
          • Manages the planning, development, implementation, evaluation/improvement of infection prevention and control services/programs that meet or exceed established standards/performance measures for quality, patient satisfaction, cost, employee quality of work life, physician and department satisfaction, clinical outcomes and regulatory compliance
          • Develop, evaluate and modify the annual surveillance plan based on the population(s) served, services provided and analysis of the surveillance data
          • Manages infection prevention and control services/programs in the hospital and ambulatory clinics. Ensures that services/programs are of uniform and consistent value, quality, performance and cost throughout all departments in the hospital and outpatient clinic buildings
          • Manages the development and implementation of evidence-based interventions designed to reduce/eliminate the risk for Healthcare Associated Infections (HAIs) and/or disease transmission
          • Acts as the Infection Prevention and Control liaison/consultant for the entire Medical Center and/or delegates appropriate duties
          • Manages surveillance activities and the monitoring, reporting and development of applicable intervention(s) for infection trends (e.g. National/Regional/ Divisional Indicators, Board Report, facility specific indicators, etc.) in the acute and ambulatory settings
          • Develops and reviews infection prevention and control policies and protocols
          • Manages the planning, development, implementation, evaluation/improvement of physician peer review processes that meet or exceed established standards/performance and medical staff regulatory compliance.
          • Manages the planning, development, implementation, evaluation/improvement of the Covid-19 Infection Prevention Incident Command Center (IPICC) processes, including but not limited to, the management and notification of Covid-19 positive & Covid-19 exposed staff & patients.
    • Design and Deliver Education:
          • Manages the preparation and response to emerging infectious disease threats and/or exposures
          • Serves as subject matter expert who assists medical center leadership team in internal or external disaster response/mitigation
    • Regulatory Requirements:
          • Manages the compliance with applicable regulatory requirements through interpretation of Regulatory Standards, investigation of disease outbreaks and exposures, surveillance and reporting communicable diseases to the CDPH as required
          • Manages the development and review of Infection Prevention and Control Standards of Care Policy and Procedure manuals
          • Serves as subject matter expert who assists medical center leadership team in internal or external disaster response/mitigation
          • Provides expert review and consultation for all facility construction/remodels as described in the Organization's Pre-Construction Risk Assessment (PCRA)
    • Performance Improvement:
          • Develops, implements and improves systems, methods, processes to evaluate/improve performance and quality outcomes/measures for infection prevention and control services/programs throughout the entire healthcare system
          • Utilize Performance Improvement (PI) methodology as a means of enacting change
          • Define the scope of the project and select appropriate PI tools to aid in efficiency, reliability, effectiveness and ensure sustainability of the initiative
          • Participate in PI committees, teams and initiatives as indicated
    • Occupational Health:
          • Assess the risk of occupational exposures to infectious diseases
          • Develop (or assist with) rates and trends of occupational exposures
          • Develop (or assist with) immunization and screening programs
    • Professional Accountability:
          • Pursue professional growth and development of required knowledge and skills
          • Maintain certification and licensure requirements
          • Establish at least one professional goal per year
          • Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and reports suspected violations
          • Develops and maintains effective communication with administrative/management staff and physicians
          • Participate in an infection prevention and control professional organization/association (i.e. APIC)
    • Collaboration:
          • Consult and collaborate with local, state, and federal public health officials, and community health organizations.
          • Involve multidisciplinary teams to ensure changes are vetted and approved by all stakeholder groups
          • Develops and maintains excellent, collaborative relations with key stakeholders/departments including but not limited to: Employee Health, Nursing, Perioperative, Perinatal, Emergency Services, Urgent Care, and various physician specialties
          • In partnership with Infection Prevention staff and departmental managers develops, monitors and modifies Infection Prevention and Control Program department specific goals/objectives as appropriate
          • In partnership with the Sterile Processing Director/Manager provides expert leadership and knowledge to assure all sterilization and disinfection processes throughout the Hospital and Ambulatory Clinics are in compliance with all national and state standards
    • Leadership:
          • Work collaboratively with others providing direction when necessary
          • Contribute to the development of healthcare providers through education and mentorship
          • Manage human resource processes; provides supervision and leadership to Infection Prevention staff; hires, fires, promotes, demotes, manages and evaluates staff performance and development
          • Prepare and deliver infection prevention presentations to external groups and organizations
    • Research and Implementation Science:
          • Together with the Infection Control Committee Chair, initiates and directs research projects and epidemiological investigations of significant clusters of infection or serious communicable disease concern
          • Critically evaluate research and evidence based practices and incorporate appropriate findings into routine practice
          • Integrate evidence-based practices into policies, guidelines, protocols and educational strategies
          • Identify barriers for implementation and develop strategies to minimize or remove barriers
    • Infection Prevention and Control Informatics:
          • Demonstrate expertise in infection prevention software and technology
          • Collaborate with Information Technology to create meaningful electronic reports to enhance infection prevention initiatives
    • Fiscal Responsibility:
          • Consider the financial/safety implications and clinical outcomes when making recommendations, evaluating technology and products and developing policies and procedures
          • Use a systematic approach to evaluate costs, benefits and efficacy
          • Manages and/or reduces costs
          • Assist with development and maintenance of departmental budgets
    • Performs other activities and responsibilities as directed

Eisenhower Health offers a generous benefits package and a matched retirement plan.

Employees are eligible to participate in a benefits program designed to make a difference for you and your family.

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A Culture of Positivity and Support

From the beginning, this organization formed a culture based on strong values, commitments and a passion for service and professional excellence.

What Our Nurses Say

One of my very favorite things about working at Eisenhower Health is the culture on inclusivity that we have and a strong base for evidence-based practice.


Neonatal Nurse

One of the greatest things about working as a nurse at Eisenhower Health is how much support you get from Administration. We keep on improving the process here. It's a fantastic place to work.


Nursing Supervisor

My favorite thing about working at Eisenhower Health is the camaraderie within my unit and with the different departments.


Registered Nurse

Be a Part of an Award-Winning Team

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