Infection Prevention Manager

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New London, CT
Mar 13, 2019


Job Description

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values-integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.


Under the direction of the System Director Infection Prevention (IP) and Hospital Epidemiologist, the Infection Prevention Manager is responsible for the planning, development, coordination, implementation and evaluation of the multiple facets of the infection prevention and control program at the assigned delivery network (s) (DN). Oversees the assigned DN staff to include all areas of hiring, training, competency validation, ongoing supervision , setting goals, assessing progress and/or barriers, and planning remediation as needed.


1. Collaborates with the Director Infection Prevention and DN Hospital Epidemiologist to develop and implement a framework for infection prevention and surveillance at designated entities which aligns with the department's vision, DN's business plan and Corporate objectives.
1.1 Collaborates on and develops the annual infection prevention plan ensuring alignment with the department's vision, DN's business plan and Corporate objectives. Reviews, assesses, and modifies the departmental plan as needed.
1.2 Coordinates, oversees and ensures accuracy of communicable disease and hospital acquired infection surveillance and reporting functions.
1.3 Assists in the planning, development and implementation of computer applications for data collection , storage, retrieval, analysis, reporting and presentation of data. Also, the application of methods to identify, maintain, and evaluate practices and strategies to improve processes, patient care practices and outcomes.
1.4 Uses performance improvement and epidemiological methods to identify, track, assess, monitor and report infection prevention and control problems and other adverse events. Provides data analysis assistance to leadership and clinicians to help determine opportunities for improvement and provides feedback on hospital and patient care processes, practices and outcomes.
1.5 Evaluates the appropriateness, availability, effectiveness and efficacy of the multiple facets of the infection prevention program and initiatives.
1.6 Facilitates the Infection Control Committee in conjunction with the Hospital Epidemiologist. Responsibilities included meeting arrangements, membership, agenda and minutes.
1.7 Supports the development and implementation of improved patient care practices and activities relating to infection prevention using a multi-disciplinary team approach as demonstrated through collaboration with leadership, IP staff, patient care areas, ancillary departments and PI teams.
2. Oversees the daily operations and ad hoc infection prevention activities in assigned DN(s).
2.1 Coordinates the work performed by the Infection Preventionists, Support Analysts and other roles as designated. This includes responsibilities for assignments, surveillance, investigations and reporting in assigned entities and for special projects. Ensures all required data is submitted to NHSN and other agencies as required accurately and in a timely manner.
2.2 Collaborates in the development of training and competency programs for new IP staff . Evaluates performance, knowledge and competency of assigned IP staff . Meets with employees and plans mutually agreed upon individual performance goals. Monitors progress and/or barriers, plans remedial education and/or training, modifies performance expectations, and completes six-month and
twelve-month reviews as required.
2.3 Schedules, plans, facilitates and conducts huddles and staff meetings.
2.4 Manages, recruits, hires, administers disciplinary action for assigned staff.
2.5 Develops and monitors timetables, budgets and resources necessary to complete Infection Prevention departmental goals and projects.
2.6 Supports an exceptional work environment through effective leadership , supervision, role modeling and communication.
2.7 Communicates with the Director, Infection Prevention on a regular basis regarding staffing , performance issues, regulatory vulnerabilities, outbreak investigations and other infection prevention concerns.
2.8 Communicates with the Hospital Epidemiologist regarding hospital acquired infections, outbreak investigations and other clinical infection prevention concerns as needed.
3. Serves as a liaison to local leadership, departments and committees on matters pertaining to infection prevention functions.
3.1 Provides consultation to above groups related to TJC standards , CMS Conditions of Participation, Department of Health regulations and State and Federal mandates. Identifies deficiencies and collaborates on initiatives to ensure compliance.
3.2 Provides effective communication to key stakeholders of infection prevention plans and activities.
3.3 Serves as the primary contact for all organizational in servicing. Collaborates and consults with local educational departments on program content and participates in education and training initiatives. Assists in reviewing and revising content as needed.
4. Maintains professional growth and keeps abreast of the latest information through literature review, ongoing education and attendance at professional society conferences.
4.1 Demonstrates in-depth knowledge of current recommendations, standards and guidelines from multiple local, state and federal regulatory agencies.
4.2 Networks and interacts with infection prevention professionals and community agencies to enhance knowledge, visibility and the image of the department and organization.
4.3 Maintains APIC membership. Maintains certification in Infection Control with recertification every 5 years.
4.4 Collaborates on infection prevention academic and professional efforts including poster /oral presentations at local, regional or national conferences and publication in academic/professional journals.
5. Performs duties at the System level as requested by the Director Infection Prevention including but not limited to:
5.1 Participates as a member of the System Infection Prevention Committee.
5.2 Collaborates with Infection Prevention staff across the system in efforts to standardize policies , practices and process across DNs and implements these at the assigned DN.
6. Other duties as assigned by the Director Infection Prevention.

Bachelor's degree. RN or healthcare related field (e.g., Microbiology, Public Health). Master's Degree in Nursing, Public Health, Health Care Administration, or other health related field preferred.

Three (3) to five (5) years clinical experience in an acute care hospital (clinical hospital experience in nursing or other related clinical area) with five (5) years in Infection Prevention and Epidemiology required. Current certification in Infection Control by the Certification Board in Infection Control (CBIC) required.

Expert knowledge of epidemiological methods, processes and practices relating to patient care and clinical outcomes; excellent organizational and communication skills; ability to work collaboratively and independently ; demonstrated leadership and team facilitation skills; personal maturity and good clinical judgment; ability to multi-task and work under stress; excellent interpersonal skills; excellent verbal, written and presentation skills ; ability to organize, plan, coordinate, implement, evaluate and monitor the multiple facets of the surveillance , prevention and control programs and provide feedback; resourceful, creative, and highly motivated; 'out of the box' thinking and persuasion skills; able to supervise, counsel, coach and mentor Infection Preventionists , Support Analysts and physicians in training; demonstrated high level qualitative and quantitative skills and proficiency in Microsoft Office applications, YNHH information systems (Epic) and external databases (NHSN).

Responsible for the planning, development, coordination, implementation and evaluation of the multiple facets of the infection surveillance, prevention and control program. Reports directly to the Director Infection Prevention and Hospital Epidemiologist.
In personal and job-related decisions and actions, consistently demonstrates the values of integrity (doing the right thing), patient-centered (putting patients and families first), respect (valuing all people and embracing all differences ), accountability (being responsible and taking action), and compassion (being empathetic).

COMPLEXITY (describe planning, problem solving, decision making, creative activity, or other special factors inherent in the responsibilities of this position):
Advises in strategic planning, priority setting, monitoring and evaluation methods ; demonstrates in -depth knowledge of patient care and environmental standards and guidelines from TJC , CDC/HICPAC, APIC/SHEA, OSHA, State Public Health Code, CMS and other Federal and State Regulatory requirements and their application in a healthcare setting. Collaborates in the review and revision of departmental, hospital and system wide policies and practices. Collaborates in the development of education and training curriculum for infection prevention.

Active R.N. license for the state of CT if applicable. Maintains Certification in Infection Control by CBIC.

Requires travelling throughout the assigned Delivery Network sites, including off -site areas, to attend meetings and in response to IP needs. Also, the ability to travel throughout the YNHH System entities to attend meetings and provide support to staff. Ability to respond to questions outside of office hours. Rarely may need to be on -site after hours to respond to an emergency.


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Job Info

Job: 4403

Department: Infection Prevention
Category: Mgmt/leadership
Sub Category: NON-CLINICAL
Status: Full Time
Shift: DAYS
Hours: 40.00