Kalispell Regional Healthcare Director, Quality and Infection Control - Logan Health - Conrad, MT in Conrad, Montana
Responsible for establishing mission, vision, planning, direction, assessment and leadership for effective infection prevention and quality control programs system-wide for hospital, clinic, outpatient services, and other system entities in the areas of surveillance, reporting, prevention and control of infections including related regulatory compliance, accreditation standard compliance and quality/performance improvement. Facilitates compliance with requirements of Center for Disease Control and Prevention (CDC), Occupational Safety and Health Administration (OSHA) and the Department of Public Health. Oversees facility Quality Improvement Plan. Provides clinical education leadership for PMC. Develops and ensures quality standards and competencies for nursing practice. Oversees employee health program.
Collaborates with Medical Staff and leadership staff to monitor the clinical care of patients and provides clinical support to improve patient care and outcomes.
Communicates information and ensures proper quality and infection control measures are in place when indicated.
Follows all positive microbiology and serology reports for possible infection in patients and employees in accordance with the recommendation of the Infection Control committee of the Medical Staff.
Receives information from the lab and institutes immediate action/reporting to provide appropriate infection control measures.
Assists with the preparation of quarterly quality and infection control reports to Medical Staff and Board of Directors.
Prepares in-service programs relating to quality, infection prevention and employee health during new hire orientations.
Assists with staff clinical orientation, skills assessment/development and in-service education and maintains in-service attendance records, competencies and training tools.
Provides education to supervisors, department managers, medical staff, patient and/or family members regarding quality and infection control issues.
Develops and implements quality and infection control programs. Monitors compliance with current laws, process improvements, and implementation of clinical best practices. May need to help train staff on new or improved clinical practices.
Participates in reviewing and revising policies annually and as needed in order to meet current standards and regulations of practice.
Oversees employee health program. Tracks employee immunizations and facility requirements related to employee health. Completes reports to quality organizations including the QIO, PIN and NHSN.
Collaborates with Environmental services on general housekeeping as it relates to quality and infection control
Other duties as required and assigned.
Disclaimer: – Not all inclusive – other duties as assigned. Every effort has been made to make this position description as complete as possible. However, it in no way states or implies that these are the only duties required. The omission of specific statement of duties does not exclude them from the position if the work is similar, related, or is a logical assignment to the position.
Schedule: Primarily weekdays Monday-Friday. Occasionally may be required to adjust schedule depending on the needs of the department and facility
REQUIRED KNOWLEDGE, SKILLS & ABILITIES
Education/Experience: Minimum of two years’ experience working with quality and/or infection control programs in a hospital setting. Staff development leadership and clinical expertise. Knowledge of best practices, teaching methods and disease processes.
Strong analytical and organizational skills required.
Ability to execute multiple tasks with minimal supervision.
Able to handle interact with a variety of individuals and departments competently, effectively and courteously.
Intermediate to advanced computer skills preferred.
Current Montana RN required.
Behavioral Competencies: Supports PMC’s Code of Conduct and the organization’s Mission, Vision and Values. Maintains security and confidentiality of all information at all times. Demonstrates the ability to function successfully in a team environment. Exhibits courteous, compassionate and respectful treatment of all customers. Displays a positive attitude, flexibility and ability to adapt to new and changing situations. Participates in identifying potential problems or situations and suggests solutions.
DECISION MAKING LATITUDE
Employee works independently, refers questions to Chief Nursing Officer/Chief Executive Officer.
Job Locations US-MT-Conrad
Requisition ID 2021-10991
Pay Period Status 80
Schedule Full Time with Benefits
Position Type Full Time (Benefits Eligible)