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Director Infection Prevention

Baylor St Luke's Medical Center Houston, Texas
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The posted compensation range of $49.20 - $71.34 /hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law.

Requisition ID 2024-364894 Employment Type Full Time Department Quality Management Hours/Pay Period 80 Shift Day Weekly Schedule Mon - Fri Remote No Category Risk and Compliance
Overview

Baylor St. Luke’s Medical Center is an internationally recognized leader in research and clinical excellence that has given rise to breakthroughs in cardiovascular care neuroscience oncology transplantation and more. Our team’s efforts have led to the creation of many research programs and initiatives to develop advanced treatments found nowhere else in the world. In our commitment to advancing standards in an ever-evolving healthcare environment our new McNair Campus is designed around the human experience—modeled on evidence-based practices for the safety of patients visitors staff and physicians. The 27.5-acre campus represents the future of healthcare through a transformative alliance focused on leading-edge patient care research and education. Our strong alliance with Texas Heart® Institute and Baylor College of Medicine allows us to bring our patients a powerful network of care unlike any other. Our collaboration is focused on increasing access to care through a growing network of leading specialists and revolutionizing healthcare to save lives and improve the health of the communities we serve.

Oversees a multi-campus Infection Prevention program. Directs all infection prevention related activities associated with surveillance, performance improvement, and education, which are intended to ensure that the facility’s patients, personnel, and visitors will be protected from transmission of diseases and infection within the facility’s environment, as identified in the core competency model by the Association for Professionals in Infection Control and Epidemiology (APIC).


Responsibilities

Responsible for the oversight of daily operations of the infection Prevention Department and Employee Health in regards to the facility compliance with Hospital Accreditation Standards, State and CMS regulations. Identifies and implements updates to the Infection Prevention Program when new regulations and/or professional guidelines are published. Serves as the content expert in all infection prevention matters in support of clinical staff, performance improvement teams and hospital committees.

Ongoing assessment and development of programs, policies and procedures, and forms to address the infection prevention needs of employees, volunteers, contract workers, independent contractors, physicians, registry workers and students in accordance with the guidelines established by the regulatory agencies. Develops and operationalizes the Infection Prevention Program’s annual risk assessment, annual plans, and annual evaluations. Identifies and implements updates to the Infection Prevention Program when new regulations and /or professional guidelines are published. 

Tracks financial impact of reported hospital acquired infections and provides stewardship of resources while promoting maximum patient outcomes, costs, and quality of care for all served. Maintains current knowledge of infection prevention professional society guidelines, best practices and regulatory requirements as demonstrated by attending infection prevention conferences and workshops, reviewing current  infection prevention literature, guidelines and national standard and networking with Health System and external Infection Prevention Specialists.


Qualifications

Required Education and Experience:

* Bachelor's degree in Science (Microbiology, Biology, Nursing, Public Health


* An active Texas state license of practice is required for a Registered Nurse (RN)
or

* Clinical Lab Scientist.

* Certification in Infection Prevention and Control by the Certification Board of Infection Control and Epidemiology (CBIC) to be obtained during the first two (2) years of hire.

Required Experience:

* Minimum of three (3) years clinical experience in Nursing, Microbiology, Biology, or Public Health.

* Two (2) years of experience as an Infection Preventionist in an acute care facility.

Required Knowledge, Skills, Abilities and Training:

Demonstrates breadth and/or depth of professional/technical skills and capabilities required for the position; shares knowledge; sets or contributes to the Company’s direction within area of expertise.
Knowledge of types, methods, tools and techniques used in infection prevention and control; ability to impede the spread of
infection and disease.

Able to lead RCAs for HAIs and implement action plans.
Knowledge of federal, state and local healthcare related laws and regulations; ability to comply with these in healthcare practices and activities.

Knowledge of current professional society guidelines.

Able to perform literature reviews to support performance improvement and practice changes.
Ability to assess a situation from an infection prevention perspective and recommends appropriate action within scope of responsibility to ensure safe and quality patient care.
Ability to recognize, develop and provide educational programs on infection prevention for all levels of personnel to improve their infection prevention knowledge base and practice.
Knowledge of effective self‐management practices and ability to manage multiple concurrent objectives, projects, groups, or activities, making effective judgments as to prioritizing and time allocation.
Actively seeks professional growth, demonstrates professionalism, and exhibits a good working rapport in all interpersonal interactions with departmental staff, healthcare personnel, contract workers, patients and visitors and community agencies.
Strong professional, organizational and interpersonal skills for working with teams, physicians, committees and senior management

Excellent communication skills (oral and written), presentation style, including the ability to concisely present data to leaders, clinicians and staff at all levels of the organization.

#LI-CHI

Unless directed by a Collective Bargaining Agreement, applications for this position will be considered on a rolling basis. CommonSpirit Health cannot anticipate the date by which a successful candidate may be identified.

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Depending on the position offered, CommonSpirit Health offers a generous benefit package, including but not limited to medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible employees may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings, as may be amended from time to time. For more information, please visit https://www.commonspirit.careers/benefits.

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Equal Opportunity

CommonSpirit Health™ is an Equal Opportunity/Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law. For more information about your EEO rights as an applicant, please click here [PDF].

CommonSpirit Health™ will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c). External hires must pass a post-offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances. If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA). CommonSpirit Health™ participates in E-Verify.