Job Bank

Senior Clinical Quality Analyst (RN)
UnitedHealth Group, Newark, NJ

Job Description:

Overview/Description:

• Ability to be a Team leader

• Reporting and analytical skills to comply with regulatory regulations, tracking and trending of all cases

• Provide investigation and resolution for member complaints and grievances

• Maintains timely investigation and closure of quality of care/ quality of service cases

• Enters all appropriate documentation into secure quality databases

• Communicates routinely with Chief Medical Officer regarding QOC issues and resolutions

• Ability to request and evaluate medical records with attention to case detail.

• Assist to resolve provider service issues as they relate to quality of care and quality of Service, includes ongoing provider education as needed

• Assist with the development and implementation of Quality Management/Improvement initiatives to meet or exceed state, federal contractual, and NCQA criteria

• Supports the HEDIS medical record chase to support optimum HEDIS and Quality metric reporting

• Coordinate measurement and analysis of Quality indicators of plan performance, provider, and member and management of the quality of care review process

• Assist with overall member satisfaction improvement rates thru CHAPS, quality regulatory and EQRO activities

• Ability to make formal presentations in front of committee and work in a team environment

• Problem solving skills; the ability to systematically analyze problems, draw reasonable fair conclusions and devise appropriate courses of action

• Excellent verbal and written communication skills; ability to speak clearly and concisely, convey complex or technical information in a manner that others can understand, as well as the ability to understand and interpret complex information from others

• Participates in or coordinates with other department projects and or care coordination as needed

• Assists with preparation of State Audits such as EQRO/CMS to ensure compliance with State standards

• Assists with preparation of NCQA Accreditation to ensure compliance with standards and guidelines as they apply to QM

Required Qualifications:

• 2+ years Managed Care Experience required

• Unrestricted RN license in NJ required

• 3+ years of direct clinical experience required

• Good written and oral Communication skills

• Strong data analysis skills required

• Strong computer proficiency (MS Office - Word and EXCEL required)

• Strong organizational skills

• Problem solving skills; the ability to systematically analyze problems, draw reasonable fair conclusions and devise appropriate courses of action

• Excellent verbal and written communication skills; ability to speak clearly and concisely, convey complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others

Preferred Qualifications:

• Case Management/Utilization Review experience in Managed Care

• Quality Performance management experience strongly preferred

• Complaints, Appeals and Grievance experience strongly preferred

Instructions for Resume Submission:

TO APPLY, please click the following link: http://bit.ly/SrClinQualAnalystNJ366090

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Nursing Performance Improvement Manager
Temple University Hospital

Introduction:

Temple University Hospital is an academic medical center with a Level I Trauma Center, offering comprehensive inpatient and outpatient services to the surrounding community, and highly specialized tertiary services to the entire region. We have made a commitment to making patient-centered care as important as providing the most advanced treatment. Our team and dynamic setting combine to offer those who share our focus an exceptional career path. We have been ranked among the best hospitals in the region overall by U.S. News & World Report.

Job Description:

This individual is responsible for the management of a comprehensive Performance Improvement program for the Department of Nursing. They will administer all aspects of National Database of Nursing Quality Indicators (NDNQI) to include data collection, database management and reporting, and associated quality projects. They will also be a liaison with other clinical departments for interdisciplinary aspects of nursing performance improvement programs.

Exempt, salaried position with typical Monday-Friday hours.

Required Qualifications:

• A Commonwealth of Pennsylvania Registered Nurse License, or immediately eligibility

• At least 5 years of experience in an acute care hospital

• A minimum of 3 years experience in Performance Improvement activities

Preferred Qualifications:

• Experience with NDNQI

• Proficiency in use of personal computers and software applications, e.g., wordprocessing, databases, spreadsheets, flow charting and statistical analysis

• Certification in Quality Management

Education Qualifications:

• A Bachelors Degree in Nursing (BSN)

Compensation/Benefits:

We offer a competitive salary and an excellent benefits package including a valuable 403(b) match and tuition assistance for employees (and undergraduate dependants attending Temple University).

Instructions for Resume Submission:

Learn more and apply online at https://hr.templehealth.org (click "No I am not a current employee > Basic Job Search Keywords: 8101 > "Apply Now" > "Register Now" - if you don't already have a candidate profile).

If you have a candidate profile, you do not need to create a new one. You should make sure that you have uploaded/attached a resume file too. You may also email Douglas.Page@TUHS.Temple.edu after you have applied online.

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Quality Coordinator (per diem)
Somerset Medical Center

Responsible for review of medical records and abstraction of clinical data to meet Joint Commission and CMS requirements. Works with physicians, nurses and department managers to assure that SMC achieves the best possible clinical outcomes.

Required Qualifications:

• BS degree in health related field

• Familiarity with medical terminology

Preferred Qualifications:

• RN preferred

• Previous experience abstracting core measure data desirable

• Experience working in a quality role in a health care organization

Education Qualifications:

BS required

Instructions for Resume Submission:

Please complete online application on SMC website. For additional information please feel free to contact Joan Guzik, Director of Quality Improvement at jguzik@somerset-healthcare.com or 908.595.2393.

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Quality Coordinator - Surgical Services
Somerset Medical Center

Job Description:

The primary function of this position is to successfully promote clinical outcomes in surgical services as evidenced by the achievement of quality indicators and patient safety practices considered best practice by state and national standards. Responsible for abstracting and reporting of quality indicators for SCIP, coordinating surgical peer review committee, and utilizing quality improvement tools and methodologies to facilitate process change.

Required Qualifications:

• Bachelors degree in health related area

• 3-5 years experience in a quality role in a health care organization

• Excellent written and verbal communication and organizational skills

• Ability to work independently, problem solve and prioritize

• Computer literate including proficiency with Word, Excel and Power Point

Preferred Qualifications:

• RN License preferred

• Familiarity with electronic medical record

• Previous experience abstracting medical records for core measures

Education Qualifications:

Bachelors degree required, Master's degree preferred

Compensation/Benefits:

SMC offers a competitive salary and benefits package.

Instructions for Resume Submission:

Please complete online application on SMC website. For additional information please feel free to contact Joan Guzik, Director of Quality Improvement at jguzik@somerset-healthcare.com or 908.595.2393.

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Quality Management Specialist
St. Joseph’s Healthcare System

Introduction:

At St. Joseph’s Healthcare System, our inspiration comes from a tightly knit team of accomplished professionals that help five people in our care every opportunity to live life to the fullest. Through our commitment to support, technology and training, we think you will find one of the most rewarding and satisfying experience of your nursing career.

Job Description:

Quality Management Specialist
Wayne, NJ Campus
* Part Time (48 Hours per Pay Period)

St. Joseph’s Wayne Hospital, serving the residents of Wayne and other northern NJ communities, is a 229-bed acute care community hospital, and provides comprehensive medical, surgical, emergency and diagnostic services.

Responsibilities include:

• Performing concurrent and retrospective record reviews

• Coordinating with medical, nursing and/or ancillary staff regarding performance improvement activities

• Facilitating performance improvement teams

• Preparing required state reports

• Overseeing performance improvement projects

• Training staff in the use of PI methods/tools

• Handling other related duties as assigned

Required Qualifications:

To qualify, you must be a NJ Licensed RN with a BSN, 3 years of acute care experience, and at least 1 year of Quality/Performance Improvement experience. Knowledge of federal/state regulations, and JCAHO standards/practices will also be expected, as will strong problem-solving, analytical and PC skills. MSN and CPHQ preferred.

Education Qualifications:

BSN

Compensation/Benefits:

Competitive

Instructions for Resume Submission:

We offer a competitive compensation package. For immediate consideration, please apply online at: www.stjosephshealth.org, fax 973.754.4511, or email your resume (put QM Specialist in subject field) to: hilln@sjhmc.org.

EOE M/F/D/V St. Joseph’s Healthcare System www.stjosephshealth.org

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Associate Performance Improvement Manager (RN)
Temple University Hospital

Introduction:

Surrounded by nationally recognized physicians, sophisticated services and programs, you will find yourself inspired to achieve and grow at Temple University Hospital. Our academic medical center's collegial, caring team is united by our core values of respect, service and quality. Temple University Hospital has been ranked fourth in the Philadelphia region in U.S. News & World Report's first-ever Best Hospitals metro area rankings. We’ve also been given further recognition as one of the nation's top hospitals in 12 specialties.

Job Description:

We presently seek an individual with a strong Quality and Performance Improvement background to assist with the administration of a comprehensive performance improvement program for all hospital and clinical departments. Be prepared to work closely with specific units/unit managers to promote the transformation of care and ensure compliance.

Required Qualifications:

• Minimum of three-five years of experience in Performance Improvement and/or Quality Improvement activities

• Solid understanding of the National Database of Nursing Quality Indicators, Six Sigma and ACMQ practices and principles

• Experience with team facilitation and project management

• Good PC skills (word processing, databases, spreadsheets, flow charting and statistical analysis)

Preferred Qualifications:

Certification in Quality Management (CPHQ) or Risk Management preferred

Education Qualifications:

• A degree in a health care related discipline or equivalent experience

• Pennsylvania-licensed, Registered Nurse with five years of experience in an acute care hospital

Compensation/Benefits:

As part of our team, you will be offered a competitive salary and excellent benefits including tuition assistance for you, and for your undergraduate dependants attending Temple University.

Instructions for Resume Submission:

Learn more and apply online using Job ID: 8400 at www.templehealth.org or email: Terry.Aisenstein@tuhs.temple.edu.

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Senior Quality Management Specialist
Galileo Search, LLC

Introduction:

Our client is a 170+ bed regional provider with a beautiful state-of-the-art facility that serves as a national model for advanced health care design. This facility has been recognized nationally, 4 years running, for their unwavering commitment to patient satisfaction. The commitment to excellence has cultivated an environment for promising career opportunities and professional growth. Come experience this affluent colonial town located right along the coast of Long Island Sound. This area offers acres upon acres of parks and golf courses for outdoor recreation along with a delicious variety of local dinning. It is no wonder that this location is Ranked by Money Magazine as one of the best places to live in the United States. Weekend travel is a must with New York City a short train ride away. Enjoy a Broadway play, fine dining, sight-see or head over to the Meatpacking District to experience the nightlife in "the city that never sleeps.”

Job Description:

The Senior Quality Management Specialist will evaluate and ensure organizational compliance with The Joint Commission and other agencies and recommend change, as indicated: Assure compliance through the monitoring of action plans, concurrent and retrospective studies; assess Quality assessment activities of all ancillary departments, assisting with the development and creation of a department QA Plan and integration with the hospital-wide continuous quality improvement process; provide consultation and leadership to members of the clinical staff for the implementation of programs intended to improve the evaluation of practice and improve the quality of services and/or the resolution of clinical issues; analyze computer assisted studies of patient treatment data, by procedure and outcome to identify clinical practice and resource patterns and trends; assist with the development, implementation, and monitoring, of the hospital wide Quality Assurance and Performance Improvement Plan; undertake special projects related to improving the quality of care, treatment and services provided; participate in organization safety projects; participate and/or lead The Joint Commission Continuous Readiness activities for Hospital, Home Hospice and off-site areas which includes survey preparation, standards compliance, communication of information to hospital leadership, compliance with Survey Activity Guide, maintaining phone contact lists and session readiness lists; facilitate hospital wide Performance Improvement by supporting departments in their efforts to comply with evidence- based practice standards; provide a consultative resource for all staff, offering expertise that promotes exceptional quality patient care, services and treatment; provide interpretive guidance and expertise regarding CMS Conditions of Participation, State of CT Department of Health regulations and The Joint Commission standards for both hospital and hospice programs; facilitate the reduction of process variation through the efficient utilization of time, effort and costs; analyze data, prepare reports, facilitate groups and provide consultative services related to areas of quality management and patient care. Be able to statistically evaluate and monitor outcomes for analysis and decision making; act as a resource with regard to data collection, analysis, reporting and team facilitation in relation to improving clinical care. This position reports to the Director of Quality.

Required Qualifications:

Bachelor of Science in Nursing required; Master’s Degree in Healthcare Administration (or related field) preferred, not required; Registered Nurse (RN) in the state of Connecticut, or eligible for reciprocity; CPHQ (Certified Professional Healthcare Quality) preferred, not required; 3 or more years of Quality Management experience; Strong cognitive reasoning and problem solving skills, examination and analysis of data, chart reviews, and creating reports; Strong presentation and communication skills are necessary; Knowledge of Microsoft Word, Excel, and PowerPoint is required.

Jonathan DiGiulio, Business Informatics Coordinator
Galileo Search, LLC
Phone: (800) 680-6130

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Manager of Performance Improvement *Retained Search
Galileo Search, LLC

Introduction:

Las Vegas is a city with an increasingly diverse and unique quality of life. It continues to evolve with diverse new cultural offerings that appeal to a wide range of tastes and budgets. As a new resident, you can live, work and play in the entertainment capital of the world! If you are the outdoors type, experience heart-pounding free-fall sky dives, desert buggy racing, white water rafting, tennis, kayaking or taking a hike through one of the magnificent national parks. If you prefer a well-positioned stadium seat over participating in an extreme sporting adventure, college sports teams, minor league baseball, a professional hockey team, professional boxing and NASCAR races are just a few of the spectator sports at your disposal. Our client is a 400 bed acute care for-profit teaching hospital. The facility is accredited by The Joint Commission (latest survey was conducted in 2010).

Job Description:

The Performance Improvement Manager will be responsible for the overall management of the Performance Improvement department. This includes leading efforts to ensure an optimal patient experience and patient quality outcomes. This position reports to a supportive Administrative Director of Patient Safety & Quality Outcomes. The Manager of Performance improvement will direct a staff of two Performance Improvement Analysts.

Responsibilities will include:

• Coordinating and assuring accuracy and timeliness of quality data collection

• Performing data abstractions, as needed

• Analyzing national healthcare initiatives, i.e. core measures data and provides feedback to key leaders

• Coordinating and leading PI meetings, in conjunction with Physician Chairperson

• Determining reporting schedule, developing agenda, leading discussions and recording/reviewing minutes

• Developing, implementing and overseeing the peer review process

• Conducting peer review according to policy and prepares monthly reports

• Coordinating the PI function and processes by utilizing a variety of prescribed software application (MIDAS, PB View, QNET, and Resource Network)

• Presenting performance improvement data to a wide range of audiences

• Managing the TJC (The Joint Commission) Continuous Readiness

• Overseeing and participating in tracers and audits

• Coordinating PPR preparation and submission

• Submitting and maintaining all MOS data

• Utilizing CQI tools and techniques in RCA and SE meetings to develop risk reduction strategies development and measurement plans

• Communicating and educating leadership and staff regarding new statues/guidelines, and safety/quality/PI activities

• Assisting leadership in developing tools including metrics, for evaluating department improvement initiatives

• Utilizing statistical process control methods to display data in a useful manner

• Developing in collaboration with Administrative Director the formulation of the PI Plan annually

• Evaluating the effectiveness of the PI Plan

• Preparing an annual evaluation of the PI Plan

• Interviewing, hiring and conducting performance evaluation for each of the positions directly accountable to the position

• Participating in select educational activities to enrich personal/professional knowledge of CQI process

• Participating in hospital and system–wide meetings/committees as directed

Required Qualifications:

Education and Experience:

• BSN or graduate of a school of nursing or currently completing courses to obtain Bachelors degree in nursing or a related field

• Current RN license in the state of Nevada or eligible for reciprocity

• Five (5) years clinical experience, with two to four years Quality Assurance or Performance Improvement experience

• Minimum two (2) years progressive management experience preferred

• Computer proficiency to include word processing, spreadsheet and database

Jonathan DiGiulio, Business Informatics Coordinator
Galileo Search, LLC
Phone: (800) 680-6130

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Director of Quality & Case Management
Galileo Search, LLC

Introduction:

Located in the Dayton, Ohio area, our client has provided comprehensive medical services to their community and surrounding areas. This acute care hospital is a brand new state-of-the-art facility with approximately 250 beds. A thriving community with a unique heritage that fills every season with events and festivals. Historic architecture reflects the city’s rich heritage. Amenities include: performing arts that rival those of much larger cities; top ranked golf courses; A wealth of arts and heritage sites; World-class shopping and antiquing; Abundant nearby driving excursions and much, much more.

Job Description:

In this high profile position, the Director of Quality will ensure the delivery of high quality, excellent care that meets and exceeds regulatory standards and requirements and payer expectations, as well as, assisting the organization to successfully achieve the objectives for quality and patient safety. This will include overseeing quality reviews and reporting; performance improvement; analysis of serious adverse events; and infection control. The Director of Quality will collaborate closely with and assist case management; documentation specialists; divisional patient safety officer; risk management; discharge planners; nursing leadership; divisional quality leadership, and medical staff for peer review activities.

Additional responsibilities will include:

• Preparing and submitting quality reports as required by external agencies and payers

• Facilitating and supporting the quality, patient safety and performance improvement committee infrastructure

The position will report to the COO/Vice President of Medial Affairs. There are approximately 25 FTEs.

Required Qualifications:

Position requirements include:

• Registered (RN) in the state of Ohio (or eligible for reciprocity) or an allied health professional

• Bachelor's Degree required with Master's Degree preferred but not required

• Certified Professional in Healthcare Quality (CPHQ) preferred but not required

• 5 years clinical experience with at least three in a supervisory or managerial capacity

• Case management experience

• Ability to communicate effectively at all levels

• Organizational, team building, relationship building and proven managerial skills

• Data analysis and good basic statistical skills including basic PC skills (Excel, Word Processing, etc.)

Instructions for Resume Submission:

Jonathan DiGiulio, Business Informatics Coordinator
Galileo Search, LLC
Phone: (800) 680-6130

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Manager of Quality Improvement
Galileo Search, LLC

Introduction:

This facility is located in the beautiful North Country/Adirondacks region of New York. This small town is a short drive from the renowned 1000 Islands region encompassing communities on both sides of the US and Canada border along the St. Lawrence River and the eastern shores of Lake Ontario. Our client is a not-for-profit acute care community Hospital which provides a full array of medical, surgical and emergency care, and features a state-of-the-art emergency department. The facility is fully accredited by The Joint Commission.

Job Description:

The Manager of Quality Improvement facilitates and provides direction for oversight of quality/performance improvement/patient safety activities; Assists medical staff, senior management, department directors, managers and staff in the coordination of activities that promote improvement in patient care/patient safety, customer service and system operations; Maintains an active role in education of staff, medical and non- medical, in quality/performance improvement/patient safety.

Other responsibilities include:

• Being accountable for department operations and adherence to budget

• Works collaboratively to integrate quality/performance improvement philosophy and methodology into the utilization review, case management and risk management functions

• Takes a leadership role in the development of interdisciplinary performance improvement/patient safety projects.

This position has 2 FTE’s and reports to the Director of Healthcare Resource Management.

Required Qualifications:

Position qualifications include:

• Bachelor’s degree required

• Master’s Degree preferred - not required

• Current NY RN License or eligible for reciprocity

• CPHQ preferred

• Sufficient experience in clinical health care and administration

• Must have an understanding of patient safety, audit workplan from CMS, strong education and teaching at all levels of the organization for performance improvement and quality

• Knowledge of current local, state and federal regulations; Knowledge of regulatory standards

• Previous experience in an acute health care environment required

• Strong statistical and data skills

Jonathan DiGiulio, Business Informatics Coordinator
Galileo Search, LLC
(800) 680-6130  www.galileosearch.com

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Knowledge Management Analyst - Performance Improvement
Galileo Search, LLC

Introduction:

Our client’s is a not-for-profit, teaching, and research hospital that has grown to over 700 beds in its more than 100 years of existence. Throughout this facilities storied history, it has been recognized by many of the nation’s most prestigious organizations for its high level of clinical and organizational excellence.

Job Description:

The Knowledge Management Analyst has the responsibility and accountability for the creation of monitoring, measurement, evaluation and improvement analysis and reporting to the satisfaction of internal and external customers. As directed by the Director, Knowledge Management Committee, and Operations management, creates measurement, analysis and reporting applications including dashboards, alerts and reports. This position is responsible for collaborative action in systems design and implementation, information systems operations, and providing support to a variety of special projects.

Essential Generic Job Functions (listed in order of importance) are as follows:

• Evaluates current information processing systems and coordinates planned changes, upgrades and conversion as necessary

• Manages the utilization and affects the translation of analytical requirements into development activities in the various Knowledge Management solutions including but not limited to Premier, Siemens, vendor databases, and other available information systems, tools, technologies and processes, also additional skills to include EPIC Systems reporting and ORACLE B.I

• Consults and liaisons with the Data Integration Analysts, clinical chairs, chiefs and Directors, and vendors of public reporting entities as well as database Administrators, application analysts and data architects to translate requirements into efficient and effective applications and data structures

• Provides research to Clinical Knowledge Management Director and CQO for building the business case for quality

• Identifying opportunities for cost reduction through improved care outcomes

Required Qualifications:

• Bachelor’s degree in related field is required

• RN with nursing informatics is desired

• 3+ years of healthcare administrative and clinical data experience is required

• Must have experience in statistics, analysis and information presentation

• Must have experience in operations and data system access/analysis

• Proficient in ACCESS, SQL and EXCEL functions

Instructions for Resume Submission:

Contact: Jonathan DiGiulio, Galileo Search, LLC
(800) 680-6130
www.galileosearch.com

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Infection Control Practitioner/Performance Improvement Coordinator
Acuity Specialty Hospital of New Jersey

Introduction:

The Infection Control Practitioner/Performance Improvement Coordinator will establish, implement, facilitate and coordinate the ongoing, hospital-wide Infection Control Program to ensure compliance with standards set by state and federal regulatory agencies in order to enhance the quality of patient care consistent with hospital policies for the adult to geriatric patient, 18 years and over.

HOURS: Part Time (20 hours/week, flexible schedule)
STAFF SUPERVISORY DUTIES: None
REPORTS TO: Director of Quality Management
CLASSIFICATION: Exempt

Job Description:

Responsibilities include:

• Maintain current Infection Control and Prevention plans, policies, procedures and programs

• Gather, disseminate and document information on patient care quality and infection prevention to facilitate compliance with requirements of accrediting and regulatory agencies

• Perform and document annual Infection Control Risk Assessment

• Coordinate and integrate all Infection Control and Prevention activities within the Hospital

• Advise and assist medical staff and allied health care personnel in the quality/infection prevention process

• Provide an ongoing assessment of the Infection Control and Prevention elements of the quality improvement program

• Coordinate the bi-monthly Infection Control Committee: prepare the meeting agenda, minutes, and related meeting materials

• Maintain a close liaison with the Infection Control Committee Chairperson/Program Director for Infectious Disease

• Keep appropriate committees informed of changes in accrediting and regulatory standards related to Infection Control and Prevention; maintain a close liaison with other hospital department heads to assure coordination, standardization and continuity of Infection Control programs

• Provide in-services on Infection Control and Prevention topics, plans, policies, procedures and programs as needed

• Coordinate and/or perform studies related to Infection Control/Quality Improvement and prepare resulting reports

• Utilize the “Plan-Do-Check-Act” methodology of performance improvement

• Establish and maintain tracking systems for reporting infection control and surveillance data and ensuring that the programs result in quality improvement

• Keep current with state laws, federal laws and regulatory agency requirements for hospitals regarding infection control and quality management

• Ensure that policies, procedures, protocols and processes reflect the most up-to-date evidence and guidelines from professional organizations such as:

o Assoc for Professionals in Infection Control and Epidemiology (APIC)
o Center for Disease Control and Prevention (CDC)
o Healthcare Infection Control Practices Advisory Committee (HICPAC)
o Society for Healthcare Epidemiology of America (SHEA)
o Infectious Diseases Society of America (IDSA)
o World Health Organization (WHO)
o and others

• Assist Administrator/CEO in developing Medical Staff Bylaws, rules, and regulations to assure compliance with regulatory standards related to Infection Control and Prevention

• Assist Director of Quality Management in regulatory survey preparation and ongoing compliance

• Ensure compliance with measures for preventing exposure to blood borne pathogens

• Establish and maintain tracking systems for reporting data and detecting infectious outbreaks in all age groups of patients (18 years and over)

• Participate in the Hazardous Material Program. Hazards include exposure to blood and body fluids, possible communicable diseases, sharp objects and instruments, assorted chemicals and gasses as listed in the Hazardous Materials Program Manual

• Ensure that all employee occupational health requirements are met and maintained; including but not limited to annual PPD and fit testing

• Coordinate annual vaccination programs for employees and patients

• Coordinate hospital-wide hand hygiene program

• Act as administrator for National Healthcare Safety Network (NHSN) database and enter data as required

• Identify, investigate, and report communicable diseases as required by law

• Educate staff and patient population about infection risk, prevention, and control

• Participate in orientation of newly hired staff to provide a foundation of education related to infection control and prevention

• Adhere to Hospital attendance policy, as outlined in the Employee Handbook

• Adhere to all components of the Hospital Compliance Plan in performing job duties and report any violations or suspected violations of the Plan to the Compliance Officer

• Demonstrate professional conduct and comply with hospital and departmental policies and procedures

• Participate in Performance Improvement activities as delegated by the Director of Quality Management

• Recognize patient abuse and follow policy for making appropriate referrals/interventions

• Revise, implement and monitor compliance with the seven safety plans within the EOC Management Program

• Comply with established Safety and Patient Safety Program practices

• Perform other duties as assigned or delegated by the Director of Quality Management

• Limit access to protected health information (PHI) to the information reasonably necessary to do the job and share such information only on a need to know basis for work purposes. (Access to verbal, written and electronic PHI for this job has been determined based on job level and job responsibility within the organization. Computerized access to PHI for this job has been determined as described above and is controlled via user ID and password.)

The above statements reflect the general details considered necessary to describe the principle functions of the job as identified, and shall not be considered as a detailed description of all work requirements that may be inherent in the position. Reasonable accommodation may be provided to a qualified individual with a disability who can perform the essential functions of the job with or without reasonable accommodation.

Required Qualifications:

• Previous experience in Infection Control in a hospital setting

• Formal education and/or documented experience in epidemiological principles, microbiology, patient care practice and infectious diseases

• Excellent communication skills

• Excellent organizational skills

• Ability to motivate and engage staff members

• Ability to work in high stress environment

• Ability to work on multiple projects concurrently and balance competing priorities

• Ability to speak, read and write English

• Computer literate

Preferred Qualifications:

Management experience preferred

Education Qualifications:

Registered Nurse with current state license OR current license or registration/certification as a medical technologist or clinical laboratory scientist OR a minimum of a baccalaureate degree and related experience Certification through the Certification Board of Infection Control (CBIC), or eligibility for such certification, to be completed within 1 year of hire

Compensation/Benefits:

Comprehensive benefits and competitive salary offered; salary commensurate with experience.

Instructions for Resume Submission:

Email resume to Jennifer Trallo, Director of Quality Management, at jtrallo@acuityhealthcare.net.

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