Infection Prevention Manager Exempt

2 months ago

Los Angeles, United States Hollywood Presbyterian Full time
Job DescriptionJob DescriptionCHA Hollywood Presbyterian (CHA HPMC) is a nationally recognized acute care facility that has been caring for the Hollywood community and Los Angeles Areas since 1924.

Join our Global Network and be a CHA Global Ambassador

CHA HPMC is also a part of the world-renown CHA Health System (CHS). CHS has CHA University which consists of 14 education institutions including medical school, nursing school and pharmacy. CHA global network operates 81 hospitals and specialty clinics, 30 research and 31 bio/pharmaceutical/healthcare companies with 14,000 employees in seven countries.

Our New Facility is seeking for Top Talents

The best women’s hospital in Los Angeles is looking for current RN candidates to staff Operating Room, Emergency Department, Labor & Delivery and Mother-Baby care units to be housed in our expanding new patient tower facility scheduled to open next year. Come be a part of this dedicated and caring team right in the heart of Hollywood.


Position Summary:

Coordinates and manages the operations of the Infection Prevention Department, including identification, investigation, reporting, prevention and control of infections and communicable diseases within the organization, including both healthcare associated infections and community-acquired infections. Ensures quality patient care is given across the continuum. Directs performance improvement and continuous quality improvement (CQI) activities.

  • Provides coordination and management of the infection prevention department
  • Hires, completes performance management and development of staff within department(s).
  • Ensures quality care is delivered to patients in timely and effective manner.
  • Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide population specific care to the patients served. Ability to interpret data about patient's status in order to identify each patient's age specific needs and provide care needed by the patient group.
  • Maintains performance improvement and quality control activities. Provides education and guidance to staff on performance improvement. Able to plan, organize and participate in orientation and in service training for staff.
  • Ensures participation of facility personnel in the formulation of the standards of infection prevention practices. Implementing standards, annually reviewing and revising, as necessary, to reflect changes in practice.
  • Ensures compliance with Federal and State regulatory agencies including The Joint Commission and CDPH.
  • Develops and recommends department operational and capital budgets. Initiating corrective action for budget variances.
  • Develops and maintains a system for identifying, reporting investigating and controlling infections and communicable diseases of patients and staff.
  • The Infection Control Manager has comprehensive knowledge of the infection control process in the healthcare setting.
  • Assists in the development, implementation and improvement of infection prevention and control practices.
  • In collaboration with the Infection Preventions and Control Committee Chairperson, develops, reviews and/or revises and implements all department policies and procedures related to the control of infections and communicable diseases on a concurrent basis.
  • Demonstrates knowledge of risk stratified statistics as applicable to trending healthcare associated infections (HAIs).
  • Designs and implements new methods to improve the efficacy and outcomes of the Infection Prevention and Control Program
  • In coordination with the Infection Preventions and Control Committee, measures and evaluates the effectiveness of the Infection Prevention and Control Program.
  • Demonstrates knowledge of microbiology and modes of transmission of disease entities.
  • Demonstrates understanding of Standard Precautions and Transmission-Based Precautions as set forth by the CDC.
  • Demonstrates ability to teach principles and practical application of infection prevention and control to all levels of healthcare staff.
  • Is a consultant to nursing and medical staff.
  • Reviews cultures and sensitivities reported by microbiology laboratory of patients to determine if infection is healthcare associated in origin.
  • Confers with staff nurses on all patient care units on a regular basis to determine occurrence of healthcare associated infections (HAIs).
  • Confers with medical and nursing staff to determine appropriate implementation of Transmission-Based Precautions (isolation precautions). Investigates infections, especially those occurring above established thresholds, and/or in clusters by patient care units.
  • Supports and maintains a culture of safety and quality.
  • Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors.
  • Communicates appropriate reports to Performance Improvement through the Infection Prevention and Control Committee.
  • Assists with in service education related to infection prevention and control throughout the organization.
  • Completes required CMR reports to Public Health Department in a timely and accurate manner
  • Monitors proper use (manufacturers’ instructions) of germicides, cleaning products, antiseptics and disinfectants in use throughout the facility.
  • Monitors methods of asepsis, sterilization and disinfection employed throughout the organization.
  • Communicates infection prevention and control activities to administration, Performance Improvement Committee, the medical staff and MEC via the Infection Prevention and Control Committee minutes and/or Infection Prevention and Control Committee Chairperson.
  • Prepares statistics and other pertinent data and reports to the Infection Prevention and Control Committee every month.
  • Implements and conducts special studies when appropriate or requested by the Infection Prevention and Control Committee Chairperson.
  • Based on studies which identify areas for improved patient outcomes, submits targeted surveillance indicators for Infection Prevention and Control Committee approval on an annual basis.
  • Stays abreast of changing infection prevention and control practices and presents plan for organizational compliance in a timely manner.
  • Designs and implements new methods to improve the efficacy and outcomes of the Infection Prevention and Control Program.

Minimum Education:

  • Bachelor's Degree in Public Health, Microbiology or Nursing is required.

Preferred Education:

  • N/A

Minimum Work Experience and Qualifications:

  • Ability to communicate effectively verbally and in writing.
  • Five years recent experience in similar position in acute healthcare setting.
  • Highly developed organizational skills.

Preferred Work Experience and Qualifications:

  • N/A

Required Licensure, Certification, Registration or Designation:

  • Hospital Fire Card.


Shift: Day
Hours: 8:00am - 4:30pm
Shift Hours: 8
Weekly Hours: 40
Type: Exempt
FTE: 1.0

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