Manager of Infection Control

SUMMARY:  

The Manager of Infection Control is responsible for the development, implementation, and management of infection prevention and control programs across our ambulatory addiction medicine clinic system. This role ensures compliance with the Joint Commission standards and other regulatory and state-specific licensure requirements to protect patients, staff, and visitors from healthcare-associated infections. The Manager of Infection Control collaborates with various departments, including Legal, Human Resources, and Corporate Compliance, to ensure comprehensive infection control measures are in place. This position does not have direct reports. 

RESPONSIBILITIES: 

• PROGRAM, POLICY, AND PROCEDURE DEVELOPMENT: 

• Create and execute comprehensive infection prevention and control programs across all clinic locations. 

• Establish, enforce, and continuously improve infection control policies and procedures in line with Joint Commission standards and state and federal regulations. 

• Review, update, and create infection control policies and procedures to reflect current best practices and regulatory requirements. 

• Ensure accessibility and understanding of policies by all relevant staff members. 

• Collaborate with multidisciplinary teams to integrate effective infection control practices into all patient care processes. 

• SURVEILLANCE AND DATA ANALYSIS: 

• Design and implement a robust surveillance system to monitor infection rates and trends within the clinic system. 

• Analyze infection control data and generate actionable reports to identify areas for improvement and present findings to leadership and stakeholders.

• EDUCATION AND TRAINING: 

• Develop and deliver comprehensive education and training programs for all staff on infection prevention and control practices. 

• Regularly assess and update staff competencies in infection control measures to ensure compliance and effectiveness. 

• COMPLIANCE AND RISK AUDITING: 

• Develop and conduct regular audits and inspections of clinic facilities to ensure adherence to infection control standards. 

• Lead proactive efforts to prepare for and achieve Joint Commission accreditation, ensuring continuous compliance. 

• Create and implement corrective action plans for any deficiencies identified during regulatory surveys. 

• Ensure timely and accurate reporting of infectious diseases to relevant public health authorities in compliance with local, state, and federal regulations. 

• Identify and mitigate infection control risks within the clinic environment. 

• Participate in risk assessment and quality improvement initiatives to enhance overall infection control measures. 

• Act as the primary liaison between the clinic system and external regulatory bodies regarding infection control matters. 

• OUTBREAK MANAGEMENT: 

• Lead and document investigations and responses to infection outbreaks within the clinic system. 

• Develop and implement corrective action plans to prevent recurrence of outbreaks. 

• EXPERIENCE 

• Minimum of 5 years of experience in infection control, preferably in an ambulatory or addiction medicine setting. 

• EDUCATION: 

• Bachelor’s degree in Nursing, Public Health, or a related field. Master’s degree preferred. 

• Certification in Infection Control (CIC) required. 

KNOWLEDGE SKILLS, AND ABILITIES 

• Project management 

• Critical thinking and problem-solving 

• Effective communication and interpersonal skills 

• Ability to educate and train diverse staff 

• Proficiency in data analysis and reporting 

• Attention to detail and strong organizational skills 

• In-depth knowledge of the Joint Commission standards and other relevant regulatory requirements. 

• Strong analytical, organizational, and communication skills. 

• Proven ability to lead and manage infection control programs effectively. 

• Experience with electronic health records and infection control software systems