Clinical Quality & Risk Manager

DescriptionBenefits offered:

Medical Benefits

Preferred Provider Option
Health Savings Account

Dental Benefits
Vision Benefits
Flexible Spending Account
Pet Insurance
Group Life Insurance, AD&D - Company Paid
Supplemental Life Insurance, AD&D
Short Term Disability - Company Paid
Long Term Disability
401K Retirement Plan (Traditional and ROTH) with Company Funded company match up to 6%
Retirement and Financial Planning Services
Shift differential incentives
Loan Forgiveness options through federal programs (National Health Service Corps & Public Service Loan Forgiveness)
We provide professional development to enhance various skills, certifications, and continuing education
Opportunities for growth and movement - We encourage our employees to consider new growth opportunities with us and have opportunities
Paid Time Off (amount depends on years of service)
Sick Leave for part-time staff
(11) Paid Holidays
Tuition reimbursement program
Commuter Mileage Incentive
Cell phone reimbursement
Clinical Supervision
Wellness Program reimbursement
Employee Assistance Program - assists employees with personal problems and/or work-related problems that may impact their job performance, health, mental and emotional well-being

Essential Duties and Responsibilities (This is not an exhaustive list of all duties/responsibilities. Other duties may be assigned)

Develops, implements, and maintains the hospital’s Infection Prevention and Control Program (IPCP) in accordance with CMS, CDC, and state regulatory requirements.
Conducts ongoing surveillance for healthcare-associated infections (HAIs), infection outbreaks, and communicable diseases within the hospital.
Collects, analyzes, and reports infection prevention and quality data to hospital leadership, medical staff committees, and the governing body.
Conducts infection control audits, including monitoring hand hygiene compliance, PPE usage, environmental sanitation, and isolation precautions.
Monitors trends related to antimicrobial resistance and antibiotic utilization and collaborates with antimicrobial stewardship activities.
Coordinates and oversees the hospital’s Employee Health Program, ensuring compliance with OSHA, CDC, and regulatory requirements.
Monitors and analyzes trends related to restraint and seclusion use, patient safety events, and behavioral incidents, collaborating with leadership to implement quality improvement initiatives
Coordinates and provides clinical education and training for hospital staff, including new employee clinical orientation, annual competencies, infection prevention education, patient safety training, and other regulatory-required education programs.

QualificationsQualifications

Required:

Graduate of an accredited nursing program
Current Registered Nurse (RN) license in the State of practice in good standing
Minimum two (2) years of clinical nursing experience, preferably in a hospital or behavioral health setting
Successful completion of background check
Tuberculosis Screening
Successful completion of pre-employment drug screening
CPR Certification
AVADE certification upon hire

Preferred:

Bachelor of Science in Nursing (BSN)
Experience in behavioral health or inpatient psychiatric hospital settings
Experience in infection prevention, quality improvement, regulatory compliance, or performance improvement initiatives
Knowledge of CMS Conditions of Participation, CDC infection prevention guidelines, and OSHA standards