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Posted: 24-Jan-23
Location: San Antonio, Texas
Salary: Open
Internal Number: 37249
USPI Foundation Surgical Hospital of San Antonio is seeking a motivated Quality/Infection Control to join our team. Foundation Surgical Hospital of San Antonio the preferred facility for surgery in San Antonio. We boast state-of-the-art technology, the top surgeons and healthcare staff in our community. Our goal is to offer an extraordinary level of patient care and overall experience in the area. Our surgeon partners are renowned as the best in their field and are skilled in the latest surgical technologies.
Quality/Infection Control RN to join the Leadership Team. The Quality/ Infection Control RN is responsible for the department of quality management and risk management of the hospital, responsible for the reduction of risk at the facility and proactively develops and supports the performance improvement process in compliance with regulatory, federal and state requirements. Responsible for the surveillance, analysis and reporting of hospital acquired infections; educating employees, physicians, about infection prevention and control; and the development of policies and procedures to ensure rigorous infection prevention and control standards that meet Joint Commission, CMS, OSHA, TDSHS and CDC requirements.
Quality:
- Oversees all department quality assessment activities to assure continuous monitoring of hospital-wide Performance Improvement in addition to consulting with administration regarding risk management issues and departmental functions.
- Coordinates the facility Quality/Performance Improvement Committee and applies recommendations into policies/procedures/practices as appropriate.
- Maintains a facility-wide Risk Management Plan that meets regulatory requirements.
- Works with facility leadership to ensure all staff and credentialed Medical Staff and Allied Health Professionals are oriented and receive ongoing education regarding the Performance Improvement Plan.
- Manages facility processes for handling patient complaint and grievance incidents and initiating service recovery methods.
- Manages facility OPPE/FPPE and Peer Review processes.
- Establishes effective working relationships with all constituencies including patients, physicians, employees, volunteers and vendors.
- Identifies and remedies risk events through continuous customer satisfaction data review and employee involvement.
- Assists as needed in conducting RCAs of Adverse Risk Events, completion of FMEA projects, and defining facility Sentinel Events.
- Oversees the analysis of performance improvement data in relation to facility goals for presentation to Senior Management and appropriate committees.
Infection Control:
#USP-123
#USP-RN
#LI-CM1
Required Skills:
Qualifications:
Bachelor's Degree Preferred
Minimum of four years' experience in Quality Management and infection control
Performance Improvement experience
Medical/Surgical, Acute care experience in a hospital setting preferred.
Current license as a Registered Nurse
Completion of training on Principles and Methods of Infection Control preferred.
Extensive knowledge of The Joint Commission rules & regulations, DSHS, and CMS
USPI complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.