About Us:

At Sinai Chicago, we take health care personally. Excellence in health care is about more than just medicine, technology, tests and treatments, it is about really caring for people with dignity and respect. That’s what we do. We are dedicated to providing the best care to meet the needs of people, for our community, for our patients and for you.

Position Purpose:

The System Manager of Infection Prevention is responsible for the management, planning, development, implementation, evaluation/continuous improvement of the Sinai Health System Infection Prevention and Control Program across the entire care continuum. Collaborates with and makes recommendations to Sinai Health System’s leadership team to ensure compliance with regulatory agencies and assures facility-wide and departmental policies and procedures that comply with current Regulatory standards. Through strategic planning, expert leadership and consultation, manages the identification and implementation of infection control goals and objectives related to surveillance, data analysis and reporting, infection prevention and control practices that eliminate potential infection hazard for patients, physicians, staff and visitors, appropriate selection and usage of products and equipment related to cleaning, antisepsis, disinfection, and sterilization, facility design and construction. Manages and leads the development and implementation of educational programs designed to reduce or prevent infection. Assures compliance with all mandated regulatory reporting requirements including but not limited to Illinois Department of Public Health (IDPH), Chicago Department of Health (CDH), Center for Medicare and Medicaid (CMS). Provides infection prevention and control programs/services/committees which add value and are integrated with departmental, System, organizational business and clinical goals and objectives.  

Key Job Activities:

• Responsible for the management of the planning, development, implementation, evaluation/improvement of infection prevention and control services/programs that meet or exceed established standards/performance measures for quality and patient satisfaction, cost, employee quality of work life balance, physician/client department satisfaction, clinical outcomes, and regulatory compliance strategic goals.
• Manages and leads the infection prevention and control services/programs across the continuum of care (primary, secondary, continuing care) and ensures that services/programs are of uniform and consistent value, quality, performance and cost throughout all departments and associated outpatient/satellite buildings.
• Leads and manages the human resources management processes; provides supervision, progressive disciplinary process duties, and leadership to Infection Prevention staff; hires, promotes, demotes, manages, and evaluates staff performance and development.
• Leads and manage surveillance activities and the monitoring, reporting and development of applicable intervention(s) for infection trends (e.g., National/Regional/ Divisional Indicators, Board Report, facility specific indicators, etc.) in the acute and ambulatory settings.
• Leads and manages compliance with applicable regulatory requirements through interpretation of Regulatory Standards including investigation of disease outbreaks and exposures, surveillance and reporting including communicable diseases to the IDPH as required.
• Leads and manages the provision/delivery of services/programs which meet identified needs of client departments.
• Leads and manages multidisciplinary Infection Controls Rounds on units/departments to ensure compliance with Infection Control Requirements.
• Leads and manages the development and implementation of evidenced-based interventions designed to reduce/eliminate the risk for Healthcare Associated Infections (HAIs) and/or disease transmission.
• Leads and manages the development and review of Infection Prevention and Control Standards of Care Policy and Procedure manuals.
• Collaborates and partners with the Operating Room Leadership, Sterile Processing Director/Manager provides expert leadership and knowledge to assure all sterilization and disinfection processes throughout the Medical Center Service Area follow all national standards.
• Develops and maintains excellent, collaborative relations with key stakeholders/departments including but not limited to: Employee Health, Nursing, Perioperative, Perinatal, Emergency Services, Urgent Care, and various physician specialties.
• In partnership with Infection Prevention staff and departmental managers develops, monitors and modified Infection Prevention and Control Program department specific goals/objectives as appropriate.
• Acts as the Infection Prevention and Control liaison/consultant for Sinai Health System and/or delegates appropriate duties.
• Maintains “expert” knowledge of standards related to accreditation and regulatory bodies, i.e., The Joint Commission, CMS, IDPH, CARF, and ACHC.
• Lead survey readiness activities that support continuous compliance with accreditation and governmental regulations, including voluntary, mandatory and contractual reporting requirements.
• Manages various department Infection Control corrective action items, ensure appropriate documentation, and determine the effectiveness of the actions.
• Provides expert review and consultation for all facility construction/remodels as described in the Organization's Pre-Construction Risk Assessment (PCRA).
• Serves as subject matter expert who assists medical center leadership team in internal or external disaster response/mitigation.
• Develops and maintains effective communication with administrative/ management staff and physicians.
• Together with the Infection Control Committee Chair, initiates and directs research projects and epidemiological investigations of significant clusters of infection or serious communicable disease concern and delegates appropriately to the ICP’s.
• Develops, implements, and improves systems, methods, processes to evaluate/improve performance and quality outcomes/measures including internal/external public reported data for infection prevention and control services/programs throughout Sinai Health System
• Participates in the preparation and response to emerging infectious disease threats and/or exposures.
• Co-chair the Infection Control Committee and other Infection Control-related teams; Prepare agendas, meeting materials, minutes, and related correspondence.
• Prepares reports on hospital acquired infections and presents these reports to the Infection Control and other committees.
• Ensures compliance to organizational Infection Control training needs, processes, and other Infection Control regulatory directives are adhered to support the operations and requirements for business operations.
• Creates, develops, maintains, and updates all Infection Control policies based on department and organizational needs.
• Monitors for compliance with all policies, procedures, protocols, and other infection control program requirements.
• Develops and implements infection control measures related to hospital personnel, hospital staff, for infection control purposes, includes all hospital staff, contract workers and volunteers.
• Performs other duties as assigned.

Education and Work Experience:

• Bachelor’s degree in nursing, chemistry, biology, physics or related biological sciences health related field required. Master’s degree in public health, epidemiology, microbiology, nursing, or other public health field preferred
• Minimum five (5) years of experience as an Infection Control professional required.
• Minimum three (3) years of experience in an established infection prevention/control program in an acute care hospital including minimum two (2) years of program management/supervisory experience required.
• Direct responsibility of the infection prevention and control programs/activities in a healthcare setting
• Management and Supervisory experience required.

Knowledge and Skills:

• Experience Preferred in EPIC and MEDITECH software systems.
• National Healthcare Safety Network (NHSN) expert.
• Computer skills, including mastery of Microsoft Office products, data analytic software and modeling, electronic mail, and the worldwide web/ internet.
• Ability to learn new systems software.
• Self-motivated and continuous learning capability required.
• High-level analytic skill in the use of complex quality data in business/value development and the display of findings is desired.
• Excellent oral, written, “platform” and interpersonal communication skills.
• Ability to work independently.
• High degree of creativity in problem-solving.

Certifications/Licenses:

• Certification in Infection Control (CIC) Required

Workplace Conditions:

PHYSICAL DEMANDS:

• While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle or feel; and talk or hear.
• The employee frequently is required to walk and stoop, kneel, crouch.
• The employee is occasionally required to stand.
• The employee must occasionally lift and/or move up to 25 pounds.
• Specific vision abilities required by this job include close vision, distance vision, and ability to adjust focus.

WORK ENVIRONMENT:

• General office environment and the noise level in the work environment is usually moderate.

BLOOD-BORNE PATHOGEN EXPOSURE CATEGORY:

Category 1 - Job usually involves contact with patients or patient’s specimens. Exposure to blood, body fluids, non-intact skin or tissue specimens, is possible.

Category 2 - Job may expose incumbent occasionally or in emergency situations to blood, body fluids, non-intact skin or tissue specimens.

Category 3 - Job does not involve exposure to blood, body fluids, non-intact skin or tissue specimens. Incumbent does not perform or help in emergency medical care or first aid as a part of his/her job.

Benefits:

Sinai Health System’s goal is to provide you with the most comprehensive benefit package possible while balancing our fiscal commitments and obligations. Sinai Health Systems currently offers its employees the option to participate in a full range of benefits, including a health care program which includes medical, dental, vision and prescription coverage. Along with Employer Paid Life and Accidental Death & Dismemberment (AD&D), Supplemental Life, Short-Term and Long-Term Disability, Health Savings Account (HSA) and Flexible Spending Account (FSA), Employee Assistance Program and Student Loan Assistance. Participation in some programs requires that employees be regularly scheduled to work a minimum number of hours and/or to have fulfilled a waiting period after they begin employment with Sinai Health Systems.

Registry (per diem) Caregivers are caregivers who work less than 1,000 hours in a calendar year. Registry caregivers are employees of Sinai Health System but are typically on an as needed basis. These caregivers may be called upon to cover full-time or part-time caregivers during PTO events or sick leave as well as to provide supplemental coverage. Registry Caregivers are not eligible for Sinai’s benefit programs with the exception for Sick-C, PPO Medical Plan, Employee Assistance Program (EAP) and non-match eligible contribution to the Sinai Health System Consolidated 403(b) retirement savings plan.

Living the Values:

• TEAMWORK - Caregiver works together with other caregivers to create and maintain an inclusive workplace where differences, inclusivity, conflict resolution and open communication are valued.
• RESPECT - Caregiver shows mutual respect and fairness, treats each person with dignity and encourages each individual’s unique talents and contributions.
• QUALITY - Caregiver improves our services by following protocol and suggesting improvements based on observations, continuous learning, and industry best practices.
• INTEGRITY - Caregiver holds self and others accountable for their actions and are honest and ethical in all dealings.
• SAFETY - Caregiver practices behaviors that promote safety for all patients, visitors, and caregivers.
• ROLE MODEL - Caregiver is a dependable role model and champions our values through their daily interactions with patients, customers, and coworkers.