Essential Duties and Responsibilities

The Quality and Infection Control Director is the forefront of health care improvement efforts. Responsible for managing quality improvement and infection control for the facility.

Infection Control

  • Performs facility-wide surveillance and data collection as part of an overall infection-control program.
  • Investigates possible incidences of infection and implements remedial action.
  • Works with the infection control committee to establish infection control standards and procedures, and educates staff on how to prevent and control infections.
  • Informs the appropriate state and county organizations of any reportable infections and diseases.
  • Creates, updates, reviews, and maintains all infection control policies.
  • Research and daily interpretation of all infection control and pandemic guidelines.
  • Communicates infection control changes with residents and their designated contact person.
  • Communicates with local and state authorities regarding infection control issues.

Quality

  • Identifies potential unnecessary services and care-delivery settings, and recommends alternatives by analyzing facility protocols.
  • Analyzes systems to determine the types of audits indicated to ensure high quality of care.
  • Develops corrective action plans and in addition to evaluating plans for effectiveness and monitoring outcomes.
  • Reviews documentation for appropriateness and analyzes resident care plans.
  • Participates in Medicare/Medicaid surveys and assists in drafting the Plan of Correction, as needed, to ensure appropriate action is taken.
  • Suggests quality monitoring topics and system improvements to department directors.
  • Manages the facility Quality Assurance Performance Improvement (QAPI) Program, including overseeing completion of all department quality report data.
      • Tracks attendance and frequency of meetings.
  • Participates in an on-call rotation with other members of the nursing team.
  • Working as RN within the facility as charge, cart, treatment, or assisted living nurse when needed.
  • Occasional weekend and evening shifts may be required.  Tracks attendance and frequency of meeting

 

Qualifications

To perform this position successfully, an individual must demonstrate regular, predictable attendance and be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge and skill required. The individual must be able to successfully pass background checks.

Education and Experience:

  • Currently a licensed RN
  • Previous nursing and leadership experience required.
  • Previous resident care related experience with a strong background in long term care is preferred.
  • Previous experience with policy creation and review.

Licensure Certification:

  • Complete CDC Nursing Home Infection Prevention Training Course within 90 days of hire.
  • Current registered nursing license in the state of Minnesota.
  • CPR certification.

Knowledge/Skills/Abilities:

  •  Shows dependability by being punctual; maintains consistent attendance.
  • Effective problem-solving skills to support residents, staff, and family members with problems that might arise.
  • Strong knowledge of long term care regulations.
  • Outstanding organizational skills and attention to detail.
  • Strong Interpersonal skills with the ability to connect to residents and coworkers.
  • Excellent verbal and written communication skills.
  • Proficient with Microsoft Office Suite or related software.

Physical/Mental:

  • Prolonged periods of sitting at a desk and working on a computer.
  • Prolonged periods of standing and moving.
  • Must be able to lift up to 50 pounds at times with or without assistance.

 Requirements:

To accomplish the essential functions of the position, one must be physically able to operate or work with computers, calculators, reference books, computer software applications, phones and other standard office equipment. The physical activities of the position include talking, reaching, grasping, light lifting, bending, squatting, and other repetitive motions.