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Quality, Infection Prevention & Education Manager – Eastland, TX
Join a mission-driven hospital dedicated to delivering exceptional patient care while fostering a culture of quality, safety, and continuous improvement. This leadership opportunity is ideal for an experienced Registered Nurse who is passionate about healthcare quality, infection prevention, regulatory compliance, and employee health.
Quality, Infection Prevention & Education Manager Benefits and Compensation:
- Full-time, exempt leadership position
- Monday–Friday schedule, 8:00 a.m. – 5:00 p.m. with a 1-hour lunch break
- Flexible scheduling to support organizational and operational needs
- Opportunity to lead hospital-wide Quality, Infection Prevention, and Employee Health programs
- Collaborative leadership environment with direct partnership with executive leadership, physicians, and department directors
- Professional development and certification support opportunities
- Opportunity to make a measurable impact on patient safety, quality outcomes, and regulatory excellence
- Comprehensive benefits package, paid time off, and insurance benefits (where applicable)
Quality, Infection Prevention & Education Manager Requirements & Qualifications:
- Current Registered Nurse (RN) license in Texas or Compact Multistate License required
- Graduate of an accredited School of Nursing with a Bachelor's Degree in Nursing (BSN) required (or obtained within an approved timeframe)
- Minimum three (3) years of acute care nursing experience required
- Current Basic Life Support (BLS) certification required
- Strong knowledge of CMS Conditions of Participation, QAPI, CDC guidelines, OSHA regulations, NHSN reporting, healthcare accreditation standards, and evidence-based quality improvement practices
- Lead and oversee the hospital's Quality Assessment and Performance Improvement (QAPI) Program, Infection Prevention and Control Program, and Employee Health Program
- Monitor quality metrics, patient safety indicators, healthcare-associated infections, and organizational performance data while developing corrective action plans and leading Root Cause Analyses (RCA)
- Coordinate infection surveillance, NHSN reporting, outbreak investigations, antibiotic stewardship initiatives, environmental rounds, infection prevention audits, and regulatory reporting requirements
- Manage Employee Health functions including immunizations, tuberculosis screening, respiratory fit testing, exposure follow-up, confidential employee health records, and return-to-work compliance
- Prepare monthly, quarterly, and annual reports for hospital leadership, committees, medical staff, and the Governing Board while maintaining continuous survey readiness for CMS, OSHA, CDC, state, and accreditation requirements
- Develop and deliver staff education related to quality improvement, infection prevention, patient safety, regulatory compliance, and evidence-based clinical practices
- Collaborate with physicians, Human Resources, department leaders, and Administration to improve patient outcomes, reduce organizational risk, and maintain regulatory compliance
- Demonstrate proficiency with Microsoft Office applications, electronic health record (EHR) systems, quality data analysis, and performance improvement reporting
Quality, Infection Prevention & Education Manager Preferred Background & Skills:
- Master's degree in Nursing, Healthcare Administration, Public Health, or a related field; Certification in Infection Prevention (CIC) and/or Certified Professional in Healthcare Quality (CPHQ); previous leadership, regulatory compliance, or infection prevention experience in an acute care hospital preferred
- Strong leadership, communication, analytical, organizational, and problem-solving skills with the ability to build collaborative relationships, drive continuous improvement initiatives, maintain confidentiality, and promote a culture of patient safety and accountability
JOB ID: 178954
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Jasmine Pirani