Description

Welcome to Montage Health's application process!

Job Description:

Under the direction of the Quality Management Director, the Infection Prevention Manager provides leadership and oversight for the organization's infection prevention and control program. This role ensures compliance with federal, state, and local regulations, as well as organizational policies and standards.

The IPC Manager is responsible for strategic planning, program development, and operational execution to prevent healthcare-associated infections (HAIs). The position leads surveillance activities, data analysis, and implementation of evidence-based practices, while fostering collaboration across departments. The IPC Manager serves as a subject matter expert, provides education, and ensures readiness for regulatory surveys.

Essential Responsibilities

Program Leadership & Compliance

• Direct and manage the infection prevention and control program in alignment with CDC, TJC, Title 22, OSHA, APIC, CMS, and state regulations.
• Ensure organizational readiness for regulatory surveys and inspections; lead corrective action and sustainment plans.
• Develop and maintain policies, procedures, and standard work for infection prevention practices.
• Provide routine reporting to Administration, Board committees, Medical Staff committees, and quality councils.

Surveillance & Data Collection

• Oversee surveillance for HAIs using standardized definitions.
• Ensure accurate data collection, validation, and reporting to NHSN and other required systems.
• Monitor trends and present actionable insights to leadership and committees.

Patient Safety Events, Risk Mitigation & Learning

• Lead reviews of patient safety events and facilitate root cause analyses (RCAs) and after-action reviews.
• Develop and monitor corrective action plans and sustainment strategies.
• Drive proactive hazard surveillance and failure mode identification.

Performance Improvement & Education

• Champion Lean Model for Improvement projects (AIM, driver diagram, PDSA cycles) at the unit and service line level.
• Coach IPC specialists, leaders, charge nurses, educators, and physicians on measure definitions, documentation, and bundle reliability tactics.
• Design and deliver adult-learning education (tip sheets, micro-learning, in-services) based on identified performance gaps.

Committee & Workgroup Facilitation; Stakeholder Engagement

• Co-Chair relevant committees/work groups (e.g., Infection Prevention Work Group, Unit-based councils, etc.).
• Prepare agendas, minutes, dashboards, and storyboards; track actions to closure and communicate progress.
• Build strong relationships with Nursing, Medical Staff, Case Management, Infection Prevention, Pharmacy, Lab, Radiology, and IT/Analytics.
• Provide supported groups with reliable data, coaching, and process improvement support.

Experience

• Minimum of 5 years recent acute care experience, including at least 2 years in infection prevention leadership.
• Demonstrated ability to lead teams, manage projects, and drive performance improvement.
• Strong knowledge of NHSN reporting, APIC guidelines, and regulatory standards.
• Working knowledge of Title 22, TJC standards, CMS Conditions of Participation preferred.
• Proficiency in Microsoft Office and electronic health record systems (Epic preferred).

Qualifications

Education

• Bachelor's degree in nursing (BSN) required.
• Master's degree in nursing, Healthcare Administration, Public Health, or related field preferred.

Licensure/Certifications

• Current State of California RN license (unencumbered) required.
• Certification in Infection Control (CIC) required.

Equal opportunity employer.

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Assigned Work Hours:

Full-time (Exempt)

Position Type:
Regular

Pay Range (based on years of applicable experience):
$73.91
to
$98.85