Occupational Title: Infection Control & Employee Health Coordinator

Department: Quality

Reports To: CQO

Facility Location: Blue Mountain Hospital

Position: Full-time/Part-time

Description:

The Infection Control & Employee Health Coordinator, under the direct supervision of the Chief Quality Officer, is responsible for implementing and monitoring the hospital's infection control plan, in close collaboration with the UNHS Infection Preventionist, as well as assisting with the employee health program. This hands-on role operates within a joint oversight structure to ensure standardized protocols, system-wide alignment, and cohesive infection prevention strategy across the entire organization. This position requires a proactive presence throughout various departments to ensure compliance with established protocols and to promote a culture of safety for both patients and staff. The ideal candidate will be a detail-oriented, self-motivated individual with strong interpersonal and educational skills.

Key Performance Indicators:

• Collaborative Infection Prevention: Partner with the UNHS Clinic Infection Preventionist to maintain a unified infection control program, participate in joint strategic planning, ensure consistency in surveillance and policy adherence across the organization, and support the operational success of the shared infection control model.

• Infection Control Committee meeting coordinator: Prepare the agenda and conduct monthly committee meetings, including the annual Infection Control Risk Assessment and the Infection Control Plan.

• Infection Prevention Surveillance: Conduct ongoing surveillance activities, including hand hygiene surveillance and surgical site infection (SSI) tracking. Collect, analyze, and report data to identify trends and areas for improvement.

• Infection Prevention Education and Training: Develop and deliver educational programs for staff on infection prevention best practices, including proper hand hygiene techniques, use of personal protective equipment (PPE), and environmental cleaning.

• Infection Prevention Reporting: Assist in the preparation of medical staff reports and other internal documents related to infection control metrics. Maintain accurate and confidential records of surveillance data and educational activities.

• Infection Prevention Policy Adherence: Work collaboratively with departments to ensure system-wide adherence to infection control policies and procedures. Provide guidance and support to staff on best practices.

• Patient Advocacy: Serve as a patient advocate by providing education and resources to patients and their families regarding infection prevention measures.

• Employee Health Program Coordinator: Assist with the employee health program, including new hire health screenings, annual health assessments, and immunizations. Assist in the Respiratory Protection Program, which includes fit testing and other duties as assigned.

• Exposure Management: Respond to employee exposures to bloodborne pathogens and other infectious agents. Conduct follow-up, provide counseling, and maintain confidential records in accordance with regulations.

• Return-to-Work Clearance: Manage the process for employees returning to work after illness or injury, ensuring they are medically cleared and any necessary accommodations are in place.

• Continuous Improvement: Participate in quality improvement initiatives and other duties as assigned to support the Chief Quality Officer and the overall quality department.

Requirements

Experience, Training, and Qualifications needed to perform the job:

• A high school diploma or equivalent

• 1-2 years of experience in a healthcare setting

• A strong foundation in infection prevention principles and practices.

• A solid understanding of employee health and safety regulations.

• Excellent written and verbal communication skills.

• Proven ability to work independently and manage time effectively.

• A keen attention to detail and strong organizational abilities.

Physical Requirements:

• Must be able to: Sit, Stand, walk, bend, stoop, crawl, reach above shoulder level, kneel, balance, push, pull carry items weighing up to 75 lbs., lift items/patients up to 100 lbs, and over with assistance. Use of feet for repetitive movements. Use of hands for simple grasping, firm grasping, and fine manipulation.

• The position also requires exposure to Cleaning chemicals, contagious organisms, bloodborne pathogens, and bio-hazardous waste.

Preferred Qualifications

• MA, CNA, Phlebotomist or other healthcare-related certification.

• Experience with infection control software or electronic health records (EHR).

• Occupational health or employee health experience.

General Requirements:

In addition to the specific duties listed above, the Employee is required to do the following:

• Any tasks, projects, or actions that are reasonably within the scope of the Employee’s position or employment, which the Employee’s supervisor, any member of BMH’s management, or BMH’s administration team—asks of the Employee. Tasks, projects, or actions are “reasonably within the scope” of the Employee’s employment or position unless the same are so far removed therefrom that no legitimate argument can be made that such tasks, projects, or actions are in any way related to BMH or the Employee’s employment or position within BMH.

• Act as professionally as should normally be required in a medical organization. This shall include giving all appropriate respect and deference to licensed medical providers and behavioral health providers (hereafter jointly referred to as “Providers”). Providers include, but may not be limited to physician assistants, nurse practitioners (or similar), and Physician Assistants.

• Keep all BMH business and patient information strictly confidential and to adhere to all other BMH confidentiality policies and procedures, as well as all laws affecting confidentiality.

• Refrain—whatsoever—from intentionally, purposely, knowingly, or negligently engaging in any conduct, actions, or speech that may cause concern, apprehension, confusion, or annoyance on the part of any BMH patient toward BMH as an organization or any BMH employee.

• Work congenially and cooperatively at all times with all other BMH employees. This includes maintaining a pleasant demeanor and attitude and executing position duties and administration’s/management’s other requests in a timely manner, diligently, and with a positive attitude. This requirement further includes refraining from personally degrading any other person or BMH employee. As part of this requirement, the Employee must refrain from engaging in gossip about any BMH employees and/or patients.

• Communicate complaints about BMH, its policies, procedures, managers, administrators, and/or other employees—only to and through the appropriate BMH channels, which are limited to BMH’s management chain of command. No complaints, judgments, or degrading comments about BMH, its policies, procedures, managers, administrators, and/or other employees—should be shared with anyone other than the appropriate persons within BMH’s management chain of command who have the ability to work to remedy any related problems. Unless the Employee’s direct supervisor is part of the problem or complaint—problems and complaints should first be voiced to the Employee’s direct supervisor and upward therefrom through BMH’s internal management chain of command as appropriate and necessary. It is an absolute dereliction of this duty by the Employee if the Employee ever—directly or indirectly (in conjunction or planning with others)—makes complaints or problems publicly known to anyone other than BMH’s management team or administrative team (neither include BMH Board Members).

• If applicable (having access to), check the Employee’s BMH email no less frequently than once daily.

• Absolutely refrain from communicating or releasing any “Private BMH Information” to the media and/or non-BMH persons or entities—without formal approval to do the same by BMH’s CEO. “Private BMH Information”, for purposes of this requirement, includes: (1) all information that requires confidentiality pursuant to any BMH policies or procedures; (2) all information that is protected by HIPAA or other applicable laws; (3) all information relating to BMH’s internal business workings, strategies, or plans; and (4) all information relating to any BMH employee or contractor. This requirement remains applicable and shall stand regardless of whether the information being requested is of a private or public nature—if the information sought fits any of the above listed types. Finally, this requirement remains applicable at all times, including when the Employee is off duty or away from BMH’s premises.

We offer the opportunity to work with a dynamic team providing care to medically underserved communities. BMH hires in accordance with NPEA standards.