Director of Quality, Safety, and Infection Control

Job Summary:

Under the direction of the CU Medicine, Community Practice Division, the Director of Quality, Safety, and Infection Control develops the vision and direction for the clinical quality, implementation of evidence-based medicine practice guidelines and processes, and safety of patient care delivered by all CU School of Medicine practices. This position is responsible for developing programs to ensure compliance with federal and state regulatory and licensure requirements, and continual cultural improvement.

Key Responsibilities:

Develop and foster effective collaboration between clinical departments and divisions to achieve an integrated approach to quality, safety, and value-based care objectives.

Utilizes knowledge of the healthcare environment in the Community Practice Division in:

• Overseeing clinical practice and care delivery systems with a focus on innovation, patient safety, performance improvement, and risk management.
• Collaboration with affiliated CU Medicine compliance and Professional and University Risk departments to identify gaps, implement action plans, and develop strategies to achieve clinical compliance.
• Participation in construction and renovation projects. Partners with Environmental Health and Safety, CU Medicine Property Manager in facility contracting to identify potential life safety issues. Oversees environmental rounds and assures compliance with national and/or professional standards (e.g. fire doors, ventilation, gases, cleaning).
• Responsible for developing relationships with local security and CU emergency response and police agencies.
• Oversees and standardizes security access control of CU CPD clinics. Routinely conducts emergency response drills.
• Fosters effective collaboration between clinical departments and divisions for an integrated approach regarding environmental health and safety.

Hazardous materials:

• • Pharmaceutical storage, management, and disposal.
  • Exposure Control Plans.
• Infection Prevention Practices.
  • High-Level Disinfection, Products IFUs, current standards and processes per AAMI, APIC, CDC, etc.
• Workplace safety and violence prevention:
  • Emergency Medical Response procedures.
  • Employee workplace safety.
• Collaboration with CU Radiation and laser safety programs, CDPHE regulations, hazardous and biosafety clinical needs including records of education and competency of faculty and staff:
  • Ensures educational tools available for staff, providers, and patients.
  • Ensures appropriate protective equipment for radiology and laser utilization.
• Demonstrates leadership by articulating a clear vision for the delivery of patient care and the practice of clinical and non-clinical roles:
  • Ensuring mechanisms of identification to ethical standards and advocacy of the clinical perspective.
  • Management of Clinical Education nurses:
    • Provides synchronous and asynchronous learning and training to diverse multispecialty clinics on applicable care delivery, safety, and regulatory topics.
    • Development of reports with data and results to the senior management team on relevant, quality, clinical education, health, and safety activities including possible risks in processes, procedures, and devices.
  • Ensure full and accurate health and safety and training records are maintained through partnership with Environmental Health and Safety, clinical Educators-approved learning management systems, and the Office of Information Technology for CU School of Medicine.
• Coordinates efforts with EH&S Biosafety Coordinator and appropriate vendors ensuring assets have appropriate preventative maintenance, ongoing repairs, and evaluation for lifespan. Review products, and equipment before purchasing for maintenance contracting. Provides an annual report to senior leadership regarding work orders, response time, equipment expenses, and replacement recommendations.
• Manages all equipment, product, and medication recalls. Develops a communication plan and backup strategy for recalls.
• Maintains knowledge and current standards in all areas described above.
• Resource for all providers, staff, and clinics.

Work Location:

Hybrid – this role is eligible for a hybrid schedule and as needed for in-person meetings.

Why Join Us:

Community Practice Medicine, housed within the School of Medicine at the University of Colorado, is seeking trained medical professionals to join our growing team. With clinics spanning from Longmont to Castle Rock, we offer a wide variety of opportunities. Specialty areas include, but are not limited to; Orthopedics, Vascular Surgery, OBGYN, Internal Medicine, Urology, Psychiatry, and many more!

The University of Colorado Anschutz Medical Campus is a public education, clinical, and research facility serving 4,500 students, and a world-class medical destination at the forefront of life-changing science, medicine, and healthcare. CU Anschutz offers more than 42 highly rated degree programs through 6 schools and colleges and receives over $500 million in research awards each year. We are the single largest health professions education provider in Colorado, awarding nearly 1,450 degrees annually. Powered by our award-winning faculty, renowned researchers, and a reputation for academic excellence, the CU Anschutz Medical Campus drives innovation from the classroom to the laboratory to the delivery of unparalleled patient care.

Why work for the University?

We have AMAZING benefits and offer exceptional amounts of holiday, vacation, and sick leave! The University of Colorado offers an excellent benefits package including:

• Medical: Multiple plan options
• Dental: Multiple plan options
• Additional Insurance: Disability, Life, Vision
• Retirement 401(a) Plan: Employer contributes 10% of your gross pay
• Paid Time Off: Accruals over the year
• Vacation Days: 22/year (maximum accrual 352 hours)
• Sick Days: 15/year (unlimited maximum accrual)
• Holiday Days: 10/year
• Tuition Benefit: Employees have access to this benefit on all CU campuses
• ECO Pass: Reduced rate RTD Bus and light rail service

There are many additional perks & programs with the CU Advantage .

Diversity and Equity:

The University of Colorado Anschutz Medical Campus is committed to recruiting and supporting a diverse student body, faculty, and administrative staff. The university strives to promote a culture of inclusiveness, respect, communication, and understanding. We encourage applications from women, ethnically minoritized individuals, persons with disabilities, persons within the LGBTQ+ community, and all veterans. In addition, the Anschutz Campus has also been recognized as an Age-Friendly University. The University of Colorado is committed to diversity and equality in education and employment.

Qualifications:

Minimum Qualifications:

• Bachelor’s degree in Nursing, Business, Healthcare, or another closely related field.
• Five (5) years of responsible progressive leadership, management, or educational experience in a medical environment.
• Four (4) years of experience within a hospital or ambulatory care setting which includes quality, patient safety, or quality management experience.
  • Substitution: A combination of education and related technical/paraprofessional experience may be substituted for the bachelor’s degree on a year-for-year basis.

Applicants must meet minimum qualifications at the time of hire.

Preferred Qualifications:

• Master's in Nursing or business or healthcare or another closely related field.
• Association for Practitioners Infection Control (APIC) training course or equivalent desired.
• Certified Measurement Professional in Healthcare Quality (CPHQ), clinical Performance and Reporting (CPRM), or other Quality Certification.
• Registered Nurse (RN), State of Colorado.
• Experience with electronic health records.

Conditions of Employment: 

• Position requires the ability to work in multiple spaces (on and off-site).
• RN License or Licensure/Certification in a healthcare-related profession
• Certification in Infection Control (CIC) required or obtained within 6 months of employment

Knowledge, Skills, and Abilities:

• Ability to communicate effectively, both in writing and orally.
• Ability to establish and maintain effective working relationships with employees at all levels throughout the institution.
• Outstanding customer service skills.
• Demonstrated commitment and leadership ability to advance diversity and inclusion.
• Knowledge and expertise in Colorado Department of Health, OSHA, CDC, CMS, and other county, state, and federal regulatory agencies.
• Negotiation skills including both internal and external, including leadership, staff, medical staff, regulatory agencies, and the community.
• Knowledge to answer quality/safety inquiries regarding staff and patient care issues.

How to Apply:

For full consideration, please submit the following document(s):

1.     A letter of interest describing relevant job experiences as they relate to listed job qualifications and interest in the position

2.     Curriculum vitae / Resume

3.     Three to five professional references, including name, address, phone number (mobile number if appropriate), and email address

Questions should be directed to: Makeedra Hayes at [email protected]

Screening of Applications Begins:

Immediately and continues until 15 days after the position is posted.

Anticipated Pay Range:

The starting salary range (or hiring range ) for this position has been established as $116,608 to $168,149.

The above salary range (or hiring range ) represents the University’s good faith and reasonable estimate of the range of possible compensation at the time of posting. This position may be eligible for overtime compensation, depending on the level.

Your total compensation goes beyond the number on your paycheck. The University of Colorado provides generous leave, health plans, and retirement contributions that add to your bottom line.

Total Compensation Calculator: http://www.cu.edu/node/153125

ADA Statement:

The University will provide reasonable accommodations to applicants with disabilities throughout the employment application process. To request an accommodation pursuant to the Americans with Disabilities Act, please contact the Human Resources ADA Coordinator at [email protected] ​.

Background Check Statement:

The University of Colorado Anschutz Medical Campus is dedicated to ensuring a safe and secure environment for our faculty, staff, students, and visitors. To assist in achieving that goal, we conduct background investigations for all prospective employees.

Vaccination Statement:

CU Anschutz strongly encourages vaccination against the COVID-19 virus and other vaccine preventable diseases . If you work, visit, or volunteer in healthcare facilities or clinics operated by our affiliated hospital or clinical partners or by CU Anschutz, you will be required to comply with the vaccination and medical surveillance policies of the facilities or clinics where you work, visit, or volunteer, respectively. In addition, if you work in certain research areas or perform certain safety sensitive job duties, you must enroll in the occupational health medical surveillance program .