Infection Prevention, Accreditation, and Regulatory Associate

UKH University of Kansas Hospital Authority; United States; On-site; USD 28,000 - 41,000; Part time

Job summary

The University of Kansas Health System in Great Bend is seeking a part-time Infection Prevention, Accreditation, and Regulatory Associate. You will support accreditation and regulatory readiness, infection prevention activities, and data collection to drive performance improvement.

Responsibilities include real-time observations, coaching staff on compliance, data entry, and participation in educational offerings as part of a broader quality and safety program.

Qualifications

• Associates Degree OR Licensed Practical Nurse with 1+ year healthcare experience.
• Proficient in MS Office; able to perform data entry and basic analysis.
• Ability to train groups of employees and communicate effectively.

Responsibilities

• Supports accreditation, regulatory compliance, and infection prevention programs.
• Maintains survey readiness and regulatory preparedness.
• Performs data collection, chart reviews, data entry, and basic analysis.
• Provides real-time observations and coaching to staff.
• Supports improvement projects and education initiatives.

Skills

MS Office

Data analysis

Training groups

Communication

Education

Associates Degree

Licensed Practical Nurse (LPN)

Job description

Position Title Infection Prevention, Accreditation, and Regulatory Associate Days - Part Time Great Bend Hospital

The Infection Prevention, Accreditation, and Regulatory Associate supports activities that promote compliance with accreditation, regulatory, and infection prevention requirements and related performance improvement projects. The Associate performs various data management functions necessary for continuous survey readiness and for the hand hygiene, personal protective equipment (PPE), and cleaning and disinfection programs including, but not limited to, providing real-time observations in clinical settings, providing real-time feedback and coaching to front-line staff, data collection, chart reviews, data entry, maintaining data integrity, performing data validation, and conducting basic data analysis. The Associate assists members of the Accreditation & Regulatory and Infection Prevention & Control teams to respond to data requests, data dissemination, implementation, and evaluation of performance improvement projects intended to meet the organization's vision to lead the nation in caring, healing, teaching, and discovering.

Responsibilities and Essential Job Functions

• Supports various initiatives to maintain accreditation, regulatory compliance, facility-level professional certifications, and other internal and external quality and safety programs.
• Takes an active role in hospital survey readiness and Infection Control regulatory preparedness activities.
• Supports the day-to-day functions of the hand hygiene, PPE, and cleaning and disinfection programs, including quality improvement observations and data collection.
• Conducts chart reviews and enters data into systems for analysis and trending.
• Performs basic data analysis and manipulation using Microsoft Office (Excel, PowerPoint); shares and presents data and findings to internal audiences and healthcare staff.
• Provides real-time coaching and feedback on observed compliance opportunities.
• Validates and monitors post-survey action plans.
• Supports management of improvement projects, including educational events, campaigns, and evaluation of new technologies.
• Provides training and education on accreditation, regulatory, hand hygiene, PPE, and cleaning and disinfection concepts; assists with ongoing training and onboarding of new hires in a classroom setting.
• Provides technical policy support.
• Performs various quality assurance activities.
• Participates in local, regional, and national accreditation, regulatory, and infection control related educational offerings and meetings.
• Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department.

These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities.

Skills and duties may vary dependent upon your department or unit.

Other duties may be assigned as required.

Required Education and Experience

Associates Degree OR Licensed Practical Nurse 1 or more years experience in healthcare, public health, or a related field.

Preferred Education and Experience

Associates Degree

Knowledge Requirements

• Proficient in MS Office
• Ability to speak and train groups of employees
• Interacts in a courteous, professional manner with evidence of conflict resolution skills
• Demonstrates collaborative working relationships and works under the direction of the assigned department manager and/or director

Time Type

Part time

Equal Employment Opportunity and Accommodations

The health system is an equal employment opportunity employer. Qualified applicants are considered for employment without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, ancestry, age, disability, veteran status, genetic information, or any other legally-protected status. See also Diversity, Equity & Inclusion. The health system provides reasonable accommodations to qualified individuals with disabilities. If you need to request reasonable accommodations for your disability as you navigate the recruitment process, please let our recruiters know by requesting an Accommodation Request form using this link [e-mail].

About The University of Kansas Health System

As part of the region’s premier academic medical center, The University of Kansas Health System in Kansas City is a world-class healthcare provider and destination for complex care and diagnosis. We are driven by our commitment to service, continuous improvement and to the highest degree of excellence. Collaboration between physicians, nurses, researchers, educators and other professionals who share their expertise leads to exciting discoveries and life-changing treatments for the people we serve.