Job Information

University of Utah Health Manager, Infection Prevention in SALT LAKE CITY, Utah


As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, diversity, integrity, quality and trust that are integral to our mission. EO/AA

This position provides leadership and management for University of Utah Health System's infection prevention and control program. The role is responsible for the operational strategies, priorities and initiatives in collaboration with the Director System Quality and Infection Prevention and the Hospital Epidemiologist by participating in planning, leadership, project management and financial objectives for the key services functions. This incumbent will provide insight into clinical and operational performance and make recommendations for improving functionality and performance of the infection prevention and control program. Evaluates current and proposed operational systems and procedures by collecting and analyzing data from surveillance, internal data, technology systems, operational practices, emerging national trends, and financial objectives to improve clinical and business performance, process improvement and create organizational excellence.

Corporate Overview: The University of Utah is a Level 1 Trauma Center and is nationally ranked and recognized for our academic research, quality standards and overall patient experience. Our four hospitals and seventeen clinics provide excellence in our comprehensive services, medical advancement, and overall patient outcomes.



  • Reports to the Director System Quality and Infection Prevention and is assigned to work with all clinical and operational teams to develop, implement, and execute project(s) that will improve clinical performance and business operations for the system and meet organizational objectives.

  • The incumbent is responsible for direct reports overseeing the infection prevention and control functions.

  • Reports infection data to NHSN, Utah Department of Health and other external agencies to meet national and state requirements.

  • Analyzes infection data, surveillance findings, internal audit data and patient safety reports to provide recommend strategic direction to all levels of the organization.

  • Engages in, supports and develops initiatives to enhance the performance of our Infection Prevention and Control program and Quality Management System.

  • Responsible for creating project plans and giving status reports on assigned programs.

  • Capable of resolving escalated issues arising from operations requiring coordination with other departments.


  • Works in conjunction with the Director, System Quality and Infection Prevention.

  • Contributes as a key member of the System Quality leadership team, Code Bio team, Infection Prevention Committee, Quality Council and other committees/teams.

  • Influences the work of nursing, service line leadership, GME, academic departments, support services and others to ensure that teams are aligned to deliver care according to our infection prevention and control principles and processes.

  • Accountable to work with leaders and clinicians to develop, implement, and execute plans and tactics that will improve our processes.

  • Collaborates across System Quality, Nursing Quality, CPG Quality, Clinical Staff Education, Antimicrobial Stewardship and clinical care teams to align activities and provide best practice and strategic guidance.

  • Builds relationships across the organization to lead improvement for our Infection Prevention and Control program and implementation of best practices.

  • Understands complex process and roles within an integrative care organization with the ability to work collaboratively with and gain insight from different departments in a team of teams approach.


  • Proactively engages with all internal and external business partners to achieve plan goals and organization business objectives.

  • Forms positive associations with staff, peers, and senior leadership to support the mission, vision, values, and performance standards of the organization.

  • Ability to translate strategy into clear, concise and actionable initiatives and action plans.

Technical Development

  • Provides threat assessment for emerging threats to the organization and community.

  • Stays current with new regulatory requirements and tactics that can enhance our Infection Prevention and Control program.

  • Develops and maintains practices consistent with evolving national programs, methodologies and technologies.

  • Analyzes data to identify and recommend new processes, procedures and improvements.

  • Educates the organization about the Infection Prevention and Control principles and objectives; connecting these elements to our overall value improvement objectives.

Financial Management

  • Responsible for developing, monitoring and achieving budget goals within assigned areas.

  • Manages labor and non-labor budgets ensure efficient use of resources.

  • Develops and maintains a value based strategy for new and existing infection prevention and control practices consistent with effective and efficient use of resources.

  • Provide infection prevention and control expertise in the development of new business, reimbursement models, and ensures contracts meet the legal, compliance, and regulatory requirements.


  • Manages and promotes continuous process improvements in assigned area(s).

  • Identifies and recommends strategies to streamline and improve operational efficiencies.

  • Promotes and engages in all initiatives in support of creating the Exceptional Patient Experience.

  • Uses the Value Management System to drive improvement in quality of care and/or decrease overall cost to patients.

  • Ensures all guidelines for DNV are coordinated, compiled and structured to meet all compliance standards.

Performance/Human Resource Management

  • Responsible to provide leadership on value objectives, meeting the operational goals and deliverables for all projects assigned.

  • Responsible to manage and resolve any business and/or professional conflicts in a proactive manner and to reach resolutions in a timely manner.

  • Responsible for hiring, training, performance goals, evaluations, employee discipline and providing coaching and development of all staff.

  • Actively engages staff with updates and news as well as involving staff in decisions and work teams.

  • Responsible for upholding PROMISE standards in all internal and external interactions

Knowledge / Skills / Abilities

  • Ability to perform the KPIs of the position, as outlined above.

  • Demonstrated leadership, human relations, and effective communication skills.

  • Knowledge of hospital business operations and demonstrated planning skills.

  • Knowledge of budgeting practices, reporting analysis, and forecasting.

  • Knowledge of information technology, Epic, Business Objects, and other efficiency tools.


Qualifications Required

  • Bachelor's Degree in Nursing, Medical Technology, Microbiology or Epidemiology.

  • Certification in Infection Control (CIC) from the Certification Board of Infection Control --or-- have one within 6 months of hire

  • Five years of experience in a healthcare industry.

  • Three years of experience in infection prevention and control or other relevant clinical expeirence.

  • Process improvement experience in a health care setting.

Qualifications (Preferred)


  • Master's degree in Nursing, Public Health, Microbiology, Healthcare Administration or related area

  • Leadership and operational experience in a health care setting.

Working Conditions and Physical Demands

Employee must be able to meet the following requirements with or without an accommodation.

  • This is a sedentary position that may exert up to 10 pounds and may lift, carry, push, pull or otherwise move objects. This position involves sitting most of the time and is not exposed to adverse environmental conditions.

Physical Requirements

Carrying, Climbing, Color Determination, Crawling, Far Vision, Listening, Manual Dexterity, Near Vision, Sitting, Speaking, Standing, Stooping and Crouching, Tasting or Smelling, Walking

EEO Statement

University of Utah Health Hospitals and Clinics, a part of The University of Utah, values candidates who have experience working in settings with students from diverse backgrounds and possess a strong commitment to improving access to higher education for historically underrepresented students.

Individuals from historically underrepresented groups, such as minorities, women, qualified persons with disabilities and protected veterans are encouraged to apply. Veterans’ preference is extended to qualified applicants, upon request and consistent with University policy and Utah state law. Upon request, reasonable accommodations in the application process will be provided to individuals with disabilities.

University of Utah Heath Hospitals and Clinics, a part of The University of Utah, is an Affirmative Action/Equal Opportunity employer and does not discriminate based upon race, ethnicity, color, religion, national origin, age, disability, sex, sexual orientation, gender, gender identity, gender expression, pregnancy, pregnancy-related conditions, genetic information, or protected veteran's status. The University does not discriminate on the basis of sex in the education program or activity that it operates, as required by Title IX and 34 CFR part 106. The requirement not to discriminate in education programs or activities extends to admission and employment. Inquiries about the application of Title IX and its regulations may be referred to the Title IX Coordinator, to the Department of Education, Office for Civil Rights, or both.

To request a reasonable accommodation for a disability, please contact the University of Utah Health Hospitals and Clinics Human Resources office at 801-581-6500.If you or someone you know has experienced discrimination or sexual misconduct including sexual harassment, you may contact the Director/Title IX Coordinator in the Office of Equal Opportunity and Affirmative Action:

Sherrie Hayashi

Director/ Title IX Coordinator

Office of Equal Opportunity and Affirmative Action (OEO/AA)

135 Park Building

Salt Lake City, UT 84112


Online reports may be submitted

For more information:

To inquire about this posting, email:

The University is a participating employer with Utah Retirement Systems (“URS”). Eligible new hires with prior URS service, may elect to enroll in URS if they make the election before they become eligible for retirement (usually the first day of work). Contact Hospitals and Clinics Human Resources at (801) 581-6500 for information. Individuals who previously retired and are receiving monthly retirement benefits from URS are subject to URS’ post-retirement rules and restrictions. Please contact Utah Retirement Systems at (801) 366-7770 or (800) 695-4877 or Hospitals and Clinics Human Resources at (801) 581-6500 if you have questions regarding the post-retirement rules.

This position may require the successful completion of a criminal background check and/or drug screen.

Requisition Number 50829
Reg/Temp Regular
Employment Type Full-Time
Shift Day
Work Schedule 8:00-5:00
Location Name University of Utah Hospital
Patient Care? No
State UT
Category Other