Mgr, Infection Prevention WMCG

2310 AU Medical Center, Inc.; United States; On-site; USD 110,000 - 160,000; Full time

Job summary

Wellstar seeks a Manager Infection Prevention to organize and lead the infection prevention program across the facility, reporting to the Executive Director of Infection Prevention. You will oversee surveillance, data reporting to NHSN, and compliance with CMS, Joint Commission, OSHA, and state guidelines.

You will mentor staff, collaborate with nursing and quality leadership, and ensure readiness for inspections while advancing patient safety through evidence-based practices.

Qualifications

• Bachelor’s degree in Nursing or Health Science or related field; Master’s preferred.
• CIC certification required; 5+ years infection prevention experience in acute care; 2+ years in a healthcare leadership role.

Responsibilities

• Manage Infection Prevention Department and lead surveillance activities.
• Ensure data submission to NHSN and compliance with CMS conditions of participation.
• Lead audit readiness and regulatory inspections; mentor team members.
• Collaborate with Nursing and Quality leadership to drive safe patient care.
• Develop policies with System Infection Prevention and Emergency Preparedness.

Skills

Leadership

Interpersonal skills

Time management

Change management

Verbal and written communication

Relationships building

Outbreak investigation

Education

Bachelor’s in Nursing or Health Science

Master’s in related field (preferred)

CIC Certification

Tools

NHSN

CMS guidelines

Joint Commission standards

Job description

Work Shift Various (United States of America)

Job Summary:

The Manager Infection Prevention organizes and manages integrated key activities related Infection Prevention for the organization. He/she works with leader to align department goals and tactics with hospital and system strategic goals under the direction of the Executive Director of Infection Prevention or Hospital Designee. This leader is facility-based and reports to the Executive Director of Infection Prevention at the System level or hospital designee as appropriate The Manager is a subject matter expert and oversees infection surveillance and analysis activities to advance operational performance related to infections. This leader manages day to day operations for the infection prevention and control program. This includes ensuring appropriate data is collected and reported to national public reporting organization and for audit requirements. In addition, this individual is expected to maintain his/her current skillset and competency to actively practice in the daily function of an Infection Preventionist. Responsibilities include compliance with The Joint Commission, CMS, OSHA, NHSN and State regulation, outbreak investigation, and education of physicians and team members of CDC and State Health Department guidelines and regulations. The individual in this role will build and maintain a strong working relationship with Nursing and quality leadership. He/she will influence protocol and outcomes and through presentation of information to drive operations decisions and support consistency across the organization. The manager will be a Visible known leader within the facility, including leadership rounding, The individual in this role is expected to support consistent adherence to System-level policies and protocol. He/she may be required to cross-cover to other facilities as a subject matter expert and to ensure continuous leadership presence. This manager will be available to mentor team members for personal and professional growth. This includes ensuring the knowledgebase of the team includes modern infection prevention concepts and processes.

Core Responsibilities and Essential Functions:

• Management of the Infection Prevention Department
• Accountable for all Human Resource functions including interviewing, hiring, orientation and performance reviews
• Accountable for payroll and personnel actions
• Addresses performance problems decisively and objectively
• Applies clear and consistent performance standards
• Provides team members with feedback and coaching
• Ensures team member opportunities for professional development and growth
• Participates in the Quality and Patient Safety leadership team
• Leads and ensures survey readiness for the Infection Prevention and Control Program in accordance with required CMS conditions of participation and Accreditation standards
• Ensures accurate and timely data for public reporting submission through the National Healthcare Safety Network (NHSN)
• Leads and authors the annual Infection Prevention and Control risk assessment
• Authors and implements the annual Hospital Infection Prevention and Surveillance Plans
• Analyzes and authors the annual evaluation of the Infection Prevention and Surveillance Plans
• Utilizes expertise to identify and respond to hospital and Hospital Outpatient Department risks and vulnerabilities
• Develops and approves Infection Prevention and Control policies and procedures based on evidence
• Collaborates with System Infection Prevention and Emergency Preparedness to develop mitigation, emergency procedures and education for emerging infectious diseases
• Participates in the development and implementation of system operational plans to mitigate harm to patients, visitors, medical providers and team members
• Co-facilitates the Infection Prevention and Control committee (where applicable)
• Prepares and presents reports and statistical data for Nursing and Ancillary Support, Medical Staff committees, Quality Review Committee and Medical Executive Committees
• Validates data infection prevention related data for submission
• Actively participates in system-wide infection prevention collaborative
• Mentors the infection prevention team members on Healthcare Associated Infection (HAI) definitions and the annual definition modifications within the National Healthcare Surveillance Network
• Analyzes HAIs for root causes and develops action plans with nursing units to mitigate future patient harm
• Participates in construction risk analysis by recommending construction and renovation barriers to ensure the proper level of infection prevention controls are identified and maintained
• Monitors and advises infection prevention practice
• Collaborate with leaders and escalates concerns regarding infection prevention
• Serves as the infection prevention subject matter expert on performance improvement teams

Nationally ranked and locally recognized for our high-quality care and inclusive culture, Wellstar is one of Georgia’s largest and most integrated healthcare systems. Every day, 24,000+ of us work together to provide personalized care for patients at every age and stage of life – and our team members are the foundation of that care.

Required Minimum Education:

Bachelors Nursing or Bachelors Health Science or Bachelors Other / Related Field or Masters Other / Related Field-Preferred

Required Minimum License(s) and Certification(s):

All certifications are required upon hire unless otherwise stated. CIC - Cert in Infection Control

Additional License(s) and Certification(s):

Required Minimum Experience: Minimum 2 years experience in a healthcare leadership role (project, oversight, lead)

Required Minimum Experience:

Required and Minimum 5 years experience in Infection Prevention in acute care setting or equivalent

Required Minimum Skills:

Leadership, interpersonal, time management, change management. Must possess a solid understanding of team dynamics. Excellent verbal and written communication skills and relationship building. Strong experience in The Joint Commission, CMS, OSHA, NHSN and State regulations. Proven expertise in outbreak investigation.

Mission, Vision & Values

At a time when the healthcare industry is changing rapidly, Wellstar remains committed to exceeding patients’ and team members’ expectations, while transforming healthcare delivery. OUR MISSION: To enhance the health and well-being of every person we serve. OUR VISION: Deliver world-class healthcare to every person, every time. OUR VALUES: We serve with compassion We pursue excellence We honor every voice Culture of Excellence Wellstar consistently receives attention and accolades from national organizations that set the standards for world-class care. Our system-wide practice of safety principles, assessing and addressing errors and seeking feedback from our patients and customers continually earns recognition for advances in safety and quality. Featured on the FORTUNE “100 Best Companies to Work For” list and Seramount 100 Best Companies list, we not only provide top-notch care for our patients, but also foster the culture of Wellstar as a Great Place to Work.