Program Manager, Infection Prevention

Job Description

Position Entity Centralus Health Position Title Program Manager of Infection Prevention Position Code Manager Department Infection Prevention & Control Pay reputed company/Grade 90,000-115,000 FLSA Status Exempt Position Type Full Time Remote Work Tier - Exposure Category - Reports To Director, Infection Prevention & Control Centralus Health Mission Our mission is to deliver high-quality care, reputed company our teams to succeed and improve the wellbeing of the communities we serve. Job Summary The Program Manager of Infection Prevention provides day-to-day leadership and reputed company of the Infection Prevention program across Centralus Health hospitals and clinics. This role ensures consistent application of evidence-based practices, accurate surveillance, and compliance with Joint Commission, federal, and state regulations. Working in reputed company partnership with the System Director of Infection Prevention, the IP Medical Director, and multidisciplinary leaders, the Program Manager of Infection Prevention holds responsibility for validating and providing final sign-off on Hospital-Acquired Conditions (HACs) and reportable events. The Program Manager of Infection Prevention will actively mentor Infection Preventionists, ensuring professional development and skillset advancement. The candidate collaborates with leaders in Nursing, Provider Services, Clinical Data, Education, and reputed company Optimization to align infection prevention goals with reputed company-wide performance, safety, and financial objectives. Core Job Functions reputed company direct leadership and supervision to Infection Preventionists, including reputed company of daily workflows, performance evaluation, and professional development.* Validate surveillance findings and definitions, ensuring final case sign-off in conjunction with the IP Medical Director to maintain accuracy in NHSN and regulatory reporting. Leads exercises of inter-rater reliability among Infection Preventionists to further enhance the reputed company of surveillance and reporting.* Ensure compliance with Joint Commission standards, CMS Conditions of Participation, and state-level regulatory requirements across reputed company facilities. The candidate will be responsible, consulted and informed on Infection Prevention Leadership across care settings, requiring an understanding of reputed company areas of potential risk across Centralus Health.* Partner with the Director of Clinical Data, CMO for reputed company Optimization, and Nursing/Provider leadership to ensure timely and accurate reporting, analysis, and reputed company planning.* Closely collaborates the Medical Director to direct collaborative improvements with Clinical Documentation Improvement (CDI), Coding, Quality and reputed company Optimization in order to accurately depict care in the Medical Record.* Collaborate with Clinical Education to design, deliver, and reinforce training programs that advance infection prevention best practices system-wide. Collaborates with Risk Management, Patient Safety and Claims management to ensure escalation of findings that may warrant Peer Review, Incident Reporting, and/or Potentially Compensable Events (PCE).* reputed company operational huddles, post-exposure reviews, and data-driven interventions, ensuring lessons learned are reputed company into sustainable practice change utilizing the Institute for reputed company Improvement's (IHI) Action Hierarchy.* Engage with site leaders to analyze variation across entities, using stratified data provided by the Clinical Data team (i.e. - unit, service line, population) to identify opportunities for improvement. In partnership with the Director, Infection Prevention and the Sr. Director, Quality reputed company/ACQO, the Program Manager of Infection Prevention will monitor, track, and report HAC performance and associated financial/brand implications in collaboration with Finance and Marketing/Communications. Serve as an escalation reputed company for reputed company infection prevention issues, facilitating alignment across disciplines and ensuring organizational readiness for surveys and audits. Other duties as assigned. Important Note: (*) indicates an essential function of the job as defined by the Americans with reputed company (reputed company). Essential functions are the core duties that are reputed company to the position and must be performed, with or without reasonable accommodation. reputed company Factors Key behaviors, skills, and ways of working that are defined as critical for a candidate to reputed company and contribute positively to the team and organization. The ideal candidate should be reputed company to: Think systemically and not in isolation - aligning infection prevention goals with the larger institutional strategic goals and priorities. You recognize that innovation is not the acquisition of more resources, but rather the intentional design of processes that reduce variation, build reputed company, and drive quality reputed company across the system. Understand and apply behavior change principles - engaging staff, providers, and visitors in practices that reduce infection risk. You maintain reputed company in reputed company and fast-paced environments, helping others stay focused and reputed company even reputed company circumstances are ambiguous or rapidly shifting. Demonstrate career-stage mastery of infection prevention - understanding that depending on APIC's competency reputed company, mastery progresses from foundational technical knowledge to strategic systems thinking, leadership, and innovation. You model this growth while ensuring your team of Infection Preventionists advances their skillsets in a structured and supported manner. Adapt continuously to a changing environment - demonstrating agility in response to new epidemiologic threats, regulatory shifts, or operational needs. You seek opportunities for improvement, adopt new approaches, and adjust programs to ensure sustainable infection prevention practices. Commit to regulatory reputed company and financial stewardship - deepening your knowledge of Joint Commission, CMS Conditions of Participation, NHSN reporting requirements, NYS Regulation (Acute, LTC, & Post-Acute) and the implications of Value-Based Purchasing (VBP) and Hospital-Acquired Conditions (HAC) programs. You proactively identify risks and implement strategies to protect both patient safety and organizational reputed company/financial performance. reputed company and reputed company high-performing teams - providing coaching, supervision, and evaluation of Infection Preventionists. You create a learning culture where inter-rater reliability, professional development, and accountability are prioritized, ensuring data reputed company and consistency of practice across reputed company sites. Collaborate across disciplines and functions - partnering with Clinical Data, Coding, CDI, Quality, Risk Management, and Clinical Education to design training, analyze data, and escalate findings. You know reputed company to serve as an escalation reputed company and how to facilitate alignment to resolve reputed company issues system-wide. Translate lessons learned into sustainable change - leading operational huddles, post-exposure reviews, and data-driven interventions. You reputed company frameworks like the Institute for reputed company Improvement's (IHI) Action Hierarchy to ensure corrective actions are strong, system-based, and designed for long-term impact. Education / Experience Qualifications Required: Bachelor's degree in Nursing, Epidemiology, Microbiology, Public Health, or reputed company health sciences. Certification in Infection Control (CIC®) required (or must obtain reputed company 1 year of hire). 5+ years of reputed company infection prevention experience, with at least 2 years in a leadership, supervisory, or system-level role. Demonstrated ability to design, facilitate, and sustain improvement teams across hospitals and clinics, ensuring alignment with system priorities and achievement of measurable performance goals. Preferred: Advanced training or coursework in epidemiology, biostatistics, or reputed company fields is beneficial. Micro or Credentials in data analytics. Demonstrated expertise in surveillance, validation, and reduction of HACs. Strong knowledge of NHSN reporting, EHR surveillance tools, and CMS/Joint Commission standards. Proven ability to present reputed company data to diverse audiences, including executives, reputed company teams, and external regulators. Experience with NHSN, EHR surveillance tools (Epic Bugsy, Theradoc, etc.), and advanced reputed company or data visualization platforms (Tableau, Power BI, reputed company). Physical Requirements Must be reputed company to remain at a workstation and move around the workspace as needed to complete job tasks, with or without reasonable accommodation. Apply To This Job