Infection Control Coordinator - Full Time

General Definition and Scope of Job

The Infection Control Coordinator is responsible for the surveillance, analysis, interpretation and reporting of hospital acquired infections (HAI’s), educating health system staff about infection prevention, and development of health system policies and procedures to ensure rigorous infection control standards that meet OSHA, CMS, CDC, DNV and state regulatory requirements.

Full Time, Exempt

What are the job responsibilities?

1. Assesses, plans, implements, monitors and evaluates a system-wide infection control program to assure a safe environment for patients, visitors and employees and meet all requirements of accrediting and regulatory agencies.


2. Establishes and maintains systems and processes to ensure maximum compliance with related CMS, State of Michigan or other accreditation and regulatory standards.


3. Conduct on-going surveillance using CDC infection criteria, documentation and investigation of hospital acquired infections.


4. Actively participates/facilitates cross-functional teams to assess, monitor, improve and document compliance with various regulatory and accreditation agency standards.


5. Participates with committees and task forces where his/her special expertise is needed.


6. Consult on all construction renovation activities and provide ongoing monitoring and guidance.


7. Aligns departmental, divisional and Medical Staff performance improvement activities with the Organization’s plan for performance improvement.


8. Provides Infection Control education and training to all levels and divisions of the organization, as needed.


9. Designs, maintains, and monitors systems designed to identify problems, trends and patterns that present a threat to patient, staff or visitor safety.


10. Prepares Infection Control reports for appropriate committees.


11. Prepares new and updated in-services and programs related to Infection Control/ Health Services that are aligned with CDC and other regulatory guidelines.


12. Participate in investigations of unusual infection outbreaks and collaborate as needed with laboratory staff, physicians, county/state health departments and CDC as necessary.


13. Comply with mandatory reporting requirements related NHSN, MDHHS, and local health departments


14. Oversee entire employee health program, with direct responsibility of the annual Influenza vaccine program, and the respiratory fit testing program


15. Participate in various infection control organizations and committees to stay up to day on latest regulations and trends


16. Perform Environment of Care (EOC)/Infection Control tours of all departments yearly and report results at EOC Committee.

What Qualifications are needed?

1. RN, BSN or higher degree in Nursing, or Masters in Public Health (MPH) and two or more years of experience as an employee health and/or infection control practitioner.


2. Certification in Infection Control (CIC) desired upon hire, but required within 3 years of hire.


3. Previous experience in Infection Control desired.


4. Previous management responsibility is desirable.


5. Basic Life Support (BLS) Certification


6. Staff development, education and/or training experience preferred. Displays excellent customer service and communication skills.


7. Able to formulate letters, memos, policies and procedures, and any other necessary correspondence independently and accurately.


8. Proven history of managing multiple projects concurrently with successful outcomes.


9. Excellent critical thinking and diagnostic skills.


10. Proficiency with MS Word, Excel, and PowerPoint for windows or compatible word processing, spreadsheets and presentation graphics programs.


11. Data base/statistical management experience is required.


12. Ability to work with a wide variety of people with varying educational and cultural backgrounds.


13. Ability to speak comfortably to small or large groups of people.


14. Able to act as resource to the organization for performance improvement tools and techniques as well as data display and analysis.


15. Able to understand, interpret and implement regulatory and accreditation requirements.


16. Able to manage multiple demands, deadlines and projects simultaneously.


17. Must have good communication skills and an ability to manage difficult situations and people with tact, respect and consideration.


18. Must be organized and flexible.

What Perks or Benefits Can You Look Forward to?

• Low cost benefits including medical, dental, and vision available to you and your dependents with no waiting period


• FSA/DCRA


• 401k/Roth, 403b, Financial Wellness benefit


• Education reimbursement


• Generous Paid Time Off (PTO)


• Paid Holidays


• Employee discount in the café, gift shop and pharmacy


• Great work environment with a family feel

Critical Demands of the Job

Ability to sit and/or stand for extended periods of time.  Visual acuity, hearing acuity, and manual dexterity must be adequate to participate in meetings and proofread typed or written script, operate key pads, and other office machines.

Working Conditions

Majority of work is conducted in an office or meeting room setting.  Stressful at times due to workload, competing deadlines and complex interpersonal situations involving a wide variety of functions and individuals throughout the hospital/system.  Occasional lifting of books and equipment.