Infection Prevention & Health Mngr

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Regular Full-Time Brandywine, MD, US

Reports To:
Director of Quality and Clinical Management

Job Summary:

The Infection Prevention and Employee Health Program Manager provides strategic leadership and operational oversight for all infection prevention, control, and surveillance activities, as well as employee health and wellness initiatives across the organization. This role is responsible for developing, implementing, and evaluating evidence‑based infection prevention programs; ensuring compliance with regulatory and accreditation standards; managing exposure control and immunization programs; and promoting a safe, healthy work environment.

The Program Manager collaborates closely with clinical, operational, and administrative teams to reduce infection risk, support workforce health, and strengthen organizational readiness for audits, surveys, and public health requirements.

Essential Functions:

• Develops, implements, and maintains evidence‑based policies and procedures related to infection prevention, control, and employee health, ensuring alignment with regulatory and accreditation standards
• Participates in maintaining compliance with The Joint Commission (TJC) Infection Prevention and Control standards, including preparation for surveys and ongoing readiness activities
• Ensures organizational compliance with CDC, CMS, and other applicable federal, state, and local infection prevention requirements and guidelines
• Monitors staff adherence to infection prevention and control policies and procedures through audits, surveillance, and performance improvement activities, and provides feedback and corrective action as needed
• Participates in infection prevention activities and compliance monitoring, including surveillance, data analysis, reporting, and implementation of improvement initiatives to reduce infection risk
• Conducts educational and training activities for health care workers through instruction and dissemination of information on health care practices
• Serves as the Infection Control Officer and provides oversight of the infection control program
• Coordinates the annual Infection Control Risk Assessment and the development and implementation of the organization’s Infection Control Plans in collaboration with the Chief Medical Officer, Dental Director and Quality Director, ensuring that identified risks, mitigation strategies, and program priorities are accurately reflected and operationalized.
• Reports on infection prevention and control measures and organizational initiatives during designated committee meetings, including presenting data and analysis related to hand hygiene surveillance, surgical site infection tracking, antibiotic stewardship activities, respiratory virus surveillance, and other key performance indicators
• Conducts infection control audits and surveillance and works to improve areas of opportunities
• Participates in the development, implementation, and ongoing monitoring of the Infection Control Risk Assessment (ICRA) for all renovation and construction projects, ensuring appropriate mitigation strategies are identified, communicated, and followed to protect patients, staff, and the environment from potential infection risks.
• Serves as the Respiratory Program Administrator for GBMS’ Respiratory Protection Program
• Conducts on‑hire and annual respiratory FIT testing for all applicable employees, including scheduling, administration, documentation, and compliance tracking in accordance with OSHA Respiratory…