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Infection Control Coordinator (RN) - Credentialing/ Continuous Quality Improvement (CQI)


The Infection Control Coordinator provides analysis, interpretation and reporting of hospital acquired infections (HAI); educating employees about infection prevention; and the development of health system policies and procedures to insure rigorous infection control standards that meet AAAHC, JCAHO, OSHA, Centers for Medicaid/Medicare Services, Centers for Disease Control and Prevention (CDC) and  other nationally organized agencies recommendations and requirements. Performs the staff credentialing and data maintenance processes based on department policy, procedure, and standards and guidelines

Essential Duties and Responsibilities

  • Plans, organizes, directs and monitors the education and training programs for all staff members.
  • Collaborates and provides advisement to specific surgical areas regarding employee educational/training needs.
  • Plans and conducts facility-wide new employee orientations, mandatory in services, reviews of nursing skills.
  • Plans and maintains an infection control program designed to provide a safe, sanitary and comfortable environment.
  • Serve as a knowledgeable and available resource on infection control practices and policies to patients, families, staff, and health system employees.
  • Participate in continuing educational activities at the department, state, and national level to promote personal growth and maintain a current knowledge base commensurate with the latest research and scholarly knowledge.
  • Infection Control Surveillance:       
    • Tracking Post-Operative Complications/Infection
    • Quarterly Reports to Governing Body       
    • Monitoring Incident/Variance Reporting
    • Appropriately manages the disposal of biohazardous materials.
  • Ensuring accurate and timely credentialing and subsequent submission of staff information to support appointing and claims submission.
  • Ensuring accurate and timely data entry of staff demographics
  • Remaining current on Federal and State regulatory, licensure, certification & application requirements
  • Adheres to POSC procedures, policies, and standards.
  • Maintains area of Special Assignments.
  • Manages quality assurance program (CQI).
  • Responsible for training new employees. 
  • Other duties as assigned.  

Education and/or Experience

Graduate of accredited School of Nursing.

Previous infectious diseases and/or sterilization and disinfection experience preferred.
ACLS and BLS certification required.  If not ACLS certified when hired, will obtain within three months of hire.

This position requires involvement in preparation of State and AAAHC Surveys. 

Working knowledge of current medical issues, trends and modifications in the laws and regulations governing clinician credentialing.

Certificates, Licenses, Registrations

Georgia State's Board of Nursing Licensure - NCLEX, Certified American Heart Association's Certification - BLS Certified

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