Accreditation Standards, Analysis Skills, Auditing, Behavioral Health, CPR Certification, Calculators, Centers for Disease Control and Prevention (CDC), Clinical Trial, Communication Skills, Construction Projects, Content Management Systems (CMS), Continuous Improvement, Copying Machines, Corrective Action, Data Analysis, Data Quality, Dental Insurance, Documentation, Educational Administration, Establish Priorities, Family Planning, Government Contracts, HIV/AIDS (Acquired Immune Deficiency Syndrome), Healthcare, Healthcare Quality, Identify Issues, Infection Control, Leadership, Maintain Compliance, Medicaid, Medical Terminology, Nursing, OSHA, Office Equipment, Operational Strategy, Operations Management, Organizational Development/Management, Outpatient Care, Patient Follow-up, Pediatrics, Performance Management, Performance Metrics, Pharmacy, Presentation/Verbal Skills, Primary Care, Printers, Problem Solving Skills, Program Planning, Project/Program Management, Public Health, Quality Management, Record Keeping, Registered Nurse (RN), Regulations, Regulatory Compliance, Regulatory Requirements, Risk Analysis, Risk Management, Service Delivery, Stewardship, Surveillance, The Joint Commission (TJC), Time Management, Training/Teaching, Vaccination, Viruses, Women's Health, Writing Skills
Title: Infection Prevention & Employee Health Program Manager
FLSA Category: Exempt
Reports To: Director of Quality and Clinical Management
Date Issued: June 2026
Greater Baden Medical Services (GBMS) is a Federally Qualified Health Center (FQHC) dedicated to providing high-quality healthcare across Southern Maryland. With 9 clinical sites across Prince George's, Charles, and St. Mary's counties, we serve over 18,000 patients each year. We provide fully integrated care that includes primary care, pediatrics, women's health, Title X family planning, dental care, behavioral health, WIC, pharmacy services, and the Ryan White HIV/AIDS program. Our patient population is primarily made up of Medicaid and uninsured individuals. We are deeply proud to deliver these vital services to everyone in our community, regardless of their ability to pay, making Greater Baden an incredibly rewarding place to grow your career while making a tangible, life-changing impact every day.
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 Protection Standards.
- Provides leadership, oversight, and operational management for the organization's Team Member Health and Wellness Program, including program development, implementation, evaluation, and continuous improvement to support a safe, healthy, and engaged workforce.
- Responsible for the oversight, coordination, and implementation of the organization's annual employee influenza vaccination program, including planning, education, administration, tracking, and compliance monitoring.
- Provides education to staff on required and recommended immunizations, promotes vaccine uptake through ongoing communication and engagement, and monitors compliance with organizational and regulatory immunization requirements.
Supervisory Responsibility -None
Minimum Qualifications
- Current Registered Nursing License in the State of Maryland or compact state required; Licensed Practical Nurse will be considered with relevant experience
- Bachelor's Degree in Nursing preferred
- Experience in infection control and employee health a plus
- Current Cardiopulmonary Resuscitation Certificate (CPR) required
- Certification in Infection Control preferred
- Five (5) or more years of experience in healthcare
- Strong written and verbal communication skills
Substitutions - None
Core Competencies Needed
Problem Solving - Identifies and resolves problems in a timely manner; gathers and analyzes information skillfully, develops alternative solutions; works well in group problem solving situations; uses reason even when dealing with emotional topics.
Communication Skills - Listen and verbally in order to solve problems and provide information and direction, ensuring the experience is a positive one. Record issues and resolutions to maintain accurate records and data for further analysis by management.
Analytical Skills - The ability to tackle a problem by using a logical, systematic, sequential approach. Possess creative thinking, learning, systems thinking and problem solving. Must be effective at defining and solving problems in order to ensure that the real, underlying challenge is understood and that solutions actually address it.
Healthcare Systems - Knowledge of healthcare and medical terminology.
Risk Management/Compliance - Confidentiality principles and laws, maintain compliance with government contractual mandates.
Work Environment
This job operates in an outpatient office environment.
Physical and Mental Demands
- Ability to cope with stress.
- The person in this position needs to occasionally move about inside the center
- Constantly operates a computer and other office productivity machinery, such as a calculator, copy machine and computer printer.
- The person in this position frequently communicates with employees. Must be able to summarize and exchange accurate information.
- Performs with frequent interruption or distractions.
- Adjust priorities quickly as circumstances dictate.
- Cognitive ability to analyze, count, summarize and synthesize information from multiple sources.
Language Skills
Ability to read and interpret written or verbal documents and instructions. Ability to speak effectively to patients, employees and/or stakeholders of the organization.
Travel
Must be able to drive between Greater Baden Medical Services, Inc. locations.