Sepsis Program Manager (Registered Nurse)

Sepsis Program Manager

The Sepsis Program Manager is responsible for leading the planning, coordination, implementation, and evaluation of Memorial Health's Sepsis Program across all acute care and critical access hospitals. This role provides clinical and operational expertise to drive early identification, evidence-based treatment, and ongoing performance improvement for patients with sepsis and septic shock. Working collaboratively with physicians, nursing leadership, quality, infection prevention, emergency departments, and critical care teams, the manager ensures alignment with national standards (e.g., CMS SEP-1), current evidence, and system strategic priorities. The manager serves as a system resource for data analysis, best practice implementation, education, and regulatory compliance.

Education :

Master's degree in nursing, Healthcare Administration, Public Health, Business or related field

Licensure / Certification / Registry :

Registered Nurse (RN) license in state of Illinois required

National certification in critical care, emergency nursing, or quality improvement strongly preferred

Experience :

Minimum 5 years of relevant clinical experience in emergency, critical care, or similar acute care setting.

Experience with performance improvement initiatives, regulatory reporting, and interdisciplinary collaboration required.

Program coordination or leadership experience preferred

Data collection experience preferred

Other Knowledge / Skills / Abilities :

Strong ability to communicate and influence across disciplines and hospital sites. Data literacy and ability to interpret clinical and performance data.

Knowledge of CMS Sep-1 Core Measure and evidence-based sepsis care guidelines.

Facilitation, project management, and change leadership skills.

Program Leadership & Alignment :

• Serve as the system-wide clinical and operational leader for Memorial Health's Sepsis Program.
• Lead the design, implementation, and evaluation of the sepsis program strategy across all hospitals and ED settings.
• Ensure alignment of sepsis protocols, policies, and workflows with regulatory standards and national best practices.
• Lead or co-chair Sepsis Committee, ensuring cross-disciplinary participation and consistent follow-through on improvement initiatives.
• Act as a liaison to hospital-based Sepsis Nurse Navigators and operational leaders to support real-time bundle compliance and escalation pathways.
• Works under minimal supervision and exercises independent judgment in aligning program priorities with organizational goals.

Performance Improvement & Data Oversight :

Education & Evidence Integration :

Regulatory & Compliance :

Collaboration & Consultation :