UCSF - San Francisco, CA

System Director, Hospital Epidemiology & Infection Prevention

Job Summary

System Director, Infection PRevention

We are looking for a professional with a Certification in Infection Control to step into the role of System Director of Hospital Epidemiology and Infection Prevention at University of California San Francisco Health. You would report to the EVP of Department Quality and Patient Safety and will have a team of 19 total direct reports. You will also be responsible for directing all infection prevention activities of UCSF Health and its licensed facilities stretching across two hospitals, 1,300 beds, and more than 200 clinics. 

You will need to have a Master’s degree in Nursing, Business Administration, Health Care Administration, Public Administration or other health-related field. Along with your CIC and a clinical license in a healthcare-related field, you will need to have at least 8 years of infection prevention management experience, including managing multiple facilities.

About UCSF

UCSF Health is internationally renowned for providing highly specialized and innovative care. They are part of UC San Francisco, one of the top universities in the nation for health sciences research and higher education. UCSF doctors work directly with affiliate providers, sharing best practices and the latest innovations in treatment and technology. From genomics and immunology to specialty care for women and children, UCSF brings together the world’s leading experts in nearly every area of health. We are home to five Nobel laureates who have advanced the understanding of cancer, neurodegenerative diseases, aging and stem cells. Our hospitals and educational programs consistently rank among the best in the country

About the town

San Francisco, CA


Public Schools




Good for Familes




Cost of Living


Outdoor Activities


Crime & Safety








Health & Fitness



Leapfrog Hospital Safety Scores

UCSF Health

MeasureThe Hospital’s ScoreWorst Performing HospitalAvg. Performing HospitalBest Performing HospitalData SourceTime Period Covered
Dangerous object left in patient’s body What’s This?0.0000.3590.020.000CMS07/01/2017 – 06/30/2019
Air or gas bubble in the blood What’s This?0.0000.036.00040.000CMS07/01/2017 – 06/30/2019
Patient falls and injuries What’s This?0.3861.7780.420.000CMS07/01/2017 – 06/30/2019
Infection in the blood What’s This?0.7493.4200.810.0002021 Leapfrog Hospital Survey04/01/2019 – 12/31/2019 and 07/01/2020 – 9/30/2020
Infection in the urinary tract What’s This?1.1632.6440.750.0002021 Leapfrog Hospital Survey04/01/2019 – 12/31/2019 and 07/01/2020 – 9/30/2020
Surgical site infection after colon surgery What’s This?1.2242.8870.800.0002021 Leapfrog Hospital Survey04/01/2019 – 12/31/2019 and 07/01/2020 – 9/30/2020
MRSA Infection What’s This?0.9943.0550.840.0002021 Leapfrog Hospital Survey04/01/2019 – 12/31/2019 and 07/01/2020 – 9/30/2020
C. diff. Infection What’s This?0.8811.9490.540.0002021 Leapfrog Hospital Survey04/01/2019 – 12/31/2019 and 07/01/2020 – 9/30/2020
Death from treatable serious complications What’s This?153.69206.08159.6795.65CMS07/01/2018 – 12/31/2019
Harmful Events What’s This?1.033.351.000.60CMS07/01/2018 – 12/31/2019
      Dangerous bed sores What’s This? *0.308.800.580.04CMS07/01/2018 – 12/31/2019
      Collapsed lung What’s This? *0.190.480.230.12CMS07/01/2018 – 12/31/2019
      Falls causing broken hips What’s This? * – 12/31/2019
      Blood Leakage What’s This? *3.205.582.541.26CMS07/01/2018 – 12/31/2019
      Kidney injury after surgery What’s This? *1.623.451.420.58CMS07/01/2018 – 12/31/2019
      Serious breathing problem What’s This? *3.6117.095.181.66CMS07/01/2018 – 12/31/2019
      Dangerous blood clot What’s This? *4.948.413.611.65CMS07/01/2018 – 12/31/2019
      Sepsis infection after surgery What’s This? *6.609.734.962.31CMS07/01/2018 – 12/31/2019
      Surgical wound splits open What’s This? *0.911.540.860.57CMS07/01/2018 – 12/31/2019
      Accidental cuts and tears What’s This? *0.823.971.210.37CMS07/01/2018 – 12/31/2019
* This measure is a part of the Harmful Events Composite and is not used for scoring.

Process measures include the management structures and procedures a hospital has in place to protect patients from errors, accidents, and injuries.

MeasureThe Hospital’s ScoreWorst Performing HospitalAvg. Performing HospitalBest Performing HospitalData SourceTime Period Covered
Doctors order medications through a computer What’s This?100585.771002021 Leapfrog Hospital Survey2021
Safe medication administration What’s This?100583.251002021 Leapfrog Hospital Survey2021
Specially trained doctors care for ICU patients What’s This?100562.821002021 Leapfrog Hospital Survey2021
Effective leadership to prevent errors What’s This?120.0046.15116.85120.002021 Leapfrog Hospital Survey2021
Staff work together to prevent errors What’s This?120.000.00116.49120.002021 Leapfrog Hospital Survey2021
Enough qualified nurses What’s This?100.0017.6598.16100.002021 Leapfrog Hospital Survey2021
Handwashing What’s This?1001574.361002021 Leapfrog Hospital Survey2021
Communication with nurses What’s This?927391.1098CMS01/01/2019 – 12/31/2019
Communication with doctors What’s This?938091.0098CMS01/01/2019 – 12/31/2019
Responsiveness of hospital staff What’s This?856084.3894CMS01/01/2019 – 12/31/2019
Communication about medicines What’s This?805377.6692CMS01/01/2019 – 12/31/2019
Communication about discharge What’s This?896786.5196CMS01/01/2019 – 12/31/2019

Hospital Leadership

MEET THE staff

Carmel Valencia

Talent Acquisition Partner

Amy Nichols

Director, Hospital Epidemiology & Infection Prevention

Mariah Bianchi

Interim VP, Quality & Patient Safety

Official job description

System Director, Infection Prevention - UCSF

The Director of Hospital Epidemiology and Infection Prevention (HEIP) is responsible for directing all infection prevention activities of UCSF Health and its licensed facilities. Under the general direction of the Vice President for Quality and Patient Safety, and in partnership with the HEIP Medical Directors, the Director provides expertise, strategic direction, leadership, planning, organization, and general management for all aspects of HEIP at UCSF Health. This includes but is not limited to:

  • Developing, directing, and managing activities related to the institutional Infection Prevention program for adult and pediatric populations at Parnassus, Mount Zion, Mission Bay, Oakland, Langley Porter Psychiatric Institute, and Ambulatory Services
  • Ensuring accurate and timely reporting of all mandated legal, regulatory, and institutional infection-related surveillance data.
  • Directing activities for institutional compliance with The Joint Commission (TJC) accreditation Infection Prevention and associated standards for the hospital and laboratory programs and other certifications, California Department of Public Health (CDPH) reporting regulations, Centers for Medicare and Medicaid Services (CMS) Conditions of Participation (CoP) for Hospitals, Transplant Services, and ESRD
    Managing the departmental personnel and assets within a ~$4.2 million budget.
  • Executing collaboratively with the Departments of Quality, Regulatory Affairs, Risk Management, Patient Relations, Nursing, Facilities and Design & Construction, Safety and Campus to assure alignment of regulatory, quality, risk, and patient safety initiatives.
  • Ensuring institutional infection prevention-related readiness for epidemic and pandemic responses.
  • Developing partnership with and Interfacing with all levels of the organization.
  • Publicly representing HEIP in institutional and public forums
    Liaison to the local Department of Public Health and the state Healthcare Associated Infections program
    Recruiting and developing highly-skilled, diverse, and engaged team members.

Department Description: The Department of Quality & Safety consists of five divisions whose collective mission is to improve the quality of care for patients at UCSF Health.

Required Qualifications:
Master’s degree in Nursing, Business Administration, Health Care Administration, Public Administration or other health-related field
Certification in Infection Prevention
Comprehensive knowledge of relevant regulatory requirements, as well as related legislative, accreditation, licensing, and compliance environments
Demonstrates strong hospital management experience, with advanced expertise in and knowledge of infection prevention, quality improvement methodologies, and management in an academic facility
Comprehensive project management, interpersonal, and communications skills to effectively convey complex information and instructions both verbally and in writing, and to cultivate a strong commitment to teamwork, quality, and achievement of objectives
Strong ability to organize, manage multiple priorities, meet deadlines and assign work efficiently
Strong leadership skills and fiscal management skills, with the ability to create a goal-oriented climate of teamwork, collaboration, and consistent achievement of objectives
Strong analytical, organizational, and problem-solving skills, with the ability to identify system vulnerabilities and develop and apply innovative solutions
Strong leadership, interpersonal, and communications skills to promote, support, and introduce infection prevention systems and processes across a broad spectrum of departments
Strong ability to convey complex information clearly and concisely to all levels of staff, management, and outside personnel, with the ability to motivate, influence, and persuade others
Serves local and national professional organizations in leadership roles

Preferred Qualifications:
Minimum eight years of experience in infection prevention management
Clinical license in a healthcare-related field

Certification in Infection Prevention

Like what you've seen?

Would you like to
proceed with presentation?


Most frequent questions and answers

Yes. All of our open positions come with some sort of relocation allowance to help with the expenses of relocating. 

Yes. We will prep you for every interview you take. We know what our clients are looking for, so we will let you know what to expect and what experiences and accomplishments you should be sure to communicate to them in an interview.

Yes. If you connect us with another Infection Prevention professional that is interested in this position, and ultimately gets hired – we will send you a $500 referral bonus. 

Of course. We work to get you the highest possibly financial package – and communicate our progress throughout the process. We are financially incentivized to get you the most lucrative offer possible. 

Absolutely. We will review your resume before we submit it to the client to make sure it communicates everything it needs to.

First, everything we offer to our candidates is completely FREE. 

We operate as advisors and consultants for your Infection Prevention career. We’ve recruited in this industry for a long time and understand the profession as well as anyone.

If you decide you’d like us to represent you and apply for a position, the first thing our team will do is examine your resumé closely. We will fix up your resumé to ensure it communicates exactly what our client is looking for – demonstrating not only what you’ve been responsible for in previous Infection Prevention positions, but also how effective you’ve been in those roles. 

We have direct access to the hiring managers in the positions we search on which allows us to present your resumé directly to them, knowing exactly what they want to see in a candidate. We will keep you in the loop when this happens and what their initial feedback is. No more waiting in the dark hoping to hear back from HR.

Because of our relationships with the hiring manager, we have the ability to make a case for them to speak with you. It also allows us to get quick, honest feedback following each interview you have. And we will provide that feedback to you, good or bad.

In addition to preparing your resumé and presenting directly to the hiring manager, we also will prep you for each and every interview. Again, we know what our clients are looking for, so we will let you know what to expect and what experiences and accomplishments you should be sure to communicate to them in an interview.

In terms of the interview process, we’ll work with you and the client to get those scheduled during a time that makes sense for you.

Perhaps the most beneficial piece of being represented by Clutch Recruitment is that we’ll negotiate an offer for you – securing the highest possible offer the client can make. Don’t worry about your salary demands rubbing your future employer the wrong way;  we do all of that for you, ensuring a completely fair offer, without the awkwardness that potentially comes with it. We are financially incentivized to get you the highest possible offer, and we will ensure that happens.

Once you accept an offer, our work doesn’t stop. We’ll be there to talk you through your resignation and prepare you for how to handle a counter offer, along with all other complications that may arise. 

We have a large in house sourcing team that collects information from various databases online including LinkedIn, certification boards, and professional associations. 

our team

meet our recruitment team

Scroll to Top