High Level Disinfection and Quality Specialist

The High-Level Disinfection (HLD) Coordinator is responsible for managing the operational and regulatory requirements of all areas performing high-level disinfection and sterilization procedures. Reporting directly to the Manager of SPD Training, Education, and Quality, this role partners closely with Sterile Processing Department (SPD) leadership and cross-functional teams to ensure compliance with hospital policies, professional standards, and regulatory requirements from CMS, TJC, and other accrediting agencies. The coordinator oversees departmental practices, staff competency, and physical environments to maintain safe and compliant processes across Christiana Care Health System. Key responsibilities include developing and implementing evidence-based best practices, identifying training and quality assurance needs, and supporting staff education programs to drive performance, compliance, and systemwide standardization.

Work must be carried out in alignment with standards from the Certification Board for Sterile Processing and Distribution (CBSPD), the Association for the Advancement of Medical Instrumentation (AAMI), Society of Gastroenterology Nurses and Associates (SGNA), and the Healthcare Sterile Processing Association (HSPA). The HLD and Quality Specialist is accountable for maintaining a safe work environment, adhering to evidence-based practices, and complying with facility safety policies regarding bloodborne pathogens and communicable diseases. This position requires ongoing professional development to remain current in aseptic technique, microbiology, and sterilization science, while actively contributing to continuous quality improvement initiatives that enhance patient safety and the reliability of sterile processing and high-level disinfection services.

RESPONSIBILITIES

Identify and address issues related to high-level disinfection processes, endoscope reprocessing, educational gaps, and resource needs.

Develop and recommend solutions to Clinic Managers, Infection Preventionists, and Administrative Director of Sterilization.

Gather and analyze data to inform decision-making processes.

Provide detailed analysis and recommendations for process improvements based on data trends.

Conduct regular audits and compliance reviews in all HLD-performing areas.

Facilitate compliance with regulatory standards, including TJC and DPH requirements, through audits and tracer activities.

Evaluate equipment needs and ensure adherence to manufacturer Instructions for Use (IFU). Deliver in-service training and education to medical assistants, sterile technicians, and nursing leadership.

Ensure team members understand and adhere to instructions for use and high-level disinfection best practices.

Work collaboratively with SPD leadership, Perioperative Services, and key stakeholders. Coordinate logistics for vendors, support services, and interdepartmental processes related to high-level disinfection.

EDUCATION AND EXPERIENCE REQUIREMENTS

Associate’s degree in health sciences, surgical technology, health management or a related field required. Bachelor’s degree preferred.

Five years of experience in Central Sterilization Processes, Endoscope Reprocessing, High-Level Disinfection, or a related healthcare environment.

Demonstrated expertise in project management and staff education.

Intimate knowledge of Sterile Processing policies and best practices (AORN, AAMI, HSPA, SGNA etc.).

Certified Registered Central Service Technician (CRCST) required upon hire or Certification in Infection Control (CIC).

Certification as a Certified Endoscope Reprocessor (CER) required within one year.

Proficiency with Microsoft Office Suite (Excel, Word, PowerPoint) and quality system software.

Strong written and verbal communication skills.

Proven ability to analyze data and present actionable recommendations.

Knowledge of technical systems to enhance operational accuracy and efficiency.