The Sepsis Coordinator is responsible for the development, implementation, monitoring, and continuous improvement of the hospital’s sepsis program. This role ensures compliance with evidence-based practice guidelines, supports regulatory readiness (e.g., CMS SEP-1, Joint Commission standards), and collaborates with interdisciplinary teams to optimize patient outcomes related to sepsis care. The coordinator serves as both a clinical expert and program leader, driving education, performance improvement, and quality outcomes.
The Sepsis Coordinator acts as the hospital’s subject matter expert and program leader for sepsis, bridging quality improvement, regulatory compliance, education, and frontline clinical practice.
Program Leadership & Oversight
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Lead the hospital’s sepsis program, including planning, implementation, and ongoing evaluation.
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Ensure compliance with national standards, regulatory requirements, and quality measures (e.g., SEP-1 bundle).
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Coordinate sepsis committee/working group meetings, reporting progress to hospital leadership and quality councils.
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Clinical & Quality Improvement
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Monitor sepsis performance data, identify trends, and collaborate with physicians, nursing, and ancillary staff to improve outcomes.
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Develop and implement action plans for improvement in compliance with sepsis protocols.
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Perform case reviews, including SEP-1 abstraction and analysis of sepsis-related mortalities, readmissions, and bundle compliance.
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Partner with infection prevention, critical care, emergency medicine, and inpatient units to align care practices.
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Education & Training
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Provide ongoing education and support for physicians, nurses, and clinical staff regarding sepsis recognition, treatment, and documentation.
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Develop educational materials, simulation training, and orientation content specific to sepsis management.
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Act as a subject matter expert for sepsis-related policies, procedures, and best practices.
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Data & Reporting
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Collect, analyze, and report sepsis performance data to local, regional, and national benchmarking systems.
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Prepare dashboards and regular updates for leadership, medical staff, and quality committees.
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Ensure accurate and timely documentation of sepsis cases for reporting and reimbursement purposes.
Employee continuously is exposed to the computer monitor and may be exposed to electrical hazards. Employee is required to sit continuously and walk occasionally. Employee must lift/carry a light (1-20 lbs.) load frequently; medium (21-50 lbs.) and heavy (50 lbs. +) load occasionally. Employee may be required to lift over 100 lbs. with assistance. Employee is occasionally required to bend, squat, crawl, kneel, climb, lift waist to overhead. Employee is frequently required to reach forward and reach overhead. Employee is required to do simple grasping and pushing/pulling. (Occasionally: 1-33%, Frequently: 34-66%, Continuously: 67-100%) The most significant of duties are included but this does not exclude occasional work assignments not mentioned or developmental duties.
The most significant of duties are included but this does not exclude occasional work assignments not mentioned or developmental duties.
Bachelor’s degree in Nursing (BSN) required; Master’s preferred.
