Facilities Compliance Manager - MGUH

​Salary:  

Other Forms of Compensation: $3,000 Yearly Bonus 

 

Crothall Healthcare is a Compass One Company that provides specialized, high-quality, innovative, and responsive support services exclusively to the healthcare industry. Crothall serves many of the Top 100 Hospitals throughout its over 1300 healthcare service teams in 46 states. Crothall has been recognized as one of Modern Healthcare’s Best Places to Work and Best Places to Work in Pennsylvania since 2013 and Becker's Top 150 Places to Work since 2016. A division of Compass Group USA, we have more than 26,000 team members. Our core services include: Environmental Services, Patient Transportation, Laundry & Linen, Facilities Management, Healthcare Technology Solutions, and Ambulatory EVS. Learn more at www.Crothall.com.

Job Summary

Working as Regulatory Compliance Manager you ensure that the understanding of, alignment to and documentation of all Joint Commission and Local Jurisdiction Facilities Management Compliance Program requirements for the MGUH site within the Facilities Management department.

Responsibilities:

• Implements system plan to ensure the account is in compliance
• Ensures system wide all staff understand and implement FM Program requirements
• Ensures consistent and accurate Team Docs & Team Ops documentation of FM work activities
• Establishes system wide QA Matrix to include specific and meaningful metric measures and reporting frequencies
• Proactively monitors and reports critical metrics prior to becoming non-compliant issues
• Routinely validates via audit data integrity and important metric measurements
• Develops, monitors, and reports performance improvement action plans as warranted
• Randomly collects, reviews, and analyzes data in reference to EOC reports on account on a monthly/quarterly/annual basis
• Randomly checks work-order documentation on a weekly/monthly basis via reporting
• Applies knowledge of and experience with all relevant regulatory agencies and standards to develop and ensure that the FM Program constantly remains in compliance with The Joint Commission, CAP, DNV, CLIA, AOA, NFPA 99, NY State and other applicable agency requirements
• Provides system-wide regulatory support as requested
• Performs pre-Joint Commission/Deemed Status inspections of facilities prior to the actual regulatory survey
• Ensures appropriate documentation is in place per Facilities Management Plan standards
• Assists with Annual EOC Evaluations
• Performs annual Compliance Audits at each facility
• Provides periodic Compliance Reviews and presents to Director and RDO
• Leads and/or supports vendors and contractors involved in regulatory and compliance related system and processes. Fire, Life Safety, Medical Gases, Generators, Remediation to name some included.
• Works closely with Safety Department.

Qualifications:

• Must possess confirmed knowledge of Facilities Management Operational Policy and Procedures
• Bachelor’s degree highly preferred
• Must possess shown knowledge of Plant Operations functionality
• Must possess previous healthcare compliance knowledge
• Must maintain current knowledge of the contents and navigation of the FM Web Portal
• Must have the experience and ability to work with senior level leadership while exhibiting a high level of confidence
• Business skills to deal effectively with all personnel and clients
• Leadership ability, validated with experience
• Ability to prioritize, coordinate and handle multiple projects simultaneously
• Ability to reliably present information and respond to questions from AHJ, TJC, groups of employees, clients and customers

Apply to Crothall today!

Crothall is a member of Compass Group USA

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Compass Group is an equal opportunity employer.  At Compass, we are committed to treating all Applicants and Associates fairly based on their abilities, achievements, and experience without regard to race, national origin, sex, age, disability, veteran status, sexual orientation, gender identity, or any other classification protected by law.

Qualified candidates must be able to perform the essential functions of this position satisfactorily with or without a reasonable accommodation. Disclaimer: