Director of Healthcare Facilities Compliance

Job Summary

The Director, Healthcare Facility Compliance and Engineering will be responsible for the development, implementation and execution of engineering operations and the compliance program which supports our client account team delivering effective maintenance engineering and compliance related activities identified by the Joint Commission, CMS, State Departments of Health and any other Authorities Having Jurisdiction. This includes but is not limited to technology, process and procedures, training, audits, and subject matter expertise.

Essential Duties/Functions

Program Management/Operations

• Identify needs, develop solutions and lead programs that create operational value for our client. Ensure the execution of the solutions and programs to meet or exceed expectations.

• Build successful relationships within the JLL team and key client personnel to promote confidence, manage forward planning and best practices – be a trusted advisor.

• Provide management and leadership direction for the design, development and implementation of operations, infrastructure and processes.

• Direct the development of operational systems and methods to improve departmental efficiency, productivity, and employee involvement. Execute the best fiduciary value.

• Collaborate with platform leaders and account wide teams to proactively share and apply learnings, successes and best practices.

Responsibilities

• Subject Matter Expert (SME) with a comprehensive understanding of the CMS Conditions of Participation and The Joint Commission Environment of Care Standards and Life Safety Chapter; DNV; HFAP; and other accrediting agencies.

• Subject Matter Expert (SME) with a comprehensive understanding of the NFPA codes, the FGI Guidelines for Design and Construction, ASHRAE and all other related requirements.

• Collaborates with Account Director, Account Leadership Team and Regional Facility Directors in the development of protocols and processes (SOP’s) associated with Maintenance best practices, the Joint Commission Environment of Care and Life Safety Standards; and all other applicable Regulatory Agencies.

• Develops standardized processes for account teams conducting compliance audits at each Healthcare organization to determine Operational Readiness/Preparedness.

• Utilizes field audit data/information to maintain readiness perspective for each account. Evaluates preparedness and reports to HCS Platform leadership on account performance. Assists accounts to prepare specific action/improvement plans for each Healthcare/Site.

• Assists with Solutions, including assessment and Business Case Analysis preparation.

• As needed performs and participates in consulting engagements with both new and existing clients.

• Serves as subject matter expert and may support liaison with individual client quality and regulatory experts.

• Provides education to JLL staff on applicable engineering operations and regulatory processes and procedures while also communicating literature-based ideas with regard to effective quality/compliance strategies.

• Maintains knowledge and expertise with applicable standards, as directed by JLL management, specifically in the areas of NFPA101 Life Safety Code-SOC/PFI/ILSM, Facilities. Management Best Practices, Safety Management, Security Management, Bio-Hazardous Waste and Hazardous Materials Management and Waste, Bio-medical Engineering.

• Manages dashboards to measure and report statistics and readiness evaluations.

Qualifications

• BS degree preferred in an Engineering Discipline.

• Five years of healthcare experience in Plant Operations and/or Facilities Management.

• Five years of experience in personnel and team management.

• Experience in Healthcare systems with multiple healthcare locations in several states (Preferred)

• Working Knowledge of CMS and accrediting organizations such as the Joint Commission and the NFPA body of codes (i.e. NFPA 101, 99, 90A, 72, and 25).

• Proficient in Microsoft Office Suite of products, strong writing skills.

• Strong analytical, organizational, and coordination skills required.

• Demonstrated communication skills (oral and written) required.

• Customer service orientation and strong presentation skills to internal and external parties required.

• Quality Management Training/Certification (i.e. Six Sigma Green Belt/Black Belt).