Overview: Responsibilities:

Manage and maintain EM, EC, and Safety compliance (40%)

• Coordinates the Emergency Management (EM), Environment of Care (EC), and Safety Programs as they directly relate to the health care setting and the overall environment of care.
• Identifies risks based on regulatory interpretation and other methods, and apply to policy creation.
• Oversight of EC in efforts to maintain high standards of safety, regulatory compliance, maintaining documentation of findings and improvements.
• Participate in incident investigation to identify causal factors to determine how incidents might be prevented in the future.
• Monitor potential and actual environmental Participates in root and apparent cause analysis and recommends remedial and corrective action. Leads EC rounding activities.
• Participates in or leads internal committees EM, EC, and Safety, management, and initiatives.
• In coordination with the Regional Emergency Management Officer, serves as the facility’s EM liaison with local, regional, state, public, and private entities.
• Assists in coordination of exercises as outlined by Medxcel and regulatory authorities.
• Assists in OSHA, TJC, and, as directed, other regulatory compliance investigations.

Training (10%)

• Develops and implements education programs and materials to train staff to detect, mitigate, and avoid workplace hazards.
• Provides technical guidance to management, surveyors, and other appropriate parties regarding occupational health and safety-related problems regarding accreditation standards.
• Develops and implements educational programs for EC and EM regulatory.

Policy and Procedure Support (20%)

• Provides policy and procedure interpretation and education as it applies to the EC and Emergency Management Plans.
• Conduct research and applicable regulations/standards concerning workplace safety and integrate findings into policies and procedures to ensure regulatory compliance.
• Provide education and training regarding accreditation standards and regulations as they relate to Medxcel policies and procedures.
• Maintain the policy and procedure repository and revision process including FMOS for EC and EM.

Document Management (30%)

• Maintains and continuously improves the Medxcel Facility Management Plans, including the EC and EM plans and ensures compliance with regulatory standards and implementation at the facility.
• Maintain regulatory readiness documentation, ensuring the organization is compliant with regulatory standards and that associates are trained accordingly.
• Maintains FMOS binders specific to EC and EM, to include all required documentation, data, reports, etc. and produces required materials accordingly.

Qualifications: Education:

• Associate’s or Bachelor’s degree from a program centered on Safety, Emergency Management, or a related field, or a high school diploma with four (4) years experience in a hospital or healthcare facility in safety management, security management, risk management, emergency management, facilities management, quality improvement, infection control, or related field -required.
• Bachelor’s or Master’s degree from a program centered on Safety, Emergency Management or related -preferred.

License/Certifications

• Valid Driver’s License -required.
• Relevant certifications in areas of Environmental/Regulatory compliance and safety -preferred.
• CHSP, CHEP -preferred.

• Four years of experience in a hospital or healthcare facility in safety management, security management, risk management, emergency management, facilities management, quality improvement, infection control, or related field; or a Bachelor’s or Master’s degree from a program centered on Safety, Emergency Management, or a related field and two years of experience in a hospital or healthcare facility in safety management, security management, risk management, emergency management, facilities management, quality improvement, infection control, or related field -required.
• Five (5) years experience in a hospital or healthcare facility in safety management, security management, risk management, emergency management, facilities management, quality improvement, infection control, or related field -preferred.
• Previous experience developing policies and procedures -preferred.

Competencies :

• Knowledge of safety/emergency management, hospital/facilities management, clinical engineering, and/or regulatory standards is required.
• Experience in developing policies and procedures.
• Knowledge of Microsoft Office.
• Analytical skills to comprehend and interpret complex regulations, perform data analysis, problem solve, and communicate results to others.
• Ability to work as part of a team, build collaborative relationships, and influence others.
• Organizational and project management skills; and effective written, verbal, and presentational communication.