Works under the supervision of the Director and/or Manager of Facilities. The Compliance & Safety Coordinator is accountable for developing, implementing and maintaining the overall compliance program for the Systems facilities and construction departments. To include compliance with all applicable Mosaic system policies, applicable code compliance, training, surveys/inspections and other related tasks as required or assigned by leadership. Maintain library for inspection and stay current of NFPA, JCAHO, ASHE and other regulatory codes.
- Develop, implement, and maintain the compliance and safety program for the physical facility, ensuring that all standards are consistently met.
- Facilitate regular safety meetings and provide ongoing guidance to staff regarding best practices and regulatory updates, fostering a culture of safety and compliance.
- Coordinate and deliver training on occupational, fire, and life safety systems to ensure departmental compliance. This includes aspects of new hire orientation and leading contractor orientation sessions.
- Maintain and update departmental documentation, processes, and procedures. Draft standards, corrective action plans, and operational memos as needed to support ongoing compliance.
- Manage records to ensure regulatory compliance with Joint Commission, CMS, OSHA, EPA, and NFPA requirements.
- Oversee inspections and work requests related to compliance and safety within the Computerized Maintenance Management System (CMMS). Assess risk, develop preventive maintenance requirements for utilities and equipment, monitor completion rates, and drive workflow improvements.
- Maintain code compliance documentation for the Joint Commission’s Statement of Conditions (SOC), as well as for state and other authorities having jurisdiction.
- Support policies and procedures, including pre-work assessments, infection control risk assessments, interim life safety measures, and work permits.
- Conduct inspections of assets and the physical environment to verify compliance and identify areas for improvement.
- Serve as departmental lead and/or liaison for committees and meetings, representing departmental interests and facilitating communication.
- Coordinate departmental activities with other departments, external stakeholders, and agencies to ensure collaboration and alignment on compliance and safety matters.
- Prepare information and documentation for leadership meetings and external communications; compose complex correspondence and reports as required.
- Perform other duties as assigned.
Education- H.S. Diploma - Required
- Bachelor's Degree - Mechanical or Electrical Engineering, Fire protection Engineering, Architecture, Environmental/Occupational Safety or related field preferred. - Preferred
Work Experience- Knowledge/ Experience with blueprints in CAD and/or Bluebeam. - Required
- 5 Years - Responsibility in compliance program management. - Preferred
- 3 Years - Experience in hospital-based Environment of Care and Life Safety regulatory compliance roles, including representation of the organization(s) at the Facilities/Engineering level (or higher) to regulatory agencies such as CMS, OSHA, DHSS, TJC, and others. - Preferred
- Working knowledge of NFPA 101 Life Safety Code, NFPA 99 Health Care Facilities. - Preferred
Licenses and Certifications- Driver's License - Valid In State - Required Upon Hire
- OSHA Training - OSHA 30 - Required within 120 Days
- FEMA Incident Command System Certifications. - Preferred within 1 Year
Travel Requirements- Must be able to travel between various system facilities and off-site locations as needed. - Required
Skills and AbilitiesEssential Technical/Motor Skills
- Answer phone, use all hand and electrical tools, set equipment to close tolerance and adjust doors.
- Ability to build, implement and support ongoing data collection/reporting strategies and tools to support business objectives, performance assessment and promote a culture of continuous improvement.
- Able to read and interpret blueprints and specifications for installation and maintenance of equipment and apparatus.
Interpersonal Skills
- Has verbal ability to communicate with workers and other members of the hospital staff and to interpret technical manuals related to operation and maintenance.
- Express ideas and thoughts, and electrical thinking ability.
Essential Physical Requirements
- While position normally does not require heavy lifting, it does require all the fundamental functions to follow progress of activities, report to necessary areas, attend meetings, events.
- Moving, walking, balancing, kneeling, crouching, stooping, reaching, standing, pushing, pulling, lifting, and restraining.
- Must travel to meet with users in their environment if required.
Essential Mental Abilities
- Ability to read and understand technical documents and instructions.
- Planning, coordinating and supervising repairs and equipment installations.
- Make reports and keep accurate filing system.
Essential Sensory Requirements
- Read blueprints; detect fire alarms, phones, equipment operations, verbal requests, tell if equipment is hot or cold; sense fire, detect wire color, resistors colors, etc.
Exposure to Hazards
- Sound, noise, chemicals, high pressure steam, refrigerant, high voltage, heights to 25 ft.
Other Skills and Abilities