About the position
As a Manager, Facilities/Environment of Care (IRF) at Lifepoint Health, you will play a crucial role in ensuring that our healthcare facilities comply with local, national, and federal regulations regarding the Environment of Care, Life Safety, and Emergency Management. Your primary responsibility will be to support the Director of Facilities & EOC in overseeing the compliance of all hospitals within our network, which includes over 60 community hospitals and rehabilitation facilities across the United States. You will conduct facility surveys to ensure that Inpatient Rehabilitation Facilities (IRF) are prepared for accreditation by the Joint Commission and other regulatory agencies. In this position, you will collaborate closely with facility Directors of Plant Operations, Hospital Administrators, and corporate staff to maintain the highest standards of quality and service. You will also work alongside the Directors and Managers of Corporate Engineering and Project Management to ensure that the infrastructure of all hospitals remains safe and compliant at all times. Your role will involve planning and developing Environment of Care and Life Safety programs, preparing facilities for inspections, performing on-site inspections, and consulting with facilities on various safety and compliance issues. Additionally, you will document inspection results, develop action plans for deficiencies, and assist in the education of facility engineers. You will provide resources and information related to Life Safety and Environment of Care issues, maintain compliance documentation, and oversee training on Safety Data Sheet (SDS) programs. Your commitment to regular attendance and collaboration with other departments will be essential in achieving the company's objectives and ensuring the safety and well-being of our patients and staff.
Responsibilities
- Assist with planning and developing Environment of Care and Life Safety programs to assure corporate compliance with all rules and regulations.
- Prepare new and existing facilities for the Joint Commission inspection (TJC) and other inspections by regulatory agencies such as Centers for Medicare & Medicaid Services (CMS) and state agencies.
- Perform on-site facility inspections as a member of the Survey Readiness Assessment (SRA) Team to verify field conditions of each hospital.
- Consult with facilities on resolving issues or concerns with specific items such as airflow in sensitive areas, hazardous materials, safety, and security management.
- Document and develop written inspection results and required action plans to correct deficiencies noted in the field.
- Evaluate and review data collection and data management by facility engineering.
- Distribute reports to appropriate personnel and follow up on corrective actions required by each facility.
- Assist in the education of facility engineers at the Direction of the Director of Facilities Management, EOC and LS in developing educational programs to be used by facility engineers, and for the DPO educational sessions when held.
- Provide resources and information to corporate and field personnel when required, as it relates to Life Safety and Environment of Care issues.
- Attend educational seminars as required to maintain up to date knowledge and skills as they relate to Life Safety Management.
- Maintain documentation and verify that hospitals are in compliance with the computerized Work Order/Preventive Maintenance Building Maintenance Program as it relates to Joint Commission and Life Safety.
- Provide oversight in training on Safety Data Sheet (SDS) program.
- Inspect facilities and confirm compliance with the Joint Commissions Environment of Care standards and CMS Conditions of Participation as they relate to Life Safety.
- Maintain a file of all completed and outstanding Plans for Improvement (PFI's) for each facility and report this data to appropriate personnel on a regular basis.
- Support, work with and through other departments as required to meet company objectives.
- Regular and reliable attendance.
- Perform other duties as assigned.
Requirements
- Education: HS Diploma required. Bachelor's Degree preferred.
- Experience: 7+ years in healthcare facilities/environmental management with inpatient rehabilitation experience.
- Certifications: Certified Healthcare Safety Professional (CHSP), Certified Healthcare Facility Manager (CHFM) preferred.
Nice-to-haves
- Experience with Joint Commission accreditation processes.
- Knowledge of healthcare safety regulations and standards.
- Strong communication and interpersonal skills.
Benefits
- Competitive pay based on market, role, skill set, and experience.
- Growth opportunities and succession planning initiatives.
- Insurance benefits including medical, eye, prescription, and life insurance.
- Collaborative work environment focused on high-quality care.
- Paid time off to support work-life balance.
- Employee Assistance Program (EAP) for counseling and support services.
