Regulatory Compliance Manager

Temple University's Facilities Management Department is searching for a Regulatory Compliance Manager!

Become a part of the Temple family and you will have access to the following:
Full medical, dental, vision coverage
Paid time off
12 Paid Holidays
Tuition remission - eligible employees and their dependents can obtain a degree TUITION FREE
A generous retirement plan and so much more!

Salary Range: $90,000 - $95,000
A variety of important factors are reviewed by HR when considering salary, including job duties, the applicant's education and experience, all relevant internal equity considerations, department budget, and funding source.

Position Summary
Reporting to the Director of Operations and Maintenance, the Regulatory Compliance Manager is responsible for ensuring that the organization meets accreditation and regulatory requirements for Environment of Care and Life Safety for Temple University Hospital, Episcopal Campus, Northeastern Campus, and Jeanes Hospital. He/she will collaborate with the Facilities Management Departments to ensure documentation is in a constant state of readiness for review by regulatory and accrediting agencies. The incumbent will serve as the liaison between the Facilities Management Department and State, Local, Federal, Insurance, and Joint Commission organizations. He/she will collaborate with the Safety Officer regarding compliance with Environment of Care requirements.

The Regulatory Compliance Manager will accompany various agency surveyors during building tours, surveys, and occupancy inspections. He/she is also responsible for educating Facilities Management Department staff and hospital staff on new guidelines, regulations, and/or standards when they are implemented, as well as when new equipment is purchased and policies and procedures are revised or newly adopted. He/she will also be responsible for developing new strategies and preparing new policies and procedures to comply with changes to codes, guidelines, and standards affecting the organization related to Environment of Care and Life Safety.

Performs other related duties as assigned.

Job Details
* Must have a valid drivers license or the ability to obtain one if hired.
* This role is 100% on-site.

Required Education and Experience
* Bachelor's Degree in related Facilities Management Field
* A minimum of four (4) years experience as a manager in Facilities Management in a large Hospital setting,
* An equivalent combination of education and experience may be considered.

Preferred Education
* Certification of CHFM (Certified Healthcare Facilities Manager).

Required Skills and Abilities
* Demonstrated knowledge of The Joint Commission Standards, NFPA Codes, AIA and FGI Guidelines, Insurance requirements, Accreditation review process, formulation of policies and procedures.
* Knowledge of Joint Commission and Department of Health surveys.
* Capable of reading and interpreting code and standard documents and writing responses for plans of correction as a follow-up to surveys.
* Ability to implement training programs that are consistent with changes to policies, procedures, guidelines, regulations, and accreditation standards.
* Excellent oral and written communication skills, problem-solving, program development, computer skills, strong leadership, and team-building skills.
* Ability to work with a variety of disciplines and levels of staff across departments and the health system.
* Knowledge of computer applications (i.e., Microsoft Windows operating system, Word, Excel, and PowerPoint).

Essential Functions
* Conduct Life-Safety Code assessment tours of hospital facilities. Identify areas of vulnerability and make recommendations to ensure compliance with accreditation standards, insurance requirements, guidelines, and regulations. Develop and maintain Statements of Conditions for TUH, Inc.
* Ensure that the Facilities Management Department's documentation, required to meet regulatory/accreditation requirements for Life Safety, the Environment of Care, and Emergency Management, is in a constant state of readiness for review by regulatory and accrediting agencies.
* Maintain Facilities Management Department policies and procedures related to compliance with State, Local, Federal, and Joint Commission guidelines, codes, and standards.
* Working with the Facilities Management Department, review and revise existing policies and procedures annually, and develop new policies when changes in processes, equipment, codes, or The Joint Commission requirements are implemented.
* Accompany regulatory and accrediting agency representatives during surveys and occupancy inspections.
* Collaborate with Facilities Management Department and/or other departments to prepare plans of correction for deficiencies noted during surveys and inspections and follow through to ensure timely completion of work items resulting from surveys and inspections.
* Review the Environment of Care and Life Safety reports to identify areas for performance improvement and provide targeted recommendations.
* Monitor and track compliance with preventive maintenance completion for Environment of Care reporting.
* Provide statistics on preventive maintenance, performance improvements, and unusual occurrences for reports to committees.
* Assist shop supervisors in developing new preventive maintenance procedures and report forms.
* Maintain currency with Local, Federal, and Joint Commission guidelines, regulations, and standards. Inform Facilities Management Department and Hospital management of changes in regulations and accreditation standards.
* Implement training programs that are consistent with changes to policies, procedures, guidelines, regulations, and accreditation standards.
* Participate in Construction meetings and take the lead in developing and monitoring Safety Risk Assessments for each project.

* Ability to work extended hours.

Temple University is committed to a policy of equal opportunity for all in every aspect of its operations, including employment, service, and educational programs. The University has pledged not to discriminate on the basis of age, color, disability, marital status, national origin or ethnic origin, race, religion, sex (including pregnancy), sexual orientation, gender identity, genetic information or veteran status.

Compliance Statement: In the performance of their functions as detailed in the position description employees have an obligation to avoid ethical, legal, financial and other conflicts of interest to ensure that their actions and outside activities do not conflict with their primary employment responsibilities at the institution. Employees are also expected to understand and be in compliance with applicable laws, University and employment policies and regulations, including NCAA regulations for areas and departments which their essential functions cause them to interact.

Temple University's Annual Security and Fire Safety Report contains statistics, policies, and procedures related to campus safety. Go here to review: https://safety.temple.edu/reports-logs/annual-security-report

You may request a copy of the report by calling Temple University's Department of Public Safety at 215-204-7900.