Description

This position is incentive eligible.

Introduction

Do you want to join an organization that invests in you as a(an) Director Regulatory and Accreditation? At HCA Healthcare, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.

Benefits

Work from Home, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.

• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.

• Free counseling services and resources for emotional, physical and financial wellbeing

• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)

• Employee Stock Purchase Plan with 10% off HCA Healthcare stock

• Family support through fertility and family building benefits with Progyny and adoption assistance.

• Referral services for child, elder and pet care, home and auto repair, event planning and more

• Consumer discounts through Abenity and Consumer Discounts

• Retirement readiness, rollover assistance services and preferred banking partnerships

• Education assistance (tuition, student loan, certification support, dependent scholarships)

• Colleague recognition program

• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)

• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards)

Note: Eligibility for benefits may vary by location.

You contribute to our success. Every role has an impact on our patients’ lives and you have the opportunity to make a difference. We are looking for a dedicated Director Regulatory and Accreditation like you to be a part of our team.

Job Summary and Qualifications

The primary purpose of the Regulatory and Accreditation Services Department is to promote safe, high quality and effective patient care through maintaining accreditation, certification and licensure compliance of all facilities. HCA Healthcare clinical strategies and regulatory compliance are foundational to the work of the department The Director, Regulatory & Accreditation (Engineer) role has extensive knowledge of National Fire Protection Agency’s (NFPA) codes, as well as physical and mechanical systems present in acute care hospitals, ambulatory surgery centers, and other freestanding/ambulatory healthcare occupancies, to include HVAC systems, chiller plants, steam plants, medical gas systems, building automation systems, etc.

The director of engineering is recognized as an expert within the organization, responsible for the successful implementation and utilization of standardized programs across the HCA Healthcare enterprise. Areas of responsibility include, but are not limited to, regulatory and accreditation compliance, including The Joint Commission, and environmental compliance. This position is responsible for management, direction, reporting, and measurement of the HCA Continual Survey Readiness Evaluation (CSRE) for the operational support, consultation, and guidance to all HCA Healthcare hospitals and ambulatory surgery centers in meeting life safety and environment of care regulatory and accreditation requirements.

This position requires up to 75% travel.

Major Responsibilities:

oResponsible for the assessment, planning, coordination and development of education programs pertaining to TJC as they relate to Environment of Care and Life Safety, National Fire Protection Association code compliance, Facilities Guidelines Institute (FGI) compliance, heating/cooling and ventilation code compliance, etc.

oServes as subject matter expert for CMS and TJC Life Safety and Environment of Care compliance

oWorks in an advisory capacity for facility directors for all regulatory compliance as it pertains to facility infrastructure compliance

oAssists facilities with the preparation for CMS and TJC surveys and provides support when a facility receives an adverse decision and/or condition-level finding during external survey process

oConducts ongoing research to remain current with regulatory requirements from CMS, TJC, National Fire Protection Association (NFPA), Occupational Safety and Health Agency (OSHA) and others

•Collaborates as a crosscutting function across multiples corporate teams, committees, and projects as a forward-facing leader of Regulatory and Accreditation Services to ensure enterprise work products are compliant with external regulatory and accreditation requirements

•Drives enterprise wide regulatory and accreditation compliance and performance based on external metrics

•Role complements and provides guidance to division/regional director of facility management and facility director of facility management quality or director

oAssists in the implementation and successful utilization of facility compliance programs

oEvaluates new standards, derives processes to implement changes in deeming authority requirements

•Environmental Programs

oAssists in development and implementation of environmental programs, such as water management

oResponsible for developing training programs for all HCA Healthcare personnel in order to comply with all environmental regulations

oOrienting and training CSRE team members to environment of care and life safety functions, as needed

oLeads trainees and peers to ensure accurate production of CSRE metrics for senior HCA Healthcare executives and board members based on the analysis of facility data and interpretation of cumulative data trends throughout the enterprise

Education & Experience:

•Bachelor's degree and 7+ years of experience in a relevant work environment (Or equivalent combination of education and/or experience)

•Licensed Mechanical or Electrical Engineer (PE) strongly preferred Preferred

•Relevant certification in life safety, safety officer, engineering, fire protection (e.g., CHSP, CLSS-HC, CFM, etc.) Required

•Extensive knowledge of mechanical systems present in acute care hospitals including, but not limited to, HVAC systems, chiller plants, steam plants, medical gas systems and building automation systems

•Extensive knowledge of electrical systems present in acute care hospitals including, but not limited to, generator systems, automatic transfer switches, paralleling gear and switch gear. Required

•Thorough knowledge of The Joint Commission (TJC), National Fire Protection Association (NFPA), Occupational Safety and Health Agency (OSHA) and other healthcare regulatory agencies requirements.

HCA Healthcare (Corporate) , based in Nashville, Tennessee, supports a variety of corporate roles from business operations to administrative positions. Like our colleagues in any HCA Healthcare hospital, our corporate campus employees enjoy unparalleled resources and opportunities to reach their potential as healthcare leaders and innovators. From market rate compensation to continuing education and career advancement opportunities , every person has a solid foundation for success. Nashville is also home to our Executive Development Program , where exceptional employees are groomed to take on CNO- and COO-level roles in our hospitals. This selective program focuses on ethics, leadership and the financial and clinical knowledge required of professionals at this level of the industry.

HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"Good people beget good people."- Dr. Thomas Frist, Sr.

HCA Healthcare Co-Founder

We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Director Regulatory and Accreditation opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring!

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.