Compliance Manager - Healthcare implements and administers programs, policies, and practices to ensure that organization complies with JCAHO, HIPAA, and accreditation standards. Monitors and administers compliance with federal, state, and local regulations. Being a Compliance Manager - Healthcare acts as a liaison to government agencies and coordinates site visits for regulators. Investigates potential compliance violations and takes corrective action as necessary. Additionally, Compliance Manager - Healthcare requires a bachelor's degree. Typically reports to a head of a unit/department. The Compliance Manager - Healthcare manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a Compliance Manager - Healthcare typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)
The Ambulatory Surgery Center Compliance Manager will be a role that will lead and oversee the management and operations of Ambulatory Surgery Centers including maintenance, repair, vendors and contracts, and other facility related operations for our healthcare clients. In addition, the Ambulatory Surgery Center Compliance Manager will ensure continuous survey readiness and compliance with Environment of Care (EC) and Life Safety (LS) requirements and regulations from a variety of regulatory agencies, including the Centers for Medicare and Medicaid Services (CMS), The Joint Commission (TJC), National Fire Protection Association (NFPA), State Survey Agency (SA), and other Accrediting Organizations (AOs) for Ambulatory Surgery Centers (ASCs).
The Ambulatory Surgery Center Compliance Manager will apply sophisticated analysis and inductive reasoning skills to assess health care organizations' compliance with applicable standards, policies, and protocols, and to identify opportunities for improvement. The ideal candidate will have extensive expertise in property and/or facilities management within a healthcare setting, as well as extensive experience effectively communicating with clients, vendors, and co-workers. Exceptional leadership, problem-solving, and communication skills are also required.
EDUCATION & EXPERIENCE:
Required High School Diploma or General Education Degree (GED).
Preferred - Bachelor's degree in related field.
Preferred - Eight years of hospital or medical properties experience in facilities management.
Preferred - Knowledge of Joint Commission Environment of Care standards including the Life Safety Code (NFPA101), the Health Care Facilities Code (NFPA 99), and other relevant NFPA standards and direct involvement with a minimum of two Joint Commission surveys.
Specialized knowledge of building systems, utility systems, and fire protection systems (smoke detection and sprinklers).
CERTIFICATES, LICENSURE, REGISTRATIONS:
Required Clean/Valid driver’s license.
Preferred Completed OSHA 30 or 10 Training or able to attain within one year of hire.
Certified Life Safety Specialist (CLSS-HC) for Health Care Facility Managers or able to attain within one year of hire.
Certified Healthcare Facility Manager (CHFM) or able to attain within one year of hire.
PROFESSIONALISM, COMMUNICATION SKILLS:
Dependability, including delivering on commitments, assuming appropriate share of all work, being prepared, and adhering to schedules.
Requires extensive attention to detail.
Professionalism, including appearance and demeanor.
Communicate effectively, clearly, and professionally with tenants, management, co-workers, and vendors.
Communicate via email with proper punctuation and spelling.
Ability to comprehend and interpret instructions.
Ability to write routine reports and correspondence.
COMPUTER, ORGANIZATIONAL SKILLS:
Knowledge of CMMS (Computerized Maintenance Management System). Building Engines/PRISM preferred.
Working knowledge of Microsoft 365 programs.
Working Knowledge of Adobe programs.
Ability to independently organize work.
Organizing files for multiple facilities.
Demonstrate effective time management skills.
Coordinate activities involving other people.
PHYSICAL ABILITIES:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. To stand for long periods of time, walking lengthy distances, lifting, climbing, stooping, pulling, kneeling, and pushing in order to adequately inspect and observe the entirety of the medical facilities.
To lift, push and pull a minimum of 25 pounds.
Able to climb a ladder, bend, twist, crawl, and jump.
Able to fly commercial airlines.
SCREENING REQUIREMENTS:
Selected candidates will be required to pass a driving record background check, criminal history background check and drug screening.
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