Facilities Accreditation and Compliance Subject Matter Expert
3 weeks ago
Job Summary:
GoldenWolf, LLC is seeking a highly experienced Facilities Accreditation and Compliance Subject Matter Expert to support the Defense Health Agency (DHA) Facilities Operations Branch (FOB) Program Manager. The ideal candidate will have a strong background in medical facilities compliance with fire safety, Statement of Conditions, and Environment of Care programs per Joint Commission and NFPA standards.
Key Responsibilities:
Training and Consultation:
Plan, schedule, and provide in-person and virtual training sessions and consultations for Facility Managers (FMs) and Medical Treatment Facilities (MTFs) to ensure compliance with fire safety, Statement of Conditions, and Environment of Care programs.
Compliance Assessments:
Perform on-site and document reviews to assess compliance with Joint Commission Environment of Care and Life Safety standards, including reviewing LS Drawings for compliance and project recommendations.
Action Plan Development:
Assist in developing Plans of Action Memorandums (POAM) resulting from mock surveys and evidence of standards of compliance (ESC) from Joint Commission accreditation surveys.
Technical Support:
Respond to MTF questions regarding Joint Commission standards, Life Safety Code (LSC), and other regulatory issues. Coordinate with DHA Fire Protection Engineers (FPEs) to resolve compliance-related issues.
Budget Management:
Prepare budgetary estimates and justifications to secure program fiscal resources.
Strategic Planning:
Develop and implement immediate and long-term goals, objectives, plans, and schedules to meet substantial changes in program authority and/or funding.
Process Improvement:
Develop, evaluate, and improve processes and procedures to monitor project/program efficiency and productivity. Make intensive analyses and propose program changes or regulatory revisions based on findings.
Representation and Advocacy:
Represent DHA FOB at meetings, briefings, conferences, and hearings with higher headquarters, other federal agencies, state and local authorities, and the public. Speak with authority on accreditation issues concerning the assigned program.
Reporting and Documentation:
Review and approve reports, decisions, and other documents to ensure they accurately reflect organizational policies and the view of DHA FOB. Develop methods to measure program accomplishments, results, and effectiveness.
Requirements:
Bachelor's Degree. Minimum ten (10) years of demonstrated experience in medical facilities compliance with fire safety, Statement of Conditions, and Environment of Care programs per Joint Commission and NFPA standards, including five (5) years of technical experience with Environment of Care. Certified Healthcare Facility Manager (CHFM) or Certified Healthcare Safety Professional (CHSP).
Preferred Skills:
Client-facing and internal communication skills. Excellent written and verbal communication skills. Strong organizational skills, attention to detail, and multitasking capabilities. Proficiency with Microsoft Office, Smartsheet, Microsoft Project, Bluebeam Revu, or other project management platforms. Healthcare Facilities Management experience. Joint Commission Fellowship. Knowledge of NFPA 99 and 101, TJC Life Safety Standards, TJC Environment of Care Standards, FGI Guidelines, and ASHRAE Standards. Functional knowledge of DMLSS FM Module or other computerized maintenance management systems. Familiarity with current National Fire Protection (NFPA) codes, OSHA requirements for medical facilities, facility condition inspections, real property inventory procedures, corrective action planning, and root cause failure analyses.
Additional Information:
This position requires significant travel to various MTF locations worldwide, up to 25-50% of the time. U.S. Citizenship is required.
Benefits Offered To Full Time Employees:
Paid time off. Paid Federal Observed Holidays. Medical, dental, vision plans. 401K Retirement Savings Employee paid supplemental STD, LTD, Life, Accident and Critical Illness coverage.
GoldenWolf is an Equal Employment Opportunity (EEO) Employer. It has been and will continue to be a fundamental policy of GoldenWolf not to discriminate on the basis of race, color, creed, religion, gender, gender identity, pregnancy, marital status, partnership status, domestic violence victim status, sexual orientation, age, national origin, alienage or citizenship status, veteran or military status, disability, medical condition, genetic information, caregiver status, unemployment status or any other characteristic prohibited by federal, state and/or local laws. This policy applies to all aspects of employment, including hiring, promotion, demotion, compensation, training, working conditions, transfer, job assignments, benefits, layoff, and termination.
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