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Overview

Be inspired. Be valued. Belong.

At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide:

+ Comprehensive health benefits that start day 1

+ Student Loan Repayment Assistance & Reimbursement Programs

+ Family-focused benefits

+ Wellness incentives

Ongoing mentorship, development, leadership programs...and more!

Description

The Facilities Management Healthcare Standards Partner is responsible for ensuring that the hospital remains in continuous compliance with Joint Commission standards and other applicable regulatory requirements. This role plays a critical part in preparing for surveys, conducting internal audits, maintaining documentation, and collaborating with various departments to promote a culture of quality, safety, and compliance throughout the organization.

RESPONSIBILITIES:

+ Monitors and ensures compliance with applicable healthcare regulations, codes, and standards (i.e. Joint Commission, CMS, OSHA, NFPA, local/state agencies) and communicate updates to relevant stakeholders

+ Coordinate and support hospital-wide Joint Commission survey readiness activities, including mock surveys, staff education, and corrective action plans.

+ Conduct routine audits and assessments to identify areas of non-compliance and work with department leaders to implement corrective actions.

+ Assist in the development, revision, and implementation of hospital policies and procedures to ensure alignment with the Joint Commission and regulatory requirements.

+ Maintain documentation, records, and reports that demonstrate compliance efforts and readiness.

+ Support performance improvement initiatives and risk reduction strategies related to compliance.

+ Provide education and training to staff regarding Joint Commission standards, survey preparation, and compliance with best practices. Participate in root cause analyses and post-survey follow-ups as needed.

+ Serve as the subject matter expert on facilities -related compliance issues.

+ Ensure that accurate documentation of permits, licenses, maintenance logs, testing records, fire safety and utilities systems are maintained

MINIMUM QUALIFICATIONS:

+ Education - Bachelor's degree in Nursing, Healthcare Administration, Public Health, Mechanical or Electrical Engineering, Fire protection Engineering, Architecture or related field required

+ Experience - 5+ years of experience with a degree, or 9+ years of experience in healthcare compliance, accreditation readiness, or regulatory affairs within a hospital setting Skills

+ Strong understanding of federal and state healthcare regulations, including CMS Conditions of Participation

+ Demonstrated ability to lead multidisciplinary teams, manage complex projects, and influence change

+ Exceptional communication, analytical, and organizational skills

+ Proficient in data analysis, report writing, and using compliance and auditing software

+ Knowledge of regulatory/standards (joint commission EC/LS standards, NFPA Life Safety Code, OSHA, CMS) Preferred Qualifications

+ Education - Master's Degree in in Nursing, Healthcare Administration, Public Health, Mechanical or Electrical Engineering, Fire protection Engineering, Architecture or related field required

+ Experience - 10+ years of experience in healthcare compliance, accreditation readiness, or regulatory affairs within a hospital setting

+ Certification - Certified Health Compliance (CHC), Certified Joint Commission Professional (CJCP), or similar Knowledge, skills, and ability requirements: Ability to collaborate effectively across departments Strong organizational and time management capabilities Advanced critical thinking and problem-solving abilities

Additional Details

Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.

**ACCOMMODATIONS:** EHC will provide reasonable accommodation to qualified individuals with disabilities upon request. To request this document in an alternate format or to request a reasonable accommodation, please contact the Office of Leave and Accommodations.

**PHYSICAL REQUIREMENTS:** (Medium-Heavy) 36-75 lbs., 0-33% of the work day (occasionally); 20-35 lbs., 34-66% of the workday; (frequently); 10-20 lbs., 67-100% of the workday (constantly); Lifting 75 lbs. max; Carrying of objects up to 35 lbs.; Occasional to frequent standing & walking; Occasional sitting; Close eye work (computers, typing, reading, writing); Physical demands may vary depending on assigned work area and work tasks.

**ENVIRONMENTAL FACTORS:** Factors affecting environmental conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure; Bio-hazardous waste Chemicals/gases/fumes/vapors; Communicable diseases; Electrical shock; Floor Surfaces; Hot/Cold Temperatures; Indoor/Outdoor conditions; Latex; Lighting; Patient care/handling injuries; Radiation; Shift work; Travel may be required; Use of personal protective equipment, including respirators; environmental conditions may vary depending on assigned work area and work tasks.

Connect With Us!

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**Division** _Emory Univ Hospital_

**Campus Location** _Atlanta, GA, 30322_

**Campus Location** _US-GA-Atlanta_

**Department** _WW Health Center_

**Job Type** _Regular Full-Time_

**Job Number** _150025_

**Job Category** _Revenue Cycle & Managed Care_

**Schedule** _7a-3:30p_

**Standard Hours** _40 Hours_

**Hourly Minimum** _USD $39.10/Hr._

**Hourly Midpoint** _USD $52.77/Hr._

Emory Healthcare is an Equal Employment Opportunity employer committed to providing equal opportunity in all of its employment practices and decisions. Emory Healthcare prohibits discrimination, harassment, and retaliation in employment based on race, color, religion, national origin, sex, sexual orientation, gender identity or expression, pregnancy, age (40 and over), disability, citizenship, genetic information, service in the uniformed services, veteran status or any other classification protected by applicable federal, state, or local law.