Assistant Director of Regulatory Compliance (13346)

Assistant Director of Regulatory Compliance

Healthcare Facility | Full-Time

Who We Are:

At Crothall Healthcare, we do more than support healthcare facilities — we help create environments where patients heal, caregivers thrive, and communities receive exceptional care. As a national leader in healthcare support services, our teams deliver innovative environmental services, facilities management, and healthcare technology solutions that keep hospitals and care centers safe, efficient, and welcoming. Every role at Crothall Healthcare contributes to a greater mission: empowering healthcare professionals to focus on what matters most — delivering outstanding patient care.

Job Summary:

The Assistant Director of Facilities Management - Regulatory Compliance serves as a key leader within Facilities Management, responsible for overseeing regulatory compliance, Environment of Care (EOC), Life Safety, Emergency Management, and accreditation readiness programs across the healthcare organization.

Responsibilities:

Regulatory Compliance & Accreditation
• Coordinate and maintain compliance with TJC, CMS, NFPA, OSHA, EPA, and state requirements.
• Lead readiness activities for accreditation surveys, inspections, and audits.
• Conduct compliance assessments and implement corrective actions.
Environment of Care (EOC)
• Manage EOC programs and documentation.
• Conduct EOC rounds and track improvement initiatives.
• Participate in EOC Committee activities.
Life Safety & Emergency Management
• Oversee fire safety, drills, ILSM, and life safety compliance.
• Support emergency preparedness planning and exercises.
• Manage deficiency tracking and Plans for Improvement.
Facilities Operations Support
• Partner with engineering and facilities teams to integrate compliance into operations.
• Monitor maintenance documentation and compliance reporting.
Quality Improvement & Reporting
• Develop compliance metrics, dashboards, and reports.
• Lead root cause analysis and continuous improvement efforts.
Leadership & Staff Development
• Provide education on EOC, Life Safety, and regulatory standards.
• Mentor staff and promote accountability and safety.

Qualifications:

• Bachelor's degree in related field.
• 5+ years of healthcare facilities, compliance, engineering, or accreditation experience.
• Knowledge of TJC, CMS, NFPA, OSHA, and EPA standards.
Preferred Qualifications
• Master's degree preferred.
• CHFM, CHC, CHSP, or CHESP certification.
• Lean Six Sigma or process improvement experience.
Core Competencies
• Regulatory Compliance
• Joint Commission Readiness
• Environment of Care
• Life Safety Compliance
• Emergency Management
• Project Management

Salary:

• $80,000.00 to $90,000.00 + $3K Yearly AD Bonus Potential

Benefits:

• Medical, Dental, Vision
• 401(k) / Retirement Plan
• Unlimited PTO + Holidays
• Paid Parental Leave
• Wellness Programs
• Employee Discounts
• EAP, FSAs, and more

Employment Type: Full Time

Years Experience: 5 - 10 years

Salary: $80,000 - $90,000 Annual

Bonus/Commission: Yes