Quality and Patient Safety Specialist

Compliance & Safety Coordinator

Works under the supervision of the Director and/or Manager of Facilities. The Compliance & Safety Coordinator is accountable for developing, implementing, and maintaining the overall compliance program for the Systems facilities and construction departments. To include compliance with all applicable Mosaic system policies, applicable code compliance, training, surveys/inspections, and other related tasks as required or assigned by leadership. Maintain library for inspection and stay current of NFPA, JCAHO, ASHE, and other regulatory codes.

Responsibilities:

• Develop, implement, and maintain the compliance and safety program for the physical facility ensuring that all standards are consistently met.
• Facilitate regular safety meetings and provide ongoing guidance to staff regarding best practices and regulatory updates fostering a culture of safety and compliance.
• Coordinate and deliver training on occupational, fire, and life safety systems to ensure departmental compliance. This includes aspects of new hire orientation and leading contractor orientation sessions.
• Maintain and update departmental documentation processes and procedures. Draft standards, corrective action plans, and operational memos as needed to support ongoing compliance.
• Manage records to ensure regulatory compliance with Joint Commission, CMS, OSHA, EPA, and NFPA requirements.
• Oversee inspections and work requests related to compliance and safety within the Computerized Maintenance Management System (CMMS). Assess risk, develop preventive maintenance requirements for utilities and equipment, monitor completion rates, and drive workflow improvements.
• Maintain code compliance documentation for the Joint Commission’s Statement of Conditions (SOC) as well as for state and other authorities having jurisdiction.
• Support policies and procedures including pre-work assessments, infection control risk assessments, interim life safety measures, and work permits.
• Conduct inspections of assets and the physical environment to verify compliance and identify areas for improvement.
• Serve as departmental lead and/or liaison for committees and meetings representing departmental interests and facilitating communication.
• Coordinate departmental activities with other departments, external stakeholders, and agencies to ensure collaboration and alignment on compliance and safety matters.
• Prepare information and documentation for leadership meetings and external communications, compose complex correspondence and reports as required.
• Perform other duties as assigned.

Education:

• H.S. Diploma - Required
• Bachelor's Degree - Mechanical or Electrical Engineering, Fire protection Engineering, Architecture, Environmental/Occupational Safety or related field preferred.

Work Experience:

• Knowledge/Experience with blueprints in CAD and/or Bluebeam. - Required
• 5 Years - Responsibility in compliance program management. - Preferred
• 3 Years - Experience in hospital-based Environment of Care and Life Safety regulatory compliance roles including representation of the organization(s) at the Facilities/Engineering level (or higher) to regulatory agencies such as CMS, OSHA, DHSS, TJC and others. - Preferred
• Working knowledge of NFPA 101 Life Safety Code, NFPA 99 Health Care Facilities. - Preferred

Licenses and Certifications:

• Driver's License - Valid In State - Required Upon Hire
• OSHA Training - OSHA 30 - Required within 120 Days
• FEMA Incident Command System Certifications. - Preferred within 1 Year

Travel Requirements:

• Must be able to travel between various system facilities and off-site locations as needed. - Required

About Us:

Mosaic Life Care is a health care system in northwest Missouri. With a vision of transforming community health by being a life-care innovator Mosaic places the holistic needs of patients first by providing the right care at the right time and place offering high value and quality health care. Mosaic has a wide array of benefits to meet each employee’s individual needs. Our benefits were designed by listening to people just like you. Mosaic also offers several perks with a focus on ensuring our employees feel valued including concierge services, employee lounge, wellness programs, free covered parking, free on-site and virtual health clinics and many more. When paired with compensation and recognition it is what continues to make us the employer of choice for employees at any stage of their journey.