Assistant Director of Regulatory Compliance - Norwich, NY

Job Description

Job Description

​Salary: $80K to $90K

Other Forms of Compensation:  $3K Yearly AD Bonus Potential  

 

Assistant Director of Regulatory Compliance - UHS Chenango Memorial Hospital

 

Crothall Healthcare , a Compass Healthcare company, provides specialized, high-quality, innovative, and responsive support services exclusively to the healthcare industry. Crothall serves many of the Top 100 Hospitals throughout its over 900 hospital partners across 46 states. Crothall has been recognized as one of Modern Healthcare’s Best Places to Work and Best Places to Work in Pennsylvania since 2013. Crothall has more than 32,000 team members, with core services include: Environmental Services, Patient Transportation, Patient Observation, Healthcare Facilities Management, Sterile Processing Services, and Ambulatory EVS. Learn more at

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.
Essential Duties and 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.
Required 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

Apply to Crothall today!

Crothall is a member of Compass Group USA

Click here to Learn More about the Compass Story

 

Associates at Crothall are offered many fantastic benefits. 

 

• Medical
• Dental
• Vision
• Life Insurance/ AD
• Disability Insurance
• Retirement Plan
• Flexible Time Off
• Holiday Time Off (varies by site/state)
• Associate Shopping Program
• Health and Wellness Programs
• Discount Marketplace
• Identity Theft Protection
• Pet Insurance
• Commuter Benefits
• Employee Assistance Program
• Flexible Spending Accounts (FSAs)
• Paid Parental Leave
• Personal Leave

Associates may also be eligible for paid and/or unpaid time off benefits in accordance with applicable federal, state, and local laws. For positions in Washington State, Maryland, or to be performed Remotely, click here or copy/paste the link below for paid time off benefits information.

-usa.com/wp- content/uploads/2023/08/2023_WageTransparency_Crothall.pdf

 

Compass Group is an equal opportunity employer. At Compass, we are committed to treating all Applicants and Associates fairly based on their abilities, achievements, and experience without regard to race, national origin, sex, age, disability, veteran status, sexual orientation, gender identity, or any other classification protected by law.

Qualified candidates must be able to perform the essential functions of this position satisfactorily with or without a reasonable accommodation. Disclaimer: this job post is not necessarily an exhaustive list of all essential responsibilities, skills, tasks, or requirements associated with this position. While this is intended to be an accurate reflection of the position posted, the Company reserves the right to modify or change the essential functions of the job based on business necessity. We will consider for employment all qualified applicants, including those with a criminal history (including relevant driving history), in a manner consistent with all applicable federal, state, and local laws, including the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance, the San Francisco Fair Chance Ordinance, and the New York Fair Chance Act. We encourage applicants with a criminal history (and driving history) to apply.

Certain positions may require Florida Level 2 background screening. Details:

 

Applications are accepted on an ongoing basis.

Crothall maintains a drug-free workplace.

 

Req ID: 1566290

Crothall Healthcare 

Abigail Van Eman 

[[req_classification]]