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This is a Stanford Health Care job.
A Brief Overview
This position leads the integration of solutions that work to address multiple regulatory requirements and certifying agencies thus ensuring compliance to rules affecting safety, security, hazardous waste, medical equipment, fire/ life safety and utilities. The major functions of this position are: managing the team responsible for ensuring specific, daily compliance with regulations, performing regular performance assessments, managing regulatory compliance audits, ensure effective recordkeeping, coordinate leadership reporting, and act in the role of the Laser Safety Officer and SHC Hospital Safety Officer.
Locations
Stanford Health Care
What you will do

• Conduct TJC EOC/Life Safety regulatory compliance program for SHC, LPCH, and Clinics as required. Lead role during survey activity audits, lead hospital interface for The Joint Commission (TJC) Environment of Care (EOC) for interviews, review of records, corrective actions, & Performance Improvement Opportunities. Coordinate continual preparation for all TJC EOC regulatory compliance activities for all sites.
• As EOC Safety Committee Chair, leads generation of EOC quarterly reports, annual evaluations, and management plans. Conducts TJC EOC Periodic Performance Reviews. Coordinates EOC meeting agenda, minutes and logistics; monthly. Maintains EOC documentation and records. Coordinates EOC Safety Manual Policies and Procedures.
• As the hospital Safety Officer develop hospital-wide Safety Plans, analyze risks, address incidents, and develop mitigation strategies including those for Life Safety.
• Manage the Hazardous & Medical Waste and Waste Water & Strom Drain program including applicable policy, program, and regulatory/compliance audits.
• Manage Life/ Fire Safety Program including emergency evacuation program, equipment, regulatory/ compliance audits and training.
• As the Deputy Laser Safety Officer, develop laser safety policy, analyze risks and develop mitigation plans

Education Qualifications

• Bachelor's degree in a work-related field.

Experience Qualifications

• Five (5) years of progressively responsible and directly related work experience, including one (1) year in the specialty area to which assigned.

Required Knowledge, Skills and Abilities

• Knowledge of TJC/OSHA/DHS standards
• Knowledge of Safety Plan development
• Knowledge of General EH&S theory and practice
• Knowledge of EOC Committee activities
• Knowledge of EH&S recordkeeping
• Knowledge of SHC management policy
• Ability to effectively collaboration with other depts.
• Ability to write effective policy and procedures
• Ability to problem solve in an effective manner
• Ability to develop high level reports
• Ability to organize compliance records and files
• Ability to communication effectively with managers, peers and subordinates
• Skill in interviewing, auditing, and risk assessment
• Skill in review/ edit policies for approval
• Skill in identifying and mitigating hazards and risks
• Skill in identifying opportunities for improvement
• Skill in recall compliance policy against observed condition
• Skill in build effective management programs to address needs

These principles apply to ALL employees:
SHC Commitment to Providing an Exceptional Patient & Family Experience
Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford's patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery.
You will do this by executing against our three experience pillars, from the patient and family's perspective:

• Know Me: Anticipate my needs and status to deliver effective care
• Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health
• Coordinate for Me: Own the complexity of my care through coordination

LI-MH1

Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination inall ofits policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.

The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.