LIfe Safety and EOC Compliance Manager

Mass General Brigham•Newton, MA

58d•$79,560 - $115,721•Onsite

About The Position

Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Responsible for the day-to-day regulatory operations of the Hospital reporting to Sr. Manager, Facilities Operations and Planning.

Requirements

Bachelor's Degree Related Field of Study required
Progressively responsible experience in healthcare safety 5-7 years required
Must be effective with oral and written communication skills and demonstrate excellent interpersonal skills.
Detail-oriented, with well-developed organizational and time management skills.
Proficient in using Microsoft products and miscellaneous database and support software.
Knowledge of NFPA, IBC, TJC, CMS, and OSHA standards, and other related safety regulations.

Responsibilities

Ensuring Compliance: Responsible for ensuring that the healthcare facility adheres to all applicable fire safety codes, regulations, and standards, including those set by the National Fire Protection Association (NFPA), state, and local fire departments.
Risk Assessment: Conducts risk assessments to identify potential hazards and implement appropriate safety measures. Attend weekly Preconstruction Risk Assessment (PCRA) meetings and perform weekly Interim Life Safety Measures (ILSM) inspections on active projects.
Policy and Procedure Development: Develop, implement, and manage policies and procedures to address safety concerns, including fire drills, evacuation plans, and incident response protocols.
Education and Training: Provides staff with training and education on fire safety, and other safety-related topics.
Inspection and Maintenance: Conduct regular inspections of fire safety systems, equipment, and facilities to ensure they are in good working order.
Coordination with External Agencies: Work with local fire departments, and other external organizations to ensure compliance and coordinate response efforts.
Investigation and Documentation: Investigates incidents, analyzes data, and documents findings to identify trends and implement corrective actions.
Continuous Improvement: Work to continuously improve safety programs and practices to reduce risks and enhance the overall safety of the facility.
Assisting with fire drills and evacuation exercises.
Ensures proper maintenance of fire safety equipment and systems.
Developing and implementing safety training programs.
Reviewing and updating safety policies and procedures.
Investigating safety incidents and recommending corrective actions.
Oversee key safety programs, including life/fire safety, hazardous materials, security, medical equipment, and utility systems.
Interpreting and enforcing standards from authoritative bodies like The Joint Commission (TJC). This includes conducting periodic performance reviews and preparing the facility for safety audits.
Setting the agenda, leading regular (usually monthly) meetings, and managing a multidisciplinary committee to ensure representation from administration, clinical staff, and support services.
Coordinating routine "EOC Rounds" (inspections of patient and non-patient areas) to identify hazards, assess safety practices, and implement corrective actions.
Establishing risk assessment criteria to prioritize facility improvements, coordinating PI projects, and evaluating their effectiveness over time.
Compiling quarterly reports and annual program evaluations, and keeping comprehensive documentation of all safety management plans, inspection findings, and resolution statuses.