Facilities Compliance Analyst

If you care about the opportunity to grow, to make a difference, to build a future and a life, then we just might have the career for you. Care to talk?

Bayhealth Medical Center is Central and Southern Delaware’s healthcare leader with hospitals in Dover and Milford, as well as stand‑alone Emergency Department in Smyrna and a hybrid Emergency Department and Urgent Care in Milton. We offer various practice settings throughout Kent and Sussex Counties. Bayhealth Medical Center Kent Campus is 90 minutes from Philadelphia, Washington, DC and Baltimore. Our Sussex Campus is 30 minutes to the Delaware beaches and relaxation in the sand!

Bayhealth Medical Center offers a competitive salary and comprehensive benefits package (for eligible positions) including:

• Generous Paid Time Off and Paid Holidays
• Matching 401(k)/403(b) Plans
• Excellent Health, Dental, and Vision
• Disability and Life Insurance options
• On Site Child Care
• Educational Reimbursement
• Health Care and Dependent Care Flex Spending Accounts
• Plus, an array of Voluntary Benefits to include Critical Care Coverage and more!

Kent Campus Hospital, Dover Delaware

Full Time 80 Hours Biweekly

Days

29.76 - 46.12 Hourly

This position works under the direction of the Plant Operations Manager to schedule, monitor, and ensure that all activities related to the regulatory requirements are completed on time and documented appropriately. This position is responsible for managing the Computerized Maintenance Management System (CMMS), establishing schedules and tasks for preventative maintenance (PM) and demand work order (WO) requests, and training departmental staff on the procedures and use of this system.

At the direction of the manager, this position will also work within the department to provide staff training on departmental process, safety, life safety, and other areas as assigned. This position will be utilized to conduct audits of departmental work activities and the processing of in-house permits to ensure compliance with departmental expectations. This position may also be required to perform general maintenance and repair activities as required.

This position may be required to work alternate shifts depending on staffing levels, projects, training requirements, and emergent situations.

• Site CMMS owner and resident expert for equipment, work order and CMMS software.
• Responsible for developing and maintaining all CMMS planning tasks: a. Creates monthly, annual and multi-year maintenance schedules which comply with Authority Having Jurisdiction (AHJ), State and Federal guidelines. b. Develops and reviews equipment “Risk Assessments” based on established Bayhealth policies. c. Scopes and schedules maintenance and repair tasks to ensure maximum productivity. d. Ensures all major equipment is identified with a designated tag.
  
  e. Provides equipment / WO / PM records and documents as requested by AHJ, State and Federal agencies. f. Coordinates CMMS database updates and maintenance with Bayhealth I.S., and vendor. g. Provides reports as needed by departmental leadership to ensure compliance with WO and PM goals and objectives.
• Leads all facility document review for Joint Commission, Centers for Medicare & Medicaid Services (CMS), and other state agencies.
• Collaborate with departmental leadership to develop and implement staff training and in-services related to safety and regulatory compliance.
• Develops and manages supporting work plans and procedures to maintain all facility permits and licenses to operate required by Delaware Department of Natural Resources and Environmental Control (DNREC), Federal, County, City and other AHJs.
• Maintains department policies, procedures, and other relevant documents, making sure they are organized and readily accessible for review.
• Position requires some local travel for training, coordination, and related activities.
• Follows all department safe work practices and procedures including use of PPE when required.
• Completes and follows all departmental and organizational permits pertaining to the environment of care and safety. (Infection Control Risk Assessment (ICRA),…