Division Safety Director

Job Summary and Qualifications

The Division Safety Director is responsible for the implementation and oversight of the Faciliti Group Regulatory and Safety Management Program for all hospitals and associated FSEDs in the division. The primary focus is continuous survey readiness for the Joint Commission Environment of Care and Life Safety chapters. The Director performs in‑depth site assessments, reviews and critiques regulatory documentation, educates and assists facilities on code‑required performance and activities to ensure compliance with the Joint Commission, OSHA, Federal EPA, State Health Agencies, and other authorities having jurisdiction.

The role partners with division and facility leadership, EOC teams, Division Vice President of Quality, division facility management services, and Faciliti Group team members. The Director provides strategic direction and effective management of compliance activities to improve practice through best‑practice development, streamlined reporting and response processes, and education on system and code changes.

• Implement and monitor division‑wide standardized regulatory and safety management programs.
• Provide oversight to ensure each facility complies with the Joint Commission, CMS, Federal EPA, OSHA, state agency, and other AHJ standards.
• Perform a physical life safety assessment at each facility and make recommendations based on findings.
• Ensure regular EOC meetings are performed in a compliant manner at all facilities in the division.
• Implement the standardized compliance activity education and processes for regulatory and safety for facility management teams for continual survey readiness.
• Collaborate on action plans based on survey or site visit findings with appropriate teams per program parameters.
• Review HCA Healthcare’s compliance platform database to ensure documentation has been uploaded for each facility.
• Educate and assist facilities on technology platform processes and ensure regulatory assets are up to date.
• Ensure all changes resulting from new construction, renovations, acquisitions and divestitures are properly reflected in all regulatory documentation and tracking platforms.
• Educate facilities on ILSM, ICRA, and other construction documentation practices.
• Develop continuing education plans to keep facility staff up‑to‑date on code requirements.
• Perform other duties as assigned.
• Practice and adhere to the “Code of Conduct” and “Mission and Value Statement.”

• Associate’s Degree – required.
• Bachelor’s Degree – preferred.
• 5+ years of experience in hospital regulatory compliance – required.
• NFPA Certified Life Safety Specialist (CLSS‑HC) – preferred.
• Must be willing to travel 75% of the time throughout the division, including VA and NH.

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health, and telemedicine services.
• Wellbeing support
  , including free counseling and referral services.
• Time‑away arrangements programs for paid time off, paid family leave, long‑ and short‑term disability coverage, and leaves of absence.
• Savings and retirement resources
  , including a 401(k) plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, and financial wellbeing counseling.
• Education support through tuition assistance, student‑loan assistance, certification support, dependent scholarships, and a partnership with Galen College of Nursing.
• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity‑theft protection, and consumer discounts.

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.