Healthcare Facility Policy, SOP, and Compliance Support Services - Aurora, CO
Namely
Customer Service, Compliance / Regulatory
Aurora, CO, USA
Posted on May 10, 2026
Job Description
This an operational position that requires a substantial working knowledge of facility operating requirements, particularly in a Healthcare environment. The station envisions this as being filled by a degreed, mid-career facilities engineer professional with a firm understanding of OSHA, NFPA, NEC, TJC, VA, and other regulatory requirements.
Key Responsibilities
This an operational position that requires a substantial working knowledge of facility operating requirements, particularly in a Healthcare environment. The station envisions this as being filled by a degreed, mid-career facilities engineer professional with a firm understanding of OSHA, NFPA, NEC, TJC, VA, and other regulatory requirements.
Key Responsibilities
- Author and maintain facility policies/SOPs; manage version control and change logs.
- Perform regulatory research; align documents with VA/VHA directives, TJC EoC & Life Safety, CMS CoPs, NFPA 101/99/70/70E/110/25/72/80/105, and OSHA.
- Own core programs: Lockout/Tagout (LOTO), Water Management Plan (ASHRAE 188/CDC), Refrigerant Management (EPA 608 tracking), Hot Work, Confined Space, ILSM (Interim Life Safety Measures), and ICRA coordination for construction.
- Support utility plant compliance (steam/boilers, chillers/HVAC, essential electrical per NFPA 99 & 110, medical gases/vacuum) with documentation, rounding checklists, and corrective actions.
- Assist with TJC tracer methodology, mock surveys, and EoC/LS rounding; track findings and drive CAPA to closure.
- Maintain CMMS records (e.g., Maximo/TMA) and as-builts/drawings; coordinate with BIM/CAD for updates.
- Produce monthly compliance dashboards (KPIs, risks, aging of findings), meeting minutes, and executive summaries.
- Train stakeholders on new/updated policies; run drills (fire, utility outage, emergency management) and document outcomes.
- Bachelor's in engineering or related technical field.
- 5-7+ years in hospital/healthcare facilities compliance, policy/SOP management, or Facilities Engineering.
- Demonstrated ownership (not just support) of at least two programs above (e.g., LOTO, Water Mgmt, ILSM/ICRA, Hot Work, Confined Space).
- Strong command of TJC EoC/LS and NFPA 101/99; working knowledge of CMS CoPs and VA expectations.
- Excellent technical writing and stakeholder communication; comfortable leading rounds, mock surveys, and post-survey CAPA.