Director, Facility Regulatory Outcomes

Franciscan Missionaries of Our Lady Health System

. Develop, implement, and maintain system-wide policies and procedures governing compliance with Joint Commission, CMS, NFPA, OSHA, EPA, and state/local AHJs .

Posted 10/27/2026full-timeBaton Rouge • Louisiana • United StatesLeadWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Healthcare Facilities Operations with a strong focus on regulatory compliance, including Joint Commission, CMS, NFPA, OSHA, and EPA standards. Proven ability to lead training, audits, and corrective action plans while ensuring documentation and data integrity across multiple facilities.

Highest-signal resume keywords

Healthcare Facilities OperationsRegulatory ComplianceJoint Commission StandardsPolicy DevelopmentTraining and Education

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Regulatory Policy DevelopmentCompliance Metrics AnalysisDocumentation ManagementCorrective Action PlanningAudit ReadinessRisk IdentificationPerformance Dashboard DevelopmentSurvey Findings ResponseMarket Compliance MonitoringFacilities Regulatory Manual Design

Soft Skills

CollaborationLeadershipCommunicationProblem-SolvingContinuous Improvement

Certifications & Qualifications

Bachelor's Degree

Industry Keywords

Joint CommissionCMSNFPAOSHAEPAAHJHealthcare ComplianceFacilities ManagementRegulatory AuthoritiesSurveyors

About the role

Key responsibilities & impact

Develop, implement, and maintain system-wide policies and procedures governing compliance with Joint Commission, CMS, NFPA, OSHA, EPA, and state/local AHJs
Monitor market adherence to established standards and ensure timely updates to reflect regulatory changes
Coordinate with Legal, Safety, and Quality teams to ensure consistent interpretation and implementation of regulations
Serve as the primary system liaison with external regulatory authorities, surveyors, and inspectors
Ensure each market maintains current documentation and testing records required for AHJ reviews
Oversee responses to survey findings and ensure system-level corrective action plans are developed, implemented, and verified
Design and maintain the FMOLHS Facilities Regulatory Manual covering ITM, documentation, reporting, and escalation standards
Lead review and approval of policy changes affecting facilities, utilities, and life safety
Ensure uniform implementation and audit readiness across markets
Develop a system-wide regulatory performance dashboard consolidating survey outcomes, inspection findings, and compliance metrics
Ensure data integrity, timely reporting, and actionable analysis for system and executive review
Identify trends, risks, and opportunities for improvement based on regulatory outcomes
Provide education and competency development for market facility directors, safety officers, and maintenance teams
Facilitate system-level training on Joint Commission standards, CMS CoPs, and NFPA requirements
Support new facility onboarding and transitions with regulatory orientation and readiness guidance
Lead mock surveys and internal audits to evaluate readiness and close performance gaps
Promote proactive compliance emphasizing prevention over correction
Collaborate with the VP and Senior Director of Facilities to drive continuous improvement in regulatory performance across all FMOLHS facilities

Requirements

What you’ll need

Bachelor's Degree required
7 years' experience in Healthcare Facilities Operations Regulatory Outcomes