Provide enterprise wide leadership and direct operational oversight of Safety, Risk Management, Emergency Management, Environment of Care (EOC), and Life Safety programs across all organizational sites.

· Serve as the executive authority for regulatory readiness, leading Joint Commission, CMS, state licensure, and other regulatory survey preparation, participation, response, and sustained compliance activities in environment of care emergency management

· Conduct and personally participate in environmental safety rounds across facilities as appropriate, validating program effectiveness, identifying high-risk conditions, and ensuring timely mitigation of findings.

· Oversee, and directly engage in the incident management process, including investigation of significant events, completion of Root Cause Analyses (RCA), and development and monitoring of corrective action plans.

· Lead comprehensive organizational risk assessment activities, including Hazard Vulnerability Analyses (HVA), enterprise safety risk assessments, and trend analysis to proactively identify and mitigate risks.

· Chair the organization wide Safety and Risk Committee, providing governance, setting agendas, facilitating multidisciplinary participation, and reporting safety and risk outcomes to executive leadership and governing bodies.

· Develop, approve, maintain, and enforce system-wide policies and procedures related to Safety, Emergency Management, Environment of Care, and Life Safety, ensuring alignment with regulatory standards and organizational strategy.

· Oversee and directly support the Emergency Management Program, including disaster planning, drills, exercises, after-action reports, and implementation of performance improvement initiatives.

· Provide administrative leadership and day-to-day supervision to Maintenance and Facilities Directors, ensuring infrastructure, utilities, and the physical environment support safe, compliant patient care.

· Maintain executive oversight of environmental and life-safety compliance documentation, including safety rounds reports, risk assessments, interim life safety measures (ILSM), construction risk assessments, corrective action tracking, and regulatory readiness files.

· Direct and participate in coordination with vendors, contractors, and service providers performing environmental, life safety, or construction related services, ensuring adherence to organizational safety expectations and regulatory requirements.

· Oversee construction, renovation, and facilities projects to ensure interim life safety compliance, risk mitigation, documentation, and coordination with regulatory authorities as needed.

· Collaborate closely with clinical, quality, legal, compliance, and operations leadership to ensure physical environments, staffing practices, and emergency response capabilities support safe and effective care delivery.

· Serve as a senior advisor to executive leadership on organizational risk exposure, regulatory changes, compliance performance, and emerging safety trends, recommending mitigation strategies and resource allocations.

· Ensure timely and accurate executive level reporting of safety metrics, incident trends, regulatory findings, and corrective action performance

· Promote and model a culture of safety, accountability, and high reliability, encouraging proactive hazard reporting, staff engagement, and continuous organizational improvement.

· Other duties as assigned by the Chief quality & Compliance Officer

· Must always present as courteous and professional

· Demonstrated flexibility and ability to perform multiple tasks

· Must have excellent communication skills, including the ability to organize ideas in logical and clear fashion

· Ability to organize and prioritize a demanding workload while adhering to project timelines

· Knowledge of basic computer skills and software programs

· Must have the ability to work with others in a cooperative and collaborative manner

· Ability to understand and implement Trauma Informed Care

· Maintains appropriate boundaries and adheres to code of ethics

· Comply with federal and state regulations concerning confidentiality

· Understand and adhere to all applicable policies and procedures of HPAO

· Complete TB screening requirements

· Valid Driver’s License

· Travel between Sites Required

· Bachelor's degree in environmental health, Public Health, Health Sciences, Healthcare Administration, Safety Management, or a related field. · 2–4 years of experience in environmental compliance, safety, facilities operations, or regulatory oversight within a healthcare, behavioral health, or human services setting. · Working knowledge of healthcare related regulatory requirements, including: Ø CMS Conditions of Participation Ø Joint Commission Environment of Care (EOC) standards Ø State Department of Health Environmental and Safety requirements

High Point & SEMCOA

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Director of Safety and Environmental Risk Management