Engineering Compliance Manager

JPS Health Network; Fort Worth (TX); On-site; USD 90,000 - 120,000; Full time

Job summary

JPS Health Network is seeking an Engineering Compliance Manager in Fort Worth to oversee facility engineering regulatory compliance programs, testing, inspections, and documentation in line with Joint Commission, CMS, and TAC regulations.

You will work with the Director of Environmental Health and Safety to ensure regulatory readiness across the JPS network, maintain program integrity, and support audits and surveys. This role requires strong leadership and technical expertise.

Qualifications

• Bachelor’s degree in Engineering, Healthcare Facilities Management, Environmental Health & Safety, or related field from an accredited college or university.
• 4+ years of experience in healthcare regulatory compliance management including healthcare engineering or safety.
• Certified Healthcare Facilities Manager (CHFM) is preferred.
• Certified Healthcare Safety Professional (CHSP) or Certified Safety Professional (CSP) also acceptable.

Responsibilities

• Oversee regulatory compliance documentation to ensure JC and CMS requirements are met on time.
• Develop testing and inspection timelines for facilities engineering regulatory compliance.
• Lead regulatory compliance training for facilities engineering leadership and staff.
• Support audits and regulatory accreditation surveys with the Engineering and EHS leadership team.

Skills

Regulatory compliance management

Healthcare facilities management

Environmental Health & Safety

Regulatory audits

Education

Bachelor’s degree in Engineering, Healthcare Facilities Management, Environmental Health & Safety

High school diploma, GED or equivalent

Certified Healthcare Facilities Manager (CHFM)

Certified Healthcare Safety Professional (CHSP) OR CSP

Tools

CHFM

CHSP

CSP

Job description

Who We Are

JPS Health Network is a $950 million, tax-supported healthcare system in North Texas. Licensed for 582 beds, the network features over 25 locations across Tarrant County, with John Peter Smith Hospital a Level I Trauma Center, Tarrant County's only psychiatric emergency center, and the largest hospital-based family medical residency program in the nation. The health network employs more than 7,200 people.

Acclaim Multispecialty Group

Acclaim Multispecialty Group is the medical practice group featuring over 300 providers serving JPS Health Network. Specialties range from primary care to general surgery and trauma. The Acclaim Multispecialty Group formed around a common set of incentives and expectations supporting the operational, financial, and clinical performance outcomes of the network. Our goal is to provide high quality, compassionate clinical care for every patient, every time.

Why JPS?

We're more than a hospital. We're 7,200 of the most dedicated people you could ever meet. Our goal is to make sure the people of our community get the care they need and deserve. As community stewards, we abide by three Rules of the Road:

• Own it. Everyone who wears the JPS badge contributes to our journey to excellence.
• Seek joy. Every day, every shift, we celebrate our patients, smile, and emphasize positivity.
• Don't be a jerk. Everyone is treated with courtesy and respect. Smiling, laughter, compassion - key components of our everyday experience at JPS.

When working here, you're surrounded by passion, diversity, and dedication. We look forward to meeting you!

Support Services - Facilities, Trans, Police

Job Title

Engineering Compliance Manager

Requisition Number

47183

Employment Type

Full Time

Division

SUPPORT SERVICES - FACILITIES, TRANS, POLICE

Compensation Type

Salaried

Job Category

Business / Professional

Hours Worked

Location

John Peter Smith Hospital

Shift Worked

Day

Job Description

Job Summary: The Engineering Compliance Manager is responsible for the technical oversight, administration, and execution of facility engineering Physical Environment compliance programs, including required testing, inspections, and associated documentation in accordance with The Joint Commission, Centers for Medicare & Medicaid Services, Texas Administrative Code (TAC), Texas Department of Licensing and Regulation, Texas Commission on Environmental Quality, and Environmental Protection Agency requirements. This role ensures system-wide compliance across the JPS Network related to Facilities Engineering Operations by maintaining program integrity, regulatory readiness, and audit support. The position operates as a technical subject matter expert, working in coordination with the Director of Environmental Health and Safety to support compliance with Physical Environment standards.

Essential Job Functions & Accountabilities:

• Assists the Director of Environment Health and Safety, oversee the management of the facilities engineering specific compliance documentation to ensure all regulatory documentation as required under Joint Commission (JC) and the Centers for Medicare and Medicaid Services (CMS) are completed on time and completed accurately.
• Partners with the Director of Facilities Engineering the development and maintenance of the appropriate testing and inspection timelines for the entire calendar year to ensure compliance with JC and CMS.
• Partners with the Director of Facilities Engineering in the development of regulatory compliance training for facilities engineering leadership and staff.
• Oversees the finalization and along with the Director of Facilities Engineering the management verification of current inventories, testing schedules and results, and corrective maintenance history required for Emergency power systems, fire systems, and medical gas systems.
• Ensures all documentation is current and accurate while confirming all regulatory and required testing is completed within the proper schedule by working with staff and department leadership.
• Supports the review and completion of the Utilities Management Plan, Utility Failure Plans, Shutdown procedures, etc. for compliance and operational success along with the Director of Facilities Engineering. Reports information to the Physical Environment Committee.
• Maintains and completes annual reviews of the Statement of Conditions and Basic Building Information as it pertains to changes in square footage allocation for the JPS network.
• Oversees and completes required building assessments as a representative for Facilities Engineering to ensure compliance through department tracers and leadership tracers.
• Partners with the Engineering department leaders to manage survey action plans and tracking of all compliance related work orders and preventative maintenance activities.
• Establishes and manages network standards regarding UL assemblies and fire stopping.
• Assists in review of all facilities engineering department policies and procedures for regulatory compliance.
• Provides guidance and interprets new codes to inform staff and leadership of new and existing requirements and to prepare for upcoming surveys.
• Assists in leading efforts of documentation review during all regulatory accreditation surveys along with the Director of Engineering and Director of Environmental Health and Safety.
• Trains Facilities Engineering leadership and staff along with the Environmental Health and Safety team related to compliance topics.
• Job description is not an all-inclusive list of duties and may be subject to change with or without notice. Staff are expected to perform other duties as assigned.

Qualifications

Required Qualifications:

• One of the following qualification groupings is required for this position as indicated below:
• Bachelor’s degree in Engineering, Healthcare Facilities Management, Environmental Health & Safety, or related field of study from an accredited college or university.
• 4 plus years' experience in the management of healthcare regulatory compliance to include healthcare engineering or safety.
• Certified Healthcare Facilities Manager (CHFM).
• Certified Healthcare Safety Professional (CHSP) OR Certified Safety Professional (CSP).
• OR
• High school diploma, GED or equivalent.
• 8 plus years’ experience in healthcare engineering/safety role, with experience in Regulatory Compliance and/or Legal.
• Certified Healthcare Facilities Manager (CHFM).
• Certified Healthcare Safety Professional (CHSP) OR Certified Safety Professional (CSP).

Preferred Qualifications

• Master’s degree in Engineering, Healthcare Facilities Management, Environmental Health & Safety, or related field of study from an accredited college or university.
• OSHA certifications.

Location Address

1500 S. Main Street Fort Worth, Texas, 76104 United States