Life Safety Manager

Tyvan LLC; Houston (TX); On-site; USD 90,000 - 130,000; Full time

Job summary

Tyvan LLC is seeking a Life Safety Compliance Manager to lead system-wide Life Safety, Emergency Preparedness, and Environment of Care programs across a multi-site healthcare portfolio. You will drive regulatory readiness, conduct audits, and partner with facilities, construction, and engineering teams to design compliant environments.

The role emphasizes translating incident response and risk mitigation into scalable healthcare compliance systems, with a strong focus on CMS and accreditation

Qualifications

• Bachelor’s degree in Healthcare Administration, Emergency Management, Public Safety, Environmental Safety, or related field required.
• Master’s degree preferred.

Responsibilities

• Lead Life Safety compliance program across all facilities.
• Ensure CMS Conditions of Participation and NFPA 101 compliance.
• Conduct Life Safety assessments, audits, and inspections; document findings.
• Oversee Emergency Preparedness plans, drills, and real-event evaluations.

Skills

Life Safety

Emergency Preparedness

Environment of Care

Regulatory Compliance

Incident Command System

Fire Safety

Education

Bachelor's degree in Healthcare Administration or related field

Master’s degree preferred

Job description

Life Safety ManagerThe Life Safety Compliance Manager [Emergency Preparedness & Environment of Care] is responsible for leading system-wide programs that ensure a safe, compliant, and resilient environment for patients, staff, and visitors across all healthcare facilities.This role oversees Life Safety compliance, Emergency Preparedness planning, Environment of Care (EOC) standards, and regulatory readiness in accordance with federal, state, and accreditation requirements. The position ensures ongoing compliance with applicable standards including CMS Conditions of Participation, state regulations, and accreditation bodies such as The Joint Commission and other applicable agencies.The ideal candidate brings strong operational experience in safety, emergency response, fire prevention, or law enforcement, with the ability to translate real-world incident response and risk mitigation into healthcare compliance systems.ESSENTIAL RESPONSIBILITIES:Life Safety Program ManagementLead and manage the organization’s Life Safety compliance program across all facilities.Ensure compliance with applicable fire safety codes, including the NFPA Life Safety Code (NFPA 101) and related standards.Conduct routine Life Safety assessments, audits, and inspections across clinical and non-clinical areas.Identify deficiencies and ensure corrective actions are implemented and sustained.Maintain documentation required for Life Safety surveys, inspections, and regulatory reviews.Partner with facilities, construction, and engineering teams on Life Safety design and renovation projects.Emergency Preparedness Program OversightDevelop, implement, and maintain comprehensive Emergency Preparedness (EP) plans for all facilities.Ensure compliance with CMS Emergency Preparedness Rule requirements.Coordinate drills, tabletop exercises, and real-event response evaluations.Evaluate emergency response readiness for events including natural disasters, active threats, mass casualty incidents, utility failures, and infectious disease emergencies.Serve as a key leader during emergency activation events and system-wide response coordination.Conduct after-action reviews and develop improvement plans following drills or real events.Environment of Care (EOC) OversightOversee Environment of Care programs ensuring safe physical environments for patients, staff, and visitors.Monitor compliance in areas including:Safety managementSecurity managementHazardous materials and wasteFire safetyMedical equipment safetyUtilities managementConduct routine EOC rounds and audits across all facilities.Ensure compliance with accreditation and regulatory standards related to environment of care.Regulatory Compliance & Survey ReadinessMaintain readiness for regulatory surveys, inspections, and accreditation visits.Support compliance with CMS, state health departments, and accrediting organizations.Prepare documentation, reports, and corrective action plans for deficiencies.Coordinate responses to survey findings and ensure timely resolution of issues.Track regulatory changes and update policies, procedures, and programs accordingly.Incident Response & Risk MitigationInvestigate safety incidents, environmental risks, and emergency events.Conduct root cause analysis and develop corrective action plans.Identify system-wide risks and recommend mitigation strategies.Collaborate with Risk Management, Compliance, Facilities, and Clinical Leadership to reduce safety hazards.Training, Drills & Staff EducationDevelop and conduct training programs related to Life Safety, Emergency Preparedness, and Environment of Care.Coordinate mandatory drills including fire drills, evacuation exercises, and emergency response simulations.Provide education to clinical and non-clinical staff on safety procedures and emergency response protocols.Promote a culture of safety, preparedness, and accountability across all facilities.Cross-Functional CollaborationPartner with Facilities, Security, Clinical Operations, Nursing Leadership, IT, and Executive Leadership.Collaborate with construction and renovation teams to ensure compliance with safety and fire codes.Serve as liaison with external agencies including fire departments, emergency management agencies, and regulatory bodies.Participate in safety committees, compliance committees, and leadership meetings.Reporting & DocumentationMaintain Life Safety, Emergency Preparedness, and EOC documentation systems.Develop dashboards, reports, and compliance summaries for executive leadership.Track corrective actions, audit findings, and drill performance metrics.Present findings and recommendations at leadership and compliance meetings.Other duties as assignedQUALIFICATIONS:EducationBachelor’s degree in Healthcare Administration, Emergency Management, Public Safety, Environmental Safety, or related field required.Master’s degree preferred.ExperienceMinimum 5–7 years of experience in one or more of the following:Hospital Life Safety / Environment of CareEmergency Preparedness / Emergency ManagementFire Safety Planning / Fire Marshal operationsLaw enforcement, military, or public safety leadershipHealthcare compliance or hospital operations experience strongly preferred.Experience in multi-site healthcare systems preferred.Preferred CertificationsCertified Healthcare Protection Administrator (CHPA)Certified Emergency Manager (CEM)Certified Healthcare Safety Professional (CHSP)OSHA Safety CertificationsFire Safety or NFPA-related training certificationsKnowledge, Skills, and AbilitiesStrong understanding of healthcare Life Safety and Emergency Preparedness regulations.Knowledge of NFPA standards and healthcare building safety requirements.Ability to assess physical environments and identify safety risks.Strong leadership skills in high-pressure or emergency situations.Experience in incident command systems (ICS) or emergency operations centers (EOC).Excellent communication and training skills.Ability to work across clinical, operational, and administrative departments.Strong analytical and investigative skills.Work Location: In person