Safety & Environment of Care Program Manager

Pay range: $39.89 – $59.84 per hour ($82,971 – $124,467 annually), based on experience.

This position comes with a comprehensive benefits package that includes medical, dental, vision, a 403(b) retirement plan, and a generous Earned Time Off (ETO) package.

ST. CHARLES HEALTH SYSTEM

JOB DESCRIPTION

TITLE: Safety & Environment of Care Program Manager

REPORTS TO POSITION: VP Chief Nursing Executive

DEPARTMENT: Bend & Redmond Administration

DATE LAST REVIEWED: April 23, 2024

OUR VISION: Creating America’s healthiest community, together

OUR MISSION: In the spirit of love and compassion, better health, better care, better value

OUR VALUES: Accountability, Caring and Teamwork

DEPARTMENTAL SUMMARY: The Facilities team provides a safe, comfortable healing environment for our patients, visitors, and caregivers by keeping the facility in peak operational condition.

POSITION OVERVIEW: The Safety & Environment of Care Program Manager manages all aspects of the Environment of Care program for St. Charles Health System (4 hospital campuses and ambulatory clinics), including the Safety, Hazardous Materials, Waste Management, Fire and Life Safety and Emergency Preparedness. The Manager drives the development of programs that ensure safe environments for caregivers, compliance with regulatory and accreditation standards, and prevention of workplace injuries. This position directly supervises caregivers.

ESSENTIAL FUNCTIONS AND DUTIES:

Manages the Environment of Care and Safety programs for St. Charles Health System to ensure patient and caregiver safety and adherence to all federal and state rules and regulations.

Develops program goals and objectives to ensure the EOC program is aligned with best practices and supports the health system’s True North strategy, mission, and vision.

Manages data collection, analysis and reporting for all Environment of Care programs. Presents data to caregivers, leaders, and executives to inform teams of safety hazards and progress towards mitigation.

Monitors and ensures all direct reports are current with compliance and safety requirements. Implements and manages all organizational safety directives and goals.

Maintains policy, staff training, and educational content related to hazardous materials and waste for the system.

Manages Environment of Care rounds at all St. Charles Health System campuses/ambulatory clinic buildings. Maintains a schedule to ensure rounds are conducted twice per year in all areas where patients are served and once per year in areas where patients are not served. Ensures that leaders are aware and supported for addressing gaps in EOC rounds.

Coordinates and monitors improvement activities related to the Environment of Care. Conducts regular risk assessments, develops action plans, and evaluates effectiveness. Provides system leadership updates on the EOC program and improvement activities to address gaps.

Collaborates with Materials Management and Bio-Med departments to manage the product recall process.

Collaborates with Facilities, Caregiver Health, Infection Prevention, Supply Chain, and other key departments to ensure EOC and safety standards are implemented, trained to, and followed.

Performs safety related training to leadership teams as well as front line caregivers as requested, including general hazard awareness, specific use of personal protective equipment and fire response.

Coordinates and monitors Hazardous Materials Management programs such as the OSHA Hazcom Standard, Medical Waste Disposal, Spill Response Plans and Hazardous Waste Generation in compliance with Federal, State and Local regulations. Maintains Safety Data Sheet database (currently Dolphin) for all St. Charles Health System facilities.

Performs the safety components of the Pre-Construction Risk Assessment (PCRA) for all construction and renovation projects. Monitors compliance with Interim Life Safety Measures (ILSM) and serves as a resource for staff training when construction projects create building safety deficiencies.

Oversees fire and life safety processes in partnership with facilities including coordination of fire drills, equipment inspections (extinguishers, strobes, alarms, etc.), training and post incident debriefs. Monitors life safety preventative maintenance activities for compliance (through TMS system).

Collaborates with Bio-Medical Services team to ensure medical equipment is inspected, tested, and maintained for safe patient & caregiver use.

Monitors all facilities for compliance with Joint Commission / OSHA / NFPA and other regulatory standards. Escalates concerns to the Director of Safety and campus leadership.

Develops and manages the safety components of contractor safety training, including the “Above Ceiling Work Permit,” PECOs, ILSM. Monitors for compliance with the measures that are implemented.

Collaborates with Facilities Managers on all aspects of the EOC plan that affect the physical plant. Coordinates utility management activities through their involvement with the EOC Committee.

Responsible for interviews, hiring, supervising and orientation of new caregivers in relation to Safety and the Environment of Care program.

Supports the vision, mission, and values of the organization in all respects.

Supports lean principles of continuous improvement with energy and enthusiasm, functioning as a champion of change.

Provides and maintains a safe environment for caregivers, patients, and guests.

Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies, and procedures, supporting the organization’s corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings.

Provides and oversees team’s delivery of customer service in a manner that promotes goodwill, is timely, efficient, and accurate.

May perform additional duties of similar complexity within the organization, as required or assigned.

EDUCATION: 

Required: Bachelor’s degree from an accredited school or university. 

Preferred: Master’s Degree in healthcare related field. 

LICENSURE/CERTIFICATION/REGISTRATION:

Required: Certification as Healthcare Environmental Manager (HEM). Environmental Protection Agency (EPA) Resource Conservation and Recovery Act (RCRA) Hazardous Waste Management training, for the state of Oregon. Department of Transportation (D.O.T.) Hazardous Materials Ground Shipping certification training. DOT and EPA/RCRA certification trainings must be obtained within 120 days of placement in the department.

Preferred: N/A

EXPERIENCE:

Required: Minimum five years’ experience as a safety officer or equivalent required. Knowledge of compiling and documenting safety related statistics. Background in safety audits both external (regulatory agencies) and internal. Excellent verbal and written communication skills with the ability to work effectively with all personnel; experience in adult education, and computer literacy required.

Preferred: Health Care experience. 

PERSONAL PROTECTIVE EQUIPMENT:

Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely.

ADDITIONAL POSITION INFORMATION:

Travel: Ability to meet SCHS driving requirements.

Knowledge of compiling and documenting safety related statistics.

Background in safety audits both external (regulatory agencies) and internal

PHYSICAL REQUIREMENTS:

Continually (75% or more): Use of clear and audible speaking voice and the ability to hear normal speech level.

Frequently (50%): Sitting, standing, walking, lifting 1-10 pounds, keyboard operation, operation of motor vehicle.

Occasionally (25%): Bending, climbing stairs, reaching overhead, carrying/pushing, or pulling 1-10 pounds, grasping/squeezing.

Rarely (10%): Stooping/kneeling/crouching, lifting, carrying, pushing, or pulling 11-25 pounds, operation of a motor vehicle.

Never (0%): Climbing ladder/step-stool, lifting/carrying/pushing or pulling 25-50 pounds, ability to hear whispered speech level.

Exposure to Elemental Factors

Never (0%): Heat, cold, wet/slippery area, noise, dust, vibration, chemical solution, uneven surface.

Blood-Borne Pathogen (BBP) Exposure Category

No Risk for Exposure to BBP

Schedule Weekly Hours:

40

Caregiver Type:

Regular

Shift:

First Shift (United States of America)

Is Exempt Position?

Yes

Job Family:

PROGRAM MANAGER

Scheduled Days of the Week:

Shift Start & End Time:

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