Compliance Officer III

Dr. Solomon Carter Fuller Mental Health Center, operated by the Department of Mental Health (DMH) is seeking a qualified Compliance Officer III to maintain preparedness/compliance for Joint Commission and CMS standards as it relates to Environment of Care, Emergency Preparedness, and Life Safety. Actively participates in various hospital committees to ensure compliance with all standards. Regularly conducts inspections of environment and equipment to ensure safety and compliance standards are met. Collect and analyze data related to safety, security, and equipment, etc. to support Joint Commission and CMS accreditation. Responsible for conducting fire drills, safety training, and emergency management/disaster drills, etc. and ensuring that proper documentation is on file. Perform related work as required.

Please Note: This position is 40 hours per week. The schedule is Monday through Friday from 8:00 a.m. to 4:30 p.m.

Duties and Responsibilities (these duties are a general summary and not all inclusive):

• Maintains proper preparedness/compliance for Joint Commission accreditation, especially in area of Environment of Care, Emergency Preparedness, and Life Safety standards.
• Collects and analyzes data for safety and security issues to support hospital goals and meet Joint Commission and CMS accreditation standards.
• Ensures that Security Systems such as the panic alarms and surveillance cameras on hospital units are maintained.
• Responsible to coordinate medical device inventory, inspections and maintain proper documentation to meet accreditation standards.
• Attends all annual DMH mandatory in-service trainings.
• Participates in various hospital committee meetings to include, Environment of Care, Patient Safety, Performance Improvement, Infection Prevention/Pandemic, etc.
• Coordinate Emergency Management, Safety and Life Safety activities.
• Conducts Environmental Rounds, Fire Drills, Orientations, Safety trainings, etc. and maintains proper documentation.
• Provides oversight of Food Service contract for hospital and ensures compliance of identified Performance Indicators. Monitors recalls from the U.S.D.A. and the F.D.A.

Preferred Qualifications:

• Demonstrated understanding of the Joint Commission Standards with in-depth knowledge of the Environment of Care and NFPA Life Safety Code.
• Knowledge of the principles and practices of safe handling, storage, and disposal of hazardous materials.
• Ability to deal with the public and staff in effective communications
• Ability to establish and maintain harmonious working relationships with others
• Ability to maintain a calm manner in stressful and emergency situations.
• Ability to supervise, including planning and assigning work according to the nature of the job to be accomplished, the capabilities of subordinates and available resources; controlling work through periodic reviews and or evaluations; determining subordinates training needs and providing or arranging for such training; motivating subordinates to work effectively; determining the need for disciplinary action and either recommending or imitating disciplinary action.
• Ability to follow written and oral instructions accurately
• Ability to prepare written and oral reports.
• Ability to make decisions and act quickly in dangerous or emergency situations.

Required Qualifications:

• Ability to work with patients in a humane manner.
• Ability to deal with the public and staff in effective communications.
• Ability to use investigative techniques to obtain information.
• Ability to establish and maintain harmonious working relationships with others.
• Maintain a clam manner in stressful and emergency situations.
• Knowledge of Police Administration and technique of supervision.

Agency Mission:

The Dr. Solomon Carter Fuller Mental health Center, (Fuller) 60 bed inpatient psychiatric facility provides comprehensive, information and timely forensic evaluations for individuals to determine pre-trial competency and or criminal responsibility. We also provide quality, integrated care to support an individual’s recovery process through ongoing psychiatric treatment and care.

We envision an environment that is committed to preventing restraint and seclusion in which leadership and staff model compassion, caring, and hope.

An environment where individual's strengths are recognized and these strengths are utilized to foster hope, facilitate self-determination, and promote physical health and well-being so the individual can become more resilient, forge lasting community alliances and supports to live a fulfilling life.

Pre-Offer Process:

A criminal background check will be completed on the recommended candidate as required by the regulations set forth by the Executive Office of Health and Human Services prior to the candidate being hired. For more information, please visit http://www.mass.gov/hhs/cori

Education, licensure and certifications will be verified in accordance with the Human Resources Division’s Hiring Guidelines.

Education and license/certification information provided by the selected candidate(s) is subject to the Massachusetts Public Records Law and may be published on the Commonwealth’s website.

If you require assistance with the application/interview process and would like to request an ADA accommodation, please click on the link and complete the Reasonable Accommodation Online Request Form

For questions, please the contact the Office of Human Resources at 1-800-510-4122 and select option #2.

• Education toward such a degree will be prorated on the basis of the proportion of the requirements actually completed.

Comprehensive Benefits

When you embark on a career with the Commonwealth, you are offered an outstanding suite of employee benefits that add to the overall value of your compensation package. We take pride in providing a work experience that supports you, your loved ones, and your future.

Want the specifics? Explore our Employee Benefits and Rewards!