General Purpose

The Safety Manager is responsible for delivering PACS's safety programs across a defined set of skilled nursing and post-acute facilities within an assigned region. The role owns regulatory compliance, audit and corrective action follow-through, facility-level coaching, and incident response across the assigned ops regions.

Safety Managers are decision-makers within their region. They lead front-line OSHA inspection response, direct corrective actions, build working relationships with Executive Directors and Directors of Nursing, and partner with Workers' Compensation, Clinical Operations, and HR to reduce injury frequency, severity, and regulatory exposure.

This role reports to the Director of Safety. Assigned region is defined at offer stage and may be adjusted as the PACS portfolio grows.

Essential Duties

Regional Safety Operations

• Own all safety operations across the assigned ops regions — including audits, hazard assessments, training delivery, committee oversight, and corrective action follow-through
• Make day-to-day regulatory and operational decisions within the region without requiring escalation, except where escalation thresholds apply
• Maintain an accurate, current view of risk across all facilities in the region — including injury data, audit findings, open corrective actions, and facility-level safety committee activity
• Travel routinely within the assigned region to conduct on-site audits, deliver training, support incident response, and build facility relationships

Compliance and Regulatory Response

• Serve as the front-line organizational representative for OSHA inspections, complaints, and document requests within the assigned region
• Maintain OSHA-compliant documentation across all assigned facilities — including required programs, training records, OSHA 300 logs, and abatement documentation
• Coordinate with the Director of Safety on citations, informal conferences, and formal regulatory correspondence
• Track and apply state-plan-specific requirements (Cal/OSHA, OR-OSHA, WISHA, KY OSH, TN OSHA, or others as applicable to the assigned region)
• Prepare and submit document responses to OSHA within defined SLAs

Facility Audits and Corrective Action

• Conduct or oversee structured safety audits across all assigned facilities on a defined cadence
• Identify high-risk facilities through audit findings and injury data; develop and execute facility-specific corrective action plans
• Ensure corrective actions are fully implemented and sustained — not just documented
• Document audit findings, hazards, and corrective action progress in PACS's safety systems and Origami Risk RMIS

Coaching, Training, and Facility Leadership Support

• Build direct working relationships with Executive Directors, Directors of Nursing, and facility Safety Champions across the assigned region
• Deliver OSHA-compliant training modules on-site and virtually, including PACS's existing program library (IIPP, WVPP, HazCom, BBP, EAP, Ergonomics, Combative Resident Safety)
• Coach facility leaders on inspection protocol, recordkeeping, investigation processes, and safety committee quality
• Influence facility leadership on safety priorities without direct authority over them
• Lead regional safety committee calls and support LeadSafe huddle structure at the facility level

Incident Response and Root Cause Analysis

• Lead root cause analyses for serious injuries and near-misses within the region
• Provide tactical guidance for high-risk scenarios including combative residents, ergonomic transfers, bloodborne pathogen exposure, and slip/trip/fall hazards
• Partner with the Workers' Compensation team to address elevated injury trends and high-cost claims at the facility level
• Initiate post-incident documentation, abatement, and follow-up tracking

New Acquisition Onboarding

• Lead rapid safety compliance alignment for new acquisitions joining the assigned region
• Conduct on-the-ground risk assessments at acquired facilities and develop remediation plans
• Coordinate implementation of PACS's safety programs at newly acquired facilities, including any state-plan-specific requirements

Metrics, Reporting, and Cross-Functional Partnership

• Track injury data, hazard reports, audit findings, training completion, and corrective action closure across the assigned region
• Submit a weekly scorecard to the Director of Safety covering region performance, open items, and emerging risks
• Provide monthly metric reviews to the Director of Safety and contribute to quarterly strategic reviews
• Partner with Workers' Compensation, Clinical Operations, HR, and Facilities at the regional level

Authority and Escalation

Safety Managers are authorized to make decisions within their region, including:

• Directing facility-level corrective actions and abatement plans
• Conducting OSHA inspection walk-throughs and responding to document requests
• Approving standard safety equipment and training expenditures within budget
• Coordinating directly with facility EDs, DONs, and Regional Ops VPs
• Adjusting facility-level audit cadence and prioritization based on risk

Escalation to the Director of Safety is required for:

• Serious incidents
• OSHA citations, informal conferences, and formal regulatory correspondence
• Acquisition remediation plans above defined cost or risk thresholds
• Media or litigation-adjacent events
• Enterprise program changes that affect other regions
• Willful or repeat violations of any kind

Required Qualifications

• 5+ years of progressive experience in occupational safety, with at least 3 years in healthcare or skilled nursing settings (or equivalent multi-site operational safety experience)
• Working knowledge of OSHA 29 CFR 1910 standards relevant to healthcare and long-term care settings
• Direct experience handling OSHA inspections — at minimum has managed inspection response on behalf of an employer
• State-plan-specific expertise matching the assigned region (Cal/OSHA, WISHA, OR-OSHA, KY OSH, TN OSHA, or others as applicable)
• Multi-site operational experience — has supported safety programs across 20 or more facilities concurrently, or equivalent scope
• Ability to travel 40-60% within the assigned region
• Bachelor's degree in Occupational Safety, Industrial Hygiene, Public Health, or equivalent professional experience

Preferred Qualifications

• Skilled nursing, long-term care, or post-acute experience strongly preferred
• ASP, CSP, CHST, or equivalent certification
• Experience with workers' compensation claim management and return-to-work programs
• Prior experience supporting acquisitions and integrating new facilities into enterprise safety programs
• Experience with Origami Risk or comparable RMIS platforms
• Spanish language proficiency (depending on assigned region)

Leadership Competencies

• Operates independently and makes regulatory judgment calls without constant escalation
• Influences senior facility leaders — including Executive Directors and Directors of Nursing — without direct authority
• Communicates clearly and persuasively in writing, especially in regulatory correspondence
• Manages competing priorities across a multi-facility, multi-state footprint
• Maintains composure and professionalism in high-stakes situations including active OSHA inspections and serious injury events
• Builds trust quickly with facility teams, ops leaders, and regulatory contacts
• Proactive and resourceful — flags emerging risk before it becomes a citation or claim

Physical Demands

• Frequent standing, walking, bending, and reaching for 4-6 hours per day during on-site facility safety audits and OSHA walk-throughs.
• Occasional lifting and carrying of training materials or equipment weighing up to 25 lbs.
• Prolonged sitting, typing, and screen time during remote administrative days.
• Clear vision and hearing required to identify workplace hazards and lead active regulatory inspections.
• 40-60% routine travel requiring prolonged driving and/or flights. Valid driver's license required.

Salary Range: $80, 000 - $100, 000 annually depending on experience.

Location: This is a remote role.

Join PACS: Elevate Healthcare with Us!

PACS is elevating healthcare by revolutionizing our approach to leadership and quality care. Guided by our core values of love, excellence, trust, accountability, mutual respect, and commitment , we strive to foster a culture of compassionate care within our teams and the communities we serve. As we grow rapidly, exciting opportunities await you to engage in impactful projects and contribute valuable insights to stakeholders nationwide.

If you're ready to make a difference and embrace our mission of creating real change, we invite you to join us at PACS. Together, let's shape the future of healthcare!

Join Our Team and Thrive!

At PACS, we believe our employees are our greatest asset. That's why we offer an exceptional benefits package designed to enhance your well-being and support your lifestyle.

Our Comprehensive Benefits Include

• Health Coverage: Enjoy medical, dental, and vision plans to keep you and your family healthy.
• PTO and Vacation: Benefit from generous paid time off and holidays to relax and recharge.
• Financial Wellness: Take advantage of Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) to manage your healthcare expenses effectively.
• Retirement Planning: Secure your future with our 401(k) plan, complete with company contributions to help you build your retirement savings.
• Support When You Need It: Our Employee Assistance Plan (EAP) provides confidential support for personal and professional challenges.

Join us at PACS and take advantage of a workplace that truly values you!

We celebrate diversity and are committed to creating an inclusive environment for all employees. We welcome applicants of every race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, and any other protected characteristic. Employment decisions are based on qualifications, merit, and business needs.