Quality Manager
1 day ago
Job Purpose
To plan, implement, monitor, and continuously improve quality standards, patient safety, and compliance with hospital accreditation and regulatory requirements.
Key Responsibilities
Patient Safety & Quality:
- Develop, implement, and maintain hospital Quality Management System (QMS)
- Monitor patient safety indicators, clinical outcomes, and risk management
- Conduct Root Cause Analysis RCA) for incidents, near misses, and sentinel events
- Implement corrective and preventive actions (CAPA)
Accreditation & Compliance
- Lead hospital accreditation activities (NABH / JCI / ISO, as applicable)
- Ensure compliance with statutory and regulatory requirements
- Coordinate internal audits, external audits, and surveillance assessments
- Maintain and update quality manuals, SOPs, and policies
Audits & Monitoring
- Plan and conduct internal quality audits across departments
- Track non-conformities and ensure timely closure
- Monitor KPIs, quality indicators, and dashboards
- Report quality performance to management and committees
Training & Awareness
- Conduct quality-related training and awareness programs for staff
- Promote a culture of quality, safety, and continuous improvement
- Support departments in process improvement initiatives
Documentation & Data Management
- Maintain quality documentation and records
- Analyse quality data and prepare reports for Quality Committee meetings
- Ensure document control and version management
Coordination & Communication
- Coordinate with clinical, nursing, administrative, and support departments
- Act as a liaison with accreditation bodies and regulatory authorities
- Participate in Quality, Infection Control, Patient Safety, and Ethics committees
Note:
- Prospective candidate should be open for travelling to all the Units as part of the job as and when it is necessary.
- Min 2 to 7 days of Travelling in a month
Qualifications
- BDS/ MBBS with additional Quality certification preferred.
Skills & Competencies:
- Strong knowledge of NABH standards and hospital accreditation processes
- Excellent analytical and problem-solving skills
- Audit and documentation expertise
- Risk management and patient safety knowledge
- Leadership, coordination, and training skills
- Effective communication and reporting skills
- Ability to work across departments
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