We are Hiring for the Quality Manager Profile
Qualifications
- Bachelor’s / Master’s Degree in Healthcare / Hospital Administration / Quality Management
- Certified in NABH or QCI Internal Auditor / Lead Auditor / Six Sigma / ISO 9001 preferred
- Minimum 3–5 years of experience in hospital quality management and accreditation processes
Key Responsibilities and Duties
1. Accreditation and Policy Management
- Formulate, update, and implement all NABH policies and related hospital quality manuals.
- Prepare, update, and standardize Standard Operating Procedures (SOPs) as per accreditation guidelines.
- Coordinate and ensure compliance with NABH, NABL, JCI, Nursing Excellence, and QCI accreditation requirements.
- Plan and oversee the accreditation cycle, including documentation, internal assessments, and external audits.
- Develop and review quality policies, process flow charts, and department manuals.
2. Quality Monitoring and Audits
- Conduct regular quality rounds across the hospital and prepare detailed observation reports.
- Ensure all quality standards and checkpoints are implemented and followed by the respective departments.
- Conduct internal audits and medical audits periodically and ensure timely corrective and preventive actions (CAPA).
- Maintain and analyze Quality Indicators, Key Performance Indicators (KPI), and patient safety data.
- Facilitate external audits (NABH/NABL/QCI/Nursing Excellence) and ensure readiness for surveillance visits.
- Ensure periodic review of all department-level quality documents and forms.
Training and Capacity Building
- Identify training needs and ensure regular training sessions for all levels of staff on quality and safety topics.
- Organize orientation, refresher, and accreditation-focused training (NABH/NABL/JCI/QCI/Nursing Excellence).
- Promote a culture of continuous quality improvement and patient safety awareness.
- Monitor and evaluate the effectiveness of all quality and safety trainings.
. Other Responsibilities
- Conduct monthly quality rounds and share the compliance reports with management.
- Conduct both internal and external audits related to all accreditation programs.
- Support departments in achieving and maintaining Nursing Excellence and QCI accreditations.
- Perform any other responsibilities or special assignments as directed by management.
Skills and Competencies
- In-depth knowledge of NABH, NABL, JCI, Nursing Excellence, and QCI standards
- Excellent leadership, analytical, and documentation skills
- Strong communication, interpersonal, and presentation abilities
- Proficiency in quality management tools and hospital information systems (HIS)
- Ability to plan, monitor, and evaluate improvement projects effectivel