Assistant Manager Quality (Hospital Quality & Accreditation)

Desun Hospital

3 - 5 years

3 - 4 Lacs

siliguri

Posted:-1 days ago| Platform:

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Skills Required

quality audit compliance training accreditation nabh hospital-quality internal-audit documentation process-improvement auditing capa patient-safety jci quality risk-management qms sops quality assurance

Work Mode

Work from Office

Job Type

Full Time

Job Description

Role & responsibilities

Lead and assist in implementation, monitoring, and continuous improvement of
NABH
and
JCI
accreditation standards.
Conduct
internal audits
, quality rounds, and compliance checks across all departments.
Prepare, update, and maintain
SOPs, policies, manuals, and quality documents
.
Manage
incident reporting
, corrective & preventive action (CAPA), and risk-management activities.
Support
clinical governance
, patient safety initiatives, and quality improvement programs.
Coordinate and train staff on accreditation standards, process improvements, and documentation practices.
Track and analyze quality indicators, KPIs, patient feedback, and audit findings.
Assist in external audits, surveillance assessments, and accreditation renewals.
Ensure continuous adherence to hospital policies, clinical standards, and statutory requirements.

Preferred candidate profile

Strong knowledge and hands-on experience with NABH & JCI accreditation processes
(mandatory)
Excellent understanding of healthcare quality standards, audits, and compliance
Documentation & reporting proficiency
Strong communication, training, and coordination skills
Analytical skills and ability to manage quality data
Problem-solving and process-improvement mindset

Preferred:

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