hospital quality manager

ey Responsibilities:Quality Management & Accreditation:

• Develop, implement, and monitor the hospital’s Quality Management System (QMS).
• Ensure compliance with NABH/JCI/ISO accreditation standards and regulatory requirements.
• Coordinate internal and external audits; prepare for accreditation and certification visits.
• Review and update hospital policies, SOPs, and quality manuals regularly.
• Monitor Key Performance Indicators (KPIs) and Quality Indicators (QIs) across departments.

Patient Safety & Risk Management:

• Implement and monitor patient safety programs, including incident reporting and root cause analysis (RCA).
• Promote infection control practices and clinical governance initiatives.
• Conduct risk assessments and ensure corrective and preventive actions (CAPA) are implemented.

Training & Capacity Building:

• Conduct regular staff training and awareness programs on quality, patient safety, and accreditation standards.
• Guide departmental quality coordinators and support the formation of quality teams.

Data Management & Continuous Improvement:

• Collect, analyze, and report quality-related data for performance review.
• Facilitate regular Quality Committee meetings and present audit outcomes.
• Identify opportunities for improvement and coordinate Quality Improvement Projects (QIPs).

Communication & Coordination:

• Collaborate with heads of departments, nursing teams, and clinicians to ensure adherence to quality standards.
• Liaise with external agencies, auditors, and accreditation bodies.

Qualifications & Requirements:

• Education:
• Bachelor’s Degree in Nursing, Healthcare Administration, or Allied Health Sciences.
• Preferred: Master’s in Hospital Administration (MHA), MBA in Healthcare Management, or equivalent.
• Experience:
• Minimum 3–7 years of experience in hospital quality management.
• Prior experience with NABH/JCI accreditation process preferred.
• Certifications:
• Certified NABH Assessor / Internal Auditor (preferred).
• Training in Quality Management or Patient Safety desirable.
• Skills & Competencies:
• Excellent knowledge of healthcare quality standards and clinical governance.
• Strong analytical and audit skills.
• Effective communication, leadership, and coordination abilities.
• Proficient in MS Office and data analysis tools.
• Ability to lead cross-functional teams and manage multiple projects.

Key Competencies:

• Quality Assurance & Compliance
• Patient Safety & Risk Management
• Data-Driven Decision Making
• Leadership & Team Building
• Communication & Training Skills
• Strategic Thinking

Job Types: Full-time, Permanent

Pay: ₹30,000.00 - ₹65,000.00 per month

Benefits:

• Paid sick time
• Paid time off
• Provident Fund

Work Location: In person