Quality Manager, Hospital

Job Title: Quality Manager – Hospital

Department: Quality & Medical Administration
Location: Medpark Hospital, Mohali
Experience: 4–10 Years in Quality Assurance in Hospitals
Qualification: Medical Degree or MHA (Master of Hospital Administration) / MBA in Healthcare Management
Job Type: Full-Time
Age Group: 28–42 years
Salary: - 40000 - 60000

Job Summary:

We are seeking a dedicated and detail-oriented Quality Manager to lead hospital quality initiatives, maintain NABH accreditation standards, and oversee compliance with medical administration protocols. The ideal candidate will have prior experience in healthcare quality management systems and hospital accreditation processes.

Key Responsibilities:

• Lead and manage hospital-wide NABH 3rd addition accreditation and reaccreditation processes.
• Develop, implement, and monitor hospital SOPs, manuals, and policies as per NABH and other statutory guidelines.
• Conduct regular internal audits, clinical audits, and gap analysis for quality improvement.
• Train clinical and non-clinical staff on quality standards, documentation, and patient safety protocols.
• Coordinate hospital committees such as Quality, Infection Control, Medical Audit, and Ethics.
• Monitor key quality indicators (KQIs), patient satisfaction scores, and implement improvement plans.
• Ensure clinical documentation accuracy and support departments in compliance reporting.
• Maintain incident/near-miss tracking systems and oversee root cause analysis (RCA) and corrective actions.
• Collaborate with departments to foster a culture of continuous quality improvement (CQI).
• Handle external audits, liaison with accreditation bodies, and respond to compliance queries.
• Keep updated with regulatory changes and quality standards in the healthcare sector.

Skills & Competencies:

• In-depth knowledge of NABH standards and implementation
• Strong analytical and documentation skills
• Ability to lead cross-functional teams and hospital committees
• Excellent communication, training, and report-writing skills
• Sound understanding of hospital operations and clinical workflows
• Proficient in MS Office, hospital information systems (HIS), and quality reporting tools

Job Types: Full-time, Permanent

Pay: ₹40,000.00 - ₹60,000.00 per month

Education:

• Bachelor's (Required)

Experience:

• Hospital: 4 years (Required)

Work Location: In person