Quality Manager, Hospital

As a Quality Manager at Medpark Hospital in Mohali, you will be responsible for leading hospital quality initiatives, maintaining NABH accreditation standards, and ensuring compliance with medical administration protocols. Your primary focus will be on developing and implementing quality management systems, conducting audits for quality improvement, and training staff on quality standards and patient safety protocols. Key Responsibilities: - Lead and manage hospital-wide NABH 3rd addition accreditation and reaccreditation processes. - Develop, implement, and monitor hospital SOPs, manuals, and policies in line with NABH and other statutory guidelines. - Conduct regular internal audits, clinical audits, and gap analysis to drive 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) and patient satisfaction scores, implementing improvement plans as necessary. - Ensure clinical documentation accuracy and support departments in compliance reporting. - Maintain incident/near-miss tracking systems, conduct root cause analysis (RCA), and implement corrective actions. - Collaborate with departments to promote a culture of continuous quality improvement (CQI). - Handle external audits, engage with accreditation bodies, and address compliance queries. - Stay updated on regulatory changes and quality standards in the healthcare sector. Skills & Competencies: - Proficient in NABH standards and their implementation. - Strong analytical and documentation skills. - Ability to lead cross-functional teams and hospital committees effectively. - Excellent communication, training, and report-writing abilities. - Sound understanding of hospital operations and clinical workflows. - Familiarity with MS Office, hospital information systems (HIS), and quality reporting tools. If you are a detail-oriented individual with a Medical Degree or MHA/MBA in Healthcare Management and at least 4 years of experience in hospital quality assurance, we encourage you to apply for this full-time Quality Manager position at Medpark Hospital.,