Quality Manager

1. NABH Accreditation & Compliance:

• Ensure the hospital meets NABH accreditation requirements and maintain compliance with its guidelines.
• Develop, implement, and monitor policies and procedures in line with NABH standards.
• Conduct internal audits and gap analysis to identify non-conformities and implement corrective actions.
• Organize and coordinate hospital assessment visits by NABH auditors.

2. Patient Safety & Quality Improvement:

• Develop and implement hospital-wide Quality Improvement Programs (QIPs).
• Monitor Key Performance Indicators (KPIs) such as infection rates, patient feedback, adverse events, and medication errors.
• Establish protocols for patient safety, including infection control, fall prevention, and medication management.
• Conduct Root Cause Analysis (RCA) for incidents and suggest preventive measures.

3. Documentation & Reporting:

• Maintain Quality Manual, SOPs, Policies, and Guidelines as per NABH standards.
• Ensure proper documentation and record-keeping for audits and accreditation purposes.
• Prepare monthly and annual quality reports for hospital leadership.

4. Training & Capacity Building:

• Conduct training programs for hospital staff on NABH standards, patient safety, and quality assurance.
• Organize workshops on infection control, bio-medical waste management, and clinical audits.
• Develop a culture of continuous improvement among healthcare teams.

5. Risk Management & Incident Reporting:

• Establish a system for reporting and investigating sentinel events, near-miss incidents, and complaints.
• Monitor adherence to hospital policies on emergency preparedness, fire safety, and disaster management.
• Work closely with the infection control team to prevent hospital-acquired infections.

6. Coordination with Departments:

• Collaborate with clinical, nursing, administrative, and support teams to ensure compliance with quality standards.
• Assist in clinical audits, medical records audits, and patient feedback analysis.
• Support HR in credentialing and privileging of doctors and healthcare professionals.

7. Legal & Ethical Compliance:

• Ensure adherence to regulatory guidelines such as Biomedical Waste Management Rules, Clinical Establishment Act, PCPNDT Act, Fire Safety Regulations, etc.
• Maintain compliance with patient rights and responsibilities policies.

Qualifications & Skills:

• Educational Qualification: BAMS/ BDS / MHA / MBA (Hospital Administration) / MPH or relevant degree in healthcare management.
• Experience: Minimum 4-5 years of experience in hospital quality management.
• Skills Required:
• Strong knowledge of NABH accreditation process
• Analytical and problem-solving skills
• Excellent communication and leadership abilities
• Experience in handling audits, documentation, and policy implementation

Job Type: Full-time

Pay: ₹50,000.00 - ₹70,000.00 per month

Benefits:

• Health insurance
• Provident Fund

Schedule:

• Day shift

Supplemental Pay:

• Overtime pay
• Yearly bonus

Work Location: In person