Quality Manager

As a Quality Manager in our hospital, your primary role will be to ensure NABH accreditation and compliance by developing, implementing, and monitoring policies and procedures in line with NABH standards. You will conduct internal audits, identify non-conformities, and coordinate hospital assessment visits by NABH auditors. Your responsibilities will also include developing and implementing Quality Improvement Programs (QIPs) to enhance patient safety and quality of care. You will monitor Key Performance Indicators (KPIs) such as infection rates, patient feedback, adverse events, and medication errors. Additionally, you will establish protocols for patient safety and conduct Root Cause Analysis (RCA) for incidents. In terms of documentation and reporting, you will maintain Quality Manual, SOPs, Policies, and Guidelines as per NABH standards. You will ensure proper documentation and record-keeping for audits and accreditation purposes and prepare monthly and annual quality reports for hospital leadership. You will be responsible for conducting training programs for hospital staff on NABH standards, patient safety, and quality assurance. You will organize workshops on infection control, bio-medical waste management, and clinical audits to develop a culture of continuous improvement among healthcare teams. Furthermore, you will establish a system for reporting and investigating sentinel events, near-miss incidents, and complaints. You will monitor adherence to hospital policies on emergency preparedness, fire safety, and disaster management, working closely with the infection control team to prevent hospital-acquired infections. Your role will also involve collaborating with clinical, nursing, administrative, and support teams to ensure compliance with quality standards. You will assist in clinical audits, medical records audits, and patient feedback analysis, as well as support HR in credentialing and privileging of doctors and healthcare professionals. Additionally, you will ensure adherence to regulatory guidelines such as Biomedical Waste Management Rules, Clinical Establishment Act, PCPNDT Act, Fire Safety Regulations, etc., and maintain compliance with patient rights and responsibilities policies. Qualification & 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 Benefits: - Health insurance - Provident Fund Schedule: - Day shift - Yearly bonus Work Location: In person,