Posted:10 hours ago|
Platform:
On-site
Full Time
NABH Accreditation & Compliance Ensure ongoing compliance with NABH standards and facilitate regular assessments, audits, and surveillance visits. Coordinate the documentation and implementation of NABH standards across departments. Act as the liaison with NABH assessors and manage related documentation and communication. 2. Quality Assurance & Improvement Develop and implement hospital-wide quality improvement initiatives. Conduct internal quality audits and manage non-conformance tracking and resolution. Analyze clinical and non-clinical quality indicators and develop action plans for improvement. 3. Policies, SOPs, and Documentation Oversee the development, review, and control of Standard Operating Procedures (SOPs) and policies in line with NABH requirements. Maintain a central repository of all quality-related documents and ensure version control. 4. Training & Capacity Building Conduct training programs on quality standards, patient safety, infection control, and incident reporting. Sensitize and train staff on NABH guidelines and quality management practices. 5. Data Analysis & Reporting Collect, analyze, and present quality metrics (e.g., patient satisfaction, adverse events, audits). Prepare periodic reports for hospital management and quality committees. 6. Committees and Meetings Serve as member/secretary to various hospital committees such as Quality, Infection Control, Safety, Ethics, etc. Facilitate and document meetings, and ensure action items are tracked and closed. Qualifications: Education: B.Sc. / M.Sc. in Nursing, MBBS, BPT, or equivalent healthcare degree Preferred: Diploma or certification in Hospital Management / Healthcare Quality (e.g., CPHQ) Experience: Minimum 5 years in healthcare quality management; NABH exposure is essential Key Skills: In-depth knowledge of NABH standards and hospital operations Strong analytical and problem-solving abilities Excellent communication and coordination skills Proficiency in MS Office and quality management software/tools Training and mentoring capabilities Job Type: Full-time Pay: ₹13,992.58 - ₹44,474.08 per month Benefits: Cell phone reimbursement Provident Fund Schedule: Day shift Work Location: In person Expected Start Date: 27/06/2025
RAJ HOSPITALS
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