SENIOR MANAGER - QUALITY

INTERESTED PEOPLE CALL 7077862395 OR WALK IN - SPARSH HOSPITAL, KANTABADA - https://maps.app.goo.gl/seyMr29MdUyQDFqS9

MINIMUN EXPERIENCE: 7-8 YRS

JD:

1. Quality Assurance & Compliance

• Develop, implement, and maintain the hospital’s Quality Management System (QMS).
• Ensure compliance with NABH accreditation standards.
• Monitor compliance with statutory and regulatory requirements (MOHFW, pollution board, AERB, etc.).
• Regularly review and update hospital policies, SOPs, and clinical protocols.

2. Audits & Assessments

• Plan and execute internal quality audits across departments.
• Coordinate external audits for certifications (e.g., NABH, ISO, NABL).
• Identify non-conformities, root cause analysis, and ensure corrective/preventive actions (CAPA).

3. Patient Safety & Risk Management

• Lead incident reporting, sentinel event analysis, and risk mitigation initiatives.
• Monitor and improve key patient safety indicators (e.g., medication errors, HAIs, falls).
• Organize regular mortality and morbidity reviews with clinical teams.

4. Data Monitoring & Quality Indicators

• Develop and track Quality Indicators (QIs) and Key Performance Indicators (KPIs) (e.g., infection rate, readmission rate).
• Present monthly/quarterly quality dashboards to management and clinical committees.

5. Training & Capacity Building

• Organize training sessions on quality standards, infection control, patient safety, and incident reporting.
• Guide department quality champions and quality coordinators.
• Conduct mock drills (e.g., code blue, fire safety).

6. Stakeholder Engagement

• Liaise with clinical and non-clinical departments to drive a culture of continuous quality improvement.
• Collaborate with nursing, pharmacy, laboratory, and support services for interdisciplinary quality goals.

7. Documentation & Reporting

• Ensure proper documentation of quality records, audits, committee minutes, and reports.
• Prepare reports for hospital management, accreditation bodies, and statutory authorities.

8. Innovation & Continuous Improvement

• Lead quality improvement projects using Six Sigma, PDSA cycles, or Lean methodology.
• Promote a culture of feedback, transparency, and learning across the hospital.

Preferred Qualifications & Skills:

• Master’s in Hospital Administration, Healthcare Management, or Quality Management
• Certification in NABH/JCI/Internal Auditor preferred
• 7–10 years of experience in hospital quality management
• Strong leadership, analytical, and communication skills

Job Type: Full-time

Schedule:

• Rotational shift

Work Location: In person