Job Summary:
The Assistant Manager – Quality is responsible for implementing and monitoring Quality Management Systems across all units in alignment with NABH 6th Edition Standards, ensuring patient safety, regulatory compliance, and continuous quality improvement across the hospital network.
Key Responsibilities:
1. Accreditation & Compliance:
- Ensure compliance with NABH standards across all units.
- Coordinate for accreditation (initial, surveillance & re-accreditation) processes
- Conduct gap analysis and implement corrective & preventive actions (CAPA).
- Standardize policies, SOPs, and documentation across hospitals.
2. Quality Assurance & Audits:
- Plan and conduct internal audits (clinical & non-clinical departments).
- Monitor audit findings and ensure timely closure of non-conformities.
- Conduct mock audits and prepare units for external assessments.
- Implement risk-based audit approach as per latest standards.
3. Quality Indicators & Data Management:
- Define, monitor, and analyze Key Performance Indicators (KPIs).
- Prepare dashboards and reports for management review.
- Perform trend analysis and recommend improvement actions.
- Ensure data accuracy, validation, and timely submission from units.
4. Patient Safety & Clinical Quality:
- Implement patient safety programs (incident reporting, RCA, FMEA).
- Monitor adverse events, sentinel events, and near misses.
- Drive infection control practices in coordination with clinical teams.
- Ensure compliance with clinical protocols and best practices.
5. Training & Capacity Building:
- Conduct training programs on quality standards and patient safety.
- Educate staff on SOPs, policies, and accreditation requirements.
- Develop training materials and competency assessment tools.
6. Documentation & Standardization:
- Develop and review Quality Manuals, SOPs, Policies, and Formats.
- Ensure document control practices are followed across units.
- Maintain central repository of quality documents.
7. Continuous Quality Improvement (CQI):
- Lead quality improvement projects across hospitals.
- Implement Lean, Six Sigma, or other quality tools (preferred).
- Facilitate departmental quality meetings and reviews.
8. Regulatory & Statutory Compliance:
- Ensure compliance with statutory and regulatory requirements.
- Coordinate with departments for inspections and audits.
Key Skills & Competencies:
- Strong working knowledge of NABH 6th Edition standards & objective elements
- Expertise in hospital quality systems & accreditation processes
- Audit planning, execution, and CAPA management
- Data analytics and dashboard preparation
- Excellent communication and interdepartmental coordination
- Problem-solving and decision-making ability
Interested can share their resumes to [email protected] or can reach at 8019232805
Pay: ₹40,000.00 - ₹50,000.00 per month
Benefits:
- Health insurance
- Provident Fund
Work Location: In person
