Medico Hub
Website:
medicohub.in
Job details:
Contact 639865 2832
Urgent Hiring – Quality Manager (NABH & Accreditation)
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Location: Tezpur, Assam
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Hospital Type: Multi-Speciality Hospital
Position
Quality Manager – NABH & Accreditation
Qualification
- Master's Degree in Hospital Administration (MHA), Hospital Management (MHM), Healthcare Quality, Nursing, or a related Healthcare Discipline
- Certification/Formal Training in NABH Quality Management – Preferred
- Six Sigma, Lean Healthcare, or Patient Safety Certification – Added Advantage
Experience
- Minimum 5–8 Years of experience in Hospital Quality Management
- At least 3 Years of Hands-on Experience managing NABH Accreditation activities
- Experience in policy formulation, quality audits, documentation, and regulatory compliance is mandatory
Key Responsibilities
NABH Accreditation & Compliance
- Lead and coordinate NABH Entry Level, Progressive Level, Full Accreditation, and renewal activities
- Ensure continuous compliance with NABH standards and statutory regulations
- Coordinate internal and external NABH assessments and CAPA implementation
Quality Management System (QMS)
- Develop, implement, monitor, and continuously improve the Hospital Quality Management System
- Monitor quality indicators, dashboards, and Continuous Quality Improvement (CQI) initiatives
Policies, SOPs & Documentation
- Develop, review, standardize, and maintain hospital policies, SOPs, manuals, protocols, and quality documentation
- Ensure proper document control and periodic revisions
Internal Audits & Compliance
- Conduct quality audits across all departments
- Identify non-conformities and ensure timely corrective and preventive actions (CAPA)
Patient Safety & Risk Management
- Implement patient safety goals, incident reporting, Root Cause Analysis (RCA), and risk mitigation strategies
- Promote a culture of patient safety throughout the organization
Clinical Quality Monitoring
- Monitor clinical, nursing, laboratory, pharmacy, and support service quality indicators
- Prepare monthly quality reports and recommend improvement initiatives
Infection Prevention & Control
- Coordinate with the Infection Control Team to ensure compliance with infection prevention protocols and quality standards
Training & Staff Development
- Conduct induction programs and regular NABH, Quality, and Patient Safety training sessions for hospital staff
Regulatory Compliance
- Ensure compliance with healthcare laws, Biomedical Waste Management Rules, Fire Safety regulations, and other statutory requirements
Patient Experience
- Monitor patient feedback, complaints, and satisfaction scores, and implement quality improvement initiatives
Committee Coordination & Reporting
- Coordinate Quality Committee meetings, prepare reports, monitor action plans, and present quality performance to hospital leadership
Required Skills
- Thorough knowledge of NABH standards and accreditation processes
- Strong understanding of Hospital Quality Management Systems
- Expertise in documentation, SOP drafting, audits, RCA, and CAPA
- Excellent analytical, leadership, communication, and training skills
- Strong organizational and problem-solving abilities
- Proficiency in Microsoft Office and Hospital Information Systems (HIS)
Key Performance Indicators (KPIs)
- Continuous NABH compliance across all departments
- Successful NABH Accreditation and Surveillance Audits
- Timely completion of internal audits and CAPA closures
- Improvement in quality indicators and patient safety outcomes
- High staff training compliance
- Improved patient satisfaction scores
- Zero major regulatory non-conformities
Job Type
Salary
💰 Best in Industry (Negotiable based on qualification and experience)
Benefits
- Opportunity to lead Quality & NABH Accreditation for a growing multi-speciality hospital
- Professional growth in hospital quality leadership
- Supportive management and multidisciplinary clinical environment
- Long-term career development opportunities
📩 Interested candidates may share their updated CV along with current salary, expected salary, notice period, and details of NABH accreditation projects handled. Immediate joiners will be preferred.
Skills: documentation,indicators,accreditation,infection,compliance,management,training,nabh,patient safety,healthcare
Click on Apply to know more.
