Quality Manager - JCI/NABH / Quality Assurance (Hospital)
Posted
Description
Contact Number : 9154090342 / Harish
Role & responsibilities
- Lead and maintain NABH (and JCI, if applicable) accreditation and re-accreditation readiness
- Conduct internal audits, mock audits, and gap analysis across all departments
- Monitor, analyse, and report quality indicators and KPIs to management
- Manage incident reporting, RCA, and CAPA for patient safety events
- Prepare and update SOPs, policies, and documentation as per NABH standards
- Coordinate with the Infection Control Committee on HAI surveillance and compliance
- Train clinical and non-clinical staff on quality, safety, and accreditation standards
- Drive patient feedback analysis and service improvement initiatives
- Ensure statutory compliance (biomedical waste, fire safety, licenses, and so on)
- Submit regular MIS and dashboards to the Medical Director and Management
Preferred candidate profile
Must have
- [5-10] years of hospital quality experience with hands-on NABH accreditation work
- Experience in gap analysis, mock audits, and documentation
- Strong knowledge of NABH standards (latest edition)
- Working knowledge of RCA, CAPA, and quality indicators
Good to have
- JCI exposure, NABH Assessor or Internal Auditor certification
- Six Sigma, Lean, or ISO 9001 training
- Clinical background (Nursing, MBBS, BDS, or Ayush)
- Experience with a hospital information system (HIS) and Excel/Power BI dashboards