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Urgent Hiring – Quality Manager (NABH & Accreditation)

? Location: Tezpur, Assam

? Hospital Type: Multi-Speciality Hospital

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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

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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

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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

📌 Quality Manager (Tezpur)
🏢 Medico Hub
📍 Tezpur