Key Responsibilities:
Lead the hospital through NABH accreditation and re-accreditation processes.
Ensure continuous “survey readiness” for scheduled and surprise external audits.
Act as the primary liaison between the hospital and the NABH accreditation board.
Conduct regular internal audits and mock drills (e.g., Code Blue, fire safety, disaster preparedness) to identify compliance gaps.
Perform gap analysis and recommend corrective and preventive actions for quality improvement.
Audit medical records, discharge summaries, prescriptions, and other clinical documentation for compliance and accuracy.
Develop, review, and update Standard Operating Procedures, policies, and Quality Manuals across all departments.
Ensure proper implementation and maintenance of NABH-required forms, formats, registers, and incident reporting systems.
Collect, monitor, and analyse key quality indicators such as infection rates, medication errors, patient satisfaction, and clinical outcomes.
Prepare monthly quality reports and performance dashboards for hospital management.
Organise and conduct training programs for medical,



nursing, and support staff on quality standards, patient safety, ethics, and NABH requirements.
Investigate patient safety incidents, near-misses, and patient grievances, and implement preventive measures to avoid recurrence.

Skills & Competencies:
Robust analytical and problem-solving abilities
Excellent attention to detail and organisational skills
Leadership and team management capabilities
Solid communication and interpersonal skills
Expertise in healthcare quality tools and accreditation standards

Experience:
Minimum 3–5 years of experience in hospital quality management or accreditation-related roles
Hands-on experience in NABH implementation is mandatory/preferred

Qualifications:
Master’s degree in Hospital Administration (MHA), Healthcare Management, Nursing, or Quality Management
NABH certification or quality-related certification preferred

Pay: ₹20,000.00 - ₹50,000.00 per month

Work Location: In person

📌 Quality Assurance Manager Perintalmanna
🏢 ASCENT ENT HOSPITAL& MEDICAL CENTRE
📍 Perintalmanna