I. Job Title

Deputy Manager/Manager - Medical Quality

Reporting Supervisor

Medical Superintendent - Medical Administration

II. JOB PURPOSE To support the hospital in quality improvement activities.

III. KEY RESPONSIBILITIES

Core Responsibilities:

Patient / Customer Care

- To comply with the quality process & policies of the respective area.

Job Knowledge

- To demonstrate effective application of technical & skilled knowledge.

Process Orientation / Documentation

- Coordination for JCI Committees
- Coordination of NABH Committees meetings as per the calendar
- Review Minutes of Council meetings
- Ensure effectiveness of committee meetings.
- Provide feedback to operations/clinical departments.
- Collation & Submission of monthly reports & dashboard.
- Preparation of action taken reports on various indicator.
- Annual updating of policies and manuals
- Oversee Accreditations, Surveillance and re-accreditations in various specialties.

Accreditations: NABH & JCI

- Support the planning and implementation of all requirements of accreditations

Audits & QI projects

- Carry out routine audits of clinical areas / departments.
- Provide feedback to departments.
- Support and implement QI projects.
- Closure of Non-conformities.
- Internal Audits as per NABH/JCI are conducted
- To ensure continued compliance to closure submitted in the previous accreditation audit




- Ensure passive and active medical documents audit
- To ensure SLA monitoring.

Quality Assurance

- Management of serious untoward incidents, complaints, issues of poor clinical performance and to promote patient safety.
- RCA of Incident reporting, adverse incidents followed by corrective action and implementation of Preventive action.

Medical Policies and Standards

- Dissemination, Implementation, Training of Organization policies and regular audits.

Clinical indicators and Performance indicator

- To support the development, periodic review and improvement of NABH/JCI Performance indicators.
- Collation of data along with RCA & CAPA

People Orientation

- To demonstrate professional & courteous behavior to patient & co-workers.

Cost & Revenue

- To operate within budget cost.
- Budget for Quality is prepared as per the requirement and expenditure

Discipline

- To be well groomed, punctual & adhere to company policies and practices.
- Willingness to perform other duties as may be reasonably assigned by the reporting manager.

Preferred candidate profile Candidates with MBBS/ BDS with MBA/ MHA can apply.

8 - 13 years of experience from healthcare industry is required.

Interested candidates can share their CV at [email protected] or can directly contact on +91-7210 829 659 (Aniket Gupta - Human Resources).

📌 Deputy Manager - Medical Quality (Delhi)
🏢 Max Healthcare
📍 Delhi