Job Summary

Responsible for implementing and monitoring hospital quality standards, ensuring compliance with NABH requirements, supporting accreditation activities, and driving continuous quality improvement across hospital departments.

Key Responsibilities

• Monitor compliance with hospital quality policies, SOPs, and patient safety standards.
• Coordinate NABH accreditation activities, audits, and documentation.
• Conduct internal quality audits and follow up on non-conformities.
• Monitor Quality Indicators (QIs), prepare reports, and analyze performance trends.
• Coordinate Root Cause Analysis (RCA), Corrective and Preventive Actions (CAPA), and incident reporting.
• Support the implementation of infection control practices and patient safety initiatives in coordination with relevant teams.
• Conduct quality awareness and training programs for hospital staff.
• Maintain quality documentation, audit records, and accreditation-related reports.




• Coordinate with department heads to ensure compliance with statutory and accreditation requirements.
• Monitor patient feedback, complaints, and quality improvement initiatives.

Qualification

• Bachelor's degree in Nursing, Allied Health Sciences, Life Sciences, or a related healthcare discipline.
• Additional qualification or certification in Hospital Quality Management / NABH is preferred.

Required Skills

• Knowledge of NABH standards and hospital quality management systems.
• Internal auditing and documentation skills.
• Good analytical, reporting, and communication skills.
• Proficiency in MS Excel, Word, and PowerPoint.
• Solid coordination, problem-solving, and organizational abilities.

Preferred Experience

Experience in a NABH-accredited hospital, with exposure to quality audits, patient safety, quality indicators, and accreditation documentation.

📌 Senior Executive (Chennai)
🏢 Kauvery Hospital
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