Responsible for the overall implementation, monitoring and maintenance of applicable NABH and QAI accreditation standards, including Advanced Stroke Centre requirements, ensuring continuous compliance and assessment readiness. Develop, review and maintain hospital policies, SOPs, manuals, quality records and accreditation documentation. Conduct internal audits, gap assessments and mock assessments; identify non-compliances and ensure timely corrective and preventive action (CAPA). Monitor patient safety, incident reporting, risk management, root cause analysis (RCA), clinical and non-clinical quality indicators, patient feedback and complaint resolution. Coordinate quality committee meetings, management reviews, staff training and accreditation-related activities. Maintain document control, monitor applicable regulatory requirements, analyse quality performance data and prepare monthly quality dashboards and reports for management. Coordinate with all clinical and non-clinical departments to implement quality improvement initiatives, close audit findings, maintain accurate records and ensure sustained compliance with applicable hospital quality and patient safety standards.

Key Performance Indicators (KPIs): NABH and QAI compliance, internal audit completion, timely CAPA closure, documentation compliance, staff training completion, quality indicator performance, patient safety monitoring,



complaint resolution and accreditation readiness.

DNB / DrNB Academic Coordination – Roles and Responsibilities

Responsible for coordinating and monitoring the overall academic and administrative processes of DNB / DrNB programmes in accordance with applicable NBEMS guidelines. Coordinate trainee admissions, joining formalities, faculty coordination, academic schedules, clinical postings, attendance, logbooks, case presentations, seminars, journal clubs and periodic assessments. Monitor trainee progress, examination schedules, thesis and research activities, leave records and completion of prescribed training requirements. Coordinate with the Head of Department, teaching faculty, trainees and hospital management to ensure the timely completion of academic activities and maintenance of mandatory training records. Facilitate required documentation, reports, institutional assessments and NBEMS inspections. Monitor compliance with prescribed training requirements, faculty eligibility, clinical exposure and academic activities, identify gaps and coordinate corrective actions to ensure the smooth functioning of DNB / DrNB programmes in accordance with applicable NBEMS guidelines and institutional policies.

Pay: ₹25,000.00 - ₹40,000.00 per month

Advantages:

- Cell phone reimbursement
- Paid time off

Work Location: In person

📌 Quality Manager & Academic Coordinator (Erode)
🏢 Senthil Multispecialty Hospital
📍 Erode