- Coordinate and monitor NABH accreditation standards and compliance across hospital departments.
- Develop, implement and maintain SOPs, policies, protocols and quality documentation.
- Conduct internal audits, quality rounds and compliance assessments.
- Monitor quality indicators, patient safety indicators, incidents, complaints and corrective actions.
- Coordinate with clinical and support departments for NABH documentation and implementation.
- Organize staff training, awareness sessions, mock drills and quality improvement activities.
- Maintain NABH records, reports, meeting minutes and evidence for assessments.
- Identify gaps and coordinate corrective and preventive actions (CAPA).
- Support hospital readiness for NABH surveillance, assessment and renewal processes.
Qualifications & Experience:
- Graduate / Postgraduate, Healthcare Management, Quality Management, Life Sciences or a related field.
- 2-5 years of experience in hospital quality management, preferably with NABH exposure.
- Knowledge of NABH standards, hospital processes, audits and documentation.
- Solid communication, coordination, analytical and MS Office skills.
- Experience in eye care/hospital quality management will be an added advantage.