: Hospital Quality Manager

Organization: Sri Sai Eye Hospital

Department: Quality Assurance and Hospital Operation

Reporting To: Chairman

Job Purpose The Hospital Quality Manager will be responsible for implementing and monitoring NABH standards, maintaining hospital documentation, ensuring quality compliance, and managing end-to-end Hospital Information Management System (IHMS) operations.

Key Roles and Responsibilities

- NABH Accreditation: Implement applicable NABH standards, prepare and update quality manuals, policies, SOPs, protocols, and departmental documentation. Ensure accreditation readiness and compliance with applicable requirements.
- Hospital Documentation: Maintain, review, and control hospital records, registers, checklists, audit reports, training records, and quality-related documents across OPD, IPD, OT, MRD, HR, Management, Optical, and Pharmacy.
- IHMS Management: Possess comprehensive practical knowledge of complete IHMS operations, including registration, OPD, IPD, surgery scheduling, OT records, billing, pharmacy, discharge, and report generation, as applicable. Monitor data accuracy and coordinate system troubleshooting and staff training.
- Internal Audits: Conduct regular departmental audits,



identify non-compliances, prepare corrective and preventive action plans (CAPA), and ensure timely closure of observations.
- Patient Safety and Quality: Monitor patient feedback, complaints, incident reporting, infection-control compliance, and quality indicators.
- Training and Coordination: Train staff on NABH standards, documentation, IHMS workflows, and hospital policies. Coordinate with departmental heads to ensure effective implementation.
- Reporting: Prepare monthly quality reports, compliance trackers, audit summaries, and management review reports.

Qualifications and Experience Bachelor’s or postgraduate qualification in Hospital Administration, Healthcare Management, Nursing, or a relevant field. Preferably 3–5 years of hospital experience, with strong practical knowledge of NABH accreditation, hospital documentation, internal audits, and complete IHMS operations.

Pay: ₹35,000.00 - ₹45,000.00 per month

Benefits

- Versatile schedule
- Provident Fund

Education:
- Master's (Preferred)

Experience:
- Hospital Operation and Quality: 3 years (Required)

Work Location: In person

📌 HOSPITAL QUALITY MANAGER (Kankarbagh)
🏢 Sri Sai Eye Hospital
📍 Kankarbagh