Role & responsibilities.

About the Role

Kauvery Hospitals - Alwarpet is looking for a agile and experienced Quality Manager to lead hospital quality assurance, accreditation compliance, patient safety, and continuous quality improvement initiatives. The ideal candidate should have hands-on experience in hospital quality systems, preferably with exposure to JCI international accreditation standards and NABH accreditation requirements.

Key Responsibilities

- Lead and monitor hospital-wide quality management systems in alignment with JCI and NABH standards, as applicable.
- Coordinate accreditation readiness, gap assessments, internal audits, mock surveys, and corrective action plans.
- Ensure compliance with patient safety goals, quality indicators, clinical standards, hospital policies, and SOPs.
- Monitor incidents, adverse events, risk management activities, and corrective and preventive actions (CAPA).
- Coordinate multidisciplinary quality committees, management reviews, and accreditation documentation.
- Drive continuous quality improvement projects and process standardization across clinical and non-clinical departments.
- Conduct staff training on quality standards, patient safety, infection prevention, and accreditation requirements in coordination with relevant teams.




- Prepare quality dashboards, audit reports, compliance trackers, and performance reports for management.
- Collaborate with department heads to identify gaps, implement improvement plans, and monitor effectiveness.

Required Skills.

- Strong knowledge of hospital quality management and accreditation frameworks.
- Exposure to JCI standards and NABH requirements.
- Experience in internal audits, gap analysis, CAPA, risk management, and patient safety.
- Knowledge of quality indicators, incident reporting, and continuous improvement methodologies.
- Strong leadership, analytical, documentation, and stakeholder management skills.

Preferred Candidate Profile

- Experience working in a multi-specialty or tertiary-care hospital.
- Hands-on involvement in JCI accreditation or reaccreditation activities is highly desirable.
- Experience with NABH assessments, hospital quality audits, and accreditation readiness will be an added advantage.
- Ability to coordinate effectively with clinical and non-clinical teams.

Interested candidates: Please share your updated resume with current designation, total experience, JCI/NABH experience, current CTC, and expected CTC. Spoc : Mr Gowtam HR - 95001 78789

📌 Manager - Hospital Quality Accreditation (Chennai)
🏢 Kauvery Hospital
📍 Chennai