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.
Robust 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.
Solid 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