Job Description – Quality Manager (NABH)

Organization: Amcare Hospital, Zirakpur

Department: Quality & NABH

Position: Quality Manager

Experience: Minimum 3–5 years of experience in hospital quality management, with hands-on NABH accreditation experience.

Job Summary

Amcare Hospital is looking for an experienced and dedicated Quality Manager to manage and monitor hospital quality standards, ensure NABH compliance, implement quality improvement initiatives, and maintain patient safety standards across all departments.

The candidate should have strong knowledge of NABH standards, hospital audits, documentation, patient safety, and quality assurance processes.

Key Responsibilities

1. NABH Accreditation & Compliance

- Manage NABH accreditation and renewal processes.
- Ensure implementation of NABH standards across all hospital departments.
- Maintain and update NABH documentation, policies, SOPs, and manuals.
- Ensure compliance with NABH guidelines and applicable regulatory requirements.

2. Quality Assurance & Audits

- Conduct regular internal audits and departmental inspections.
- Monitor compliance with hospital policies and procedures.
- Identify non-conformities and ensure corrective and preventive actions (CAPA).
- Prepare audit reports and follow up on pending observations.

3. Patient Safety & Quality Indicators

- Monitor patient safety practices and quality indicators.
- Track and analyse hospital performance indicators.
- Monitor incidents, adverse events, near misses, and medication errors.
- Implement initiatives to improve patient safety and quality of care.

4. Documentation & Training





- Prepare and maintain quality-related records and reports.
- Conduct NABH awareness and quality training sessions for hospital staff.
- Ensure proper maintenance of departmental manuals, registers, and checklists.
- Coordinate with HODs for policy implementation and compliance.

5. Quality Improvement

- Conduct Quality Council and committee meetings.
- Monitor patient feedback, complaints, and satisfaction levels.
- Implement continuous quality improvement (CQI) initiatives.
- Coordinate with all departments to improve operational efficiency.

Required Qualifications

- Bachelor's degree in Healthcare / Nursing / Hospital Administration or relevant field.
- Master's degree in Hospital Administration / Healthcare Management will be preferred.
- Certification or training in NABH / Healthcare Quality Management will be an advantage.

Required Experience & Skills

- Minimum 3–5 years of experience in hospital quality management.
- Hands-on experience in NABH accreditation and implementation.
- Good knowledge of current NABH standards and objective elements.
- Experience in internal audits, gap analysis, CAPA, and quality indicators.
- Robust documentation, communication, and coordination skills.
- Ability to independently handle NABH preparation and compliance activities.

Key Competencies

- Leadership and team management.
- Analytical and problem-solving skills.
- Attention to detail.
- Strong communication and coordination.
- Ability to handle audits and inspections.

Interested candidates can share their updated CV.

Contact / WhatsApp: +91-XXXXXXXXXX

Pay: ₹30,000.00 - ₹45,000.00 per month

Benefits:

- Provident Fund

Work Location: In person

📌 Quality Manager (Zirakpur)
🏢 Amcare Medical & Research Pvt.Ltd
📍 Zirakpur