Assistant Quality Manager

Job Summary

The Assistant Quality Manager will support the Quality Manager in implementing, monitoring, and improving the hospital’s quality management system. The role involves ensuring compliance with accreditation standards, tracking quality indicators, driving patient safety initiatives, and coordinating with clinical and non-clinical departments.

Key Responsibilities

Assist in implementing and maintaining NABH standards and other applicable regulatory requirements

Prepare and update the hospital for accreditation, re-accreditation, and surveillance audits

Conduct internal audits, mock surveys, and departmental rounds, and follow up on corrective and preventive actions (CAPA)

Collect, analyze, and report quality indicators (clinical, patient safety, and管理 indicators) and present findings to management

Monitor incident reporting, sentinel events, near misses, and conduct root cause analysis (RCA)

Support infection control, medication safety, patient safety goals, and falls and pressure injury prevention programs

Maintain document control

policies, SOPs, protocols, and forms

Coordinate patient feedback and satisfaction surveys and help resolve complaints

Train staff on quality standards, patient safety, and hospital policies

Support quality improvement projects using tools such as PDCA, Six Sigma, and Lean

Prepare monthly quality reports and assist in Quality Committee meetings

Required Qualifications

Bachelor’s degree in Nursing, Hospital Administration, Life Sciences, or a related field (Master’s in Hospital Administration/Healthcare Management preferred)

Minimum 8-10 years of experience in quality management in a hospital setting (experience in a multispecialty hospital strongly preferred)

Working knowledge of NABH standards (NABH assessor or internal auditor training is an advantage)

Skills & Competencies

Strong understanding of hospital processes, patient safety, and clinical quality indicators

Experience with audits, data analysis, and report preparation

Excellent communication, training, and coordination skills

Good command of MS Excel, Word, and PowerPoint

Detail-oriented, with strong problem-solving and documentation skills

Ability to work with doctors, nurses, and department heads

Preferred

Certification in Quality Management, Infection Control, or Lean Six Sigma

Experience with hospital information systems (HIS)

Work Location

In person