Assistant Manager Quality (Hospital Quality & Accreditation)

Role & responsibilities

• Lead and assist in implementation, monitoring, and continuous improvement of NABH and JCI accreditation standards.
  
• Conduct internal audits, quality rounds, and compliance checks across all departments.
  
• Prepare, update, and maintain SOPs, policies, manuals, and quality documents.
  
  
• Manage incident reporting, corrective & preventive action (CAPA), and risk-management activities.
  
• Support clinical governance, patient safety initiatives, and quality improvement programs.
  
• Coordinate and train staff on accreditation standards, process improvements, and documentation practices.
  
• Track and analyze quality indicators, KPIs, patient feedback, and audit findings.
  
• Assist in external audits, surveillance assessments, and accreditation renewals.
  
• Ensure continuous adherence to hospital policies, clinical standards, and statutory requirements.

Preferred candidate profile

• Strong knowledge and hands-on experience with NABH & JCI accreditation processes (mandatory)
  
• Excellent understanding of healthcare quality standards, audits, and compliance
  
• Documentation & reporting proficiency
  
• Strong communication, training, and coordination skills
  
• Analytical skills and ability to manage quality data
  
• Problem-solving and process-improvement mindset

Preferred: MBA in Hospital & Healthcare Management / MHA / MPH