Quality Manager

About the role

The Quality Manager plans, implements, monitors and continuously improves the hospital's Quality Management System (QMS) so that it complies with Department of Health (DOH), JCI Accreditation Standards, JAWDA requirements and other applicable regulations. The role leads quality improvement, patient safety, accreditation, performance measurement and compliance, and promotes excellence in patient care. It is a full-time position primarily based in the hospital.

Key responsibilities

• Develop, implement and maintain the QMS, set quality policies and procedures, and lead quality improvement and patient safety initiatives
• Lead readiness for JCI, DOH, CAP and other accreditation programmes, coordinate CAPA plans after audits and monitor their implementation
• Develop, monitor and analyse hospital KPIs, lead JAWDA KPI data collection and reporting, prepare monthly quality dashboards and present reports to leadership
• Lead patient safety, monitor incident reporting and root cause analyses, and foster a culture of safety
• Plan and run internal audits, coordinate external inspections and accreditation surveys, and ensure timely closure of corrective actions
• Develop and review policies and procedures, maintain quality documentation, and deliver quality and patient safety training
• Work with department heads on operational performance, strategic planning and staff recruitment and development

Required profile

• Bachelor's degree in healthcare administration, nursing, business administration or a related field; Master's preferred
• Certified Professional in Healthcare Quality (CPHQ) preferred; Certified Internal Auditor or Lead Auditor and JCI accreditation training are an advantage
• Minimum 5-8 years in healthcare quality management, including 3-5 years in a leadership role in an accredited facility
• Mandatory experience with DOH Abu Dhabi regulations, JCI accreditation and JAWDA KPIs

Required skills

• Quality management systems, JCI accreditation standards and clinical governance
• JAWDA KPI management, risk management, root cause analysis and performance improvement
• Internal and external auditing, policy development, data analysis and reporting
• Advanced Excel and PowerPoint