Accreditation and Clinical Quality Manager

5 days ago

Dammam, Eastern Province, Saudi Arabia Al Moosa Specialist Hospital Full time
Description

Duties and Responsibilities:

  • Performs a variety of complex administrative and professional assistance work in planning, coordinating and managing the maintenance and adherence to the Hospital's accreditation.
  • Organize, prioritize, and assign tasks to other Department members.
  • Enforce work deadlines as they apply to accreditation requirements.
  • Responsible for maintaining all files and data entry for compliance with the accreditation process.
  • Provides advice, support and assistance by interpreting policies and procedures.
  • Assists Command Staff with writes and/or reviews on all new and revised policies to ensure compliance with Accreditation standards and best practices.
  • Keeps informed about changes in Accreditation bodies' standards and current laws. Recommends policy adjustments as needed.
  • Directs on-site inspection of compliance with Standards.
  • Ensures all annual and/or time sensitive reviews, reports, audits and inventories are completed as required by Accreditation Bodies.
  • Prepares and submits Quarterly reports to Chief of Quality and Patient Safety
  • Performs other applicable tasks and duties assigned within the realm of his/ her knowledge, skills and abilities.
  • Enhance the concept of patient centered care among healthcare givers in the hospital.
  • Assists in Mortality and Morbidity review and makes recommendation as required.
  • Provide personalized coordinated care, and support for patients and families.
  • Treat people with dignity, compassion and respect.

QUALIFICATIONS:

  • Master's Degree in healthcare management or a related field of study Fluency in English is essential.

PROFESSIONAL EXPERIENCE:

  • Ability to work independently and facilitate team work within the department and with others in the hospital.

SPECIALIZED SKILLS:

  • Ability to establish positive working relationships at all levels within the department and the organization.
  • Excellent verbal and written communication skills.
  • Ability to interact with patients, physicians and with other healthcare professionals.
  • Excellent verbal and written communication skills.
  • Ability to interact with patients, physicians and other health professionals.
  • Knowledge of Joint Commission on Accreditation of Health Care Organization (JCIA) CBAHI standards, Planetree standards.

COMPETENCE:

  • Conflict Resolution
  • Facilitation in problem solving
  • REQUIRED ATTITUDE TO PERFORM THE JOB:
  • People management and problem solving skills.
  • Positive attitude and ability to work under pressure and time constraints.
  • Proper, effective and compassionate communication.

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