Quality Manager

Royal Health Group AE; United Arab Emirates; On-site; AED 223,200 - 334,800; Full time

Job summary

Royal Health Group AE in the United Arab Emirates is looking for a Quality Manager responsible for planning and implementing the hospital’s Quality Management System (QMS). The role focuses on continuous improvement for regulatory compliance and patient care excellence.

The ideal candidate should have a Bachelor’s Degree in a relevant field, a Master's preferred, and extensive experience in healthcare quality management including JCI accreditation and DOH regulations.

Qualifications

• Minimum 5–8 years of experience in healthcare quality management.
• At least 3–5 years in a leadership role within an accredited healthcare facility.
• Experience with DOH Abu Dhabi regulations, JCI Accreditation, and JAWDA KPIs is mandatory.

Responsibilities

• Develop, implement and maintain the hospital’s QMS.
• Lead organization-wide quality improvement and patient safety initiatives.
• Monitor compliance with regulatory authorities, accreditation standards and hospital policies.

Skills

Quality Management Systems (QMS)

JCI Accreditation Standards

DOH Regulations

JAWDA KPI Management

Patient Safety Programs

Leadership and team management

Risk Management

Data Analysis & Reporting

Root Cause Analysis (RCA)

Clinical Governance

Microsoft Office Suite (Advanced Excel & PowerPoint)

Education

Bachelor’s Degree in Healthcare Administration or a related field

Master’s Degree (preferred)

Tools

Microsoft Office Suite

Job description

Overview

The Quality Manager is responsible for planning, implementing, monitoring and continuously improving the hospital’s Quality Management System (QMS) to ensure compliance with Department of Health (DOH), JCI Accreditation Standards, JAWDA requirements and other applicable regulatory standards. The role leads quality improvement initiatives, patient safety programs, accreditation activities, performance measurement and organizational compliance to promote excellence in patient care.

Key Responsibilities

• Develop, implement and maintain the hospital’s QMS.
• Lead organization-wide quality improvement and patient safety initiatives.
• Establish quality policies, procedures and clinical governance frameworks.
• Monitor compliance with regulatory authorities, accreditation standards and hospital policies.
• Conduct quality assessments, gap analyses and process improvement initiatives.
• Lead hospital readiness for JCI, DOH, CAP and other accreditation programs.
• Coordinate corrective and preventive action (CAPA) plans following audits and monitor their implementation.
• Develop, monitor and analyze hospital Key Performance Indicators (KPIs).
• Lead JAWDA KPI data collection, validation, certification and reporting.
• Prepare monthly quality dashboards and trend analysis reports, and present quality performance reports to leadership committees and department heads.
• Recommend action plans based on quality performance outcomes.
• Lead patient safety initiatives across all departments.
• Monitor incident reporting systems and root cause analyses.
• Facilitate implementation of corrective and preventive actions.
• Promote a culture of safety and continuous improvement.
• Plan and conduct internal quality audits and coordinate external regulatory inspections and accreditation surveys.
• Monitor audit findings and ensure timely closure of corrective actions.
• Develop and review hospital-wide policies and procedures and ensure document control and compliance with QMS requirements.
• Maintain quality documentation and records.
• Conduct quality awareness and patient safety training programs.
• Educate staff on quality standards, JCI requirements and QMS processes.
• Support competency development related to quality management.
• Promote the hospital’s vision, mission and quality objectives.
• Collaborate with department heads to improve operational performance.
• Participate in strategic planning for quality and patient safety.
• Foster multidisciplinary collaboration and effective communication.
• Support staff recruitment, retention and professional development initiatives.

Qualifications

Education

Bachelor’s Degree in Healthcare Administration, Hospital Administration, Nursing, Business Administration, or a related healthcare field. Master’s Degree is preferred.

Certifications

Certified Professional in Healthcare Quality (CPHQ) preferred. Certified Internal Auditor or Lead Auditor qualification is an advantage. JCI Accreditation training is preferred.

Experience

Minimum 5–8 years of experience in healthcare quality management. At least 3–5 years in a leadership role within an accredited healthcare facility. Experience with DOH Abu Dhabi regulations, JCI Accreditation, and JAWDA KPIs is mandatory.

Knowledge and Skills

• Quality Management Systems (QMS)
• JCI Accreditation Standards
• DOH Regulations
• JAWDA KPI Management
• Clinical Governance
• Patient Safety Programs
• Risk Management
• Root Cause Analysis (RCA)
• Performance Improvement (PI)
• Internal & External Auditing
• Policy Development
• Data Analysis & Reporting
• Microsoft Office Suite (Advanced Excel & PowerPoint)
• Strong communication and presentation skills
• Leadership and team management

Key Performance Indicators (KPIs)

• JCI Accreditation Compliance
• DOH Regulatory Compliance
• JAWDA KPI Performance
• Audit Completion Rate
• Corrective Action Closure Rate
• Incident Reporting & RCA Completion
• Policy Review Compliance
• Staff Quality Training Completion
• Patient Safety Indicator Performance
• Departmental Quality Improvement Project Completion

Physical Requirements

Primarily office-based within the hospital environment. May require movement between departments and hospital facilities. Prolonged computer use and participation in audits, meetings and inspections.