EXECUTIVE, QUALITY

KPJ Selangor Specialist Hospital; Batu Pahat; On-site; MYR 54,000 - 78,000; Full time

Job summary

KPJ Selangor Specialist Hospital is seeking a Quality Compliance role to oversee clinical governance and accreditation readiness. You will coordinate ongoing quality activities, monitor adherence to ISO standards, liaise with external agencies, and report findings to top management. The ideal candidate has a degree, hospital experience, and strong leadership and communication skills. The position requires teamwork and occasional travel for training.

Qualifications

• Degree in any discipline or equivalent work experience.
• Minimum one year of relevant experience.
• Preferably hospital/healthcare experience.
• Able to communicate in Malay and English, both written and spoken.
• Willing to work in a team and under pressure.
• Good leadership and time management skills.
• Independent with minimal supervision and willing to travel for training.
• Knowledgeable and committed to job responsibilities.

Responsibilities

• Assist in directing clinical and quality compliance by coordinating activities across the hospital in line with KPJ governance, policies, and procedures.
• Coordinate quality activities such as IMS, MSQH, 5S, BFHI, JCI, ICC, among others.
• Inform GM, CNO, Finance Manager of quality issues or reportable situations requiring administrative involvement.
• Establish, implement, and ensure compliance with hospital services delivery to meet ISO standards or accreditation requirements.
• Ensure compliance with statutory/regulatory requirements and hospital policies.

Skills

Leadership

Interpersonal skills

Time management

Teamwork

Communication (Malay & English)

Education

Degree in any discipline

Job description

1) MAIN RESPONSIBILITIES

• Responsibility to assist in directing clinical and quality compliance by coordinating activities throughout the hospital in the line with KPJ clinical governing policy, KPJ policy and procedure and hospital policies and procedure.

• Direct co-ordinate quality activities example IMS, MSQH, 5S, BFHI, JCI, ICC and etc.

• Responsible to keep General Manager, Chief Nursing Officer, Finance Manager informed of any quality issues or reportable situation that needs administrative involvement.

• To be responsible for the establishment, implementation and compliance of the delivery of the hospital services in accordance to ISO standards or accreditation of hospital/ professional practice.

• Ensure systematic, structured, up-to-date, compliance with statutory and regulatory requirements and hospital`s policies and procedures.

• To compile, monitor and evaluate effectiveness of continuous quality improvement programs/ activities including risk management activities and ensure conformity to set standards/ professional/ ethics/ best practice and report to Top Management.

• To come up with suggestion/ recommendation inclusive of corrective action, preventive action and innovation for continuous quality improvement.

• To disseminate quality improvement information to all staff of the organization.

• To conduct independent audit from time to time and report audit findings to GM.

• To prepare audit programs and schedule, coordinate and monitor to evaluate the adequacy and effectiveness of control in the performance of the quality system.

• To liaise, co-ordinate and develop networking with external agencies e.g. Ministry of Health, SIRIM, INTERTEK SDN BHD, MSQH, MPC & potential customers etc.

• Updating and reporting the progress and charges of Quality Activities in Hospital to BOM/BOD/KPJHQ.

• Coordinating Management Review Meeting and any related Quality Meeting.

• To review, file and retain the audit reports on non-conformance and highlight to relevant personnel and assist in formulation the corrective action to be taken.

• To recommend, participate and assist in formulation and conducting of awareness and refresher, education and training for Quality related programs for staff.

• Identify the suitability of award and certification to be involved and present to Top Management.

• To coordinate certification audit/ survey with third party auditor / surveyor.

• Involved and facilitate in committee related to Quality.

• Act as advisor for ICC and Suggestion Scheme team. Other duties as assigned by Top Management.

• To ensure conformance to all policies and procedures and /or Hospital Accreditation Standards, Guidelines, Relevant Acts, Regulations by-Laws and statutory requirement are adhered to and records maintained, if and when these programs are implemented.

• Responsible and accountable to carry out all activities directed by the Management.

• Maintain strict confidentiality of any information encountered during the course of your duty in accordance with the Personal Data Protection Act 2010.

2) JOB REQUIREMENT

• Degree in any discipline or equivalent work experience.

• Minimum one (1) year experience of relevant experience or any equivalent combination of education and work related experience.

• Preferably with relevant experience in Hospital/ Health care business or any equivalent combination or education and work related experience.

• Able to communicate and write in Malay and English Language.

• Prepare to work as a team member in the manner the best.

• Ability to work under pressure and meet deadlines.

• Good leadership, good interpersonal and communication skills, team work, good time management.

• Able to work independently with minimum supervision.

• Willing to travel attending training/ courses organized by the management.

• Knowledgeable & committed toward job responsibilities.