Quality Resource Manager

Sunway Medical Centre Sdn Bhd; Subang Jaya; On-site; MYR 180,000 - 240,000; Full time

Job summary

Sunway Medical Centre Sdn Bhd in Malaysia seeks a Quality Assurance Manager to lead hospital-wide quality initiatives, patient safety programs, and accreditation readiness. You will coordinate regulatory standards (MSQH, JCI, ACHS), manage incident investigations with RCA, and drive data-driven improvements across departments.

The role requires 7+ years in healthcare, MBBS or Nursing degree, and a valid annual practicing license.

Qualifications

• MBBS or Bachelor of Nursing or equivalent.
• Minimum 7 years of experience in healthcare.
• Possess Valid Annual Practicing License.
• Good knowledge in hospital regulatory requirement, JCI/ACHS/MSQH standard requirements.
• Well-versed in quality improvement tools.
• Ability to work independently and good problem solving skills and analytical ability.

Responsibilities

• Lead and coordinate hospital-wide quality improvement initiatives.
• Coordinate accreditation requirements (MSQH, JCI, ACHS) and guide departments accordingly.
• Administer incident reporting, review incidents, ensure corrective and preventive actions and learning.
• Perform investigations using Root Cause Analysis to identify root causes and prevent recurrence.
• Consolidate and analyze incident data, preparing trend reports for HODs with remedial actions.
• Identify sentinel events and escalate for comprehensive RCA.
• Ensure timely submission of mandatory MOH reports for designated incidents.
• Develop and deliver education and training to relevant staff.
• Raise patient safety awareness through workshops, discussions, bulletins, and other platforms.

Skills

Quality improvement

Regulatory knowledge

Analytical ability

Problem solving

Independent working

Education

MBBS or Bachelor of Nursing or equivalent

Job description

Leads and coordinates quality improvement, patient safety and clinical effectiveness initiatives to support organizational goals.

Analyze processes and collaborates with staff and managers to implement sustainable improvements and innovations.

To administer hospital-wide incident reporting, review all incidents to ensure corrective and preventative actions are implemented, incidents are graded and learning is communicated.

Perform investigation on incidents using tools such as Root Cause Analysis to identify the root causes of the incident and prevent recurrence.

Consolidate and analyzes incident data, preparing summary reports on trends, key issues and remedial actions for relevant HODs.

Identify potential sentinel events and escalates promptly for comprehensive investigation and full Root Cause Analysis.

Ensure timely submission of mandatory reports to the MOH for designated reportable incidents.

3. Accreditation and Audits

Be the champion to lead, guide, and advice head of department on the requirement of accreditation standards, such as Malaysian Society for Quality in Health (MSQH), Joint Commission International (JCI), The Australian Council on Healthcare Standards (ACHS) and etc.

4. Clinical Data Management

Coordinate data collection and analyze clinical information related to patient safety, resource use and quality performance.

Identify trends and improvement areas and work with multidisciplinary teams to support quality initiatives.

Provide departmental statistics to reflect daily operations and identify opportunities to improve clinical outcomes.

Maintain accurate data to meet accreditation and regulatory standards.

5. Quality Improvement Projects

Lead and coordinate departmental quality improvement initiatives.

Use quality improvement methodologies such as Plan-Do-Study-Act (PDSA), Root Cause Analysis (RCA), Failure Mode Effect Analysis (FMEA) or Lean Six Sigma tools in quality improvement projects.

Work with departments to develop departmental risk registers.

Engage in Audit to ensure the controls identified in the risk register is implemented.

7. Education

Develop and deliver education and training to the relevant staff.

Raise Patient Safety awareness of staff through actively providing education via various platform such as workshop, ad hoc small group discussion, bulletin and etc.

Job Requirements

MBBS or Bachelor of Nursing or equivalent.

Minimum 7 years of experience in healthcare setting.

Possess Valid Annual Practicing License.

Good knowledge in hospital regulatory requirement, JCI / ACHS / MSQH standard requirements.

Well-versed in quality improvement tools.

Ability to work independently and good problem solving skills and analytical ability.

Quality Assurance Manager

Sunway Healthcare is part of the Sunway Group, one of Malaysia's largest conglomerates with core interest in property, construction, education and healthcare. The group currently runs Sunway Medical Centre, which is one of the largest private tertiary hospitals in the region with 636 beds and is accredited with the Australian Council on Healthcare Standards (ACHS). The group is also building 5 more hospitals in different cities in Malaysia which will complete in stages over the next four years.

Sunway Healthcare is part of the Sunway Group, one of Malaysia's largest conglomerates with core interest in property, construction, education and healthcare. The group currently runs Sunway Medical Centre, which is one of the largest private tertiary hospitals in the region with 636 beds and is accredited with the Australian Council on Healthcare Standards (ACHS). The group is also building 5 more hospitals in different cities in Malaysia which will complete in stages over the next four years.