Quality Manager

Date: 18 Nov 2025

Location: Sharjah, AE

Company: University Hospital Sharjah

Position Summary

University Hospital Sharjah is looking for a Dedicated and Experienced Quality Manager to Drive Excellence in Healthcare Services.

Quality Manager is responsible for interpreting, defining, implementing, coordinating, monitoring, evaluating and reporting as a field wide authority, the Quality Improvement and Patient safety Program for the Organization and the Organization's adherence to the Joint Commission International Accreditation of Hospital Standards.

Summary of Main Duties

• Has a deep understanding of the standards, measurable elements and intents of the JCI
• Maintains continuous knowledge and understanding of JCIA functions and standards.
• Developing University Hospital Sharjah Quality Improvement Program
• Participating effectively in implementing & following up of Q.I. Plan Activities.
• Orchestrating Quality Improvement Initiatives & activities hospital-wide.
• Serves as a resource to all departments, divisions and units, hospital and ambulatory, and established committees in all areas relating to Quality Assurance.
• Promotes and facilitates cost effective resource utilization related to infection control policies and procedures.
• Establishes priorities for investigation of problem areas based on the degree of adverse impact on patient care that can be expected if the problem remains unresolved.
• Develops effective patient care review and evaluation mechanisms and monitors to assure results are achieved.
• Directs implementation and maintenance of technical guidelines and frameworks within which quality of care is evaluated.
• Arranges with Quality Facilitators throughout UHS for staff education.
• Varied collection and analysis.
• Establishes system wide variation database for benchmarking, system improvement opportunities, length of stay and resource management.
• Provides ongoing assessment and support for continuous quality improvement, quality assurance and risk management, safety culture for the Hospitals priority programs and supports its infrastructure.

Responsibilities

• Based on the evaluation of the patient's medical records identifies care concerning areas and plans for improvement.
• Communicates appropriate information from studies and data sources to committees, departments and persons affected by the studies.
• Identifies and shares across the system best practice models and care processes that achieve optimal patient outcomes, enhance patient/family and staff satisfaction, are cost effective and resource appropriate.
• Maintains all necessary records pertinent to the JCI process.
• Facilitates Quality Improvement plan meetings.
• Prepares quarterly reports for review by hospital executive and governance.
• Maintains records of policies, procedures, guidelines, forms and other documents and ensures the circulation of current documents and the de circulation of expired documents.
• Maintains records of all Quality Assurance activities.
• Provides educational and technical assistance to committees and departments in meeting their Quality Assurance objectives.
• Maintains active involvement in all aspects of clinical space design, construction and hygiene.
• Performs administrative responsibilities.
• Justifies need for training in Quality Assurance processes and methods and either works with appropriate groups to initiate training or teaches in areas of expertise.
• Coordinates and monitors all Joint Commission accreditation activities and participates in the survey process.
• Coordinates mock surveys.
• Conducts an annual evaluation of the Quality Improvement Program and submits reports to the CEO.
• Develops training/orientation program for key members to facilitate system expansion and standardization.
• Performs miscellaneous related duties as requested by the CEO and Medical Director.

Position Requirements / Qualifications

• Qualification in healthcare field and postgraduation in healthcare/quality management and experience of at least 10 years in Quality Management and accreditation leading the entire JCI accreditation survey process with completion of at least 3 Joint Commission International Surveys as Head of Quality.
• Certification in healthcare quality required.
• Excellent command of oral and written English.
• Responsibility for own continued professional growth beyond minimum preparation. An understanding of management objectives and the ability to implement a systems approach.
• Must be well versed with Word and Excel.