Clinical Auditor

February 21, 2025

Job Description

  • Has in depth knowledge of the standards, measurable elements and objectives of DOH and JCI.
  • Develops the hospitals quality improvement plan.
  • Participates effectively in the implementation & follow up of Q.I plan activities.
  • Undertakes quality improvement initiatives & activities 
  • Serves as a resource to all departments, division and units and ambulatory and establishes committees 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 remains unresolved.
  • Develops and monitors effective patient care review and evaluation mechanisms to assure results are achieved.
  • Directs implementation and maintenance of technical guidelines and frameworks within which quality of care is evaluated. 
  • Liase with quality facilitators to coordinate staff education, variance collection and analysis.
  • Establish system-wide variance 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 priority programs and supports its infrastructure.
  • Based on the evaluation of the patients medical records intensifies concern areas and plans for the improvement.
  • Communicates appropriate information form 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 those, which achieves optimal patient outcomes, enhance patient/family and staff satisfaction are cost effective and resource appropriate.
  • Maintains all necessary records pertinent to the DOH , JCI, other health regulatory audits and OSH  process.
  • Facilitates Quality improvement plan meetings.
  • Submits monthly reports of quality activities to the PSQ Committee.
  • Maintains records of policies, procedures, guideline, 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 objective.
  • Actively involved in all aspects of clinical space design, construction and hygiene.
  • Performs administrative responsibilities. 
  • Justifies need for training in quality assurance process working with appropriate groups to initiate training to teach in areas of expertise.
  • Coordinates and monitors all Joint Commission on Accreditation compliance activities and participates in the survey process.
  • Coordinates Mock survey.
  • Does an Annual Evaluation of Quality Improvement program and submits reports to the PSQ committee.
  • Develops training/orientation program for key members to facilitate system expansion and standardization.
  • Demonstrates ability to perform under pressure.
  • Promotes a culture of safety in the department /& across the hospital.
  • help in formulating and executing the JDC Methodology, JAWDA KPIs process, audits, accreditations, certifications and preparing reports and reporting the status to Head of Department.

Responsibilities

  • Has in depth knowledge of the standards, measurable elements and objectives of DOH and JCI.
  • Develops the hospitals quality improvement plan.
  • Participates effectively in the implementation & follow up of Q.I plan activities.
  • Undertakes quality improvement initiatives & activities 
  • Serves as a resource to all departments, division and units and ambulatory and establishes committees 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 remains unresolved.
  • Develops and monitors effective patient care review and evaluation mechanisms to assure results are achieved.
  • Directs implementation and maintenance of technical guidelines and frameworks within which quality of care is evaluated. 
  • Liase with quality facilitators to coordinate staff education, variance collection and analysis.
  • Establish system-wide variance 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 priority programs and supports its infrastructure.
  • Based on the evaluation of the patients medical records intensifies concern areas and plans for the improvement.
  • Communicates appropriate information form 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 those, which achieves optimal patient outcomes, enhance patient/family and staff satisfaction are cost effective and resource appropriate.
  • Maintains all necessary records pertinent to the DOH , JCI, other health regulatory audits and OSH  process.
  • Facilitates Quality improvement plan meetings.
  • Submits monthly reports of quality activities to the PSQ Committee.
  • Maintains records of policies, procedures, guideline, 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 objective.
  • Actively involved in all aspects of clinical space design, construction and hygiene.
  • Performs administrative responsibilities. 
  • Justifies need for training in quality assurance process working with appropriate groups to initiate training to teach in areas of expertise.
  • Coordinates and monitors all Joint Commission on Accreditation compliance activities and participates in the survey process.
  • Coordinates Mock survey.
  • Does an Annual Evaluation of Quality Improvement program and submits reports to the PSQ committee.
  • Develops training/orientation program for key members to facilitate system expansion and standardization.
  • Demonstrates ability to perform under pressure.
  • Promotes a culture of safety in the department /& across the hospital.
  • help in formulating and executing the JDC Methodology, JAWDA KPIs process, audits, accreditations, certifications and preparing reports and reporting the status to Head of Department.

Qualifications

  • Graduate in preferably Science stream.
  • One year or more experience in healthcare quality. 
  • Responsibility for own continued professional growth beyond minimum preparation. An understanding of management objectives and ability to implement a system approach.
  • CPHQ or other quality certificates is desirable not a must.
  • Excellent command of oral and written English. Arabic language 
  • Advantageous / desirable but not essential.