Develops, implements, and periodically revises regulatory and accreditation compliance programs.
Serves as the American Hospital Dubai representative liaising with the Dubai Health Authority.
Leads and supports inspection readiness activities.
Provides support during and after regulatory and accreditation inspections and internal audits.
Contributes to developing recommendations for changes to clinical practices to ensure compliance.
Assists in preparing comprehensive reports, including recommendations and appropriate action plans.
Facilitates the dissemination of results from inspections and audits.
Manages a portfolio of activities to ensure regulatory compliance, including mock inspections, surveys, and tracers.
Maintains confidentiality of all data and information at all times.
Interprets and reports quality data to support facility leadership and clinical decision-makers.
Identifies and escalates significant non-conformance with laws, regulations, or standards to the Director of Clinical Governance.
Works directly and closely with all disciplines to develop reliable processes for achieving compliance.
Maintains various databases and is accountable for the timely and accurate production of routine and ad-hoc reports.
Coordinates with the Clinical Auditor & Data Management Coordinator in establishing and implementing audit activities.
Serves as a subject matter expert regarding UAE and Dubai Healthcare laws and regulations, JCI standards, and other accreditation agencies.
Performs other applicable tasks and duties assigned by the Director of Clinical Governance within the employee’s knowledge, skills, and abilities.
Completes all assigned tasks in a timely, standardized, and appropriate format.
QUALIFICATIONS & SKILLS:
Bachelor's Degree or equivalent in a relevant field such as quality, business administration or Diploma in a relevant field with 3 years of additional experience.
Certification in Healthcare Quality (CPHQ) or Certification in compliance preferred.
PROFESSIONAL EXPERIENCE:
Minimum of three (3) years of experience in regulatory compliance.
Comprehensive experience of Joint Commission International activities.
Knowledge of Dubai Health Authority laws and regulations.
Clinical experience or previous experience in a healthcare setting.
