Quality and Infection Control Manager📣 Job Ad

About the Role

Baraya Extended Care is seeking a skilled and experienced Quality and Infection Control Manager to join its team in Medina, Al Madinah, Saudi Arabia. This role is responsible for the strategic planning, implementation, and oversight of quality improvement and infection prevention programs across all Baraya Extended Care facilities. The position is key to ensuring adherence to standards set by the Ministry of Health (MOH), the Council of Cooperative Health Insurance (CBAHI), and international healthcare quality benchmarks. The successful candidate will foster a culture of patient safety and drive continuous improvement in care delivery, ensuring organizational readiness for accreditation and regulatory inspections.

Key Responsibilities

• Lead and manage comprehensive quality management and infection control programs across all inpatient and outpatient services.
• Ensure strict compliance with all relevant regulatory requirements, accreditation standards, and patient safety protocols.
• Monitor, analyze, and report on key quality indicators, patient safety metrics, and infection control data to identify trends and areas for intervention.
• Conduct regular audits, risk assessments, and tracer methodologies to evaluate compliance and identify potential gaps.
• Develop and implement corrective action plans based on audit findings and data analysis to address identified deficiencies.
• Lead and deliver effective staff education and awareness programs focused on quality improvement, patient safety, and infection prevention best practices.
• Support and coordinate organizational readiness for all internal and external inspections, surveys, and accreditation visits.
• Develop, implement, and monitor quality improvement programs aligned with organizational goals and regulatory requirements.
• Establish and track Key Performance Indicators (KPIs), patient safety indicators, and outcome measures to gauge program effectiveness.
• Manage the incident reporting system, conduct thorough Root Cause Analyses (RCAs), and oversee the implementation of resulting corrective actions.
• Lead infection control surveillance activities, monitor healthcare-associated infections (HAIs), and implement evidence-based prevention strategies.
• Develop, review, and update infection control policies and procedures to reflect current best practices and regulatory mandates.
• Coordinate and lead outbreak investigations, implementing prompt and effective control measures.
• Ensure continuous readiness for CBAHI, MOH, and other external audits through proactive preparation and ongoing evaluation.
• Lead accreditation preparation efforts, including documentation, staff training, and follow-up actions to maintain accreditation status.
• Serve as the primary liaison with regulatory bodies and surveyors during inspections and site visits.
• Promote compliance with essential safety standards, including hand hygiene protocols, isolation precautions, and environmental safety.
• Support departmental leaders in the implementation and sustainment of best practices in quality and infection control.
• Chair and actively participate in quality and infection control committees, driving strategic discussions and decision-making.
• Prepare comprehensive reports for senior management and governing bodies on quality performance, infection control status, and improvement initiatives.
• Provide expert advice and recommendations to leadership on quality risks, emerging trends, and strategic improvement priorities.
• Uphold Baraya's Vision, Mission, and values in all professional activities.
• Promote a culture of quality, safety, and accountability throughout the organization.
• Maintain strict confidentiality and adhere to all ethical standards in practice.
• Collaborate effectively with leadership and clinical teams to drive impactful improvement initiatives.

Qualifications and Requirements

• A Bachelor's degree in Nursing, Medicine, Public Health, or Healthcare Quality is required.
• A Master's degree in Quality Management, Patient Safety, or Public Health is preferred.
• Professional certification in Quality Management and/or Infection Control (*, CPHQ, CIC) is preferred.
• A valid professional license is required if clinically qualified.
• A minimum of 5 to 7 years of progressive experience in healthcare quality and infection control is mandatory.
• Proven experience in successfully managing quality improvement programs and infection prevention initiatives.
• Mandatory experience with CBAHI accreditation processes and a thorough understanding of MOH regulations.
• Demonstrated leadership or managerial experience is essential for this role.

Required Skills

• In-depth knowledge of quality improvement methodologies and patient safety principles.
• Strong understanding and practical application of infection prevention and control practices.
• Expertise in CBAHI, MOH, and international healthcare accreditation standards.
• Proficiency in analyzing quality data, identifying trends, and interpreting risk indicators.
• Exceptional leadership, communication, and change management skills.
• Ability to develop and implement effective policies, procedures, and performance indicators.
• Excellent reporting, presentation, and training skills.
• Proficiency in both written and spoken Arabic and English languages.

Work Environment

This is a full-time position based in Medina, Al Madinah, Saudi Arabia. The role requires 5-10 years of experience in the field.