Policy and Audit Officer

Aegis Health Private Hospital – Policy and Audit Officer

Full time position, Monday to Friday (no weekend work)

Join our team, and our mission.

We are revolutionising Health care in our new state-of-the-art Facilities by empowering recovery through a holistic and community integrated Health Care model.

About Aegis Health

Aegis Health has a guiding philosophy and deep commitment to quality health care based on compassion and respect. Aegis Health has evolved from the Aegis Group's extensive experience in care provision, to develop innovative health care services. At Murdoch Square, these integrated health services comprise surgical services, mental health and primary care services. The surgical services are located across three floors in the Aegis Health Private Hospital. To learn more about Aegis Health, visit our website:

Aegis Health offers a competitive rate of pay and benefits including onsite parking. We offer a supportive workplace, with education and training.

About the Role

This is a crucial role where you will coordinate the hospital's entire quality framework, ensuring every clinical and non-clinical service operates at the highest level of compliance and best practice. Reporting to the Executive Manager, you will be the driving force behind our policy lifecycle and audit program, ensuring we meet our obligations under the National Safety & Quality Health Service (NSQHS) Standards and other essential regulatory requirements.

Key Responsibilities Include:

• Policy Management: Coordinate the development, review, authorisation, and hospital-wide distribution of all clinical and non-clinical policies using our electronic document management system.
• Audit Program Leadership: Design, implement, and maintain the hospital's audit program to monitor compliance against NSQHS Standards and LARU private hospital standards.
• Compliance Monitoring: Conduct, analyse, and report on a comprehensive range of clinical and non-clinical audits, using your findings to inform continuous improvement.
• Stakeholder Engagement: Collaborate effectively with all Aegis Health employees, patients/consumers, and external regulatory stakeholders to champion a culture of accountability and safety.

About You

To be successful in this role, you must be a highly organised and detail-oriented professional with a strong clinical background and auditing expertise.

Essential Requirements:

• Current AHPRA registration as a Registered Nurse.
• Proven knowledge and experience with NSQHSS auditing obligations.
• Experience in developing and maintaining a hospital-wide auditing program, including the use of comprehensive clinical auditing tools.
• Demonstrated experience in the development, implementation, and evaluation of policies in a healthcare environment.
• Excellent analytical, communication, and stakeholder engagement skills.
• Strong computer literacy, proficient in Microsoft Office (Excel, Word) and electronic document management systems.
• Demonstrated initiative and ability to work effectively, both independently and as part of a team.

You will be required to have or able to obtain:

• Verification of eligibility to work in Australia.
• Provision of the minimum identify proofing requirements.
• Successful Police check clearance.
• Working with Children (WWC) check.
• Current registration with the Nursing and Midwifery Board of Australia (APHRA).
• Successful Pre-employment Health Assessment.

Highly Desirable (But Not Essential):

• Experience with LARU private hospital licensing and accreditation.
• Knowledge of the National Standards for Mental Services.
• Demonstrated clinical experience in procedural services or mental health.
• Trained and experienced National Hand Hygiene Initiative (NHHI) Hand Hygiene Auditor.

If you embody these qualities and are excited about the opportunity to be part of the innovative mental health care team at Aegis Health, we would love to hear from you