Clinical Quality and Risk Coordinator - ON SITE

Desert Parkway Behavioral Healthcare Hospital is dedicated to delivering compassionate, safe, and high-quality care to our community. We are committed to fostering a culture of safety, continuous improvement, and regulatory excellence. We are currently seeking a dedicated and detail-oriented Clinical Quality and Risk Coordinator to join our team and make a meaningful difference in patient outcomes.

The position is responsible for incident investigation, data analytics, regulatory compliance monitoring, and CMS aligned grievance management. This role requires clinical judgment or formal regulatory/quality training to interpret behavioral health events, identify trends, and support organizational risk mitigation strategies.

• →Conduct clinical‑level incident investigations (self‑harm, elopement, medication events, restraint/seclusion).
• →Perform root cause analyses (RCA, FMEA).
• →Evaluate clinical documentation for accuracy and regulatory compliance.
• →Identify system‑level contributing factors and corrective actions.
• →Collaborate with Nursing, Medical Staff, and Clinical Services on high‑risk events.

• Analyze incident data using statistical methods.
• Develop trend reports, dashboards, and risk profiles.
• Identify emerging patterns requiring intervention.
• Review and document within the incident reporting application.
• Present findings to leadership and committees.

• Monitor compliance with CMS, Joint Commission, and state regulations.
• Support survey readiness and mock tracers.
• Assist with policy development and regulatory updates.

• Manage complaint and grievance intake, documentation, and timelines.
• Ensure CMS‑compliant investigation and written responses.
• Track complaint and grievance trends and identify systemic issues.

• Valid Nevada licensure as a RN or LPN required
• Certification in healthcare quality, compliance, or risk preferred
• Minimum three (3) years previous experience in healthcare regulatory compliance, quality, or risk required
• Hospital experience required; behavioral health clinical experience preferred
• Previous experience analyzing incident data, developing dashboards and identifying trends required
• Experience with incident investigation and RCA methodology
• Experience with survey readiness activities (CMS, Joint Commission, or state)
• Experience using incident reporting systems and managing data integrity
• Knowledge of CMS grievance regulations, to include CMS-aligned investigation, documentation, and written responses
• Ability to interpret clinical documentation and apply regulatory standards