Clinical Quality and Risk Coordinator

Desert Parkway Behavioral Healthcare Hospital•Las Vegas, NV

About The Position

The position is a clinical/quality improvement specialist 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.

Requirements

Valid Nevada licensure as a Registered Nurse required
Valid Nevada licensure as a Licensed Practical Nurse may be considered with equivalent healthcare and QI experience in lieu of RN license
Minimum three (3) years previous experience in healthcare regulatory compliance, quality, or risk required
Hospital experience 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
Ability to interpret clinical documentation and apply regulatory standards

Nice To Haves

Certification in healthcare quality, compliance, or risk preferred
behavioral health clinical experience preferred

Responsibilities

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.