Drug Diversion Program Manager

Renown Health • Reno, NV

2d

About The Position

The Drug Diversion Program Manager leads Renown Health’s system-wide Drug Diversion Program, coordinating prevention, detection, investigation, response, and reporting activities for suspected medication and controlled-substance diversion. The role supports compliance with DEA and state and local controlled-substance regulations and applies nursing knowledge, clinical judgment, investigative discipline, data analytics, program management, stakeholder coordination, and regulatory awareness to protect patient safety, preserve medication integrity, support workforce accountability, and reduce organizational risk.

The manager oversees consistent review, documentation, escalation, tracking, and closure of diversion-related concerns, and supports objective reviews and investigations using approved sources such as electronic health records, medication administration records, automated dispensing cabinets, pharmacy systems, diversion surveillance software, access records, incident reports, laboratory information, and scheduling records. The role requires familiarity with the medication-use lifecycle, from procurement and storage through dispensing, administration, waste, and documentation.

The position partners with clinical, operational, compliance, legal, privacy, patient safety, risk management, human resources, security, revenue cycle, medical staff, pharmacy, nursing, and information technology stakeholders. It supports the Drug Diversion Steering Committee and Diversion Activation Team; maintains program processes and materials; identifies trends and improvement opportunities; and escalates matters according to policy, law, accreditation expectations, and licensing-board requirements. The role supports, but does not independently determine criminal liability, make employment decisions or legal conclusions, make final regulatory reporting decisions when Compliance or Legal review is required, or replace clinical peer review. Patient care may be provided only when assigned and authorized within applicable licensure, competency, and role expectations.

Requirements

• Bachelor’s degree in Nursing.
• At least five years of registered nursing experience.
• Ability to obtain and maintain a current, valid State of Nevada Registered Nurse license.
• Ability to read, write, speak, and understand English sufficiently to perform job duties safely and effectively.
• Knowledge of nursing practice, medication administration standards, acute-care workflows, patient safety principles, and clinical documentation requirements.
• Knowledge of controlled-substance handling, automated dispensing cabinet processes, wasting and witnessing requirements, medication reconciliation, pharmacy workflows, and common diversion methods.
• Ability to conduct objective, fair, thorough, well-documented, and defensible investigations while maintaining confidentiality and avoiding unsupported conclusions.
• Ability to analyze clinical, pharmacy, medication administration, audit-trail, scheduling, access, laboratory, incident-reporting, and other approved data to identify trends, outliers, discrepancies, and potential patient-safety concerns.
• Ability to use or rapidly learn diversion surveillance software and interpret automated alerts, risk indicators, exception reports, and risk-scoring information in context.
• Working knowledge of federal and Nevada requirements and expectations related to controlled substances, medication safety, diversion prevention and response, patient privacy, documentation, reporting, and escalation.
• Ability to communicate clearly and professionally with clinical, operational, compliance, legal, privacy, patient safety, risk management, human resources, security, revenue cycle, medical staff, pharmacy, nursing, and information technology stakeholders.
• Ability to manage multidisciplinary program operations, including workplans, intake, triage, escalation tracking, committee support, meeting facilitation, metrics, dashboards, action items, corrective actions, policy coordination, education support, process improvement, and stakeholder communication.
• Ability to prepare concise investigative summaries, dashboards, committee materials, presentations, and executive reports.
• Demonstrated integrity, objectivity, professional skepticism, discretion, emotional maturity, attention to detail, sound clinical judgment, fairness, persistence, and commitment to patient safety and regulatory compliance.
• Proficiency with Microsoft Office Suite, including Outlook, PowerPoint, Excel, Teams, and Word, and ability to use a computer for online learning, forms, policies, and benefits enrollment.

Nice To Haves

• Master’s degree in nursing, Healthcare Administration, Patient Safety, Quality, Compliance, or a related field.
• Registered nursing experience in acute care, emergency, perioperative, procedural, critical care, infusion, behavioral health, or another medication-intensive setting.
• Experience leading or coordinating programs, projects, investigations, quality reviews, compliance activities, patient-safety initiatives, medication safety work, controlled-substance monitoring, diversion surveillance, documentation review, internal audit, or pharmacy operations.
• Certification in Healthcare Compliance, Healthcare Quality, Patient Safety, Professional Healthcare Risk Management, or a related discipline.
• Advanced ability to work with electronic health records, medication administration records, automated dispensing cabinet reports, pharmacy systems, diversion surveillance platforms, databases, dashboards, and data visualization tools.
• Experience with Epic, Omnicell, Pyxis, DetectRx, or comparable systems.

Responsibilities

• Lead Renown Health’s system-wide Drug Diversion Program.
• Maintain the program workplan and coordinate intake, triage, escalation, investigation support, and closure of diversion-related concerns.
• Coordinate multidisciplinary response activities and facilitate reviews and investigations using approved information sources.
• Ensure concerns are reviewed, documented, escalated, tracked, and closed consistently.
• Support the Drug Diversion Steering Committee and Diversion Activation Team; prepare program and committee materials and reports.
• Track decisions, action items, and corrective actions, and monitor corrective actions through completion.
• Maintain dashboards, metrics, committee materials, and action-item logs; identify and report trends.
• Coordinate education and awareness and support policy maintenance and process improvement.
• Provide leadership updates and recommendations concerning diversion risk, program performance, trends, and follow-up actions.
• Organize evidence, facilitate review, and support escalation and informed decision-making by leaders.
• Provide patient care only when assigned and authorized within applicable licensure, competency, and role expectations.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager