Patient Safety & Risk Manager

Nexus Health Systems Ltd•San Antonio, TX

About The Position

Nexus Neurorecovery Center – San Antonio is seeking an experienced Patient Safety & Risk Manager to lead facility-wide safety, incident management, and risk reduction efforts within our adolescent residential treatment program. This role is highly operational and visible within the facility, partnering closely with nursing, clinical, and direct care leadership to identify safety risks, improve staff practices, and strengthen the therapeutic environment. The Patient Safety & Risk Manager plays a critical role in incident prevention, investigation, and corrective action, while also ensuring compliance with Texas HHSC and Joint Commission Behavioral Health standards. This is not a desk-only compliance role. The ideal candidate is comfortable on the units, observing workflows, coaching staff, and driving real behavioral change that protects our residents and staff.

Requirements

Bachelor’s degree in Nursing, Behavioral Health, Psychology, Social Work, Public Health, or related field required
Minimum of 3 years in behavioral health, residential treatment, inpatient psychiatry, or similar high-acuity environments
Direct experience with incident investigation, risk management, or patient safety required
Experience working closely with direct care and nursing teams strongly preferred
Knowledge of Texas HHSC behavioral health regulations and Joint Commission standards preferred
Strong situational awareness and ability to assess real-time safety risks
Confident communicator able to coach staff and challenge unsafe practices
Analytical and detail-oriented with strong documentation skills
Comfortable working in fast-paced, emotionally intense environments
Able to influence without direct authority

Nice To Haves

Master’s degree preferred
RN licensure preferred
CPHQ or patient safety certification a plus

Responsibilities

Lead facility response to patient safety events, injuries, and behavioral incidents.
Review, trend, and analyze incident reports to identify systemic risks.
Conduct root cause analyses and develop corrective action plans.
Partner with leadership to implement and monitor safety interventions.
Track effectiveness of corrective actions and adjust strategies as needed.
Conduct safety rounds and comprehensive environmental risk assessments to support a safe therapeutic treatment environment.
Identify potential risks related to patient supervision, staffing patterns, and unit practices.
Collaborate with nursing and clinical leadership to strengthen safety practices, enhance therapeutic engagement, and support crisis response processes.
Contribute to emergency preparedness efforts, including planning, drills, and post-event debriefings to promote continuous improvement and organizational readiness.
Deliver focused training on de-escalation, documentation, patient rights, supervision standards, and effective incident response.
Coach supervisors and direct-care staff in safe practices, professional accountability, and consistent application of safety protocols.
Support onboarding and competency validation related to Safety and Risk Management.
Promote a Just Culture framework that encourages learning, transparency, and continuous improvement while maintaining appropriate accountability.
Serve as a primary liaison with Texas HHSC and Joint Commission representatives, ensuring clear, timely, and professional communication
Ensure patient safety and risk‑management processes align with all applicable regulatory standards through ongoing collaboration with regulatory partners.
Coordinate and communicate survey‑readiness activities, including safety, incident management, and environment‑of‑care requirements, with internal teams and external regulatory agencies.
Lead and participate in audits, regulatory reviews, and follow‑up actions, maintaining consistent communication with regulators regarding findings, corrective actions, and timelines