Clinical Quality and Risk Coordinator - ON SITE

About this role

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.
KEY RESPONSIBILITIES:
Clinical/Regulatory Investigation & Analysis

• 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.
Data & Trend Analytics

• 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.
Regulatory Compliance

• Monitor compliance with CMS, Joint Commission, and state regulations.

• Support survey readiness and mock tracers.

• Assist with policy development and regulatory updates.
Complaint and Grievance Management

• Manage complaint and grievance intake, documentation, and timelines.

• Ensure CMS‑compliant investigation and written responses.

• Track complaint and grievance trends and identify systemic issues.
Requirements

• 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
Benefits
A full benefits package is available the first of the month following just one month of employment.
Desert Parkway offers competitive benefits for full-time employees to include:

• Medical insurance

• Dental insurance

• Vision insurance

• 401K Retirement Plan

• Healthcare spending account

• Dependent care spending account

• PTO Plan with holiday premium pay

• Discounted cafeteria meal plan

• Life insurance (including plans for spouse and children)

• Short- and long-term disability (with additional buy-in opportunities)

• Pet Insurance

• Identity Theft Insurance