Clinical Quality and Risk Coordinator - ON SITE

Desert Parkway Behavioral Healthcare Hospital; Las Vegas (NV); On-site; USD 70,000 - 100,000; Full time

Benefits offered by this job

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

Short- and long‑term disability

Pet Insurance

Identity Theft Insurance

Job summary

Desert Parkway Behavioral Healthcare Hospital is seeking a Clinical Quality and Risk Coordinator to lead incident investigations, data analytics, and regulatory compliance efforts. The role emphasizes patient safety, root cause analyses, and collaboration with Nursing, Medical Staff, and Clinical Services on high‑risk events.

The coordinator will monitor CMS and state regulations, manage complaints and grievances, and support policy updates, with a full benefits package available after

Qualifications

• Minimum three years of experience in healthcare regulatory compliance, quality, or risk.
• Hospital experience, behavioral health preferred.
• Experience with incident investigations and RCA methodology.
• Ability to interpret clinical documentation and apply regulatory standards.
• Knowledge of CMS, Joint Commission, and state survey readiness.

Responsibilities

• Investigate clinical incidents including self-harm, elopement, medication events, and restraints.
• Perform root cause analyses (RCA, FMEA) and identify corrective actions.
• Analyze incident data; develop dashboards and risk profiles.
• Monitor CMS, Joint Commission, and state regulatory compliance.
• Manage complaint and grievance intake and CMS-aligned investigation.
• Present findings to leadership and committees.
• Collaborate with Nursing, Medical Staff, and Clinical Services on high-risk events.
• Support survey readiness and mock tracers.

Skills

Regulatory compliance

Incident investigation

Data analytics

Root cause analysis

Trend analysis

Education

Nevada RN license

Nevada LPN license

Tools

Incident reporting systems

Dashboard software

Job description

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-orientedClinical Quality and Risk Coordinatorto 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.

• 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

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