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Description

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.

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 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
• 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
• 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

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