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
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Conduct clinical‑level incident investigations (self‑harm, elopement, medication events, restraint/seclusion).
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Perform root cause analyses (RCA, FMEA).
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Evaluate clinical documentation for accuracy and regulatory compliance.
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Identify system‑level contributing factors and corrective actions.
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Collaborate with Nursing, Medical Staff, and Clinical Services on high‑risk events.
Data & Trend Analytics
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Analyze incident data using statistical methods.
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Develop trend reports, dashboards, and risk profiles.
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Identify emerging patterns requiring intervention.
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Review and document within the incident reporting application.
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Present findings to leadership and committees.
Regulatory Compliance
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Monitor compliance with CMS, Joint Commission, and state regulations.
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Support survey readiness and mock tracers.
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Assist with policy development and regulatory updates.
Complaint and Grievance Management
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Manage complaint and grievance intake, documentation, and timelines.
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Ensure CMS‑compliant investigation and written responses.
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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
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Certification in healthcare quality, compliance, or risk preferred
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Minimum three (3) years previous experience in healthcare regulatory compliance, quality, or risk required
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Hospital experience required; behavioral health clinical experience preferred
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Experience with incident investigation and RCA methodology
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Experience with survey readiness activities (CMS, Joint Commission, or state)
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Experience using incident reporting systems and managing data integrity
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Knowledge of CMS grievance regulations
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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:
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Medical insurance
- Dental insurance
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Vision insurance
- 401K Retirement Plan
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Healthcare spending account
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Dependent care spending account
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PTO Plan with holiday premium pay
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Discounted cafeteria meal plan
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Life insurance (including plans for spouse and children)
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Short- and long-term disability (with additional buy-in opportunities)
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Pet Insurance
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Identity Theft Insurance