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Nurse I - RN Critical Incident/Occurrence Reporter-CMHHIP-Pueblo

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Nurse I - RN Critical Incident/Occurrence Reporter-CMHHIP-Pueblo

Salary

$43.80 Hourly

Location

Pueblo, CO

Job Type

Full Time

Job Number

IIB 04149 12/02/2025

Department

Colorado Department of Human Services

Division

OBH - CMHIP

Opening Date

12/02/2025

Closing Date

12/23/2025 11:59 PM Mountain

FLSA

Determined by Position

FLSA Status

Non-Exempt; position is eligible for overtime compensation.

Department Contact Information

Tricia Jepsen- [email protected]

Type of Announcement

A residency waiver has been granted for this announcement. Applications will be considered from residents and non-residents of Colorado.

Primary Physical Work Address

In Person: Colorado Mental Health Hospital in Pueblo, 1600 W. 24th Street, Pueblo, CO 81003

How To Apply

Please submit an online application for this position at https://www.governmentjobs.com/careers/colorado. Reach out to the Department Contact to apply using a paper application, including any supplemental questions. Failure to submit a complete and timely application may result in the rejection of your application. Applicants are responsible for ensuring that application materials are received by the appropriate Human Resources office before the closing date and time listed.

+ Description

+ Benefits

+ Questions

Department Information

Registered Nurse I-Full Time

CMHHIP

This position has a residency waiver and will be accepting applications from residents and non-residents of Colorado. If appointed to a position, applicants from outside of Colorado will be required to relocate to Colorado prior to their start date, at their own expense

Thank you for your interest in this position with CMHHIP. Please note that while we are currently accepting applications and interviews may take place for this recruitment, we will not be extending any job offers with a start date prior to January 5, 2026

This position will receive a short-staffing temporary pay differential of 4% from July 1, 2025 - June 30, 2026.

Colorado Mental Health Hospital in Pueblo (CMHHIP)

As a cornerstone of the Pueblo community for over a century, Colorado Mental Health Hospital in Pueblo (CMHHIP) is a leading employer, provider of quality mental health services, and a community partner.

CMHHIP is a 24 hour behavioral health acute care facility that is intended to provide a safe, secure, and therapeutic setting for patients with both psychiatric and medical issues. The services provided include evaluation and treatment for patients who are severely mentally ill, and the goal of this facility is to return patients to their optimal level of functioning and assist them in returning to the community as appropriate.

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Description of Job

About the Position:

Assists with the implementation of the CMHHIP Critical Incident Reporting Program as outlined in CRS 25-1-124 (2). This position reviews and analyzes incident reports, using the standards of practice set by the Colorado Department of Public Health and Environment (CDPHE), and provides follow up for Colorado Mental Health Institute at Pueblo (CMHHIP), Behavioral Health Administration (BHA), and Colorado Department of Human Services (CDHS). Performs a fact finding assessment of each allegation and determines which events constitute a critical incident/occurrence and determines which of those must be reported to Law Enforcement, OCFMH/CDHS Leadership, CMHHIP leadership, the Colorado Behavioral Health Administration (BHA) and Colorado Department of Public Health and Environment (CDPHE) or referred to a specific departmental discipline. Collaborates with Unit Leadership, Department of Public Safety (DPS) and appropriate Department Leadership to respond to and assess serious allegations that may require immediate response of an appointing authority to determine appropriate action to keep patients safe at all times.

Participates in Root Cause Analysis (RCA), and Apparent Cause Analysis (ACA) reviews to direct formulation of quality improvement strategies. Managers and peers internal, and external to CMHHIP rely on this position when making decisions regarding course of action, policy revisions or systemic hospital procedural changes that would be appropriate to maintain optimum patient safety and ongoing treatment.

Maintains updated knowledge of CMS, TJC and CDPHE standards, and related Colorado statutes: CRS 27-65, CRS 27-50-510, CRS 25-1-124 (2), CRS 25-3-109. Assists in all onsite survey activities (accompanying surveyors throughout the hospital) and/or provides assistance to Quality Management Leadership as directed during regulatory surveys. May perform as an adhoc Reference Committee member for the Policy and Procedure process utilizing expertise for ongoing policy and procedure updates..

This position provides clinical judgement and expertise to all aspects of the role as occurrence reporter in accordance with nursing education and licensure as a Registered Nurse.

Duties in this position include:

Critical Incident/Occurrence Analysis and Reporting:

This position is responsible for the implementation of the CMHHIP Critical Incident Reporting Program as outlined in CRS 25-1-124 (2).

+ Collects, analyzes and reports data related to hospital-wide incidents in order to improve patient and staff safety.

+ After reviewing the incident and assessing the data collected, this position, in collaboration with the other occurrence reporters, determines the severity of each event and which events constitute an occurrence that must be reported through the iNotify database to OCFMH/CDHS Leadership, CMHHIP leadership as well as those rising to the level of reporting to the CDPHE, BHA, or TJC as a reportable event.

+ If an incident does not rise to a reportable occurrence, this position makes recommendations to the Occurrence Manager for referral to a CMHHIP department or specific discipline manager if warranted and ensures all appropriate follow-up is complete and entered in the Incident Management Database.

+ Once assigned, this position continues the review and exploration of the event, performing a RCA/ACA.

+ Utilizes available investigative tools which includes, but is not limited to, visual review of video footage, performing interviews alone with staff and patients, recording interviews, listening to recordings, searching areas of the hospital, entering patient care areas and reviewing documentation, both within the patient record and outside of that record. This position uses judgement to prioritize incidents when multiple investigations require simultaneous attention.

+ This position is required to complete the hospital’s designated verbal and physical deescalation training and CPR in preparation for these on-unit duties.

+ Collaborates with and advises Program and Unit Leadership, Department of Public Safety and Department Leadership regarding the investigation of serious allegations that may require immediate response of an appointing authority.

+ Formulates quality recommendations for change or improvement in operating procedures to improve patient safety and quality of care

Report Writing/Data Entry:

This position is involved in the completion of Apparent Cause Analyses (ACA) and Root Cause Analyses (RCA) for critical incident investigations. Reports must be comprehensive, factually accurate, and completed using standard formats. The RN Critical Incident/Occurrence Reporter ensures documentation supports regulatory reporting, compliance, and continuous quality improvement efforts.

+ For each serious allegation, complete an RCA/ACA report using the standard format, incorporating factual results from patient and staff accounts, medical records, video, and other documentation sources.

+ Ensure written reports clearly differentiate between factual findings, professional judgments, and recommendations.

+ Maintain accurate data entry into required databases, including CDPHE reportable systems, and internal incident management systems.

+ Develop and maintain a tracking system to manage multiple reports in progress simultaneously, ensuring all deadlines are met.

+ Prepare accurate summaries and possibly presentation materials for leadership review, regulatory submissions, or quality committee discussions.

+ Monitor and identify trends or recurring issues in reports and communicate these in the occurrence team meeting for potential system-wide corrective action.

+ Collaborate with interdisciplinary teams to ensure report findings and recommendations are understood, actionable, and tied to CMHHIP’s improvement goals.

+ Participate in utilization management and review activities when requested, applying clinical judgment to assess appropriateness of care, documentation, and patient outcomes.

+ Participates in the annual assessment of secured report file locations to ensure 100% compliance with record retention standards; purge and destroy expired reports using the approved shredding process.

+ This position maintains the confidentiality of incident related documents, in addition to all confidential quality management documents (Refer to C.R.S. 25-3-109).

+ The reports and information reported via the critical information processes are for CMHHIP use only.

Video Audits:

This position maintains personal competency in wellness checks, as affirmed by the Nurse Educator. Performs audits by video review and other means to ascertain appropriateness of practice or procedure.

+ Facilitates video audits of various processes in collaboration with the assigned Nurse Manager or Department Leader.

+ The audits are performed on a computer with video capability.

+ The position coordinates audit scheduling, prepares video footage for review, and manages playback to ensure accurate monitoring of assigned wellness checks.

+ The Nurse Manager or Department Leader documents audit findings on paper forms, however it is the responsibility of this position to collect, and then enter all audits into the electronic spreadsheet.

+ Audits must be completed on a defined time frame as assigned.

+ The frequency of audits are subject to change as needed as trends are identified.

Application of Clinical Judgement/Expertise:

As a direct large aspect to the implementation and analysis functions of the Critical Incident Reporting Program, the RN Critical Incident/Occurrence Reporter applies advanced nursing clinical judgment and professional expertise to evaluate incidents within a clinical context both for this position’s assigned workload, and as consultant to the Occurrence Team overall.

+ Using the patient record and other informational sources, this position assesses the medical, and behavioral factors surrounding each occurrence, using their professional training and experience to identify potential risks to patient safety, staff well-being, and quality of care.

+ Based on this clinical insight, this position provides evidence-based recommendations for corrective actions, system improvements, and patient care strategies to the occurrence team as needed.

+ May be asked to report findings and recommendations in quality related committee settings as directed by the Occurrence Manager or Quality Management Leadership.

+ This position serves as a subject matter expert in evaluating the clinical significance of reported events, ensuring that root cause analyses and follow-up actions incorporate nursing and healthcare perspectives, both for assigned reviews and for those of their peers.

+ This position may also advise Program and Unit Leadership on the clinical implications of findings and recommendations for practice improvements, staff training, or policy changes designed to reduce recurrence and enhance patient outcomes.

Other Duties as Assigned:

+ Responsibility to perform assigned tasks and duties within the scope of practice for this position that do not fall within the realm of duty statements A-D to meet the vision and mission of the agency and/or the department.

Minimum Qualifications, Substitutions, Conditions of Employment & Appeal Rights

Minimum Qualifications:

Applicants must possess a valid, active Registered Nurse License issued by the State of Colorado (Department of Regulatory Agencies (DORA) OR any state participating in the Enhanced Nurse Licensure Compact (eNLC).

Substitutions: None

Preferred Qualifications:

In addition to the Minimum Qualifications and Required Skills outlined above, our ideal candidate will possess the following Preferred Qualifications:

+ General clinical experience in an acute care setting.

+ Experience in behavioral health is ideal.

+ Root Cause Analysis and/or Incident Management experience preferred.

+ Acute Care or Specialty Experience: General clinical experience in an acute care setting is highly valued; provides a strong foundation in patient care processes and potential risks.

+ Experience in behavioral health is ideal.

+ Clinical Assessment Skills:

+ The ability to quickly and accurately assess a situation and patient condition is crucial for determining the severity and type of event that needs reporting.

+ Incident Reporting Systems:

+ Direct experience using electronic incident reporting systems is ideal.

+ Investigating Occurrences: Experience in investigating incidents, conducting mini root cause analyses, and determining if an event meets reporting criteria is essential.

+ Data Collection and Analysis:

+ The role involves participation in collecting, analyzing, and reporting data related to incidents to identify trends and potential issues for patient and staff safety improvements.

+ Prior experience with quality improvement initiatives and data is important, as the role is often integrated with a hospital's Quality Assurance and Performance Improvement (QAPI) team.

+ Familiarity with the rules, regulations, and reporting requirements of regulatory entities like the Joint Commission and the state's Department of Public Health is ideal.

Essential Attributes:

+ Must be able to see and hear in order to observe, address and respond to potential breaches in safety and security Work in situations involving assaultive behavior, physical control of another person and/or restraint situations

+ Must be able to lift up to 50+ pounds on occasion

Conditions of Employment:

+ FULL BACKGROUND CHECK : This position will have direct contact with vulnerable persons (as defined by C.R.S.27-90-111: "Direct contact" means providing face-to-face care, training, supervision, counseling, consultation, or medication assistance to vulnerable persons, regardless of the level of supervision of the department employee. "Direct contact" may include positions in which persons have access to or unsupervised time with clients or patients, including but not limited to maintenance personnel, housekeeping staff, kitchen staff, and security personnel.)

+ CBI & FBI fingerprint check, Colorado Court Database check, Medicare Fraud Database, TRAILS Database check.

+ This position will also provide direct care to vulnerable adults requiring a CAPS check (as defined by C.R.S. 26-3.1-101, position provides services & support care to at-risk/vulnerable adults including case management, clergy, physical or mental health services, safety or welfare services).

+ May work various shifts

+ Required to report without delay or interruption to provide essential or emergency services to ensure health, safety, and welfare

+ 2-step TB (tuberculosis) screening is required of all new employees upon hire

+ This position will be paid biweekly

+ A pre-employment criminal background check will be conducted as part of the selection process as this position is deemed to have direct contact with vulnerable persons. Felony convictions, conviction of crimes of moral turpitude, or convictions of misdemeanors related to job duties may disqualify you from being considered for this position. Should your background check reveal any charges or convictions, it is your responsibility to provide the CDHS Background Unit with an official disposition of any charges

+ Shall not initiate or engage in sexual, social, personal or financial relationships with patients either during or any time after hospitalization, even if the patient requests or initiates such a relationship All relationships with current or former patients must be disclosed on your application

+ Successfully pass all modules of the CMHIP New Employee Orientation core curriculum to include English reading comprehension, relevant competency assessments and written/practical exams in Defensive Tactics

+ Possess the physical ability to successfully complete CTI & CPR

+ Lift arms above head and kick as high as own waist

+ Stabilize another person to accomplish a controlled containment to the floor

+ Withstand impact on own body using an ASP shield

+ Rotate body 90 degrees with feet planted for using a defensive tactic

+ Kneel on one or both knees and stand up again with multiple repetitions

+ Must be able to see and hear in order to observe, address and respond to potential breaches in safety

+ Seize, hold, control or subdue violent or assaultive persons and defend oneself or others to prevent injury

+ Demonstrate body agility, strength of all four limbs and the ability to walk and climb stairs consistently

+ Work in situations involving assaultive behavior, physical control of another person and/or restraint situations

+ Ability to read and comprehend the English language; effectively and fluently communicates in English, both verbally and in writing

+ Work in an environment with fluctuating noise and temperature (hot and cold) which may include working outdoors in inclement weather and/or concrete floor/wall work settings

+ Willing and able to travel.

+ Annual influenza vaccination

+ Former employees of the Colorado Department of Human Services (CDHS) who were disciplinary terminated or resigned in lieu of termination must disclose the information on your application and may not be eligible for employment at CDHS

CDHS Selection Process Explanation

Employment history is calculated on a full-time basis (40/hrs per week). Part-time employment is calculated on a prorated basis to determine qualifications. Be sure your application specifically addresses your qualifications, experience, work products, and accomplishments as they relate to the position and minimum requirements.

+ Preferred Qualifications & Competencies:

Relevant years of state service experience.

Minimum Qualification Screening Process

A Human Resources Analyst will review the work experience/job duties sections of the online job application to determine whether your experience meets the minimum qualifications for the position. You must complete the official State of Colorado online application. Cover letters and resumes WILL NOT be reviewed during the minimum qualifications screening process. You must specifically document your work experience and qualifications. Do not use "see resume" or "see attached."

You must meet the minimum qualifications to continue in the selection process. Part-time work experience will be prorated.

Comparative Analysis Process – Structured Application Review

After minimum qualification screening, the comparative analysis process will involve a review and rating of all the information you submit. The comparative analysis step may also include your results from an eSkills Test.

Your Work Experience/Job Duties

Document your work experience/job duties to the extent to which you possess the skills, education, experience, minimum qualifications, and preferred qualifications.

Supplemental Questions

Answer the supplemental questions completely and thoughtfully. We will rate your answers based on the content of your response and your writing skills (spelling, grammar, and clarity of your writing).

Appeal Rights

You may file an appeal with the State Personnel Board or request a review by the State Personnel Director if your application is eliminated. You will find the appeals process, the official appeal form, and how to deliver it on the State Personnel Board website.

You or your representative must sign and submit the official appeal form for review.

You can find the official appeal form here.

You must be deliver the official appeal form to the State Personnel Board:

By email ([email protected]), or

Postmarked in US Mail to(1525 Sherman Street, 4th Floor, Denver CO 80203, or

Hand delivered (1525 Sherman Street, 4th Floor, Denver CO 80203), or

Faxed (303.866.5038) within ten (10) calendar days from your receipt of notice or acknowledgement of the department’s action.

Contact the State Personnel Board for assistance:

At (303) 866-3300, or

Refer to the Colorado Code of Regulations (CCR) 801-1, State Personnel Board Rules and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, within the Rules webpage.

Supplemental Information

How to apply to the State of Colorado (https://www.youtube.com/watch?v=bKuwGdPpOW0)

The Assessment Process

For additional recruiting questions, please contact: [email protected]

About Us & Benefits:

If your goal is to build a career that makes a difference, join the dedicated people of the Colorado Department of Human Services (https://www.colorado.gov/cdhs) (CDHS). Our professionals strive to design and deliver high quality human and health services that improve the safety, independence, and well-being of the people of Colorado. Each of us is committed to contributing to a safe and accessible CDHS . In addition to a great location and rewarding and meaningful work, we offer:

+ Strong, secure, yet flexible retirement benefits including a PERA Defined Benefit Plan or PERA Defined Contribution Plan plus 401(k) and 457 plans

+ Medical (https://dhr.colorado.gov/state-employees/state-employee-benefits/medical-benefits) and dental (https://dhr.colorado.gov/state-employees/state-employee-benefits/dental-insurance) health plans

+ Employer supplemented Health Savings Account

+ Paid life insurance

+ Short- and long-term disability coverage (https://dhr.colorado.gov/state-employees/state-employee-benefits/disability-insurance)

+ 11 paid holidays per year plus vacation and sick leave

+ State of Colorado Employee BenefitHub Resource Center (https://stateofcolorado.benefithub.com/app/home)

+ Employee Wellness program

+ Excellent work-life programs, such as flexible schedules, training and more

+ Remote work arrangements for eligible positions

+ Some positions may qualify for the Public Service Loan Forgiveness Program (https://dhr.colorado.gov/dhr-resources/student-loan-forgiveness-programs) .

Our Values:

+ We believe in a people-first approach: We prioritize the needs, well-being, and dignity of the individuals, families and communities we serve. We commit to respect, fairness and access in every decision, policy and interaction. We engage client voices and experiences in the development and implementation of the services we provide.

+ Balance creates quality of life: We want our team to be resilient through a supportive workplace that values flexibility, health and wellness, and employee engagement.

+ We hold ourselves accountable: We take responsibility through our actions, programs, and results for the state of health and human services in Colorado.

+ Transparency matters: We are open and honest with employees, our partners, the Coloradans we serve, and the public.

+ We are ethical: We abide by what is best for those we serve by doing what is right, not what is easy.

+ Collaboration helps us rise together: We work together with all partners, employees, and clients to achieve the best outcomes for Coloradans.

ADAA Accommodations:

CDHS is committed to a Colorado for ALL qualified individuals. As part of this commitment, our agency will assist individuals who have a disability with any reasonable accommodation requests related to employment.

This includes completing the application process, interviewing, completing any pre-employment testing, participating in the employee selection process, and/or performing essential job functions where the requested accommodation does not impose an undue hardship. If you have a disability and require reasonable accommodation to ensure you have a positive experience applying or interviewing for this position, please direct your inquiries to [email protected] .

~THE STATE OF COLORADO IS AN EQUAL OPPORTUNITY EMPLOYER~ (https://cdhs.colorado.gov/information-for-job-applicants#eoe)

We are committed to increasing a “Colorado for ALL" of our staff and providing culturally responsive programs and services. Therefore, we encourage responses from people of all backgrounds and abilities. The State of Colorado believes that a “Colorado for ALL” drives our success, and we encourage candidates from all identities, backgrounds, and abilities to apply. The State of Colorado is an equal opportunity employer committed to building inclusive, innovative work environments with employees who reflect our communities and enthusiastically serve them. Therefore, in all aspects of the employment process, we provide employment opportunities to all qualified applicants without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity or expression, pregnancy, medical condition related to pregnancy, creed, ancestry, national origin, marital status, genetic information, or military status (with preference given to military veterans), or any other protected status in accordance with applicable law.

THE CAMPUS OF THE COLORADO MENTAL HEALTH INSTITUTE AT PUEBLO IS TOBACCO FREE

~THE STATE OF COLORADO IS AN EQUAL OPPORTUNITY EMPLOYER~ (https://cdhs.colorado.gov/information-for-job-applicants#eoe)

~THE STATE OF COLORADO IS AN EQUAL OPPORTUNITY EMPLOYER~

The State of Colorado offers permanent employees a variety of benefits including medical, dental, life and disability insurance, as well as a comprehensive leave program. Please click the following link for detailed information: www.colorado.gov/pacific/dhr/benefits

Please note that each agency's contact information is different; therefore, we encourage all applicants to view the full, official job announcement which includes contact information and class title. Select the job you wish to view, then click on the "Print" icon.

01

Your legal name is used in the hiring process for background checks. Did you use your full legal name in your application? If not, please update your information before submitting your application.

+ Yes

+ No

02

The bottom of this job announcement provides links to additional information on how to apply, the assessment process, toll free applicant technical support, and about how the State of Colorado is an equal opportunity employer. Please acknowledge below that you have read the information provided in these links.

+ This information is available to me and I have read this information

+ I am unable to access the links with this information on the job posting. (If you select this option, please contact the recruiter, whose information is listed on this announcement, so that they can send this information directly to you.)

03

Provide your RN license number, date, state issued, and expiration date. Please also include any certificates you currently hold.

04

Do you have any State Board actions on your nursing license? If yes, please explain.

05

Do you currently work for the Colorado Department of Human Services? (This includes the Colorado Mental Health Hospital in Pueblo).

+ Yes

+ No

06

If you are a current or former State of Colorado employee, please list your employee number (starts with 997...). Failure to provide this requested information may render your application incomplete, and you may no longer be considered for the position.

07

Former State employees who were disciplinarily terminated or resigned in lieu of termination must disclose the information on the application. In the space below, please provide an explanation as to why the prior termination or resignation should NOT disqualify your application from the current position.

08

Are you a Veteran requesting Preference? If yes, you must submit a copy of the DD214

+ Yes

+ No

09

Describe a time you witnessed a near-miss or an error. How did you report it and what was the outcome?

10

How do you handle a situation where you believe there has been a procedural drift, but a colleague or staff insist that they don’t see the need for compliance?

11

How do you stay updated on the latest policies and procedures and how do you implement new information into your practice?

12

Describe a time you had to explain a complex medical event or a safety incident to a surveyor and/or stakeholder (leadership).

Required Question

Employer

State of Colorado

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Website

https://careers.colorado.gov/

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