LTCR Nursing Facilities Investigator V

Texas Health & Human Services Commission•San Antonio, TX
•$75,827 - $93,138•Onsite

About The Position

The LTCR Nursing Facilities Investigator V is a front-line field position with the Texas Health and Human Services Commission. The investigator protects residents’ health and safety by conducting on-site inspections and investigations in Texas long-term care facilities, including nursing homes, assisted living facilities, and day activities and health services sites, to assess compliance with state and federal laws and rules. The role involves regular travel to facilities within a region and across Texas, with minimal office work and report writing to document deficiencies or violations, remedies, and supporting narratives for regulatory determinations. The position works under the direction of a program manager and conducts licensure inspections, complaint and incident investigations, and annual comprehensive surveys. It also involves communicating with facility staff and others, conducting exit conferences, verifying corrections, reviewing documents for quality assurance, and occasionally providing testimony at hearings or court proceedings. During emergency licensure actions, the investigator may assist with non-skilled resident care and oversight; skilled care may be possible for employees who are licensed nurses. Emergency on-call duties may be required. The position is full-time, nonexempt, day shift, based in San Antonio, Texas, and is not eligible for telework according to the posting details. Flexibility in work hours is required, and travel may include statewide, overnight, and weekend travel. A reliable means of transportation is required. The stated starting market-rate salary is $75,827.44; the listed salary range is $6,318.95 to $7,761.50 monthly.

Requirements

  • Graduation from an accredited four-year college or university; investigative experience or long-term care experience may substitute for the required education year for year, up to four years.
  • Experience writing detailed reports.
  • Experience operating personal computers and software.
  • Knowledge of acceptable professional standards of patient care.
  • Skill in conducting investigations to verify compliance.
  • Ability to interpret policies, procedures, and regulations.
  • Ability to multitask and track multiple activities with competing priorities.
  • Ability to work independently.
  • Ability to use a computer to write reports.
  • Ability to exercise professional judgment and reach sound decisions.
  • Ability to integrate complex regulatory concepts, procedures, and processes.
  • Must have Surveyor Minimum Qualifications Test (SMQT) Certification or obtain it within 12 months of hire.
  • Must pass fingerprint criminal background and SEMARC checks; additional checks may apply.
  • Must have reliable transportation.
  • Flexibility in work hours and availability for travel, including statewide, overnight, and weekend travel, are required.

Nice To Haves

  • Experience in regulatory services.
  • Experience conducting investigations.
  • Current license or registration as a nurse, social worker, respiratory therapist, or dietician.

Responsibilities

  • Conduct on-site licensure inspections, complaint and incident investigations, and annual comprehensive surveys to determine compliance with federal and state health and safety regulations.
  • Complete inspection and survey reports detailing deficiencies, violations, remedies, and supporting regulatory information.
  • Communicate with internal and external parties to provide, exchange, or verify information, answer inquiries, and address or resolve issues and complaints.
  • Conduct exit conferences with facility staff regarding findings.
  • Visit long-term care facilities to verify correction of previously cited regulatory violations.
  • Perform quality assurance reviews of documents prepared by others, such as publications, assessments, and reports.
  • Occasionally testify at hearings or court proceedings about policies, procedures, history, findings, or activities.
  • Assist with non-skilled resident care and oversight during emergency licensure actions; skilled care may be involved if the employee is a current registered or licensed nurse.
  • Be available for on-call duties for emergencies such as weather events or high-priority situations at facilities or providers.

Benefits

  • 100% paid employee health insurance for full-time eligible employees.
  • Defined benefit pension plan and lifetime monthly retirement annuity.
  • Generous time off benefits.
  • Career advancement opportunities.
  • 401(k) and 457 programs under the Employees Retirement System of Texas.
  • Eligibility for the Federal Public Service Loan Forgiveness Program.
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