LTCR Nursing Facilities Investigator V
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 conducts 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 health and safety regulations. The role includes regular travel to facilities within a region and across the state, with minimal office work. Investigators prepare reports describing deficiencies or violations, remedies to correct them, and supporting narratives for regulatory determinations. Under the direction of a program manager, the Investigator V conducts licensure inspections, complaint and incident investigations, and annual comprehensive surveys; communicates findings and other information to internal and external contacts; and performs follow-up visits to verify correction of cited violations. The role may include quality assurance reviews, testimony at hearings or court proceedings, emergency assistance with resident oversight, and on-call duties. Flexibility in work hours is required. Travel is approximately 80%, including statewide, overnight, and weekend travel, and reliable transportation is required.
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.
- Must have Surveyor Minimum Qualifications Test (SMQT) Certification or obtain it within 12 months of hire.
- Must pass a fingerprint criminal background check and SEMARC check; additional checks may apply, including NAR and LNFA checks.
- Flexibility in work hours is required.
- Must have reliable transportation.
- Must disclose potential conflicts of interest, secondary employment, volunteer activities, and friends or family who own, operate, or work at regulated providers.
- Successful applicants may be required to pass background and other due diligence checks.
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 and regulatory findings.
- Communicate clearly and accurately with internal and external contacts to provide, exchange, or verify information; answer inquiries; address issues; and resolve issues or 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 regarding policies, procedures, history, findings, or activities.
- During emergency licensure actions, be available to assist with non-skilled care and oversight of residents; skilled care may be possible for employees who are currently registered or licensed nurses.
- Be available for on-call duties for emergencies, weather events, or high-priority situations in facilities or at providers.
- Travel to facilities, including statewide, overnight, and weekend travel, and maintain reliable transportation.
Benefits
- 100% paid employee health insurance for eligible full-time employees.
- Defined benefit pension plan and lifetime monthly retirement annuity.
- Generous time off benefits.
- Opportunities for career advancement.
- 401(k) and 457 retirement programs.
- Qualifying organization for the Federal Public Service Loan Forgiveness Program.
- Health insurance and retirement benefits.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
