LTCR Nursing Facilities Investigator V

Texas Health & Human Services Commission•San Antonio, TX

5d•$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. Under the direction of a program manager, the investigator conducts on-site licensure inspections, complaint and incident investigations, and annual comprehensive surveys at Texas long-term care facilities—including nursing homes, assisted living facilities, and day activities and health services sites—to determine compliance with state and federal health and safety regulations. The investigator prepares reports documenting deficiencies, violations, and corrective remedies, and provides narrative support for regulatory determinations. The role is mobile and flexible, with minimal office work and substantial travel to facilities within a region and across Texas. The investigator communicates with facility staff and others, conducts exit conferences, verifies correction of previously cited violations, and performs quality assurance reviews of documents prepared by others. The position may occasionally require 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. The employee must be available for on-call duties during weather emergencies or other high-priority situations. The position is based in San Antonio, is not eligible for telework according to the posting's position details, and requires flexibility in work hours, reliable transportation, and up to 80% travel, including statewide, overnight, and weekend travel. Applicants must pass required background checks and disclose potential conflicts of interest, secondary employment, volunteer activities, and connections to regulated providers. Employment at HHSC-regulated facilities or providers is not permitted if the applicant accepts this position.

Requirements

Graduation from an accredited four-year college or university, or investigative or long-term care experience substituted year for year for the education requirement, up to four years.
Must have Surveyor Minimum Qualifications Test (SMQT) Certification or obtain it within 12 months of hire.
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 and operate personal computers and software.
Ability to exercise professional judgment and reach sound decisions.
Ability to integrate complex regulatory concepts, procedures, and processes.
Pass required fingerprint criminal background and SEMARC checks; other checks may apply.
Flexibility in work hours, reliable transportation, and ability to meet travel requirements, including overnight and weekend travel.
Availability for on-call duties when required.
If hired, disclose potential conflicts of interest, secondary employment, volunteer activities, and friends or family who own, operate, or work at regulated providers; employment at HHSC-regulated facilities or providers is not permitted.

Nice To Haves

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

Responsibilities

Conduct on-site licensure inspections, complaint and incident investigations, and annual comprehensive surveys at long-term care facilities to determine compliance with federal and state health and safety regulations.
Complete inspection and survey reports detailing deficiencies and regulatory violations, corrective remedies, and supporting narrative.
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 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 policy, procedures, history, findings, or activities.
Assist with non-skilled resident care and oversight during emergency licensure actions; skilled care may be possible if currently licensed as a registered or licensed nurse.
Be available for on-call duties during emergencies, weather events, or high-priority situations at facilities or providers.