LTCR Nursing Facilities Investigator V

Texas Health & Human Services Commission•San Antonio, TX

1d•$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 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 health and safety laws and regulations. Work includes licensure inspections, complaint and incident investigations, and annual comprehensive surveys. The role is mobile and flexible, involves minimal office work, and requires preparing reports that document deficiencies or violations, corrective remedies, and the rationale for regulatory determinations. The investigator works under the direction of a program manager and collaborates with internal and external parties. The position involves substantial regional and statewide travel, including overnight and weekend travel, and flexibility in work hours. The investigator may be required to perform on-call duties during emergencies or high-priority situations. In emergency licensure actions, the investigator may assist with non-skilled care and resident oversight; current registered or licensed nurses may potentially provide skilled care. The position is based in San Antonio, Texas. It is a regular, full-time, nonexempt role with a day shift and is not eligible for telework according to the posting. The listed salary range is $6,318.95–$7,761.50 monthly, with a stated starting market rate salary of $75,827.44.

Requirements

Graduation from an accredited four-year college or university; investigative experience or long-term care experience may substitute for the required education on a year-for-year basis, 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 and operate personal computers and software.
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 a fingerprint criminal background check and SEMARC check; additional checks may include the Nurse Aide Registry and Licensed Nursing Facility Administrator check.
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; continued employment at HHSC-regulated facilities or providers is not permitted if hired.

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 in long-term care facilities to determine compliance with federal and state health and safety regulations.
Complete inspection and survey reports detailing deficiencies, violations, corrective remedies, and supporting narrative for regulatory determinations.
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 to discuss 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 care and oversight of residents during emergency licensure actions; skilled care may be possible for employees who are current registered or licensed nurses.
Be available for on-call duties for emergencies, weather events, or high-priority situations at facilities or providers.
Travel to facilities within the region and statewide, including overnight and weekend travel.