LTCR Nursing Facilities Nurse Surveyor (Nurse III)

Texas Health & Human Services Commission • Plano, TX

10d • $65,104 - $106,634 • Onsite

About The Position

The LTCR Nursing Facilities Nurse Surveyor (Nurse III) is a frontline field position with the Texas Health and Human Services Commission. The role protects residents’ health and safety by conducting on-site inspections and investigations in Texas long-term care settings, including nursing homes, assisted living facilities, and day activity and health services, to assess compliance with state and federal laws and regulations. The surveyor is mobile and flexible, performs minimal work in an office, and writes reports documenting deficiencies or violations and supporting regulatory determinations.

The position conducts licensure inspections, complaint and incident investigations, and annual comprehensive surveys. It communicates with facility staff and other internal and external parties, conducts exit conferences, completes reports, and revisits facilities to verify corrections. The surveyor may supervise team members during inspections, provide technical assistance, conduct quality assurance reviews, testify at hearings or court proceedings, and assist with resident oversight during emergency licensure actions. On-call duties may be required. The role requires flexibility in working hours and up to 80% travel, including statewide, overnight, and weekend travel. Reliable transportation is required.

Applicants must hold an RN license from Texas or a state participating in the Nurse Licensure Compact. Required federal and state training for Nursing Facilities, including Surveyor Minimum Qualification Training (SMQT), must be completed within one year of hire. Employment is contingent on applicable background and related checks. The stated starting market rate salary is $89,690.71; the posting also lists a salary range of $5,425.33–$8,886.16 monthly.

Requirements

• Must be licensed as a registered nurse in Texas or in a state that recognizes reciprocity through the Nurse Licensure Compact.
• Must complete all federal and state Nursing Facilities training, including Surveyor Minimum Qualification Training (SMQT), within one year of hire.
• Experience assessing and documenting health status.
• Preferred two years of experience providing services in a health care setting as a registered nurse.
• Knowledge of issues, concerns, and needs of at-risk populations in health care or institutional environments.
• Knowledge of nursing principles and acceptable professional standards of patient care.
• Interpersonal skills and skills in quality assurance monitoring, program review, certification, surveys, or investigations.
• Ability to provide guidance, policy clarifications, and information to others; prepare detailed written reports; and communicate orally, in writing, and electronically, including using computer word-processing software.
• Ability to multitask and track competing priorities; collect and analyze data; integrate complex concepts and processes; analyze and solve work problems; and interpret regulatory policies, procedures, and regulations.
• Ability to work independently, use a computer to write reports, exercise professional judgment, make sound decisions, and remain organized and punctual.
• Flexibility in work hours; willingness to travel up to 80%, including statewide, overnight, and weekend travel; and availability for possible on-call duties.
• Must have reliable transportation.
• Must pass a fingerprint criminal background check and SEMARC check; additional checks may include NAR, BON, LNFA, or other applicable checks.
• Must disclose potential conflicts of interest, secondary employment, volunteer activities, and friends or family who own, operate, or work at regulated providers if offered and accepting the position.
• Cannot continue employment at an HHSC-regulated facility or provider after accepting the position.

Nice To Haves

• Experience in a Long-term Care Regulatory program.
• Two years of experience providing services in a health care setting as a registered nurse.

Responsibilities

• Conduct on-site licensure inspections, complaint and incident investigations, and annual comprehensive surveys of facilities to determine compliance with federal and state health and safety regulations.
• Assess facility compliance in areas including admissions, transfers and discharges; resident rights; staffing and census; quality of care and quality of life; resident care plans; social, psychological and rehabilitative services; medical services; and therapeutic activities.
• Communicate with internal and external parties to provide, exchange, or verify information, answer inquiries, and resolve issues or complaints involving Texas long-term care facilities.
• Conduct exit conferences with facility staff regarding findings and complete inspection or survey reports detailing deficiencies.
• Revisit facilities to verify correction of previously cited regulatory violations.
• Perform quality assurance reviews of documents prepared by others, such as publications, assessments, and reports.
• May supervise team members during inspections, provide technical assistance to facilities, and contribute expertise to a survey team.
• May 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 resident oversight; skilled care may be necessary.
• 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.
• Opportunities for career advancement.
• 401(k) and 457 programs under the Employees Retirement System of Texas.
• Eligibility as an organization for the Federal Public Service Loan Forgiveness Program.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed