LTCR ICF/IID Nurse Surveyor

Texas Health & Human Services Commission•Longview, TX
•$89,691 - $106,634•Onsite

About The Position

The LTCR ICF/IID Nurse Surveyor is a frontline field position with the Texas Health and Human Services Commission. The nurse surveyor conducts on-site inspections, investigations, and annual comprehensive surveys in Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Condition (ICF/IID) to determine compliance with state and federal health and safety requirements. This includes investigating allegations or incidents of abuse, neglect, and exploitation. The position is directed by a program manager and involves regular travel to facilities within a region and across Texas, with minimal office work. The surveyor documents deficiencies and regulatory findings in reports and narratives, communicates findings to facility staff, and may provide technical assistance, supervise team members during inspections, and testify at hearings or court proceedings. The role may also involve emergency facility duties, including oversight of residents and on-call availability. The position is based in Longview, Texas, and is not eligible for telework. It requires flexibility in work hours and up to 80% travel, including statewide, overnight, and weekend travel. Reliable transportation is required. A Texas registered nurse license, or a license from a Nurse Licensure Compact state, is required. The employee must complete state and federal training and qualify to conduct surveys independently in the federal intermediate care facility program within the first 12 months of employment. The posting lists a starting market-rate salary of $89,690.71 and a monthly salary range of $7,474.23 to $8,886.16.

Requirements

  • Must be licensed as a registered nurse in Texas or in a state that recognizes reciprocity through the Nurse Licensure Compact.
  • Must successfully complete state and federal training and become qualified to conduct surveys independently in the federal intermediate care facility program within the first 12 months of employment.
  • Experience assessing and documenting health status.
  • Flexibility in work hours and availability for required travel, including statewide, overnight, and weekend travel.
  • Reliable transportation.
  • Ability to pass fingerprint criminal background and SEMARC checks; additional checks may apply.
  • 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.
  • Knowledge of program regulations and procedures, and survey techniques and principles.
  • Interpersonal skills.
  • Skill in quality assurance monitoring, program review, certification, surveys, or investigations.
  • Skill in providing guidance, policy clarification, and information to others.
  • Oral, written, and electronic communication skills, including use of computer word-processing software.
  • Ability to multitask and track activities with competing priorities.
  • Ability to collect and analyze data, integrate complex concepts and procedures, analyze and solve work problems, and interpret regulations and policies.
  • Ability to work independently and as a team member or leader.
  • Ability to use a computer to write reports, exercise professional judgment, reach sound decisions, and remain organized and punctual.

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 ICF/IID facilities to determine compliance with state and federal health and safety regulations.
  • Investigate abuse, neglect, and exploitation in long-term care facilities.
  • Communicate with internal and external parties to provide, exchange, or verify information, answer inquiries, and resolve issues or complaints.
  • Conduct entrance and exit conferences with facility staff regarding findings.
  • Complete inspection and survey reports describing deficiencies and narratives supporting regulatory findings.
  • Revisit facilities to verify correction of previously cited violations.
  • Perform quality assurance reviews of documents prepared by others, such as publications, assessments, and reports.
  • Potentially supervise team members during inspections, provide technical assistance to facilities, and contribute expertise to survey teams.
  • Testify at hearings or court proceedings regarding policies, procedures, history, findings, or activities.
  • Assist with non-skilled care and resident oversight during emergency licensure actions; skilled care may potentially be necessary.
  • Be available for on-call duties during weather emergencies or other high-priority situations at facilities or providers.

Benefits

  • 100% paid employee health insurance for eligible full-time 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 as an organization for the Federal Public Service Loan Forgiveness Program.
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