Nurse III Facilities-Licensed Only

Texas Health & Human Services Commission•Arlington, TX

13d•$65,104 - $106,634

About The Position

The Nurse III is a licensed-only facilities nurse surveyor with the Texas Health and Human Services Commission. The role protects residents’ health and safety by conducting on-site inspections and investigations in licensed-only Texas long-term care settings, including Prescribed Pediatric Extended Care Centers (PPECC) statewide, Assisted Living Facilities (ALF), Day Activity and Health Services (DAHS), and DAHS–Individualized Skills and Socialization (DAHS-ISS). The surveyor assesses compliance with state and federal laws and rules, including through licensure inspections, complaint and incident investigations, and annual comprehensive surveys. The position is mobile and flexible, involves minimal office work, and requires preparing reports describing deficiencies or violations, corrective remedies, and the basis for regulatory determinations. It requires 80% travel, including statewide, overnight, and weekend travel, as well as flexibility in work hours and possible on-call emergency duties. Reliable transportation is required. The position is based in Arlington, Texas, and may be eligible for telework under applicable state and agency policies and supervisor discretion. The advertised salary range is $5,425.33–$8,886.16 monthly, with a stated starting market rate salary of $89,690.71. The position is full-time, regular, exempt, and day shift. Applicants must hold an active registered nurse license from Texas or a state participating in the Nurse Licensure Compact. Applicants must pass fingerprint and background-related checks. If hired, employees may not continue working at HHSC-regulated facilities or providers and must disclose potential conflicts of interest, secondary employment, volunteer activities, and relevant relationships with regulated providers.

Requirements

Must be licensed as a registered nurse by the State of Texas or by a state that recognizes reciprocity through the Nurse Licensure Compact.
Experience assessing and documenting health status.
Flexibility in work hours.
Ability to complete 80% travel, including statewide, overnight, and weekend travel.
Reliable transportation.
Pass a fingerprint criminal background check and SEMARC check; additional checks may include the Nurse Aide Registry, Board of Nursing, Licensed Nursing Facility Administrator, or other applicable checks.
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 skill in quality assurance monitoring, program review, certification, surveys, or investigations.
Skill in providing guidance, policy clarifications, and information to others.
Skill in preparing detailed written reports and in oral, written, and electronic communications, including 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; interpret regulatory policies and procedures; work independently; use a computer to write reports; exercise professional judgment; reach sound decisions; and be organized and punctual.

Nice To Haves

Experience in a long-term care regulatory program is preferred.
Two years of experience providing services in a health care setting as a registered nurse is preferred.

Responsibilities

Conduct on-site licensure inspections, complaint and incident investigations, and annual comprehensive surveys in facilities to determine compliance with state health and safety regulations.
Assess 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 activity programming.
Communicate with internal and external parties to provide, exchange, or verify information, answer inquiries, and resolve issues or complaints.
Conduct exit conferences with facility staff regarding findings and complete inspection or survey reports detailing deficiencies.
Revisit 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.
When needed, supervise team members during inspections, provide technical assistance to facilities, and contribute subject-matter expertise to survey teams.
Occasionally testify at hearings or court proceedings about policies, procedures, history, findings, or activities.
In emergency licensure actions, be available to assist with non-skilled care and resident oversight; skilled care may potentially be necessary.
Be available for on-call duties during emergencies such as weather events or high-priority situations at facilities or providers.
Travel to facilities, including statewide, overnight, and weekend travel.