About The Position

Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage.   Functional Title: Non-Long-Term Care (NLTC), Nurse Surveyor Non-Supervisory Job Title: Nurse III Agency: Health & Human Services Comm Department: HFC SAN ANTONIO - REGIONS 8_11 Posting Number: 13586 Closing Date: 08/17/2026 Posting Audience: Internal and External Occupational Category: Protective Services Salary Group: TEXAS-B-24 Salary Range: $7,474.23 - $8,886.16 Pay Frequency: MonthlyShift: Day Additional Shift:  Telework: Not Eligible for Telework Travel: Up to 85% Regular/Temporary: Regular Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Exempt Facility Location:  Job Location City: SAN ANTONIO Job Location Address: 6711 S NEW BRAUNFELS AVE Other Locations:  MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W    Regulatory Nurse Surveyor works under limited supervision, with considerable latitude for the use of initiative and independent judgment. Performs advanced (senior-level) nursing support for regulated health care facilities and stakeholders.   Conducts recertification surveys, initial surveys, complaint investigations and follow-up visits at regulated health facilities to determine compliance with state and federal regulations.   This position evaluates health facility providers’ plans of correction for acceptable corrective action on cited deficiencies and refers for state and federal enforcement action as appropriate.   This position prepares and completes appropriate reports accurately and on a timely basis with specific deadlines.   This position may serve as a preceptor for orientation of new surveyors.   This position may represent the department at stakeholder or professional meetings.   May be requested to assist in a variety of roles during emergency situations or in other activities as assigned.   This position has extensive latitude in completing essential job functions. Responds to inquiries whether by e-mail, telephone, or in person. Follows the State Operations Manual.     Database responsibilities include planning, developing, and implementing data entry, report construction, workload monitoring, and quality assurance in TULIP, ASPEN (ACO/ACTS), IQIES, SharePoint, Microsoft Office Suite and other systems.   Telework status is contingent on successful completion of 6-month probationary period and all requirements for telework status.   Travel requirements include travel to statewide work sites each week with one day or less each week in the office.   Essential Job Functions (EJF’s):   Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned.   Compliance Activity. Conduct on-site surveys and investigations of licensed and or Medicare certified health care facilities to determine compliance with applicable state and federal laws, regulations, and rules. Regulated health facilities surveyed and investigated include, in part, hospitals, psychiatric hospitals, ambulatory surgical centers, end stage renal disease facilities, birthing centers, and rehabilitation facilities. Analyzes, compiles and reviews complex, technical information derived from clinical record reviews, facility management and business record reviews, patient, consumer and facility staff interviews, and onsite observations. Evaluates management, supervision and quality of care delivery. Determines the validity of the allegations in the complaint and compliance with state and federal regulations, and documents survey and investigation findings in the Automated Survey Processing Environment (ASPEN). Comply with the Principles of Documentation when preparing deficiency reports. Reviews plans of correction submitted by healthcare facilities to determine acceptability. Develops recommendations for adverse state enforcement action and federal termination action if applicable and refers to other regulatory entities if appropriate. (80%)   Submits travel timely, accurately and according to policy; enters leave in CAPPS timely. Training. Plans, assigns and/or supervise the work of other survey staff and survey teams. Provides consultation and serves as a preceptor and mentor in the orientation and initial training of newly employed surveyors. (5%)   Uses the Centers for Medicare & Medicaid Services (CMS) Surveyor Training Orientation Program for the Newly Employed Surveyor and the specific laws and regulations for each health facility type to teach the survey process. Uses standardized reports to compose field evaluation reports of newly employed surveyors. Participates in training workshops to enhance the skills of surveyors. Assists management and quality assurance program staff in the development and implementation of quality assurance processes. (10%)   Public Relations. Represents the agency by providing information, collaborating with stakeholders, customers, other state agencies and federal partners. Responds to inquiries and requests from providers and health care consumers regarding regulated facilities, both verbally and in writing utilizing word processing software, such as Word. Performs related work as assigned maintaining flexibility and openness to assist the program in achieving goals, objectives and required timelines. (5%)

Requirements

  • Must be registered as a Registered Nurse in the State of Texas or a state that recognizes reciprocity through the Nurse Licensure Compact.
  • Graduation from an accredited four-year college or university with major course work in nursing or from an accredited nursing program is generally preferred.
  • Experience and education may be substituted for one another on year to year basis.
  • 3 Years of registered nursing experience required.
  • Knowledge of local, state and federal health care laws and regulations relevant to regulated program areas.
  • Knowledge of health care facility operation, regulation, and procedures.
  • Knowledge of public administration and management techniques.
  • Knowledge of statistical analysis processes
  • Knowledge of research techniques
  • Knowledge of training and marketing techniques
  • Knowledge of program management processes and techniques.
  • Skill in written and verbal communication including public speaking.
  • Skill in managing multiple and competing priorities.
  • Skill in identifying problems, evaluating alternatives, and negotiating and implementing solutions.
  • Skill in identifying measures or indicators of program performance and in the use of a computer and applicable software.
  • Skill in working collaboratively and cooperatively with diverse groups.
  • Ability to gather, assemble, correlate, and analyze facts.
  • Ability to prepare and maintain records.
  • Ability to explain public health law.
  • Ability to devise solutions to problems.
  • Ability to prepare reports.
  • Ability to develop, evaluate, and interpret policies and procedures.
  • Ability to communicate effectively.
  • Ability to provide guidance to others.
  • Ability to organize and present information effectively, both orally and in writing.
  • Ability to use computers and computer software for word processing, database management and report writing.
  • Ability to plan, assign and/or supervise the work of others.

Responsibilities

  • Conduct on-site surveys and investigations of licensed and or Medicare certified health care facilities to determine compliance with applicable state and federal laws, regulations, and rules.
  • Analyze, compile and review complex, technical information derived from clinical record reviews, facility management and business record reviews, patient, consumer and facility staff interviews, and onsite observations.
  • Evaluate management, supervision and quality of care delivery.
  • Determine the validity of the allegations in the complaint and compliance with state and federal regulations, and documents survey and investigation findings in the Automated Survey Processing Environment (ASPEN).
  • Comply with the Principles of Documentation when preparing deficiency reports.
  • Review plans of correction submitted by healthcare facilities to determine acceptability.
  • Develop recommendations for adverse state enforcement action and federal termination action if applicable and refers to other regulatory entities if appropriate.
  • Plans, assigns and/or supervise the work of other survey staff and survey teams.
  • Provide consultation and serves as a preceptor and mentor in the orientation and initial training of newly employed surveyors.
  • Represent the agency by providing information, collaborating with stakeholders, customers, other state agencies and federal partners.
  • Respond to inquiries and requests from providers and health care consumers regarding regulated facilities, both verbally and in writing utilizing word processing software, such as Word.
  • Perform related work as assigned maintaining flexibility and openness to assist the program in achieving goals, objectives and required timelines.

Benefits

  • 100% paid employee health insurance for full-time eligible employees
  • a defined benefit pension plan
  • generous time off benefits
  • numerous opportunities for career advancement
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