LTCR HCS Nurse Investigator

Texas Health and Human Services Commission

$83K — $106K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Registered Nurse license in Texas or compact state.
  • Two years of healthcare experience as a Registered Nurse.
  • Experience with individuals having mental illness or disabilities preferred.
  • Strong investigative skills for compliance assessment.
  • Valid driver's license and reliable transportation.

Responsibilities

  • Conduct on-site inspections and investigations of healthcare providers.
  • Assess compliance with state and federal regulations.
  • Communicate findings clearly with providers and stakeholders.
  • Prepare detailed reports on deficiencies and recommended remedies.
  • Provide training and guidance to field investigators.
  • Participate in quality assurance and enforcement teams.
  • Be available for on-call emergency duties when needed.

Benefits

  • Access to health insurance and retirement plans.
  • Eligibility for the Federal Public Service Loan Forgiveness Program.
  • Support for continued professional development and training.
  • Opportunities for travel across the state for inspections.
  • A flexible work environment primarily conducting fieldwork.
Full Job Description
Functional Title: LTCR HCS Nurse Investigator Job Title: Investigator VI Agency: Health & Human Services Comm Department: CCL Residential HM Ops Posting Number: 21248 Closing Date: 11/08/2026 Posting Audience: Internal and External Occupational Category: Protective Services Salary Range: $6,947.66- $8,886.16 Pay Frequency: MonthlySalary Group: TEXAS-B-24 Shift: Day Additional Shift: Telework: Not Eligible for Telework Travel: Up to 80% Regular/Temporary: Regular Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Nonexempt Facility Location:Job Location City: ARLINGTON Job Location Address: 2561 MATLOCK RD Other Locations: MOS Codes: 5805,5813,5819,5821,5822,7596,8012,14N,14NX,183X,1D7X1,1N0X1,1S0X1,250X,311A,31A,31B,31D,31PX,351L
351M,35A,35L,35M,3E7X1,3P0X1,43HX,4B0X1,4E0X1,5I0,649X,683X,71SX,749X,783X,89D,89E,EOD,INV,IS,IV,LN
MA,ME,MLES,MSSD,MSSE,MSSR,MST,OAP12,OAP14

If you are looking for a place to work where you can establish a career that is filled with purpose, this is the job for you!
HCS Nurse Investigator - Starting Market Rate Salary $83,371.89
As part of a collaborative team of public servants, an Investigator VI protects individuals' health and safety by conducting on-site residential surveys, monitoring, and investigations of the Home and Community-based Services (HCS) and Texas Home Living (TxHmL) Medicaid program providers to assess their compliance with state and federal laws and rules. These include investigations into allegations of abuse, neglect, and exploitation. The RN Investigator
will also investigate medication administration issues. This position offers a competitive starting salary; excellent state
benefits, including health insurance and retirement; and the opportunity to regularly travel to different providers
within a region and across the state - Please see the Additional Information section below for more detail on travel. In
this front-line field position, a RN Investigator is mobile and flexible and performs minimal work at an office, though
the role does require writing reports detailing deficiencies/violations against a provider, remedies to correct those
deficiencies, and narrative to support regulatory determinations. See below for additional professional requirements.
The state of Texas offers many benefits to employees. HHSC is a qualifying organization for the Federal Public Service
Loan Forgiveness Program, which forgives the remaining balance on college student Direct Loans after making 120
qualifying monthly payments. We also offer excellent health benefits, a lifetime monthly retirement annuity as well
as 401(k) and 457 Programs under the Employees Retirement System of Texas.
Essential Job Functions (EJFs):
Under the direction of a program manager, an Investigator conducts on-site inspections, complaint and incident
investigations, and comprehensive surveys to determine provider compliance with federal and state health and safety
regulations. This includes the investigation on abuse, neglect, and exploitation allegations.
Communicates clearly and accurately with others (internally and externally) to provide, exchange, or verify
information, answer inquiries, or resolve issues or complaints regarding services provided in the Home and
Community-based Services and Texas Home Living Medicaid waiver programs, both of which serve individuals with
intellectual and developmental disabilities and must receive specialized services that meet their needs.
Conducts exit conferences with program provider staff regarding findings. Completes inspection or survey reports
detailing deficiencies, recommended remedies, and narrative to support regulatory findings.
Visits HCS program providers to verify correction of previously cited regulatory violations. Performs quality assurance
reviews of documents prepared by others, for example, publications, assessments, reports.
Develops and implements training for field investigators.
Participates as a member of other teams within HHSC Long-term Care Regulation, including enforcement and quality
assurance.
In the event of emergency contract action, be available to provide oversight and communication to other entities to
ensure the well-being of individuals.
Be available for on-call duties for emergencies such as weather events or high-priority situations at providers.
Occasionally might need to testify at hearings or in court proceedings to provide information regarding
policy/procedures, history, findings, or activities.
Knowledge, Skills, and Abilities (KSAs):
Knowledge, ability, and skill in conducting high-level investigations.
Knowledge of issues, concerns, and needs of populations at risk in various health care environments (elderly, mentally
ill, developmentally disabled, functionally dependent, medically frail, etc.).
Knowledge of nursing principles and acceptable professional standards of patient care.
Skilled in conducting investigations to verify regulatory compliance.
Skill in interpersonal relations.
Skill in performing quality assurance monitoring, program review, certification, survey, or investigations.
Skill in providing guidance, policy clarifications, and information to others.
Skill in preparing detailed written reports.
Skill in oral, written, and electronic communications, including computer word processing software.
Ability to interpret and apply policies, procedures, and regulations.
Ability to work independently and make appropriate decisions and regulation-based recommendations.
Ability to operate personal computer-based programs and complete data entry and technically correct, error-free
reports.
Ability to multi-task and track multiple activities with competing priorities.
Ability to complete a high-volume, deadline-driven workload.
Ability to exercise professional judgment and reach sound decisions.
Ability to use the computer for writing reports.
Ability to integrate complex regulatory concepts, procedures, and processes.
Ability to communicate effectively both orally and in writing.
Ability to effectively present information to executive-level management.
Registrations, Licensure Requirements or Certifications:
Must be licensed as a registered nurse by the State of Texas or a state that recognizes reciprocity through the Nurse
Licensure Compact.
Valid driver's license.
Initial Screening Criteria:
Experience in assessment and documentation of health status.
Two years of experience providing services in a health care setting as a Registered Nurse.
Experience working with individuals with mental illness, intellectual or developmental disabilities, or physical disabilities preferred.
Additional Information:
Flexibility in work hours is required for this position. The job requires 80% travel, including statewide travel, overnight, and weekend travel. On-call duties for emergencies or high-priority situations in facilities or at providers may be required. Must have reliable transportation.
All applicants must pass a fingerprint criminal background check.
If you are an active or former licensed nursing facility administrator, certified nurse aide, or medication aide, hiring will be pending until professional licensing and Employee Misconduct Registry checks are completed.
If you are offered and accept the position, you will not be permitted to continue employment at any HHSC regulated facilities or providers. You will be required to disclose any potential conflicts of interest, secondary employment, volunteer activities, and friends/family who own, operate, or work at regulated providers.

Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC.

Active Duty, Military, Reservists, Guardsmen, and Veterans:

Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor's Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions.

Similar Jobs

More Jobs at Texas Health and Human Services Commission

More Healthcare Jobs

Find similar LTCR HCS Nurse Investigator jobs: