LTCR Nursing Facilities Investigator V

Functional Title: LTCR Nursing Facilities Investigator V Job Title: Investigator V Agency: Health & Human Services Comm Department: Rgn 08-Regulatory Services Posting Number: 22184 Closing Date: 12/15/2026 Posting Audience: Internal and External Occupational Category: Protective Services Salary Range: $6,318.95- $7,761.50 Pay Frequency: Monthly Salary Group: TEXAS-B-22 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: SAN ANTONIO Job Location Address: 1067 BANDERA 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!
• As part of a collaborative team of public servants, an investigator protects residents’ health and safety by conducting on-site inspections and investigations in Texas long-term care facilities (nursing homes, assisted living facilities, and day activities and health services sites) to assess their compliance with state and federal laws and rules. This position offers a competitive starting salary; excellent state benefits, including health insurance and retirement; and the opportunity to regularly travel to different facilities 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 surveyor is mobile and flexible and performs minimal work at an office, though the role does require writing reports detailing any deficiencies/violations against a facility, remedies to correct those deficiencies, and narrative to support regulatory determinations. See below for details.
• 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 V conducts on-site licensure inspections, complaint and incident investigations, and annual comprehensive surveys in facilities to determine compliance with federal and state health and safety regulations. Completes inspection or survey reports detailing deficiencies.
• Communicates clearly and accurately with others (internally and externally) to provide, exchange, or verify information, answer inquiries, address issues, or resolve issues or complaints in Texas long-term care facilities.
• Conducts exit conferences with facility staff regarding findings.
• Visits long-term care facilities to verify correction of previously cited regulatory violations.
• Performs quality assurance reviews of documents prepared by others, for example, publications, assessments, reports.
• Occasionally might need to testify at hearings or in court proceedings to provide information regarding policy/procedures, history, findings, or activities.
• In the event of emergency licensure action, be available to assist with non-skilled care and oversight to residents in a facility. If the employee is a current registered or licensed nurse, there is a potential for skilled care.
• Be available for on-call duties for emergencies such as weather events or high-priority situations in facilities or at providers.

Knowledge, Skills, and Abilities (KSAs):

• Knowledge of acceptable professional standards of patient care.
• Skilled in conducting investigations to verify compliance.
• Ability to interpret policies, procedures, and regulations.
• Ability to multi-task and track multiple activities with competing priorities.
• Ability to work independently.
• Ability to use the computer for writing reports.
• Ability to exercise professional judgment and reach sound decisions.
• Ability to integrate complex regulatory concepts, procedures, and processes.
• Ability to operate personal computers and software.

Registrations, Licensure Requirements or Certifications:

• Must have Surveyor Minimum Qualifications Test (SMQT) Certification or obtain within 12 months of hire.
• Current license or registration as a nurse, social worker, respiratory therapist or dietician preferred.

Initial Screening Criteria:

• Graduation from an accredited four-year college or university. Investigative experience or experience in long-term care may be substituted for the required education on a year-for-year basis up to four years.
• Experience in regulatory services preferred.
• Experience in writing detailed reports.
• Experience operating personal computers and software.
• Experience conducting investigations 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 and the SEMARC (Search Engine for Background Checks) check. Additional checks as applicable may include the NAR (Nurse Aide Registry) and LNFA (Licensed Nursing Facility Administrator) check.
• 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 an