LTCR Home Health and Hospice Nurse Surveyor

LTCR Home Health and Hospice Nurse Surveyor

Join the Texas Health and Human Services Commission (HHSC) as a Nurse III - HCSSA
. This role focuses on protecting residents’ health and safety by conducting on-site inspections and investigations of abuse, neglect, and exploitation in Texas long‑term care settings (home health and hospice agencies). Travel up to 80% of the time is required, including statewide, overnight, and weekend travel. The position is a full‑time, exempt day shift.
Salary Range: $7,474.23 – $8,886.16 per month (Daily Value $89,690.71).

• 100% paid employee health insurance for eligible full‑time employees

• Defined benefit pension plan

• Generous time off, career advancement opportunities, and more

• Conduct on‑site licensure inspections, complaint and incident investigations, and annual comprehensive surveys.
• Investigate alleged abuse, neglect, and exploitation in long‑term care facilities.
• Communicate findings clearly with internal and external stakeholders.
• Prepare detailed inspection/survey reports, including deficiency narratives and regulatory determinations.
• Re‑visit agencies to verify correction of prior violations.
• Perform quality assurance reviews of documents prepared by others.
• Possibly supervise team members during inspections.
• Testify at hearings or court proceedings when required.
• Provide on‑call assistance during emergencies such as weather events, or high‑priority situations.

• Under program manager direction, conduct licensure inspections, complaint/incident investigations, and surveys to determine compliance.
• Communicate accurately and effectively with facility staff and other stakeholders.
• Conduct exit conferences with agency staff regarding findings.
• Complete inspection or survey reports detailing deficiencies and supporting narratives.
• Re‑visit partners to verify compliance and correct violations.
• Perform quality assurance reviews of documents prepared by others.
• Possibly supervise work of team members and provide expertise during inspections.
• Be available to testify at hearings or in court proceedings.
• Assist with non‑skilled care in emergency licensure actions when needed.
• Be available for on‑call duties during emergencies.

• Understanding of risks for at‑risk populations in various care environments.
• Interpersonal and interpersonal communication skills.
• Quality assurance, program review, certification, survey, or investigation skills.
• Providing guidance, policy clarifications, and information to others.
• Skill in preparing detailed written reports.
• Multitasking and prioritizing numerous activities.
• Data collection, analysis, interpretation, and problem solving.
• Independent work ability and professional judgment.
• Proficiency with computer word‑processing and related software.
• Organizational and punctual task management.

• Registered Nurse license in the State of Texas or a state recognizing reciprocity through the Nurse Licensure Compact.

• Completion of all required federal/state training for Home and Community Support Services Agencies and Hospice Orientation.

• Experience as an autonomous healthcare provider (home health, hospice, hospital, or field nurse). Preferably two years as a registered nurse.
• Minimum one year of experience in institutional, home health, hospice, or long‑term care settings.

• 80% travel requirement, including statewide, overnight, and weekend travel.

• Must have reliable transportation.

• All applicants must pass a fingerprint criminal background check.

• Non‑continued employment at HHSC regulated facilities or providers is required upon acceptance. Disclosure of potential conflicts of interest is mandatory.

• Pre‑employment checks and eligibility may be required.

HHSC and DSHS agencies will provide reasonable accommodations during the hiring process for qualified individuals with disabilities. Contact the HHS Employee Service Center at 1‑888‑894‑4747 for assistance.

Background checks may be required. HHSC uses E‑Verify; bring I‑9 documentation on the first day.

Telework may be eligible for this position but is subject to state and agency policies and supervisory discretion.

We encourage all qualified military personnel and veterans to apply.

Apply through the Texas Health and Human Services official portal. The posting will close on 07/03/2026.