LTCR HCS Nurse Investigator

FALL CREEK FARM & NURSERY; Arlington (TX); On-site; USD 78,000 - 99,000; Full time

Benefits offered by this job

Health insurance

Pension plan

Paid time off

Job summary

Texas Health and Human Services Commission (HHSC) seeks an Investigator VI with RN licensure to conduct on-site inspections of Home and Community-based Services providers and investigate compliance with state and federal rules. The role requires writing detailed reports and traveling across the state.

The position offers strong state benefits, including health insurance and a retirement plan, with 80% travel responsibility and a regular full-time schedule.

Qualifications

• 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.
• 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.
• Flexibility to travel statewide (up to 80%).

Responsibilities

• Conduct on-site inspections and comprehensive surveys to verify provider compliance with health and safety regulations.
• Perform investigations into abuse, neglect, and exploitation and document findings in reports.
• Develop and deliver training for field investigators and participate in enforcement activities.
• Communicate findings clearly to providers and manage regulatory interactions.

Skills

Investigation skills

Regulatory compliance

Nursing knowledge

Interpersonal relations

Report writing

Oral/written communication

Data entry

Job description

Job Details

• Posting ID: 21248
• Closing date: 11/08/2026
• Functional Title: LTCR HCS Nurse Investigator
• Job Title: Investigator VI
• Agency: Health & Human Services Comm
• Department: CCL Residential HM Ops
• Posting Audience: Internal and External
• Occupational Category: Protective Services
• Salary Range: $6,947.66-$8,886.16 per month
• Pay Frequency: Monthly
• Salary Group: TEXAS-B-24
• Shift: Day
• Additional Shift: None
• Telework: Not Eligible for Telework
• Travel: Up to 80%
• Regular/Temporary: Regular
• Full Time/Part Time: Full time
• FLSA Exempt/Non-Exempt: Nonexempt
• Job Location City: ARLINGTON
• Job Location Address: 2561 MATLOCK RD
• Other Locations: None
• 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,LNMA,ME,MLES,MSSD,MSSE,MSSR,MST,OAP12,OAP14
• Estimated Monthly Salary: $5,000 - $6,999 per month
• Starting Market Rate Salary: $83,371.89

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 .

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.

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 tothose 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 .

ADA Accommodations

In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.

Pre-Employment Checks and Work Eligibility

Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks.

HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form

Telework Disclaimer

This position may be eligible for telework. Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.