LTCR HCS Nurse Investigator

Your Texas Benefits; Houston (TX); Presencial; USD 83.000 - 99.000; Jornada completa

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Health insurance

Descripción de la vacante

The Texas Health and Human Services Commission (HHSC) in Houston seeks an RN Investigator VI to protect residents’ health by conducting on-site surveys and investigations of Home and Community-based Services Medicaid providers. The role requires mobility, detailed reporting, and collaboration with a multidisciplinary team.

As part of HHSC Long-term Care Regulation, you will assess compliance with state and federal laws, prepare corrective action plans, and travel regionally across Texas.

Formación

• On-site inspections of providers under Medicaid programs.
• Ability to conduct investigations into abuse, neglect, and exploitation.
• Strong report-writing and regulatory documentation skills.

Responsabilidades

• Conduct on-site inspections and comprehensive surveys to determine provider compliance.
• Investigate allegations of abuse, neglect, and exploitation in Medicaid programs.
• Write detailed reports with findings, remedies, and regulatory narratives.
• Travel across the state to visit providers and verify corrections.
• Develop and deliver training for field investigators.

Descripción del empleo

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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: LTCR HCS Nurse Investigator
Job Title: Investigator VI
Agency: Health & Human Services Comm
Department: CCL Residential HM Ops
Posting Number: 21983
Closing Date: 12/04/2026
Posting Audience: Internal and External
Occupational Category: Protective Services
Salary Range: $7,474.23-$8,886.16
Pay Frequency: Monthly
Salary Group: TEXAS-B-24
Shift: Day
Additional Shift:
Telework:
Travel:
Regular/Temporary: Regular
Full Time/Part Time: Full time
FLSA Exempt/Non-Exempt: Nonexempt
Facility Location:
Job Location City: HOUSTON
Job Location Address: 9460 HARWIN
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 $ 89,690.71

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.

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