LTCR Home Health Nurse Surveyor (Nurse III)

Texas Health and Human Services; Houston (TX); Hybrid; USD 83,409 - 99,167; Full time

Benefits offered by this job

100% paid employee health insurance

Defined benefit pension plan

Generous time-off benefits

401(k) and 457 retirement program

Eligibility for Federal Public Service Loan Forgiveness Program

Job summary

Texas Health and Human Services is seeking a Nurse III - HCSSA in Houston, TX, to conduct on-site inspections of home health agencies and hospices. The role involves investigating compliance with laws, writing reports, and advising on corrective measures.

Candidates must be licensed registered nurses in Texas with experience in healthcare settings. Full-time position demands extensive travel (up to 80%) and flexible scheduling with overnight duties.

Benefits include paid health insurance and a pension plan for eligible employees.

Qualifications

• Must be licensed as a registered nurse in Texas or a state in the Nurse Licensure Compact.
• Experience in home health or hospice settings preferred.

Responsibilities

• Conduct on-site inspections and investigations.
• Evaluate compliance with state and federal laws.
• Communicate findings to stakeholders.
• Create detailed inspection reports.
• Perform quality assurance reviews.

Skills

Knowledge of risks to populations at risk

Strong interpersonal skills

Quality assurance monitoring

Advanced written report preparation skills

Regulatory policy interpretation

Problem-solving skills

Oral and written communication skills

Education

Registered nurse license in Texas

Federal and state training for Home and Community Support Services Agencies

Job description

Location: HOUSTON, TX

Functional Title: LTCR Home Health Nurse Surveyor (Nurse III)

Job Title: Nurse III - HCSSA

Agency: Health & Human Services Commission (HHSC)

Department: Rgn 06-Reg Svc HCSSA Reg

Posting Number: 17128

Closing Date: 07/18/2026

Salary Range: $7,474.23 - $8,886.16 per month

Shift: Day; Travel: Up to 80%; Full Time/Part Time: Full time; Telework: Not eligible

Job Overview

The Home Health Nurse Surveyor protects residents’ health and safety by conducting on‑site inspections and investigations of Texas home health agencies and hospices. Duties include evaluating compliance with state and federal laws, investigating abuse, neglect, or exploitation, writing detailed reports, and advising on corrective actions. The role involves extensive travel (up to 80%) and requires a mobile, flexible schedule with occasional overnight and weekend travel.

Essential Job Functions (EJFs)

• Conduct on‑site licensure inspections, complaint and incident investigations, and annual comprehensive surveys.
• Investigate allegations of abuse, neglect, and exploitation.
• Communicate findings clearly with internal and external stakeholders to resolve inquiries and complaints.
• Conduct exit conferences with facility staff regarding findings and deficiencies.
• Create and complete inspection or survey reports detailing deficiencies and narratives to support regulatory findings.
• Revisit facilities to verify correction of previously cited regulatory violations.
• Perform quality assurance reviews of documents prepared by others.
• Supervise team members during inspections when needed and provide expertise to the survey team.
• Testify at hearings or court proceedings to provide information regarding policy, procedures, and findings.
• Provide emergency licensure action support and potential skilled care as required.
• Be available for on‑call duties for emergencies such as weather events or high‑priority situations.

Knowledge, Skills and Abilities (KSAs)

• In-depth knowledge of risks to populations at risk in institutional and home‑health settings.
• Strong interpersonal relation skills.
• Proficiency in quality assurance monitoring, program review, certification, survey, or investigations.
• Ability to provide guidance, policy clarifications, and information to others.
• Advanced written report preparation skills.
• Organizational skills to manage multiple activities with competing priorities.
• Data collection and analysis ability; problem‑solving skills.
• Regulatory policy, procedure, and regulation interpretation.
• Independent work capability.
• Computer literacy for writing reports.
• Professional judgment and sound decision‑making.
• Oral, written, and electronic communication skills, including word processing.
• Task organization and punctuality.

Registrations, Licensure Requirements or Certifications

• Must be licensed as a registered nurse in Texas or a state in the Nurse Licensure Compact.
• Must complete all federal and state training for Home and Community Support Services Agencies.

Initial Screening Criteria

• Experience working as an independent or autonomous health‑care provider in a home‑health or hospice setting, long‑term care facility, hospital, or as a field nurse or case manager.
• Two years of registered‑nurse experience in a health‑care setting is preferred.
• Minimum one year in institutional care, home‑health care, hospice care, or other long‑term care settings is preferred.

Additional Information

• Flexibility in work hours is required.
• 80% travel, including statewide travel, overnight, and weekend travel.
• On‑call duties for emergencies or high‑priority situations may be required.
• Reliable transportation is necessary.
• All applicants must pass a fingerprint criminal background check.
• Accepting the position requires disclosure of potential conflicts of interest, secondary employment, volunteer activities, and relations to regulated providers.
• Professional licensing and Employee Misconduct Registry checks are required for certain applicants (e.g., former licensed nursing facility administrators).

Active Duty, Military, Reservists, Guardsmen, and Veterans

Military occupations related to the initial selection criteria and licensure requirements are encouraged if qualified to fill this position.

ADA Accommodations

HHSC and DSHS agencies will provide reasonable accommodations during the hiring and selection process for qualified individuals with a disability.

Pre‑Employment Checks and Work Eligibility

Applicants may be required to pass background and other due diligence checks. HHSC uses E‑Verify. Bring I‑9 documentation on the first day of work.

Telework Disclaimer

This position may be eligible for telework when appropriate. All HHS positions are subject to state and agency telework policies.

Benefits

Benefits for full‑time eligible employees include 100% paid employee health insurance, a defined benefit pension plan, generous time‑off benefits, a 401(k) and 457 retirement program, and eligibility for the Federal Public Service Loan Forgiveness Program.