LTCR ICF/IID Nurse Surveyor

Texas Health and Human Services; San Antonio (TX); On-site; USD 89,000 - 107,000; Full time

Benefits offered by this job

Health insurance

Pension plan

Generous time off benefits

Job summary

Texas Health and Human Services Commission (HHSC) seeks an experienced Nurse Surveyor (Nurse III - ICF/IID) to perform on-site inspections and investigations in long-term care facilities across Texas. The role emphasizes accuracy in reporting, regulatory compliance, and mobility to different facilities within a region and statewide.

The position offers a starting market rate salary, comprehensive state benefits including health insurance, retirement, and extensive travel opportunities.

Qualifications

• Must be licensed as a registered nurse by the State of Texas or a state that recognizes reciprocity through the Nurse Licensure Compact.
• Willingness to travel up to 80% statewide.
• Pass background and other due diligence checks as required.

Responsibilities

• Conduct on-site licensure inspections, complaint and incident investigations, and annual surveys in long-term care facilities.
• Communicate findings clearly with facility staff and stakeholders.
• Prepare inspection reports detailing deficiencies and narratives to support regulatory findings.
• Verify correction of cited deficiencies through follow-up visits.
• Provide guidance and technical assistance to survey teams when needed.
• May testify at hearings or court proceedings regarding policies and findings.

Skills

Nursing principles

On-site inspections

Report writing

Oral & written communication

Multi-tasking

Interpersonal relations

Team leadership

Education

RN licensure (TX or Compact)

Tools

Word processing software

Job description

Date: Sep 14, 2026

Location:

SAN ANTONIO, TX

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 ICF/IID Nurse Surveyor

Job Title: Nurse III - ICF/IID

Agency: Health & Human Services Comm

Department: Rgn 08-Reg Svc ICF-MRSurCert

Posting Number: 21485

Closing Date: 11/13/2026

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

Telework: Not Eligible for Telework

Travel: Up to 80%

Regular/Temporary: Regular

Full Time/Part Time: Full time

FLSA Exempt/Non-Exempt: Exempt

Job Location City: SAN ANTONIO

Job Location Address: 1067 BANDERA RD

MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W

Brief Job Description

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!

ICF/IID Nurse Surveyor – Starting Market Rate Salary $89,690.71

As part of a collaborative team of public servants, a Nurse surveyor protects residents’ health and safety by conducting on-site inspections and investigations, including investigations of abuse, neglect, and exploitation, in Texas long-term care settings (Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Condition (ICF/IID)) 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 nurse is mobile and flexible and performs minimal work at an office. However, the role does require writing reports detailing any deficiencies/violations against a facility and a narrative to support regulatory determinations. Must meet certain professional qualifications – 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, a nurse surveyor conducts on-site licensure inspections, complaint and incident investigations, and annual comprehensive surveys to include investigations of abuse, neglect, or exploitation in facilities to determine compliance with federal and state health and safety regulations.
• Communicates clearly and accurately with others (internally and externally) to provide, exchange, or verify information, answer inquiries, or resolve issues or complaints in Texas long-term care facilities.
• Conducts entrance and exit conferences with facility staff regarding findings. Completes inspection or survey reports detailing deficiencies and narratives to support regulatory findings.
• Revisits 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, and reports.
• Might supervise the work of team members during inspections, provide technical assistance to facilities, and lend expertise to a survey team in the areas identified above.
• Occasionally might need to testify at hearings or in court proceedings to provide information regarding policy/procedures, history, findings, or activities.
• Testifies 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, oversight to residents in a facility and there is a potential that skilled care will be necessary.
• 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 issues, concerns, and needs of populations at risk in various health care and/or institutional environments (elderly, mentally ill, developmentally disabled, functionally dependent, medically frail, etc.).
• Knowledge of nursing principles and acceptable professional standards of patient care.
• Knowledge of program regulations and procedures, and survey techniques and principles.
• 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 oral, written, and electronic communications, including computer word processing software.
• Ability to multi-task and track multiple activities with competing priorities.
• Ability to collect and analyze data.
• Ability to integrate complex concepts, difficult procedures, or complicated processes.
• Ability to analyze and solve work problems.
• Ability to interpret regulatory policies, procedures, and regulations.
• Ability to work independently.
• Ability to work as a team member or leader.
• Ability to use the computer for writing reports.
• Ability to exercise professional judgment and reach sound decisions.
• Ability to be task organized and punctual.

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.

Must successfully complete state and federal training and become qualified to conduct surveys independently in the federal intermediate care facility program within the first 12 months of employment.

Initial Screening Criteria

• Experience in a Long-term Care Regulatory program, preferred.
• Experience in assessment and documentation of health status.
• Prefer two years of experience providing services in a health care setting as a registered nurse.

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 may include the NAR (Nurse Aide Registry), the BON (Board of Nursing), LNFA (Licensed Nursing Facility Administrator, and/or other applicable checks.

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.

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.

Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC.

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 to those 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.

Nearest Major Market:

San Antonio