LTCR Nursing and Licensed Facilities Manager II

Texas Health and Human Services; Waco (TX); On-site; USD 83,000 - 93,000; Full time

Benefits offered by this job

100% paid employee health insurance

Defined benefit pension plan

Generous time off

Career advancement opportunities

Job summary

Texas Health and Human Services is seeking a Manager II to oversee the LTCR Nursing and Licensed Facilities unit in Waco, TX. The role involves supervising regional staff, coordinating surveys, licensure inspections, and ensuring compliance with state and federal regulations across nursing facilities and related settings.

The position requires a strong background in regulatory oversight, program management, and staff development, with telework eligibility and travel up to 35% as needed.

Qualifications

• Knowledge of and ability to interpret local, state, and federal laws and regulations relevant to program area.
• Ability to plan and direct program activities to support agency goals.
• Ability to coach employees to develop their capabilities including providing encouragement and training to improve job performance.

Responsibilities

• Coordinate activities and resources for a geriatric survey unit.
• Schedule surveys, certifications, complaints, licensure inspections, and follow-up visits.

Skills

Leadership

Problem solving

Interpersonal skills

MS Office

Education

Bachelor's degree in Public Administration / Healthcare Administration

Job description

Date: Sep 17, 2026

Location: WACO, 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 Nursing and Licensed Facilities Manager II
Job Title: Manager II
Agency: Health & Human Services Comm
Department: Rgn 07-Regulatory Services
Posting Number: 21617
Closing Date: 10/01/2026
Posting Audience: Internal and External
Occupational Category: Management
Salary Range: $7,474.40 - $8,304.83
Pay Frequency: Monthly

Salary Group: TEXAS-B-23
Shift: Day

Telework: Eligible for Telework
Travel: Up to 35%
Regular/Temporary: Regular
Full Time/Part Time: Full time
FLSA Exempt/Non-Exempt: Exempt

Facility Location:
Job Location City: WACO
Job Location Address: 801 AUSTIN AVE STE B-30
Other Locations: Waco; Austin; Temple
MOS Codes: 0203,0207,0302,0520,0602,0802,1802,5502,6302,6502,7202,7208,7210,7220,111X,112X,113X,114X,16GX,41AX, 611X,612X,631X,632X,641X,648X,86M0,86P0,8U000,9G100,SEI15

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!

Nursing and Licensed Facilities Manager II – Starting Market Rate Salary $89,692.85

Under the supervision of the Regional Director/Assistant Regional Director (RD/ARD), supervises regional team members/team coordinators such as Nurses, Social Workers, Generalist, Dieticians, and Pharmacists. The program manager oversees the regional team in conducting certification surveys, licensure inspections, and investigations in long-term care facilities to determine compliance with state and federal laws, regulations, and rules in nursing facility, assisted living facility, and day activity health services settings. The program manager participates as an active member of the Regional Management Team. The program manager ensures timeframes/data entry deadlines are met for all visits. Assists RD/ARD in performing administrative tasks as assigned.

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)

• Coordinates the activities and the department resources for a geriatric survey unit.
• Schedule surveys, certifications, complaints, licensure inspections and follow-up visits to meet federal and state guidelines, protocol, and timeframes.
• Supervises unit staff which includes planning work schedules, monitoring output, and ensuring compliance with policies and procedures.
• Tracks, monitors, plans, coordinates, or schedules activities on a complex level to ensure deadlines or requirements are met.
• Evaluates program, procedures, or processes for effectiveness through review (for example, reviews statistics, reports, operations, findings, case readings, surveys, quality assurance activities, performance measures, best practices) and reports results or makes recommendations to resolve issues or improve performance.
• Serves as liaison for assigned area on complex issues with agency staff or outside entities.
• Plans, participates in, and monitors staff training.
• Selects, manages, and develops staff through conferences, mentoring, training, and performance appraisal.
• 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 and oversight to residents in a facility. If the employee is a current registered or licensed nurse, there is a potential for skilled care.
• 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 and ability to interpret local, state, and federal laws and regulations relevant to program area.
• Knowledge of applicable agency program policy and monitoring systems.
• Skill in managing and providing leadership to professional level staff.
• Skills in problem solving and decision making.
• Skills in building and maintaining effective, interpersonal work relationships.
• Skill in using Microsoft Office software; Word, Excel, Access, Outlook.
• Ability to express oneself clearly orally and in writing.
• Ability to plan and direct program activities to support agency goals.
• Ability to devise solutions to administrative problems.
• Ability to establish goals, objectives, to organize workloads, and set priorities to meet deadlines.
• Ability to develop and evaluate administrative policies and procedures.
• Ability to communicate with others to provide, exchange, or verify information, answer inquiries, address issues, or resolve problems or complaints.
• Ability to effectively interact with others in political/stressful situations.
• Ability to coach employees to develop their capabilities including providing encouragement and training to improve job performance.
• Ability to problem-solve, multi-task, and be organized.
• Ability to track multiple activities with competing priorities.

Registrations, Licensure Requirements Or Certifications

Must have Surveyor Minimum Qualifications Test (SMQT) Certification or obtain within 12 months of hire.

Initial Screening Criteria

• Bachelor's degree from an accredited college or university with a major in public administration, health care administration, hospital administration, business administration, education, psychology, social work, sociology, nursing, medicine, or a discipline related to developmental disabilities and/or gerontology. Experience in a Texas state agency Long Term Care Regulatory program may be substituted on a year for year basis for the required education, with a maximum substitution of four years.
• Minimum of 2 years’ experience performing supervisory, managerial, or professional work preferred.
• Long-Term Care Regulatory experience or program experience with a long-term care provider.

Additional Information

Must be able to work hours other than 8 AM to 5 PM, Monday through Friday, as necessary. Requires some weekend, early morning, late evening and overnight travel. May be required to be on call. The interview process for this position may include a written exercise. Flexibility in work hours is required for this position. The job requires 35% travel, with most travel during the day. However, some overnight and weekend travel is required, as well as occasional on-call duties for emergencies or high-priority situations in facilities. Must have reliable transportation.
All applicants must pass a fingerprint criminal background check and the SEMARC (Search Engine for Background Checks) check. Additional checks as applicable may include the NAR (Nurse Aide Registry) and LNFA (Licensed Nursing Facility Administrator) check.
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.
The interview process for this position may include a written exercise.
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: Waco