Texas Health & Human Services Commission
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    Job Description

    Nurse III - HCSSA
    Are you a highly-motivated, compassionate and dedicated individual looking for a rewarding career assisting the most vulnerable citizens of Texas in need of medical care and other social services?

    If so, the Texas Health and Human Services Commission (HHSC) Long-term Care Regulatory Survey Operations division is looking for individuals who want to join an exciting, dynamic team working in a high-performing and innovative environment. Survey Operations is built upon its' core values of Consistency, Accountability, Efficiency and Quality with a goal of improving the health, safety, and well-being of Texans and making a difference in the lives of the people we serve.

    Our staff are well organized, able to multi-task, possess the ability to learn policy regulations, able to thrive in a challenging, fast-paced and evolving environment, have good communication skills, a positive attitude, strong work-ethic and a desire to help others. If you also possess these skills, then we are looking for you. We want you to join our team!

    Comprehensive Compensation Package:

    Annual Starting Salary $52,948.80
    Employer Paid Health Benefits $3,735.60
    Vacation Leave Accrued Annually $1,476.00
    Sick Leave Accrued Annually $1,476.00
    Total Annual Starting Salary and Benefit Package $59,636.40

    We offer competitive benefits including health coverage for you and affordable health plans for your family, dental and life insurance plans, paid holidays, accrued vacation and sick leave, mobile working, longevity pay, promotional opportunities, and the gratification of making a positive impact on individuals and families in need.

    This position protects performs highly complex work planning and participating as a team member, team coordinator, or independently, utilizing expertise in nursing, to conduct certification and/or licensure surveys and complaint and/or incident investigations, of Home and Community Support Services Agencies (HCSSA) to determine compliance with state and federal laws, regulations, and rules. Evaluates reported complaints and incidents prior to initiating investigations. Completes inspection/survey reports listing deficiencies/violations and prepares written reports supporting the action and remedies recommended. Communicates extensively with residents/clients, their family members and representatives, facility/agency staff and representatives, and other HHSC personnel. Utilizes professional expertise and specializes in the Nursing discipline.

    Essential Job Functions:
    Under the direction of the Program Manager, plans and conducts, as part of a team and independently,, licensure inspections, and/or complaint and incident investigations of Home and Community Support Services Agencies . Depending on experience, may act as team coordinator. Utilizing experience with medical terminology, diagnostics, and treatment plans, conducts interviews, reviews resident/client medical records, and performs observations of medical treatments; medication administration; and other patient care practices relevant to the survey/investigation to determine compliance with federal Conditions of Participation and/or state licensure requirements, and to ensure residents/clients are being provided the highest practicable standards of care and quality of service. Reviews provider-developed resident assessments and plans of care to determine their appropriateness and efficacy in ensuring the highest practicable standards of care and improving residents'/clients' quality of life. Performs final evaluation of reported complaints and incidents to determine what preparation will be required before initiating investigations, including pre-investigation documentation and communication with complainants and other relevant stakeholders (such as the local ombudsman).

    Thoroughly documents survey and investigation processes and prepares formal written reports on findings, deficiency determination, and documenting all supporting evidence, following the Principles of Documentation. Conducts follow-up visits or reviews to verify deficiencies have been corrected.

    Communicates with complainants and other stakeholders regarding survey and investigation outcomes.

    Consults with facility staff regarding findings and evaluates plans to correct deficiencies or remove ongoing threats to resident health and safety, in cases of Immediate Jeopardy or Immediate Threats. Performs initial reviews of Plans of Correction and Plans of Removal submitted by providers and assesses their ability to correct identified deficiencies. Consults with Program Managers and Regional Director/Assistant Regional Director on final determination for acceptable Plans of Correction and Plans of Removal.

    Communicates on a complex level with others (internally or externally) to provide, exchange, or verify information, answer inquiries, address issues, or resolve problems or complaints. Consults with Survey Operations team members and leadership regarding ongoing survey/investigation activities.

    As a peer reviewer, performs quality assurance reviews of documents prepared by others before final submission for Program Manager review (for example, deficiencies, violations, reports). As necessary, utilizes experience with medical terminology, diagnostics, treatment options, and medication to review reports of observations and interviews conducted by non-medical team members to ensure medical-related information is effectively assessed.

    Testifies at hearings or in court proceedings to provide information regarding policy/procedures, facility compliance history, investigation findings, or survey activities.

    Knowledge Skills Abilities:
    Knowledge of nursing principles and acceptable professional standards of patient care in gerontology or receiving home health services.
    Ability to interpret policies, procedures, and regulations.
    Ability to work independently.
    Ability to exercise professional judgment and reach sound decisions.
    Ability to collect and analyze data.
    Experience preparing detailed written reports.
    Ability to communicate orally and in writing.
    Ability to establish and maintain effective work relationships with team members and others.
    Ability to multitask and track multiple activities with competing priorities.
    Ability to handle situations of high stress and conflict.
    Ability to use the computer for writing reports

    Registration or Licensure Requirements:
    Licensed to practice as a registered nurse in the State of Texas (or a state that recognizes reciprocity through the Nurse Licensure Compact).

    Initial Selection Criteria:
    Two (2) years nursing experience.
    Experience working in at least one of the following areas: nursing home care, hospice care, elderly home care, dementia care, infection control, wound care, mental health, intellectual disabilities, physical disabilities, advocacy, critical care, risk management, quality assurance, or public health.
    Experience conducting patient/client assessments, care planning, or investigations to create improvement plans.

    Additional Information:
    REQ 452524
    This position requires 85% travel. Overnight stays and weekend, evening, and night hours will be required during some surveys. Must have reliable transportation. All applicants selected for hire must pass a fingerprint criminal background check.

    For current Health and Human Services state employees the salary offered will follow HHS starting salary guidelines which are typically made at or near the minimum of the salary range or at the established market salary rate.
    Candidates must indicate willingness to work outside the normal business hours of 8am-5pm, Monday-Friday and weekends, as needed, during times of increased workload.
    It is essential that you provide complete and accurate information on your application. Please report all related education, experience, and dates. Clearly indicate your college degree and major on your application. Complete applications must be submitted by the closing date. Information submitted after this date will not be added.
    The Texas Health and Human Services Commission is committed to hiring veterans and creating a work environment that values and retains the skills that service members bring to the job.

    MOS Code:
    Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include: 68C, 66N/P/W, 290X, 46FX, 46NX, 46SX. For more information, see the Texas State Auditor's Military Crosswalk at

    HHS agencies use E-Verify. You must bring your I-9 documentation with you on your first day of work.

    I-9 Form - Click here to download the I-9 form.

    In compliance with the Americans with Disabilities Act (ADA), HHS 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.

    Posting ID: 556640596Posted: 2020-05-21