The Investigator VII performs highly advanced (senior-level) investigative work in Long-Term Care faciities. Works independently or as a member of a highly specialized interdisciplinary team conducting complaint and incident investigations to determine compliance with state and federal laws, regulations and rules. Works at a senior-level in planning, organizing and conducting regulatory investigations and completes investigation reports and statements of deficiencies/violations which support the actions and remedies recommended by the Enforcement Team. Recommends appropriate regulatory action based on investigation findings. Works under minimal supervision and has considerable latitude for the use of initiative and independent judgement. Performs investigations of complaints from individuals, providers, staff or high level external stakeholders, such as the Legislature and Governor's office as well as other entities. Works high volume of complicated cases in compressed timeframe and performs case re-investigations. Interfaces with complainants and provides information on case findings. Develops and implements training for field investigators to facilitate effective work processes for the Unit. Participates as a member of the Enforcement Team and Quality Assurance Team. Conducts Surveys and Inspections as needed. Demonstrates a high-level skill set to meet the complex nature of functions associated with this position.
Essential Job Functions:
Conducts highly advanced (senior-level) investigations using applicable protocols, state and federal regulations, and appropriate policies and procedures for the Long-Term Care Regulatory program areas, and other areas as assigned, including CMS State Operations Manual (SOM), State Licensure Requirements and the Long-Term Care Regulatory Investigation Handbooks. Investigative protocols and procedures are conducted in an effective, thorough and professional manner. Meets investigations standards and completes forms and reports accurately, correctly, and free of error. Maintains current knowledge base regarding applicable rules, standards,
regulations and other requirements. Communicates with manager on ongoing basis to ensure all pertinent information is shared timely. Performs highly advanced (senior-level) investigations in a professional and
efficient manner and reports findings through the established, proper channels.
Conducts professional interviews of witnesses and complainants and evaluates,
interprets and summarizes the information. Must possess the ability to maintain
confidentiality at all times and in all situations.
Assumes responsibility for coordinating and performing all aspects of the
investigation to ensure that procedures, policies and protocols are followed for the
Long-Term Care programs. Works independently, as team member, or as Team Lead
for Investigations. Reviews, develops presents and implements investigations training
for field investigators and other LTCR staff to facilitate effective work processes.
Positively accepts, implements and demonstrates proficiency on new
investigation/survey methods, techniques, programs, hardware and software.
Prepares senior-level descriptive, well written, comprehensive accurate and
error-free reports, and statements of deficiency/violations in compliance with State and
Federal performance standard criteria for the Long-Term Care Regulatory program
areas. Ensures reports and documentation are submitted within mandated
timeframes, with accurate scope and severity. Recommends appropriate regulationbased
enforcement action. Informs management of significant program issues
Communicates on a complex level with others (internally and externally) to
provide, exchange or verify information, answer inquiries, address issues or resolve
problems or complaints. Oversees and/or evaluates the information gathered from
multiple sources and presents it in thorough verbal or written format to upper-level
management in timely manner.
Provides effective professional testimony at formal hearings for the Long-Term
Care program areas and other areas as assigned. Proposes defensible decisions and
recommendations to management and the Enforcement Committee.
Participates in assessment of unlicensed facilities by assisting regional office as
Attends meetings as required and attends work on a regular and predictable
schedule in accordance with agency leave policy. Monitors and completes required
training timely. Maintains professional license in good standing, if applicable.
Performs other duties as assigned.
Knowledge Skills Abilities:
Knowledge of state and federal regulations for Long Term Care facilities, resident
care, and provider compliance.
Knowledge, ability and skill in conducting high-level investigations.
Ability to interpret and apply policies, procedures and regulations.
Ability to work independently and make appropriate decisions and regulation-based
Ability to operate personal computer-based programs and complete data entry and
technically correct, error-free reports.
Ability to multi-task and track multiple activities with competing priorities.
Ability to complete a high-volume, demanding, deadline-driven workload.
Skilled in conducting investigations to verify compliance.
Ability to exercise professional judgment and reach sound decisions.
Ability to integrate complex concepts, difficult procedures, or complicated processes
Ability to communicate effectively both orally and in writing.
Ability to effectively present information to executive-level management.
Registration or Licensure Requirements:
Successful completion of the federal Surveyor Minimum Qualifications Test (SMQT) is required within 12 months of applicants who are not currently SMQT qualified. Experience conducting
Long Term Care Regulatory facility investigations and deficiency citation. Current
Texas License and/or certification in a professional area that is eligible for federal
qualification as a health facilities surveyor (e.g., registered or licensed nurse,
dietitian, social worker, sanitarian, etc.), as applicable.
Initial Selection Criteria:
1. 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.
2. Experience in conducting Long-Term Care Regulatory
investigations in Long-Term Care facilities.
3. Experience in Nursing Facilities, Assisted Living Facilities,
and Day Activity and Health Services Regulatory programs.
4. Experience in writing deficiencies/violations and
Investigation Summary Reports.
5. Knowledge of state and federal regulations specific to Long
6. Surveyor Minimum Qualifications Test (SMQT) qualified.
Flexibility in work hours required for this position. Job requires 85% travel. Requires
some overnight travel, some weekends and some on-call. Must have reliable
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. All applicants must pass a fingerprint criminal background check.
Military occupation(s) that relate to the initial selection criteria and registration or
licensure requirements for this position may include, but not limited to:31B, 31D,
EOD, 401, 5819, 7S0X1. All active duty military, reservists, guardsmen, and veterans
are encouraged to apply if qualified to fill this position. 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.