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: HFC Nurse III Surveyor, Non-Supervisor
Job Title: Nurse III
Agency: Health & Human Services Comm
Department: HFC SAN ANTONIO - REGIONS 8_11
Posting Number: 18399
Closing Date: 09/27/2026
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
Additional Shift:
Telework: Not Eligible for Telework
Travel: Up to 85%
Regular/Temporary: Regular
Full Time/Part Time: Full time
FLSA Exempt/Non-Exempt: Exempt
Facility Location:
Job Location City: SAN ANTONIO
Job Location Address: 6711 S NEW BRAUNFELS
Other Locations:
MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W
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!
As part of a collaborative team of public servants, a nurse III protects patient' health and safety by conducting on-site inspections and investigations in Texas Healthcare provider settings (ASCs, ESRDs, Hospitals, Emergency Rooms, New Licensure and Re-Licensure of facilities, Birthing Centers, Psychiatric facilities, and other activities related to health services regulation) 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 surveyor is mobile and flexible and performs minimal work at an office, though the role does require writing reports detailing any deficiencies/violations against a facility and narrative to support regulatory determinations. 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.
Regulatory Nurse Surveyor works under limited supervision, with considerable latitude for the use of initiative and independent judgment. Performs advanced (senior-level) nursing support for regulated health care facilities and stakeholders.
Conducts recertification surveys, initial surveys, complaint investigations and follow-up visits at regulated health facilities to determine compliance with state and federal regulations.
This position evaluates health facility providers' plans of correction for acceptable corrective action on cited deficiencies and refers for state and federal enforcement action as appropriate.
This position prepares and completes appropriate reports accurately and on a timely basis with specific deadlines.
This position may serve as a preceptor for orientation of new surveyors.
This position may represent the department at stakeholder or professional meetings.
May be requested to assist in a variety of roles during emergency situations or in other activities as assigned.
This position has extensive latitude in completing essential job functions. Responds to inquiries whether by e-mail, telephone, or in person. Follows the State Operations Manual.
Database responsibilities include planning, developing, and implementing data entry, report construction, workload monitoring, and quality assurance in TULIP, ASPEN (ACO/ACTS), IQIES, SharePoint, Microsoft Office Suite and other systems.
Telework status is contingent on successful completion of 6-month probationary period and all requirements for telework status.
Travel requirements include travel to statewide work sites each week with one day or less each week in the office.
Essential Job Functions (EJF's):
Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned. Compliance Activity. Conduct on-site surveys and investigations of licensed and or Medicare certified health care facilities to determine compliance with applicable state and federal laws, regulations, and rules. Regulated health facilities surveyed and investigated include, in part, hospitals, psychiatric hospitals, ambulatory surgical centers, end stage renal disease facilities, birthing centers, and rehabilitation facilities. Analyzes, compiles and reviews complex, technical information derived from clinical record reviews, facility management and business record reviews, patient, consumer and facility staff interviews, and onsite observations. Evaluates management, supervision and quality of care delivery. Determines the validity of the allegations in the complaint and compliance with state and federal regulations, and documents survey and investigation findings in the Automated Survey Processing Environment (ASPEN). Comply with the Principles of Documentation when preparing deficiency reports. Reviews plans of correction submitted by healthcare facilities to determine acceptability. Develops recommendations for adverse state enforcement action and federal termination action if applicable and refers to other regulatory entities if appropriate. (80%)
Submits travel timely, accurately and according to policy; enters leave in CAPPS timely. Training. Plans, assigns and/or supervise the work of other survey staff and survey teams. Provides consultation and serves as a preceptor and mentor in the orientation and initial training of newly employed surveyors. (5%)
Uses the Centers for Medicare & Medicaid Services (CMS) Surveyor Training Orientation Program for the Newly Employed Surveyor and the specific laws and regulations for each health facility type to teach the survey process. Uses standardized reports to compose field evaluation reports of newly employed surveyors. Participates in training workshops to enhance the skills of surveyors. Assists management and quality assurance program staff in the development and implementation of quality assurance processes. (10%)
Public Relations. Represents the agency by providing information, collaborating with stakeholders, customers, other state agencies and federal partners. Responds to inquiries and requests from providers and health care consumers regarding regulated facilities, both verbally and in writing utilizing word processing software, such as Word. Performs related work as assigned maintaining flexibility and openness to assist the program in achieving goals, objectives and required timelines. (5%)
Registrations, Licensure Requirements:
Must be registered as a Registered Nurse in the State of Texas or a state that recognizes reciprocity through the Nurse Licensure Compact.
Graduation from an accredited four-year college or university with major course work in nursing or from an accredited nursing program is generally preferred.
Experience and education may be substituted for one another on year to year basis..
Knowledge, Skills, and Abilities (KSA's):
Knowledge of local, state and federal health care laws and regulations relevant to regulated program areas.
Knowledge of health care facility operation, regulation, and procedures.
Knowledge of public administration and management techniques.
Knowledge of statistical analysis processes
Knowledge of research techniques
Knowledge of training and marketing techniques
Knowledge of program management processes and techniques.
Skill in written and verbal communication including public speaking.
Skill in managing multiple and competing priorities.
Skill in identifying problems, evaluating alternatives, and negotiating and implementing solutions.
Skill in identifying measures or indicators of program performance and in the use of a computer and applicable software.
Skill in working collaboratively and cooperatively with diverse groups.
Ability to gather, assemble, correlate, and analyze facts.
Ability to prepare and maintain records.
Ability to explain public health law.
Ability to devise solutions to problems.
Ability to prepare reports.
Ability to develop, evaluate, and interpret policies and procedures.
Ability to communicate effectively.
Ability to provide guidance to others.
Ability to organize and present information effectively, both orally and in writing.
Ability to use computers and computer software for word processing, database management and report writing.
Ability to plan, assign and/or supervise the work of others.
Initial Screening Criteria:
Graduation from an accredited four-year college or university with major course work in nursing or from an accredited nursing program is generally preferred. Experience and education may be substituted for one another on a year to year basis.
3 Years of registered nursing experience required.
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.
Completes licensing inspection or survey reports detailing deficiencies, recommended remedies, and narratives to support regulatory findings.
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.
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.
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 Auditors 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.