Nurse III

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: Nurse III - HCSSA (Long-Term Care Regulation) 
Job Title: Nurse III - HCSSA 
Agency: Health & Human Services Comm 
Department: Rgn 03-Reg Svc HCSSA Reg 
Posting Number: 9555 
Closing Date: 10/23/2025 
Posting Audience: Internal and External 
Occupational Category: Community and Social Services 
Salary Group: TEXAS-B-24 
Salary Range: $7, $8,886.16 
Pay Frequency: Monthly
Shift: Day 
Additional Shift:  
Telework:  
Travel: Up to 80% 
Regular/Temporary: Regular 
Full Time/Part Time: Full time 
FLSA Exempt/Non-Exempt: Exempt 
Facility Location:  
Job Location City: ARLINGTON 
Job Location Address: 2561 MATLOCK RD 
Other Locations:  
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 want a place to work where you can establish a career filled with purpose, this is the job for you

Nurse III (Long-term Care Regulation)

Nurse III – Market Rate Salary $89,690.71

As part of a collaborative team of public servants, a nurse III protects residents' health and safety by conducting on-site inspections and investigations, including investigations of abuse, neglect, or exploitation, in Texas home health agencies and hospices 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 travel to different facilities within a region regularly. 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, remedies to correct those deficiencies and a narrative to support regulatory determinations. Must meet certain professional qualifications – see below for details.

To watch a brief video showing the vital work long-term care surveyors do every day, please click here: Link Title

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 annuityas 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 III conducts on-site licensure inspections, complaint and incident investigations, and annual comprehensive surveys in facilities to determine compliance with federal and state health and safety regulations in the following areas: admissions, transfers, and discharges; resident rights;  quality of care assessment; quality of life assessment; resident care plans; social, psychological and rehabilitative services; provision of medical services.

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 exit conferences with facility staff regarding findings and deficiencies. Completes inspection or survey reports detailing deficiencies, and narratives to support regulatory findings.

Revisits home health agencies and hospices 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, and lend expertise to a survey team in the areas identified above.

May need to testify at hearings or in court proceedings to provide information regarding policy/procedures, history, findings, or activities.

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.).

Skill in interpersonal relations.

Skill in performing quality assurance monitoring, program review, certification, survey, or investigations. Experience

Skill in providing guidance, policy clarifications, and information to others.

Skill in preparing detailed written reports.

Ability to multi-task and track multiple activities with competing priorities.

Ability to collect and analyze data. Ability to analyze and solve work problems.

Ability to interpret regulatory policies, procedures, and regulations.

Ability to work independently.

Ability to use the computer for writing reports.

Ability to exercise professional judgment and reach sound decisions. Oral, written, and electronic communication skills, including computer word processing software.

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.

Applicant must complete all training (federal/state) for Home and Community Support Services Agencies

Initial Screening Criteria:

Experience working as an independent/autonomous health care provider in a home health or hospice setting, long-term care facility, hospital, or as a field nurse or case manager.

Prefer two years of experience providing services in a health care setting as a registered nurse.

Minimum of one year of experience in institutional care, home health care, hospice care, or other long-term care setting preferred.

Additional Information:

Flexibility in work hours is required for this position. The job requires 80% travel, with most travel during the day. However, some overnight and weekend travel is required, and occasional on-call duties for emergencies or high-priority situations in facilities. Must have reliable transportation.

Note: This position can work a compressed workweek with options Monday-Thursday and Tuesday-Friday, 10-hour days.

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 online application, contact the HHS Employee Service Center at If you are contacted for an interview and need an accommodation to participate in the interview process, please notify the person scheduling the interview.

All applicants must pass a fingerprint criminal background check.

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 work day.  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 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 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.

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