Texas Health and Human Services Commission
Health Care Facility Enforcement Nurse III
Texas Health and Human Services Commission, Austin, Texas, us, 78716
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:
Health Care Facility Enforcement Nurse III Job Title:
Nurse III Agency:
Health & Human Services Comm Department:
Survey Cert Enforcement Posting Number:
9647 Closing Date:
10/09/2025 Posting Audience:
Internal and External Occupational Category:
Healthcare Practitioners and Technical Salary Group:
TEXAS-B-24 Salary Range:
$5,425.33 - $8,886.16 Pay Frequency:
Monthly Shift:
Day Additional Shift: Telework:
Eligible for Telework Travel:
Up to 5% Regular/Temporary:
Regular Full Time/Part Time:
Full time FLSA Exempt/Non-Exempt:
Exempt Facility Location: Job Location City:
AUSTIN Job Location Address:
701 W 51ST ST Other Locations: MOS Codes:
290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W
Job Description :
Under the direction of the Health Care Facility Enforcement Director for the Health Facilities, with considerable latitude for the use of initiative and independent judgment. The Nurse III performs complex consultative services and technical assistance work for the Health Care Facility Enforcement Unit. Knowledge of nursing principles, acceptable professional standards of patient care; complex disease processes and treatments for pediatrics, adults and geriatrics. Applies analytical and critical thinking skills in the review of state licensing violations to ensure accuracy pursuant to state rules and regulations for the Health Facility Programs. Enforces cases in accordance with the laws and regulations pertinent to each health facility type. Consults with licensees, Commission staff, attorneys, managers, and outside regulatory authorities, as necessary, on matters relating to enforcement. Operates Commission database to accomplish data entry, reporting, case tracking, trending of data, and quality control. Facilitates meetings with Commission staff, managers, attorneys, licensees, or other members of the regulated community. Performs quality management of assignments including proofing, follow-up and tracking. Provides technical assistance on matters related to enforcement. May testify in hearings at the State Office of Administrative Hearings (SOAH) and in district court.
Essential Job Functions:
Attends work on a regular and predictable schedule in accordance with agency leave policy.
(25%) Performs complex consultative services and technical assistance work for the Health Facility Programs. Enforces cases in accordance with the laws and regulations pertinent to each health facility type. Receives and reviews investigations, inspections, and statement of deficiency report referrals referred to Enforcement for enforcement action to ensure the referrals are complete and accurate. Examines deficiencies described in the report and the underlying evidence, interprets and applies appropriate sections of law and rule to determine if violations should be pursued or if additional case information is needed. Writes Notice of Violation (NOV) letters, which are written clearly so the respondent understands the allegations and options for resolving or contesting the case, in accordance with the Administrative Procedures Act (APA). Writes orders that memorialize the details of case resolution, including facts, violations, terms of settlement, other matters related to law and the case. Writes other documents, including but not limited to memoranda's, reports, presentations, letters, and emails. Processes multiple cases efficiently using good case management techniques. Manages multiple assignments with competing priorities. Accomplishes the above through working independently, or on committees, teams, workgroups, or various combinations thereof, as necessary to complete assignments and comply with the standard enforcement protocol.
(25%) Facilitates meetings with Commission staff, managers, attorneys, licensees or other members of the regulated community. Facilitates the Enforcement Review Committee (ERC) where cases are discussed, and consensus decisions are reached on the legal sufficiency of cases and the appropriate penalties to propose. Organizes, schedules, and conducts informal conferences with the respondent and attorney, with attendance by program staff, the program attorneys, and Commission managers to seek agreement for resolving the cases informally, in accordance with the APA. Arranges for formal hearings at State Office of Administrative Hearings (SOAH) with the Office of General Counsel when cases cannot be resolved informally. Facilitates other staff meetings as directed.
(15%) Operates Commission database to accomplish data entry, reporting, case tracking, trending of data, and quality control. Inputs data and information into Versa and other databases in accordance with standard procedures for case processing. Updates the database as cases proceed through the enforcement process. Runs queries in the database to produce status reports. Utilizes the database to identify trends and tracks the status of individual cases. Performs quality assurance on enforcement cases as directed.
(15%) Consults with licensees, Commission staff, attorneys, managers, and outside regulatory authorities, as necessary, on matters relating to enforcement. Elevates issues to upper management where necessary. Works cooperatively with program staff and managers to acquire necessary information for processing of enforcement cases. May assist other program specialists with the processing of enforcement cases.
(10%) Provides technical assistance on matters related to enforcement. Responds to inquiries from respondents, internal/external stakeholders and agency staff and management. Collects, organizes, and prepares materials in response to requests for program information and reports from the legislature or other sources. Participates in staff meetings and presents regulatory information as needed. May train others on enforcement procedures and work with administrative and specialist-level staff to assist in understanding of day-to-day processes and procedures.
(5%) May testify in hearings at SOAH and in district court. Testifies on behalf of the Commission when ordered by the court. Works with the Commission's program attorney to clarify all aspects of a contested case to prepare for hearing.
(5%) Other duties as assigned, including the Commission's Disaster Response\Recovery and Support Operations in training exercises, drills and declared emergencies. Maintains acceptable driving record in accordance with agency policy.
Knowledge, Skills and Abilities
Knowledge of nursing principles, acceptable professional standards of patient care; complex disease processes and treatments for pediatrics, adults and geriatrics.
Knowledge of the laws and regulations applicable to the Health Facilities Program.
Knowledge of quality assurance procedures.
Skill in interpersonal relations.
Skill in performing quality assurance monitoring, program review, certification, survey, or investigations.
Skill in providing guidance, policy clarifications, and information to others.
Skill in preparing detailed written reports.
Skill in oral, written, and electronic communications, including computer word processing software.
Ability to multi-task and track multiple activities with competing priorities.
Ability to collect and analyze data
Ability to integrate complex concepts, difficult procedures, or complicated processes.
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.
Ability to be task organized and punctual.
Ability to interact with the public and different levels of management and staff in a professional, courteous, and effective manner.
Ability to give clear and accurate testimony under oath.
Registrations, Licensure Requirements or Certifications:
Licensed to practice as a registered nurse (RN) in the State of Texas (or state that recognizes reciprocity through the Nurse Licensure Compact) prior to hire.
Initial Screening Criteria:
Experience interpreting, explaining, and applying appropriate laws or rules.
Job related experience must also include duties in any of the following areas: drafting legal documents or lengthy reports on a regular basis; or performing quality analysis of policies and procedures.
At least two years of work experience as a RN in a recognized health agency, hospital, or health care facility.
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.
Functional Title:
Health Care Facility Enforcement Nurse III Job Title:
Nurse III Agency:
Health & Human Services Comm Department:
Survey Cert Enforcement Posting Number:
9647 Closing Date:
10/09/2025 Posting Audience:
Internal and External Occupational Category:
Healthcare Practitioners and Technical Salary Group:
TEXAS-B-24 Salary Range:
$5,425.33 - $8,886.16 Pay Frequency:
Monthly Shift:
Day Additional Shift: Telework:
Eligible for Telework Travel:
Up to 5% Regular/Temporary:
Regular Full Time/Part Time:
Full time FLSA Exempt/Non-Exempt:
Exempt Facility Location: Job Location City:
AUSTIN Job Location Address:
701 W 51ST ST Other Locations: MOS Codes:
290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W
Job Description :
Under the direction of the Health Care Facility Enforcement Director for the Health Facilities, with considerable latitude for the use of initiative and independent judgment. The Nurse III performs complex consultative services and technical assistance work for the Health Care Facility Enforcement Unit. Knowledge of nursing principles, acceptable professional standards of patient care; complex disease processes and treatments for pediatrics, adults and geriatrics. Applies analytical and critical thinking skills in the review of state licensing violations to ensure accuracy pursuant to state rules and regulations for the Health Facility Programs. Enforces cases in accordance with the laws and regulations pertinent to each health facility type. Consults with licensees, Commission staff, attorneys, managers, and outside regulatory authorities, as necessary, on matters relating to enforcement. Operates Commission database to accomplish data entry, reporting, case tracking, trending of data, and quality control. Facilitates meetings with Commission staff, managers, attorneys, licensees, or other members of the regulated community. Performs quality management of assignments including proofing, follow-up and tracking. Provides technical assistance on matters related to enforcement. May testify in hearings at the State Office of Administrative Hearings (SOAH) and in district court.
Essential Job Functions:
Attends work on a regular and predictable schedule in accordance with agency leave policy.
(25%) Performs complex consultative services and technical assistance work for the Health Facility Programs. Enforces cases in accordance with the laws and regulations pertinent to each health facility type. Receives and reviews investigations, inspections, and statement of deficiency report referrals referred to Enforcement for enforcement action to ensure the referrals are complete and accurate. Examines deficiencies described in the report and the underlying evidence, interprets and applies appropriate sections of law and rule to determine if violations should be pursued or if additional case information is needed. Writes Notice of Violation (NOV) letters, which are written clearly so the respondent understands the allegations and options for resolving or contesting the case, in accordance with the Administrative Procedures Act (APA). Writes orders that memorialize the details of case resolution, including facts, violations, terms of settlement, other matters related to law and the case. Writes other documents, including but not limited to memoranda's, reports, presentations, letters, and emails. Processes multiple cases efficiently using good case management techniques. Manages multiple assignments with competing priorities. Accomplishes the above through working independently, or on committees, teams, workgroups, or various combinations thereof, as necessary to complete assignments and comply with the standard enforcement protocol.
(25%) Facilitates meetings with Commission staff, managers, attorneys, licensees or other members of the regulated community. Facilitates the Enforcement Review Committee (ERC) where cases are discussed, and consensus decisions are reached on the legal sufficiency of cases and the appropriate penalties to propose. Organizes, schedules, and conducts informal conferences with the respondent and attorney, with attendance by program staff, the program attorneys, and Commission managers to seek agreement for resolving the cases informally, in accordance with the APA. Arranges for formal hearings at State Office of Administrative Hearings (SOAH) with the Office of General Counsel when cases cannot be resolved informally. Facilitates other staff meetings as directed.
(15%) Operates Commission database to accomplish data entry, reporting, case tracking, trending of data, and quality control. Inputs data and information into Versa and other databases in accordance with standard procedures for case processing. Updates the database as cases proceed through the enforcement process. Runs queries in the database to produce status reports. Utilizes the database to identify trends and tracks the status of individual cases. Performs quality assurance on enforcement cases as directed.
(15%) Consults with licensees, Commission staff, attorneys, managers, and outside regulatory authorities, as necessary, on matters relating to enforcement. Elevates issues to upper management where necessary. Works cooperatively with program staff and managers to acquire necessary information for processing of enforcement cases. May assist other program specialists with the processing of enforcement cases.
(10%) Provides technical assistance on matters related to enforcement. Responds to inquiries from respondents, internal/external stakeholders and agency staff and management. Collects, organizes, and prepares materials in response to requests for program information and reports from the legislature or other sources. Participates in staff meetings and presents regulatory information as needed. May train others on enforcement procedures and work with administrative and specialist-level staff to assist in understanding of day-to-day processes and procedures.
(5%) May testify in hearings at SOAH and in district court. Testifies on behalf of the Commission when ordered by the court. Works with the Commission's program attorney to clarify all aspects of a contested case to prepare for hearing.
(5%) Other duties as assigned, including the Commission's Disaster Response\Recovery and Support Operations in training exercises, drills and declared emergencies. Maintains acceptable driving record in accordance with agency policy.
Knowledge, Skills and Abilities
Knowledge of nursing principles, acceptable professional standards of patient care; complex disease processes and treatments for pediatrics, adults and geriatrics.
Knowledge of the laws and regulations applicable to the Health Facilities Program.
Knowledge of quality assurance procedures.
Skill in interpersonal relations.
Skill in performing quality assurance monitoring, program review, certification, survey, or investigations.
Skill in providing guidance, policy clarifications, and information to others.
Skill in preparing detailed written reports.
Skill in oral, written, and electronic communications, including computer word processing software.
Ability to multi-task and track multiple activities with competing priorities.
Ability to collect and analyze data
Ability to integrate complex concepts, difficult procedures, or complicated processes.
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.
Ability to be task organized and punctual.
Ability to interact with the public and different levels of management and staff in a professional, courteous, and effective manner.
Ability to give clear and accurate testimony under oath.
Registrations, Licensure Requirements or Certifications:
Licensed to practice as a registered nurse (RN) in the State of Texas (or state that recognizes reciprocity through the Nurse Licensure Compact) prior to hire.
Initial Screening Criteria:
Experience interpreting, explaining, and applying appropriate laws or rules.
Job related experience must also include duties in any of the following areas: drafting legal documents or lengthy reports on a regular basis; or performing quality analysis of policies and procedures.
At least two years of work experience as a RN in a recognized health agency, hospital, or health care facility.
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.