Long Term Care Facility Enforcement Reviewer

Date:
Sep 8, 2026

Location:

WICHITA FALLS, TX 76301

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:
  
  Long Term Care Facility Enforcement Reviewer
• Job Title: Program Specialist V
• Agency: Health & Human Services Comm
• Department: Survey Cert Enforcement
• Posting Number: 20186
• Closing Date: 09/22/2026
• Posting Audience: Internal and External
• Occupational Category: Healthcare Support
• Salary Range: $5,888.50 - $7,253.83
• Pay Frequency: Monthly
• Salary Group: TEXAS-B-21
• Shift: Day
• Telework: Eligible for Telework
• Travel: Regular/Temporary:
  Regular
• Full Time/Part Time: Full time
• FLSA Exempt/Non-Exempt: Exempt
• Job Location City: WICHITA FALLS
• Job Location Address: 925 LAMAR ST
• MOS Codes: 16GX,60C0,611X,612X,63G0,641X,712X,86M0,8U000,OS,OSS,PERS,YN,YNS

Performs highly advanced consultative services and technical assistance activities in the Facilities Enforcement unit within the Health and Human Services Commission (HHSC). Works under minimal supervision, with considerable latitude for the use of initiative and independent judgment. Analyze citations to help ensure compliance with program policies and procedures, statutes, and rules; and recommend enforcement remedies as needed for Nursing Facilities (NF), Assisted Living Facilities, and Intermediate Care Facilities (ICF).

Analyze legislation to develop recommendations for policy in programmatic issues relating to the implementation, improvement, and/or expansion or reduction of program enforcement activities. Analyze the application of and variations within programs to develop action plans for improving or initiating new programs. Assist with the development of enforcement program policies, procedures, standards, and manuals in accordance with program objectives and goals. Communicates with internal staff to ensure consistency of enforcement information.

Prepares reports and retrieves data for management.

• Conducts nursing facility, assisted living, and intermediate care facilities enforcement reviews.
• Reviews and analyzes survey findings to determine if evidence supports a deficiency/violation and the assigned scope and severity. Makes state and federal enforcement recommendations.
• Provides consultation and guidance in the development and revision of NF, ALF, and ICF enforcement related guidance. Reviews Informal Dispute Resolution (IDR) recommendations and compiles a summary for distribution to statewide staff.
• Provides guidance to regions and state office regulatory staff on enforcement issues by interpreting policies, regulations, rules and state and federal guidance letters.
• Conducts Opportunity to Show Compliance for licensure actions of NF and ALF programs.
• Provides clarification to regional staff to ensure strength of future deficiencies resulting in remedies being imposed.
• Reviews draft policies and guidance to ensure they conform to federal and/or state requirements as applicable.
• Consults with internal stakeholders to ensure that consistent enforcement-related information is provided statewide.
• Participates in work groups, committees and meetings as the nursing facility enforcement representative. May be a witness at hearings.
• Responds to management, media and legislative inquiries as appropriate.
• Develops and maintains enforcement tracking…