Compliance Reviewer

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!




Under the supervision of the Regional Coordinator, the Compliance Reviewer monitors and tracks all surveys completed in the region for regulated programs such as Nursing Facilities (NF), Assisted Living Facilities (ALF), Prescribed Pediatric Extended Care Centers (PPECC), Intermediate Care Facilities (ICF) and Day Activity Health Services (DAHS), Life Safety Code (LSC), Home and Community Support Service Agencies (HCSSA), and Home and Community-based Services and Texas Home Living (HCS/TxHML) waiver programs. This position participates in regional enforcement reviews and makes state and federal enforcement decisions. The Compliance Reviewer provides consultation and guidance in development and revision of NF, ALF, DAHS, ICF, LSC, HCSSA, HCS/TxHmL, and PPECC statewide enforcement related policies. The Compliance Reviewer provides professional regulatory feedback to surveyors, program managers, other state office level program staff. May assist Regional Director (RD), Assistant Regional Director (ARD), and Regional Coordinator (RC) in regulatory decision-making.




This position may communicate with Center for Medicare and Medicaid Services (CMS) related to enforcement. The Compliance Reviewer communicates with internal staff to ensure consistency of enforcement information. May be a witness at hearings. Participates in work groups, committees, and meetings as the enforcement representative. Reviews certification, licensure, and all other long-term care onsite visit reports for compliance with state laws, regulations, and policies and procedures. Assures reports follow established protocols and are accurately documented. Reviews and verifies information documents and data entry performed by others. Participates in review committees, prepares analysis of data for review and identification of staff training needs. Assists RC or conducts referrals.




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.

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:
Develops and maintains enforcement tracking system for enforcement reviews.
Monitors and tracks survey processes from exit through quality assurance and enforcement reviews to include notifications to the facilities.
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 facilities regional enforcement related guidance.
Provides guidance to regions and state office regulatory staff on enforcement issues by interpreting policies, regulations, rules and state and federal guidance letters.

May participate in enforcement reviews.
Provides clarification to regional staff to ensure strength of future deficiencies resulting in remedies being imposed.

Communications with Center for Medicare and Medicaid Services (CMS) for directives and guidance related to specific enforcement cases.
Assists RC or conducts referrals of facility staff to appropriate board/agency.
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 workgroups, committees, and meetings as the nursing facility enforcement representative.

May be a witness at hearings.
Responds to management, media, and legislative inquiries as appropriate.
Compiles monthly reports of facilities enforcement activities noting patterns and trends.

Knowledge Skills Abilities:
Knowledge of state and federal laws and rules related to one or more of the above-named program areas. Familiar with updated internal memoranda and program guidance.
Familiar with ASPEN and TULIP software programs with willingness and ability to learn new software programs.
Knowledge of state and federal laws and rules related to long-term care providers.
Knowledge of enforcement actions, survey and program activities related to the aforementioned program areas.
Knowledge of the State Performance Standards as mandated by CMS.

Knowledge of applicable agency program policy and monitoring systems.

Skilled in the use of computers and applicable software including Microsoft Word, Outlook, TEAMS, SharePoint, and Excel programs.
Ability to gather, organize and analyze facts; to compile and prepare reports; to develop and evaluate policies and procedures and initiate modifications or revisions as appropriate.
Ability to interpret policies, rules, and regulatory language. Ability to communicate (verbally and written) with leadership, agency staff, stakeholders, and the public. Ability to adjust work routine according to priorities.
Ability to establish and maintain professional and effective working relationships. Ability to interpret policies, procedures, and regulations.
Ability to work independently.
Ability to exercise professional judgment and reach sound decisions.
Ability to integrate complex concepts into difficult procedures, or complicated processes. Ability to multi-task and track multiple activities with competing priorities.

Registration or Licensure Requirements:
Must have Surveyor Minimum Qualifications Test (SMQT) Certification or obtain within 12 months of hire.

Initial Selection Criteria:
A bachelor’s degree from an accredited college or university in a human service field (including but not limited to sociology, education, social work, psychology, rehabilitation, counseling, humanities, allied health, behavioral science, early childhood intervention, and medical administration). A combination of relevant work experience and education may substitute for a bachelor’s degree on a year-for-year basis.

Experience interpreting or overseeing compliance with state and federal licensure regulations and standards preferred.

Work experience in regulated facilities, including regulatory services, is preferred.

Experience in any Long-Term Care Regulatory program. (Home Health, ICF/IID, Health Facilities, or Assisted Living Facilities and/or DAHS)

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, as well as occasional on-call duties for emergencies or high-priority situations in facilities. Must have reliable transportation.

Note: This position is able to work a compressed workweek with options Monday-Thursday, Tuesday-Friday, and Friday-Monday, 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 1-888-894-4747. 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.

MOS Code:
Note: Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but are not limited to: 68R, 640A, AD, AM, AME, HT, IV, ME, BOSN, MSSD, MSSE, OAP11, OAP14, 6016, 6017, 6033, 8012, 8056, 1S0X1, 2A7X2, 2F0X1, 4E0X1, 8I000, 85000, 43HX, 56M0, 87G0, 87I0, 87Q0. 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 http://www.hr.sao.state.tx.us/Compensation/JobDescriptions.aspx.

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HHS agencies use E-Verify. You must bring your I-9 documentation with you on your first day of work.

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.