Weekend Fraud Nurse Investigator Jobs (NOW HIRING)

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: LTCR Provider Investigations Nurse Investigator Job Title: Nurse III Agency: Health & Human Services Comm Department: Reg Svc/Survey Operations Posting Number: 19098 Closing Date: 08/19/2026 Posting Audience: Internal and External Occupational Category: Protective Services Salary Range: $7,474.23- $8,886.16 Pay Frequency: MonthlySalary Group: TEXAS-B-24 Shift: Day Additional Shift: Telework: Not Eligible for Telework Travel: Up to 80% Regular/Temporary: Regular Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Exempt Facility Location: Job Location City: HOUSTON Job Location Address: 5425 POLK ST 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!
Provider Investigations Nurse Investigator - Starting Market Rate Salary $89,690.71
As part of a collaborative team of public servants, a Nurse Investigator protects individuals' health and safety by investigating allegations of abuse, neglect, and exploitation of adults and children with mental illness or intellectual, developmental, and physical disabilities in State Hospitals, Managed Care, Community Intellectual and Developmental Disability (IDD) services, and Home and Community-based Services (HCS) waiver program. Investigations occur in various settings such as facilities and private residences. Investigations are conducted in accordance with Texas Administrative Code (TAC) and Provider Investigations policy. This position occasionally may need to testify at hearing or in court proceedings to provide information regarding policy, procedures, history, findings, or activities. The Nurse Investigator will also investigate medication administration issues. This position offers a competitive starting salary; excellent state benefits, including health insurance and retirement; and the opportunity to regularly travel to different providers 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 Nurse Investigator is mobile and flexible and performs minimal work at an office, though the role does require writing reports detailing outcomes of an investigation of an allegation. See below for additional professional requirements.
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.
Essential Job Functions (EJFs):
Under the direction of a program manager, a Nurse Investigator conducts investigations concerning an allegation of abuse, neglect, or exploitation. As part of the investigation, the Nurse Investigator will conduct interviews, collect evidence, and use critical thinking and sound judgement to analyze the evidence related to the allegation.
Communicates clearly and accurately with others (internally and externally) to provide, exchange, or verify information, answer inquiries, or resolve issues. Communicates professionally and appropriately via all communication mediums.
Writes reports summarizing the facts obtained during the investigation as to whether abuse, neglect, or exploitation occurred.
Performs quality assurance reviews of documents prepared by others, for example, publications, assessments, reports.
Promotes and demonstrates appropriate respect for cultural diversity.
Behaves ethically and adhere to HHSC Standards of Conduct.
Participates in case conferences and meetings with supervisors and peers regarding case progress and disposition.
Participate in continuous training.
Might supervise the work of team members during investigations and lend expertise to team members in the areas identified above.
Attends work regularly in accordance with agency leave policy.
Works occasionally outside of traditional working hours (8 am - 5 pm), which may include evening hours, weekends, and holidays, as required for case-related functions, on-call duties, and/or as required by management.
Travels using a personal vehicle and/or rental car in accordance with state travel policy. Travel reimbursement provided.
Performs other duties as assigned and required to maintain unit operations.
Occasionally might 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, ability, and skill in conducting high-level investigations.
Knowledge of the adult and children population with mental health issues and intellectual, developmental, and physical disabilities.
Knowledge of crisis intervention techniques and skills.
Knowledge of issues, concerns, and needs of populations at risk in various health care environments (elderly, mentally ill, developmentally disabled, functionally dependent, medically frail, etc.).
Knowledge of nursing principles and acceptable professional standards of patient care.
Skill in interpersonal relations.
Skill in performing quality assurance monitoring 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 interpret and apply policies, procedures, and regulations.
Ability to work independently and make appropriate decisions and regulation-based recommendations.
Ability to operate personal computer-based programs and complete data entry and technically correct, error-free reports.
Ability to multi-task and track multiple activities with competing priorities.
Ability to complete a high-volume, deadline-driven workload.
Ability to exercise professional judgment and reach sound decisions.
Ability to use the computer for writing reports.
Ability to integrate complex regulatory concepts, procedures, and processes.
Ability to communicate effectively both orally and in writing.
Ability to effectively present information to executive-level management.
Ability to work in a potentially emotion-filled environment.
Ability to conduct interviews in various locations, including private residences, day habilitation facilities, group homes, and state-operated facilities.
Ability to work in environments where violent and dangerous individuals may be present.
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.
Initial Screening Criteria:
Experience in assessment and documentation of health status.
Two years of experience providing services in a health care setting as a Registered Nurse.
Experience working with individuals with mental illness, intellectual or developmental disabilities, or physical disabilities preferred.
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.
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.
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.
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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.