Quality Monitor Nurse

Date: Apr 23, 2025

Location:

DUNCANVILLE, TX

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: Quality Monitor Nurse

Job Title: Nurse II

Agency: Health & Human Services Comm

Department: QMP Nurses and Pharm RMS FTE

Posting Number: 4934

Closing Date: 10/22/2025

Posting Audience: Internal and External

Occupational Category: Healthcare Practitioners and Technical

Salary Group: TEXAS-B-22

Salary Range: $4,801.16 - $7,761.50

Shift: Day

Additional Shift: Days (First)

Telework

Travel: Up to 80%

Regular/Temporary: Regular

Full Time/Part Time: Full time

FLSA Exempt/Non-Exempt: Exempt

Facility Location:

Job Location City: DUNCANVILLE

Job Location Address: 1467 ACTON AVE

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MOS Codes

290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66P,66R,66S,66T,66W

This position requires a current Texas Registered Nurse license (in good standing).

Position may be filled statewide.

The Texas Health and Human Services Commission (HHSC) Medicaid CHIP Services (MCS) division seeks a highly qualified candidate to fill the position of Quality Monitoring Nurse II for the Quality Monitoring Program (QMP) The QMP helps address conditions in Texas Nursing Facilities (NFs) that could be detrimental to the health, safety, and welfare of residents. MCS is driven by its mission to deliver quality, cost-effective services to Texans.

The ideal candidate thrives in an environment that emphasizes teamwork to achieve goals, excellence through high professional standards and personal accountability, curiosity to continuously grow and learn, critical thinking for effective execution, and integrity to do things right even when what is right is not easy.

Job Description

The Quality Monitor Nurse (QMN) reports to the Quality Monitoring Regional Nurse Manager. This position makes a significant contribution to MCS’s mission by conducting monitoring visits in Texas nursing facilities. The QMN utilizes expertise in the area of nursing to assess conditions that could place facility residents’ health, safety, and welfare at risk and assists providers in improving systems. This position must be able to apply the complex knowledge of nursing practice as well as the rules outlined in the Texas Nursing Practice Act. The QMN works under limited supervision, with considerable latitude for the use of initiative and independent judgment. The QMN utilizes expertise in the area of nursing to assess conditions that could place facility residents’ health, safety, and welfare at risk and assist providers in improving systems.

Essential Job Functions

• Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned.
• Works collaboratively across MCS to identify innovative and effective solutions. Maintains cooperative and collaborative relationships with colleagues and facility staff. Performs other work as assigned by Nurse Manager III or Nurse Program Manager V.
• Must be able to travel 80% with overnight stays.
• Conducts various types of visits including quality monitoring visits, rapid response team visits, and in-service visits as assigned. Monitors and evaluates facility systems through observations, interviews and record reviews identifying facility strengths and opportunities for improvement. May act as a team coordinator on Rapid Response Team visits. Monitors and evaluates facility systems through observations, interviews, and record reviews identifying facility strengths and weakness and making recommendations on opportunities for improvement. Utilizes nursing critical thinking skills to instruct, counsel, and assist nursing facilities to achieve best practice. Reviews facilities policy/procedures and performance reports to determine if the facility's systems are consistent with evidence-based best practice. (60%)
• Documents accurate and complete reports of monitoring visits. Communicates accurate information, findings, recommendations, and technical assistance to the facility administrator and staff. Disseminates and teaches from appropriate education tools and materials. (30%)
• Provides in-service education and other training to facility professional staff regarding evidence-based best practices. (5%)
• Communicates with various audiences (internally or externally) to provide clinical information, answer inquiries, address issues, and/or resolve problems. Maintains current knowledge in assigned areas by attending unit meetings, seminars, or other training and by continually reviewing program policies, procedures, and any changes. (5%)
  
  

REGISTRATION, CERTIFICATION, OR LICENSURE

• This position requires a current Texas Registered Nurse license or licensure by a state that recognizes reciprocity through the Nurse Licensure Compact (in good standing) and a current Texas driver’s license.
  
  

Knowledge, Skills, And Abilities

• Knowledge of nursing principles and acceptable professional standard of patient care.
• Knowledge of local, state, and federal laws and regulations relevant to long-term care as well as an understating of long-term care facility operations.
• Knowledge of modern office management practices and procedures and technology tools such as Microsoft Office, SharePoint, and Teams productivity tools.
• Skill in researching, creating, analyzing, monitoring, and evaluating complex clinical issues.
• Skill in communication and public speaking.
• Skill in managing multiple and competing priorities.
• Skill in promoting data-driven decision-making. By identifying trends, concerns, evaluating alternatives, and negotiating and implementing solutions.
• Skill in working with diverse groups and interests, resolving conflicts, building consensus and problem solving.
• Ability to gather, evaluate, analyze facts by observation, interviews, and record reviews.
• Ability to interpret policies, procedures, and regulations as they relate to long term care facility.
• Ability to organize and present information effectively, both orally and in writing.
• Ability to work collaboratively across HHS/MCS/QMP to accomplish objectives.
• Ability to balance team and individual responsibilities.
• Ability to exercise judgment and work independently with moderate direction.
• Ability to lift twenty-five pounds.
  
  

Initial Screening Criteria

• Graduation with a bachelor's degree from an accredited four-year college or university with major coursework in nursing preferred. An associate in nursing is accepted. Experience may be substituted for education on a year for year basis with a maximum of four years.
• Minimum of 3 years of nursing experience is required.
• Must be able to travel up to 80% including overnight travel and hours other than 8am-5pm and days other than Monday-Friday.
  
  

Additional Information

• All applicants must pass a fingerprint criminal background check.
• Must have reliable transportation.
• 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.
  
  

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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.