LTCR Regional Administrative Assistant II

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 Regional Administrative Assistant II
Job Title: Administrative Asst II
Agency: Health & Human Services Comm
Department: Rgn 07-Regulatory Services
Posting Number: 14846
Closing Date: 12/14/2026
Posting Audience: Internal and External
Occupational Category: Office and Administrative Support
Salary Range: $3,291.36- $3,946.25
Pay Frequency: Monthly
Salary Group: TEXAS-A-11
Shift: Day
Additional Shift: Days (First)
Telework: Eligible for Telework
Travel: Up to 25%
Regular/Temporary: Regular
Full Time/Part Time: Full time
FLSA Exempt/Non-Exempt: Nonexempt
Facility Location:
Job Location City: WACO
Job Location Address: 801 AUSTIN AVE STE B-30
Other Locations: Temple; Austin; Bastrop; Brenham; Bryan; Burnet; Caldwell; Cameron; Centerville; Johnson City; Killeen; La Grange; Lampasas; Llano; Lockhart; Madisonville; Marble Falls; Marlin; Meridian; Mexia; Navasota; Round Rock; San Marcos; San Saba; Taylor; Washington; Waxahachie
MOS Codes: 0100,0111,0170,3372,3381,4430,6046,15P,3F5X1,420A,42A,56M,68G,741X,8A200,AZ,LS,LSS,MC,PERS,PS,RP,SN
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Brief Job Description:

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!

Regional Administrative Assistant II – Starting Market Rate Salary $39,484.32

Performs administrative duties to include answering the telephone, refers callers to appropriate staff, takes messages, and answers basic questions. Enters data in the state and federal automated reporting systems, conducting technical reviews of all reports in computer tracking system, and determining appropriate disposition. Responsible for preparing, processing, and distributing federal and state enforcement notification letters and reports as mandated. Monitors and reviews survey reports for all regulated and unlicensed facilities, finalizes CMS certification and transmittals for enforcement actions and surveys, and prepares waiver letters. Prepares and distributes documents requested under the Freedom of Information Act and submits to state office.

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):

Maintains a regular and predictable work schedule.

Knowledge of maintaining records, files, or logs (for example, administrative, personnel, contract, correspondence forms, documents, purchasing, case files, tracking logs, files/documents on diskette) including filing, retrieving, or purging.

Knowledge of preparing ongoing or special narrative and statistical reports for Program Managers, Regional Director, and State Office.

Maintains regional Survey Management System database.

Communicates with others (internally and externally) to provide, exchange, or verify information, answer inquiries, address issues, or resolve problems or complaints.

Monitors and performs technical review of all survey and investigation documentation to ensure accurate preparation of all forms, supporting information, narratives, and reports.

Ensures all documentation complies with state and federal requirements.

Makes corrections to ensure compliance.

Processes all state and federal enforcement actions within required time frames.

Prepares technically accurate state and federal reports, notification letters, administrative penalty notifications, waiver letters, and the CMS Certification and Transmittal.

Determines appropriate distribution for all actions to meet federal and state requirements.

Enters critical information into state and federal databases regarding scheduling, agency visits, recommendations, and activities to provide accurate data for required internal and public reporting processes.

Responsible for submitting to state office all documentation requested through the Freedom of Information Act, including reviewing the file to determine location of documentation, copying appropriate documents, and distributing within required timeframes.

Other duties as assigned.

Knowledge, Skills and Abilities (KSAs):

Ability to perform complex tasks related to Federal & State rules and standards while maintaining attention to detail.

Ability to quickly comprehend frequent technical changes.

Ability to learn and maintain knowledge of the Long-Term Care Integrated computer system and regional Survey Management System.

Ability to read, understand and apply program technical procedures for processing surveys, enforcement actions, and administrative penalties.

Ability to maintain a high level of confidentiality.

Knowledge and experience with computers.

Ability to answer telephone calls, refer callers to appropriate staff, take messages, and answer basic questions.

Registrations, Licensure Requirements or Certifications: N/A

Initial Screening Criteria:

Experience using a computer.

Experience with Word, Excel, or other word processing software.

Experience in organizing, maintaining, or monitoring files, records, or logs.

Experience with electronic records, preferred.

Additional Information:

This position requires 25% travel. Ability to travel occasionally for activities such as out-of-town meetings or training sessions. Maintains a regular and predictable work schedule.

All applicants must pass a fingerprint criminal background check.

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.

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.

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 View phone number on aiapply.co. 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.