LTCR- Nutritionist III

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- Nutritionist III Job Title: Nutritionist III (Health Fac) Agency: Health & Human Services Comm Department: Rgn 06-Regulatory Services Posting Number: 17570 Closing Date: 07/08/2026 Posting Audience: Internal and External Occupational Category: Healthcare Support Salary Range: $6,331.82- $7,761.50 Pay Frequency: Monthly Salary Group: TEXAS-B-22 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: Nonexempt Facility Location: Job Location City: HOUSTON Job Location Address: 5425 POLK ST Other Locations: Houston MOS Codes: 230X,43DX,65C,68M,68Z,SEI12


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!


Nursing Facilities Nutritionist Surveyor - Starting Market Rate Salary $75,981.78


As part of a collaborative team of public servants, a nutritionist surveyor protects residents' health and safety by conducting on-site inspections and investigations in Texas long-term care facilities (nursing homes, assisted living facilities, and day activities and health services sites) to assess their compliance with state and federal laws and rules. 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 and across the state - Please see the Additional Information section below for more detail on travel. In this front-line field position, a surveyor is mobile and flexible and performs minimal work at an office, though the role does require writing reports detailing any deficiencies/violations against a facility, remedies to correct those deficiencies, and narrative to support regulatory determinations. See below for details.


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 surveyor conducts on-site licensure inspections, complaint and incident investigations, and annual comprehensive surveys in facilities to determine compliance with federal and state health and safety regulations. Completes inspection or survey reports detailing deficiencies.


Communicates clearly and accurately with others (internally and externally) to provide, exchange, or verify information, answer inquiries, address issues, or resolve issues or complaints regarding food and liquids served in Texas long-term care facilities, including to ensure meals meet any resident's specialized nutritional needs.


Conducts exit conferences with facility staff regarding findings.


Visits long-term care facilities to verify correction of previously cited regulatory violations.


Performs quality assurance reviews of documents prepared by others, for example, publications, assessments, reports.


Occasionally might need to testify at hearings or in court proceedings to provide information regarding policy/procedures, history, findings, or activities.


In the event of emergency licensure action, be available to assist with non-skilled care and oversight to residents in a facility. If the employee is a current registered or licensed nurse, there is a potential for skilled care.


Be available for on-call duties for emergencies such as weather events or high-priority situations in facilities or at providers.


Knowledge, Skills and Abilities (KSAs):


Knowledge of nutrition standards of practice, dietary sanitation practices, clinical skills, and professional standards of care.


Skilled in performing nutritional assessments in a clinical setting.


Ability to establish and maintain effective work relationships with team members and others.


Ability to use the computer for writing reports.


Ability to operate personal computers and software.


Ability to communicate orally and in writing.


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, difficult procedures, or complicated processes.


Registrations, Licensure Requirements or Certifications:


Must be registered as a Registered Dietitian (RD) with the Commission on Dietetic Registration or must be licensed as a dietitian by the Texas Department of Licensing & Regulation.


Must successfully obtain Surveyor Minimum Qualification within the first year of employment.


Initial Screening Criteria:


Experience in assessment and documentation of nutritional health status.


Experience performing dietary or nutritional work in an acute or long-term health care setting, with experience in a long-term care setting 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 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.


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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 View phone number on click.appcast.io. 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.