Nursing Facility Administrator (NFA) Program Specialist and Registry Enforcement Unit (CARE)

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Functional Title: Nursing Facility Administrator (NFA) Program Specialist and Registry Enforcement Unit (CARE)
Job Title: Program Specialist VI
Agency: Health & Human Services Comm
Department: Professional Cred Enfmnt
Posting Number: 18854
Closing Date: 08/28/2026
Posting Audience: Internal and External
Occupational Category: Healthcare Support
Salary Range: $5,098.67- $8,304.83
Pay Frequency: Monthly
Salary Group: TEXAS-B-23
Shift: Day
Additional Shift: Days (First)
Telework:
Travel: Up to 5%
Regular/Temporary: Regular
Full Time/Part Time: Full time
FLSA Exempt/Non-Exempt: Exempt
Facility Location:
Job Location City: DALLAS
Job Location Address: 1250 W MOCKINGBIRD LN STE 400
Other Locations: Abilene; Alamo; Alice; Alpine; Alvin; Amarillo; Anahuac; Andrews; Angleton; Anson; Aransas Pass; Archer City; Arlington; Athens; Atlanta; Austin; Bacliff; Ballinger; Bandera; Bastrop; Bay City; Baytown; Beaumont; Bedford; Beeville; Bellville; Big Spring; Boerne; Bonham; Borger; Bowie; Brady; Breckenridge; Brenham; Brownfield; Brownsville; Brownwood; Bryan; Burnet; Caldwell; Cameron; Canton; Canutillo; Carlsbad; Carrizo Springs; Carrollton; Carthage; Center; Centerville; Childress; Clarksville; Cleburne; Cleveland; Coldspring; Columbus; Conroe; Copperas Cove; Corpus Christi; Corsicana; Crockett; Crosby; Crystal City; Cuero; Cypress; Daingerfield; Dallas; Decatur; Del Rio; Denton; Dickinson; Dumas; Duncanville; Eagle Pass; Eastland; Edinburg; El Paso; Elgin; Elsa; Ennis; Fabens; Falfurrias; Floresville; Fort Stockton; Fort Worth; Fredericksburg; Gainesville; Galveston; Garland; Gatesville; Georgetown; Giddings; Gilmer; Goliad; Gonzales; Graham; Granbury; Grand Prairie; Grapevine; Greenville; Hallettsville; Hamilton; Harlingen; Haskell; Hearne; Hemphill; Hempstead; Henderson; Hereford; Hillsboro; Hondo; Houston; Humble; Huntsville; Hurst; Irving; Jacksonville; Jasper; Johnson City; Jourdanton; Karnes City; Katy; Kaufman; Kerrville; Killeen; Kingsville; Kingwood; Kirbyville; La Grange; Lake Jackson; Lake Worth; Lamesa; Lampasas; Lancaster; Laredo; Levelland; Lewisville; Liberty; Linden; Littlefield; Livingston; Llano; Lockhart; Longview; Lubbock; Lufkin; Lumberton; Madisonville; Marble Falls; Marfa; Marlin; Marshall; Mcallen; Mckinney; Mercedes; Meridian; Mesquite; Mexia; Midland; Mineola; Mineral Wells; Mission; Monahans; Mount Pleasant; Mount Vernon; Nacogdoches; Navasota; New Boston; New Braunfels; Odessa; Orange; Palestine; Pampa; Paris; Pasadena; Pearland; Pearsall; Pecos; Perryton; Pharr; Pittsburg; Plainview; Plano; Pollok; Port Arthur; Port Lavaca; Presidio; Quitman; Raymondville; Refugio; Richardson; Richmond; Rio Grande City; Robstown; Rockwall; Rosenberg; Round Rock; Rowlett; Rusk; San Angelo; San Antonio; San Benito; San Juan; San Marcos; San Saba; Schertz; Seguin; Seminole; Seymour; Sherman; Silsbee; Sinton; Snyder; Socorro; Sonora; South Houston; Stephenville; Sugar Land; Sulphur Springs; Sweetwater; Taylor; Temple; Terrell; Texarkana; Texas City; The Woodlands; Tomball; Trinity; Tyler; Uvalde; Van Horn; Vernon; Victoria; Waco; Washington; Watauga; Waxahachie; Weatherford; Webster; Weslaco; Wharton; Wichita Falls; Woodville; Zapata
MOS Codes: 16GX,60C0,611X,612X,63G0,641X,712X,86M0,8U000,OS,OSS,PERS,YN,YNS

Brief Job Description: Nursing Facility Administrator (NFA) Program Specialist for Credentialing and Registry Enforcement Unit (CARE)

This position leads and conducts enforcement/compliance review for the Nursing Facility Administrator (NFA), Criminal History (CH) Enforcement and all CARE programs. Oversees referral processes; ensures all NFA, criminal history and CARE program referrals meet requirements;
ensures all referrals received from regions as result of survey/investigation findings and criminal history referrals from Licensing are tracked/processed timely; works extensively with Legal to interpret criminal histories to determine validity.

Overseas/coordinates with Special Investigations Unit for receipt/completion of referrals/investigations and accuracy of investigation reports. Oversees and offers due process to referred nursing facility administrators; coordinates Informal Reviews (IR); conducts Further Administrative Reviews (FAR); coordinates with attorneys to prepare/testify for formal hearings; imposes and timely enters final enforcement actions; tracks completion of sanctions. Extensive knowledge of nursing facility administrator programs; implements and recommends changes/improvements to program procedures; documents, tracks and analyzes program statistics and provides as requested to management; and provides technical assistance and consultative work.

Oversees the implementation and development of program guidelines, rules, and policies of the NFA program and recommends improvements as necessary. Assists with the referral process and compliance for the NFA program to include NFA and CH Enforcement.

Preparation of timely and comprehensive enforcement tracking worksheets (ETW) to include the Issue Rule Application Conclusion (IRAC) review process for each NFA referral/complaint. Oversees the determination of a compliance decision and conclusion to submit to the Governor appointed Nursing Facility Administrators Advisory Committee (NFAAC) for review and recommendation of sanction. Acts a liaison to the NFAAC and Governor’s Office to coordinate the submission and review of NFA referrals/complaints, scheduling and coordinate quarterly NFAAC public hearings for the committee to review and recommend sanctions.

Works under general supervision of the Manager of Credentialing and Registry Enforcement, with moderate latitude for the use of initiative and independent judgment.

Market rate for this position is $78,247.51

Essential Job Functions (EJFs):

Administers and assists with NFA program areas and provides interpretation of State laws/regulations for applicable entities, administrators, provider organizations, Legal staff, agency staff statewide, and the public.

Assists with oversight and maintenance of the integrity of the NFA Enforcement and NFACH Enforcement databases and processes; makes timely and accurate database entries; assures timeliness of processing referrals/complaints, notification, due process and management of workflow. Ensures quality assurance for NFA programs.

Conducts Enforcement/compliance reviews for NFA referral packets from the regions and Special Investigations Unit (SIU) to ensure appropriate rule violations are cited and necessary documentation is provided in order to proceed with each referral.

Oversees and participates in the development and implementation of program guidelines, procedures, policies, rules and regulations, and monitors compliance with policies and procedures.

Coordinates and/or conducts IRs/FARs/Enforcement Reviews to determine compliance with licensure, certification and permit requirements, laws, regulations, policies and procedures. Coordinates and provides hearing testimony for NFA program. Conducts trainings and presentations for NFA program. Testimony, trainings and presentations are prepared appropriately; delivered professionally; and reflects an accurate representation of the facts, findings and agency rule/statutory requirements.

Analyzes and identifies processes/procedures in need of change, enhancement, or implementation to help ensure compliance with program policies/procedures. Develops action plans to meet program goals and recommends policy changes as needed. Continuously reviews the referral process to implement mandated changes; identify inefficiencies; enhance effectiveness and make timely considered recommendations for change. Performs highly advanced quality assurance activities for NFA programs, and performance measure tracking, analysis, and trends.

Communicates professionally and effectively (verbally and in writing). Verbal and written communication must be clear, concise and grammatically correct.

Ability to gather, assemble, correlate, and analyze facts; to devise solutions to problems; to develop and evaluate policies and procedures; to review, edit and prepare reports.

Knowledge, Skills and Abilities (KSAs):

Knowledge of state and federal laws, regulations and rules relevant to Nursing Facility Administrator Enforcement and Nursing Facility Enforcement CH (Criminal History) Enforcement.

Ability to gather, assemble, correlate, and analyze facts; to devise solutions to problems; to develop and evaluate policies and procedures; to prepare reports; to market program(s); to communicate effectively; to draft effective and professional written correspondence; and to train others
Strong verbal and written communication skills are required.

Must be able to communicate effectively and to draft effective and professional written correspondence, and to train others.
Strong organizational skills: strong mentoring skills and leadership qualities required.

Ability to read, interpret, incorporate and communicate state and federal statute, rules, policies and procedures.

Experience with interpreting, developing or implementing policy.

Strong verbal and written communication skills and organizational skills are required. Ability to read, interpret, incorporate and communicate state and federal statute, rules, policies and procedures.

Skill in operating computers and applicable computer software.

Ability to establish goals and objectives.

Registrations, Licensure Requirements or Certifications: N/A

Initial Screening Criteria:

Graduation from an accredited four-year college or university.

Experience with and Regulatory Services long-term care surveys preferred.

Experience with electronic communications, including computer word processing software.

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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 us.fitly.work. 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.