Description
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: Trust Fund Monitor
Job Title: Accountant IV
Agency: Health & Human Services Comm
Department: NF Trust Fund Monitoring-audit
Posting Number: 16538
Closing Date: 06/06/2026
Posting Audience: Internal and External
Occupational Category: Business and Financial Operations
Salary Range: $4,263.16 - $6,779.25
Pay Frequency: Monthly
Salary Group: TEXAS-B-20
Shift: Day
Additional Shift:
Telework: Eligible for Telework
Travel: Up to 60%
Regular/Temporary: Regular
Full Time/Part Time: Full time
FLSA Exempt/Non-Exempt: Nonexempt
Facility Location:
Job Location City: ABILENE
Job Location Address: 4601 S 1ST ST
Other Locations: Abilene
MOS Codes: 3451,310X,651X,751X,3402,3404,3408,8844,36A,70C,90A,36B,89A,65FX,65WX,6F0X1,F&S,FIN10,LS,LSS,PS,SK
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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!
LTCR Trust Fund Monitor - Market Rate Salary $68,425.56
The Accountant IV, Trust Fund Monitor (TFM), works under general supervision of the Long-Term Care Regulation Trust Fund Monitoring unit manager. The TFM monitors the activities in Resident Trust Fund accounts at nursing facilities (NF) and Intermediate Care Facilities for Persons with Intellectual Disabilities (ICF/IID).
NF and ICF/IID residents are allowed to keep limited personal funds on deposit with the facility for personal spending. These funds are held in a pooled account with the facility acting as fiduciary. The TFM conducts routine reviews, Change of Ownership (CHOW)/closure audits and financial complaint investigations in these facilities to assure compliance with the Texas Administrative Code (TAC) as it relates to the management and protection of resident funds.
Additionally, the TFM must evaluate the accounting and documentation systems which the facilities have in place for the resident trust fund. TFMs are required to communicate on a complex level with others, both internally and externally, to provide, exchange, and/or verify information and to provide complex technical assistance.
The TFM sets their own schedule relative to their caseload and assignments. TFMs are classified as mobile workers and must be available to travel at least 60% of the week, as needed. Overnight travel may occasionally be necessaryTrust Fund Monitor (TFM) works under the general direction of the TF Unit (TFU) Manager. The TFMA has considerable latitude and independent judgement while performing their duties. The TFCA must communicate on a complex level with internal and external stakholders to provide, exchange, or verify information; provide technical assistance; and addresss issues or resolve problems.
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):
Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned.
The TFM must conduct monitoring visits, confidential complaint investigations and CHOW/Closure audits as scheduled.
If deficiencies are identified, the TFM must write corrective action plans and follow up to make certain that the corrections have been made by the facility.
The TFM must report their activities to state office on a weekly basis. The TFM must retain complete hard copy files until contents are uploaded electronically.
The TFM is responsible for submitting fraud referrals, Employee Misconduct Registry (EMR) referrals and Nursing Home Administrator Misconduct referrals, as necessary. Referrals may be made to the Texas Office of Attorney General (OAG); the Office of Inspector General (OIG), as well as the US Social Security Office.
The TFM may be required to provide evidence and testimony in court, related to these cases. The TFM may participate in formal and informal appeals and must travel as needed.
Knowledge, Skills and Abilities (KSAs):
Knowledge of accounting principles and systems as well as program and eligibility criteria for Medicaid for the Elderly and Permanently Disabled (MEPD).
Knowledge of accounting principles.
Ability to work independently and create concise, complex, and accurate reports.
Ability to interpret rules; regulations; policies and procedures; analyze and evaluate facts and financial data, fiscal data and accounting systems; develop, implement and enforce corrective actions; and communicate findings on a complex level with others.
Ability to solve problems and negotiate for positive outcomes.
Ability to work under stress and meet strict deadlines, using a high level of multi-tasking and organization.
Ability to successfully organize and prioritize workload.
Skill in establishing and maintaining effective working relationships.
Skill in conducting inspections and investigations and determining proper courses of action.
Skill in Microsoft Word and Excel.
Registrations, Licensure Requirements or Certifications:
None
Initial Screening Criteria:
Graduation from a 4-year college or university with emphasis in accounting, business administration, or a related field. Experience conducting nursing facility or ICF/IID trust fund monitoring and investigations or MEPD experience may substitute for education on a year-by-year basis for a maximum of 4 years.
Experience with Medicaid eligibility for the Elderly and Permanently Disabled (MEPD)
Experience with Word and Excel
Experience in creating and editing Word and Excel documents
Willingness to travel 60% of the week with possible overnight stays
Additional Information:
Flexibility in work hours is required for this position. The job requires up to 60% travel, with most travel during the day. Must have reliable transportation.
Must have valid Texas Driver's License
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 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.
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