Key Responsibilities and Duties
Statewide Residential & Clinical Leadership (Rule 115/116 Integration)
- Provide statewide leadership and oversight of residential and clinical services to ensure consistent, compliant, and person-centered support.
- Ensure Rule 115 residential standards and Rule 116 clinical/nursing standards are fully integrated into daily program operations.
- Support Area Managers, Residential Managers, and Team Leads in managing complex residential, medical, and behavioral situations.
- Establish statewide expectations for service delivery, documentation, staffing patterns, and home operations.
Rule 115 Application Oversight & Leadership Structure Accountability
- Serve as the statewide authority for Rule 115 interpretation, implementation, and enforcement across all programs.
- Define, train, and monitor the specific Rule 115 responsibilities of each leadership role, ensuring consistent application statewide.
Area Managers
- Ensure weekly home visits and operational oversight of assigned homes are completed and documented.
- Monitor implementation plans, staffing, medical follow-through, and daily service delivery for Rule 115 compliance.
- Verify house documentation systems (drills, logs, incident reporting, shift notes, etc.) are maintained accurately and on schedule.
- Provide coaching, corrective direction, and follow-up to Managers and DSPs tied to Rule 115 findings.
Residential Managers
- Oversee multi-home program compliance, audits, and individualized file accuracy.
- Ensure quarterly case file reviews, implementation plan updates, and support team participation meet Rule 115 expectations.
- Track Medicaid-waiver documentation standards and ensure required submissions are timely and complete.
- Coordinate with Area Managers to address systemic compliance gaps and service concerns.
Team Leads
- Maintain daily Rule 115 compliance at the home level including staffing coverage, documentation completion, and implementation of resident supports.
- Ensure all house binders, logs, and resident files are updated, organized, and audit-ready.
- Supervise DSP performance and ensure person-centered supports are delivered consistently.
- Ensure leadership teams use standardized tracking tools for Rule 115 compliance and performance monitoring.
- Hold leaders accountable for completion of corrective actions tied to Rule 115 audits, incident trends, and DHS-DDD correspondence.
- Lead statewide Rule 115 refresher training and competency checks for all supervisory roles.
Rule 115 Compliance & Residential Program Oversight
- Ensure statewide compliance with Rule 115, Medicaid Waiver requirements, and DHS-DDD directives.
- Oversee systems for development, implementation, and monitoring of individual implementation plans and service outcomes.
- Ensure support team meeting participation and follow-through on identified resident risks, goals, and service modifications.
- Ensure quarterly and annual residential audits are completed and corrective actions implemented.
- Coordinate with QA/Compliance to review monthly random client file reviews for Rule 115 and ensure timely corrections and retraining for staff.
- Monitor incident trends, environmental safety issues, and program risks; develop statewide mitigation plans.
House Documentation & Operational Standards
- Ensure oversight for all homes maintaining complete, accurate, and current house documentation, including:
- Fire, tornado, evacuation, and other emergency drills
- Water temperature logs
- Refrigerator/freezer temperature logs
- Medication Count Sheets and MAR/TAR alignment (with nursing oversight)
- Shift notes, progress notes, and incident documentation
- Vehicle logs and safety checks (if applicable)
- Create, standardize, and update statewide templates and tracking tools to improve documentation quality and consistency.
- Train residential leaders on documentation timelines, standards, and compliance expectations.
Clinical Services & Rule 116 Oversight
- Provide clinical direction and oversight to nursing staff and clinical contractors statewide.
- Ensure statewide compliance with Rule 116 and clinical Medicaid Waiver requirements.
- Oversee clinical documentation systems (health summaries, nursing notes, physician orders, medication reviews, treatment plans).
- Partner with QA/Compliance to review monthly random clinical file reviews for Rule 116 and drive corrective follow-up with staff.
- Review clinical incidents, medication errors, adverse events, and hospitalizations; implement systemic improvements.
Medical Coordination & Appointment Management
- Oversee statewide systems for scheduling, tracking, and follow-through on routine, specialty, and emergency medical appointments.
- Personally transport and/or accompany individuals to appointments when needed for continuity, advocacy, or crisis support.
- Ensure visit results, physician orders, and recommendations are communicated to teams and implemented accurately.
- Coordinate transitions of care after hospitalizations or major medical events.
Benefits, Medicaid & Social Security Coordination
- Ensure statewide completion and tracking of Medicaid redeterminations, including timelines, paperwork accuracy, and documentation storage.
- Oversee coordination of Social Security appointments and benefit setup, renewals, representative payee needs, and follow-through.
- Audit eligibility systems to prevent gaps in benefits and ensure uninterrupted funding/support.
- Collaborate with guardians, ISC/case managers, and funding entities statewide regarding eligibility issues.
Staff Supervision, Development & Workforce Systems
- Provide supervision, coaching, and performance oversight for residential and nursing leadership staff (direct reports may include Area Managers, Residential Managers, Nurses, or Case Managers.
- Ensure recruitment, onboarding, and retention systems support high-quality residential and clinical services.
- Oversee statewide staff compliance systems, including:
- Staff folders
- Annual background checks
- DSP Registry enrollment/updates
- Mandated training completion
Quality Improvement, Corrective Action & Licensing Readiness
- Lead statewide continuous quality improvement based on audits, trend data, incidents, and resident outcomes.
- Ensure all programs remain survey-ready and support preparation for licensing visits, Medicaid Waiver reviews, and compliance investigations.
- Produce statewide performance and compliance reports for executive leadership.
External & Community Liaison
- Serve as a statewide liaison to families/guardians, contracted providers, medical systems, and DHS-DDD regarding residential or clinical concerns.
- Participate in external meetings, state trainings, and regulatory updates; disseminate changes to teams and update policy accordingly.
- Strengthen community partnerships that enhance resident health, safety, inclusion, and outcomes.
Qualifications
- Bachelor’s Degree in Human Services, Social Work, Business Administration, or a related field. Advanced degree a plus.
- Minimum 5 years experience in clinical/nursing and/or residential services for individuals with developmental disabilities, including 2–3 years in leadership.
- Strong working knowledge of Rule 115, Rule 116, Medicaid Waiver requirements, and DHS-DDD standards.
- Demonstrated experience overseeing multi-site programs, audits, staff development, and compliance systems.
- High competence in documentation review, risk management, corrective action planning, and continuous improvement.
- Excellent organizational, analytical, training, and communication skills.
- Ability to travel statewide routinely and respond to urgent program or clinical needs.
- Proficiency in Google Suite and electronic documentation/clinical systems.
- Valid driver’s license and reliable transportation.
- Must pass required background checks and regulatory screenings.
Core Competencies
- Integrated residential + clinical leadership
- Rule 115/116 regulatory expertise and practical application
- Multi-site program management
- Documentation and audit readiness
- Medical and benefits coordination
- Staff coaching, training, and accountability
- Risk mitigation and crisis response
- Data-driven quality improvement
- Strong stakeholder communication