L'Arche North Carolina Residential Services and Compliance Manager Durham, NC · Full time Company website

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L’Arche North Carolina is an inclusive community where adults with and without intellectual disabilities share life and friendships. We seek to transform lives and model a more human society where everyone is of equal value.

L’Arche North Carolina is a community of belonging for people with and without intellectual and developmental disabilities. We are working toward establishing the first L’Arche residential home in the Triangle area.

Our Vision
We envision a just society where diverse people with and without disabilities thrive.

Our Mission
L’Arche North Carolina cultivates inclusive communities where people across the spectrum of intellectual and developmental disability identities live and flourish together.

About L’Arche North Carolina

L’Arche North Carolina cultivates inclusive communities where people across the spectrum of intellectual and developmental disability identities live and flourish together.

At L’Arche, we believe that everyone has unique gifts to share and that meaningful relationships are at the heart of a thriving community. Our homes are places where people with and without intellectual and developmental disabilities share daily life, build friendships, and experience belonging.

Position Overview

L'Arche North Carolina is seeking an experienced, detail-oriented, and collaborative Residential Services & Compliance Manager to provide leadership and oversight of our residential services for adults with intellectual and developmental disabilities.

This position plays a critical role in ensuring our homes provide safe, high-quality, person-centered support while meeting Medicaid, licensing, and accreditation requirements.

The ideal candidate is both a strong leader and a skilled problem-solver who enjoys coaching staff, developing effective systems, and translating complex regulations into practical, everyday procedures.

This role supervises the House Leader, oversees residential quality and compliance, and supports staff training and development across L'Arche homes.

Key Responsibilities

Residential Leadership & Staff Development

• Supervise, coach, and evaluate House Leader to ensure consistent, high-quality residential services.
• Provide Qualified Professional (QP) oversight and supervision in accordance with applicable requirements.
• Develop and oversee orientation, ongoing training, and competency assessments for residential staff.
• Support House Leader in implementing person-centered practices, staff expectations, and quality improvements.
• Build practical systems that help staff succeed and ensure consistency across homes.

Quality Assurance & Regulatory Compliance

• Oversee compliance with North Carolina residential licensing, Medicaid, MCO, and accreditation requirements.
• Develop, maintain, and regularly review residential policies and procedures.
• Conduct internal audits of service documentation, medication records, incidents, staff training, and other required records.
• Coordinate licensing visits, Medicaid monitoring, accreditation reviews, and external audits.
• Develop and monitor corrective action plans to address identified concerns and improve systems.
• Conduct routine observations across homes to ensure policies and support plans are reflected in daily practice.

Medicaid Documentation & Billing Oversight

• Oversee service authorizations, Individual Support Plans (ISPs), documentation, and service delivery requirements.
• Establish and maintain processes to verify that services are properly authorized, delivered, and documented before billing.
• Review documentation for completeness, accuracy, and compliance with Medicaid requirements.
• Identify documentation trends and provide training and corrective action when needed.
• Coordinate with administrative and finance staff to support accurate Medicaid billing and documentation.

Core Member Health, Safety & Rights

• Oversee medication administration systems and healthcare coordination in collaboration with qualified nursing professionals.
• Monitor incidents, medication errors, health and safety concerns, and required reporting.
• Support Human Rights Committee processes and promote dignity, informed choice, privacy, and person-centered care.
• Ensure core-member records, support plans, and safety procedures are accurate and current.
• Lead residential admissions, transitions, discharge planning, and coordination of complex support needs.
• Collaborate with families, guardians, care managers, clinicians, and other support-team members.

Qualifications

Required

• Meets current North Carolina requirements to serve as a Qualified Professional (QP) for applicable I/DD services.
• Substantial experience with Medicaid-funded intellectual and developmental disability services, residential compliance, and quality assurance.
• Strong organizational, communication, leadership, and problem-solving skills.
• Ability to interpret regulatory requirements, maintain accurate records, and implement effective procedures.
• Valid driver's license and ability to travel between residential homes as needed.

Preferred

• Experience with North Carolina Innovations Waiver Residential Supports, residential licensing requirements, and MCO monitoring.
• Experience with Medicaid documentation, billing integrity, audits, and corrective action plans.
• At least two years of experience using Therap or a comparable electronic documentation system.
• Experience supervising managers, coaching staff, and developing training programs.
• Familiarity with medication administration systems, incident reporting, and person-centered residential services.

Compensation & Benefits

Hiring Salary: $50,000–$55,000 annually, based on qualifications and experience.

L'Arche North Carolina offers a benefits package for full-time employees, including:

• Paid Time Off: 20 days during the first year of employment and 25 days annually thereafter, unless otherwise negotiated. PTO begins accruing on the first day of employment and includes vacation and holidays.
• Healthcare Reimbursement: $300 per month toward individual health insurance premiums, dental, and/or vision coverage. Employees obtain their own insurance coverage.
• Retirement: SIMPLE IRA with a 3% employer match, subject to plan eligibility requirements.
• Cell Phone Stipend: $40 per month.
• Paid Sick Leave: Two paid sick days annually, available after 30 days of employment.
• Meaningful Work: The opportunity to support an inclusive community and make a lasting difference in the lives of adults with intellectual and developmental disabilities.
• Growth Opportunities: L’Arche North Carolina is growing! As our community expands, this position offers exciting opportunities for professional development, increased leadership responsibilities, and the potential for the role to grow alongside the organization.

Why Join L'Arche?

At L'Arche, we believe that quality residential services are about more than meeting regulations. They're about creating communities where people experience belonging, meaningful relationships, personal choice, and opportunities to flourish.

As Residential Services & Compliance Manager, you'll play an important role in strengthening the systems, supporting the people, and building the culture that make this mission possible.

If you're passionate about person-centered services, developing others, and creating strong, sustainable programs, we'd love to hear from you!