Assistant Intermediate Care Facility Administrator: OIDD - Midlands

State of South Carolina•Richland County, SC

3d•Onsite

About The Position

The Assistant Intermediate Care Facility Administrator is a senior leadership position at Midlands Regional Center, a state-operated Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF-IID) in Columbia, South Carolina. The position reports directly to the Facility Administrator and is responsible for facility operations, fiscal management, and oversight of the ICF-IID, including supervision of facility administrative personnel within assigned limits and full responsibility in the Facility Administrator’s absence. It supports safe, high-quality, legally compliant services and helps ensure regulatory and operational standards are met. The role oversees program management, personnel management, and improvement projects. It supports continuous active treatment, positive health outcomes, staff development and training, engagement with residents and their families or support circles, and opportunities for community integration. It communicates changes in federal and state policies and procedures, guides directors and key personnel, and applies relevant CMS, federal, and state requirements for ICFs-IID and community-based services. The administrator develops staff accountability and performance measures, including key performance indicators informed by human resources, survey trends, capital improvement projects, and fiscal reports. The role identifies and manages improvement projects, briefs senior managers on progress, conducts frequent visits to resident and service areas, and makes unannounced after-hours facility visits at least biweekly. It also supports compliance with labor laws and DOL regulations, tracks identified issues through correction, and explores capacity for institutional respite and emergency stabilization services.

Requirements

Bachelor’s degree from an accredited college or university in a human services field of study.
At least three years of experience working with people who have disabilities.
At least one year of experience in supervision or administration.
Ability to supervise and communicate effectively with personnel across shifts and departments.
Employment is contingent on required pre-employment screenings, including medical and drug screening, background checks and fingerprinting, child abuse and neglect registry screening, federal exclusion-list screening, driving-record check, and verification of educational credentials.
If working directly with consumers, tuberculosis skin or blood testing must be completed before employment begins.
Healthcare providers must provide documentation of immunity or be immunized against measles, mumps, rubella, pertussis, Varicella, and Hepatitis B before employment begins.
May be required to work during emergencies or disasters under the State Disaster Plan.

Nice To Haves

Knowledge of an agency’s mission, vision, and services.
Working knowledge of the network of agencies contracting with BHDD to deliver services.
Knowledge of federal and state regulations pertaining to the operation and oversight of ICFs-IID.
Ability to establish key performance indicators for state-operated ICFs-IID and other programs operated directly and indirectly by BHDD.

Responsibilities

Oversee facility operations, fiscal management, and the state-operated ICF-IID; supervise facility administrative personnel within assigned limits and assume full responsibility in the Facility Administrator’s absence.
Assure continuous active treatment and promote positive health outcomes for residents.
Support ongoing staff development and training for Midlands Regional Center personnel.
Engage regularly with residents and their families or circles of support to assess satisfaction and identify opportunities for community integration and living.
Communicate changes in federal and state policies and procedures governing ICFs-IID and services delivered through contracts or fixed-bid solicitations.
Complete special projects and assignments that improve stakeholder access to and delivery of services.
Guide and supervise directors and personnel whose responsibilities affect facility operations.
Maintain working knowledge of CMS State Operations Manual provisions and applicable federal and state ICF-IID regulations and community-based service options.
Build trust and transparent communication with assigned employees; clarify roles, responsibilities, and expectations; motivate staff; drive outcomes; and establish accountability based on productivity.
Develop responsibility for subordinate activity and encourage the same accountability among subordinates.
Develop key performance indicators and quality and risk-management benchmarks incorporating human resources, survey data and trends, capital permanent improvement projects, and fiscal reports.
Promote organizational and operational uniformity to support Midlands Regional Center goals and improve consumer outcomes.
Identify improvement projects, define guidance and parameters, establish milestones and completion timelines, assign accountability, and brief higher-level managers on progress.
Ensure state-operated ICFs-IID comply with federal and state labor laws and Department of Labor regulations, including WIOA.
Conduct frequent visits to resident living areas, workshops, and day-service areas to identify needs and ensure appropriate support and services.
Conduct unannounced after-hours facility visits at least biweekly to assess licensing and certification standards and track identified needs through completion or correction.
Ensure key management staff conduct sufficient unannounced visits to provide feedback and identify and correct negative trends.
Explore and establish capacity for recurring institutional respite space and emergency stabilization as appropriate.

Benefits

Health insurance
Dental insurance
Vision insurance
Disability insurance
Life insurance
15 days of annual (vacation) leave per year
15 days of sick leave per year
13 paid holidays
Paid parental leave
S.C. Deferred Compensation Program available
Retirement benefit choices through the State Retirement Plan (SCRS) or State Optional Retirement Program (State ORP)
Referral Incentive Reward and Retention Bonus programs are supported; contact Human Resources for further information