Director - Home and Community Based Services (HCBS) - Developmental Disabilities

Almost Family - San Diego•San Diego, CA

2d•$85,000 - $100,000•Onsite

About The Position

The Director of Home and Community Based Services (HCBS) holds overall responsibility for Almost Family's California intellectual and developmental disabilities (I/DD) services, including Supported Living Services (SLS), Independent Living Services (ILS), respite, and Self Determination Program (SDP) services. The position leads the Program Management team, owns regional center relationships and vendorization, and is accountable for census growth, regulatory compliance, financial performance, and service quality across the region. Almost Family provides home and community based supports for adults with I/DD in Oregon and California. In San Diego, the organization is vendored through San Diego Regional Center (SDRC) to provide SLS and respite. The California operation is expanding, and the Director will lead its growth and operations.

Requirements

At least five years of experience in California I/DD services, including Supported Living Services (SLS) and Independent Living Services (ILS).
At least three years of management experience overseeing programs and supervising managers or supervisors.
Demonstrated success growing census or revenue through regional center relationships.
In-depth knowledge of the Regional Center system, Title 17, the Lanterman Act, the IPP process, and HCBS regulations.
Experience managing a program budget and using data to drive decisions.
Bachelor's degree in social work, psychology, human services, business, or a related field.
Valid California driver's license, reliable transportation, and current auto insurance.
Ability to obtain DOJ/FBI Live Scan background clearance.

Nice To Haves

Master's degree in social work, public administration, or a related field.
Experience with the Self Determination Program (SDP), including independent facilitators, Financial Management Services (FMS) providers, and spending plans.
Experience with new vendorization or opening a new service line.
Established relationships with San Diego Regional Center.
Bilingual in English and Spanish.

Responsibilities

Develop and execute an annual growth plan for California HCBS, including census, revenue, and new service line targets.
Develop relationships with San Diego Regional Center leadership, service coordinators, independent facilitators, and community partners.
Pursue new vendorizations and service codes, and evaluate expansion to additional regional centers.
Oversee referral intake and conversion to ensure timely starts of service.
Ensure programs comply with Title 17, Title 22 where applicable, the Lanterman Act, the HCBS Settings Final Rule, and regional center vendor requirements.
Maintain readiness for regional center audits and monitoring reviews, and lead corrective action plans.
Oversee Special Incident Reporting (SIR), risk management, and quality improvement processes.
Establish and maintain policies, procedures, and documentation standards for California operations.
Manage the California HCBS budget, including staffing costs, rates, and utilization.
Complete and monitor billing accuracy and authorizations in coordination with finance.
Track and report key performance indicators, including census, staff turnover, and service hours delivered versus authorized.
Recruit, hire, and supervise Program Managers, administrative staff, and field staff.
Set workforce strategy for Direct Support Professional (DSP) recruitment, training, and retention.
Build a culture of accountability, person-centered practice, and professional development.
Participate in the leadership on-call rotation.
Collaborate with the San Diego and corporate teams.