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

San Diego•San Diego, CA

1d•Onsite

About The Position

Almost Family is seeking a Director to lead its expanding California services for adults with intellectual and developmental disabilities. Almost Family provides home and community based supports in Oregon and California; its San Diego operation is vendored through San Diego Regional Center (SDRC) to provide Supported Living Services and respite. The Director holds overall responsibility for California I/DD services, including Supported Living Services (SLS), Independent Living Services (ILS), respite, and Self Determination Program (SDP) services. The role leads the Program Management team, manages regional center relationships and vendorization, and is accountable for census growth, regulatory compliance, financial performance, and service quality across the region. The position is in person in San Diego, California, and reports to the Executive Director.

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 California HCBS growth plan, 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.