Director of Medical Respite Care

CITY CARE INC•Oklahoma City, OK
•Onsite

About The Position

City Care is seeking a builder, connector, and experienced leader to help launch and grow its Medical Respite Program. This role will be instrumental in establishing a 40-bed facility where individuals experiencing homelessness can safely recover post-hospitalization while maintaining connections to essential services. The Director will lead the Medical Respite team, manage day-to-day operations, develop necessary systems and partnerships, and shape the future of medical respite care in the community. This is a non-clinical leadership position that requires close collaboration with a contracted clinical provider to ensure a coordinated, person-centered program.

Requirements

  • A strong commitment to serving people experiencing homelessness with dignity, respect, and belief in their autonomy.
  • At least five years of progressively responsible experience in homeless services, healthcare, behavioral health, public health, human services, or a related field.
  • At least three years of experience supervising staff, leading teams, or managing programs.
  • Experience launching, building, or significantly growing a program, facility, service, or community initiative.
  • Experience managing budgets, performance measures, policies, partnerships, and complex day-to-day operations.
  • Working knowledge of trauma-informed care, harm reduction, housing-focused services, and the barriers faced by individuals without stable housing.
  • Ability to build strong relationships across healthcare, homelessness response systems, and community organizations.
  • Strong communication, problem-solving, and decision-making skills, including navigating difficult or urgent situations calmly.
  • Ability to work closely with clinical professionals while maintaining clear boundaries between clinical and non-clinical responsibilities.
  • Willingness to lead through change, learn as the program grows, and build systems for continuous improvement.
  • A bachelor's degree in social work, public health, healthcare administration, nonprofit management, human services, or a related field, or an equivalent combination of education and relevant experience.

Nice To Haves

  • Experience with medical respite.
  • Experience with hospital discharge planning.
  • Experience with managed care.
  • Experience with supportive housing.
  • Experience with shelter operations.
  • Experience with integrated healthcare.
  • Experience with 24-hour residential programs.
  • Experience with quality improvement.

Responsibilities

  • Lead the launch, stabilization, and growth of the Medical Respite Program, from a nine-bed pilot to a permanent 40-bed facility.
  • Develop and strengthen policies, procedures, workflows, staffing structures, and operational systems for a safe and effective program.
  • Establish program goals and priorities aligned with City Care's mission and the Housing First approach.
  • Identify and address program gaps, solve problems, and drive continuous improvement.
  • Ensure the program operates with trauma-informed care, harm reduction, dignity, autonomy, and respect.
  • Oversee non-clinical day-to-day operations, including staffing, facility management, guest experience, and program quality.
  • Coordinate admission, transition, and discharge processes with hospital partners, the clinical provider, Housing Navigation, and community partners.
  • Ensure consistent review of referrals based on established eligibility criteria.
  • Maintain clear processes for guest orientation, transportation, meals, safety, incident response, grievances, accommodations, housing navigation, and resource connections.
  • Collaborate with internal City Care teams (Facilities, Nutrition, Safety, HR, Finance) to ensure operational needs are met.
  • Lead non-clinical emergency preparedness and incident review in partnership with leadership and the clinical provider.
  • Prioritize housing as a central component of the work, integrating medical recovery and housing navigation.
  • Lead, supervise, and develop the non-clinical Medical Respite team, establishing clear roles, expectations, and accountability.
  • Recruit, onboard, and retain a skilled and compassionate team.
  • Provide regular supervision, coaching, feedback, recognition, and professional growth opportunities.
  • Foster a workplace culture of collaboration, learning, psychological safety, and staff well-being.
  • Ensure staff receive ongoing training in trauma-informed care, harm reduction, de-escalation, boundaries, confidentiality, cultural humility, incident response, and collaboration with clinical personnel.
  • Create channels for guests and staff to raise concerns and provide feedback.
  • Serve as the primary operational partner to the contracted clinical provider, managing roles, communication, escalation pathways, and expectations.
  • Build and maintain strong relationships with hospitals, health systems, discharge planners, managed care organizations, public health agencies, medical providers, and community partners.
  • Develop clear referral pathways and communication practices for smooth transitions into and out of Medical Respite.
  • Collaborate with partners to identify care gaps and strengthen connections between healthcare, housing, and community services.
  • Represent City Care in community discussions related to medical respite.
  • Support the development and stewardship of institutional partnerships for long-term program sustainability.
  • Establish and monitor program outcomes, service standards, and performance measures.
  • Utilize data, feedback, and trends to inform program improvements.
  • Provide accurate and timely program information and reports to leadership, the Board, funders, and partners.
  • Develop and manage the Medical Respite operating budget in partnership with Finance and the Chief Programs Officer.
  • Monitor staffing, expenses, contracted services, supplies, and program revenue, making necessary adjustments.
  • Support financial and operational planning for program growth.
  • Partner with Advancement and executive leadership to provide information for fundraising and sustainability efforts.

Benefits

  • Medical insurance
  • Dental insurance
  • Vision insurance
  • Company sponsored 401K plan
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