IDD Executive Director

RHA Health Services•North Brunswick, NJ

About The Position

The Executive Director provides strategic and operational leadership for a single business unit supporting people with intellectual and developmental disabilities (IDD). The role ensures person-centered, high-quality services and compliance with regulatory and contractual standards. The Executive Director oversees clinical, administrative, financial, and workforce operations, fostering excellence, accountability, and continuous improvement. The position shapes outcomes for individuals supported and develops and sustains a high-performing interdisciplinary team. The Executive Director leads overall business-unit management and integrates clinical, administrative, and operational functions. The role provides fiscal oversight; leads quality management and improvement; oversees audits, incident tracking, and risk mitigation; and prepares for regulatory audits, life-safety surveys, certification, licensure reviews, and managed-care monitoring. It also supports clinical best practices, staff training and development, and collaboration with families, agencies, and community partners. The Executive Director provides direct and indirect supervision to positions throughout the unit’s operations, including qualified professionals, supervisors, clinical staff, administrative personnel, program managers, and training coordinators. Responsibilities include building high-performing teams, developing leadership at all levels, and ensuring effective performance management.

Requirements

  • Bachelor’s degree in human services, health administration, social work, or a related field.
  • At least five years of leadership experience in IDD services, long-term care facilities, or related healthcare or human-services settings.
  • Knowledge of regulatory standards and quality frameworks applicable to IDD services, such as HCBS, CMS, CARF, and state licensing requirements.
  • Ability to lead interdisciplinary teams and drive service excellence in a complex, regulated environment.
  • Financial acumen, including experience managing operating budgets and business performance metrics.
  • Strong interpersonal, leadership, and communication skills.
  • Ability to build collaborative relationships with regulatory bodies, managed care organizations, community partners, and families.
  • Ability to regularly lift and carry up to 20 pounds and occasionally pull at least 40 pounds.
  • Ability to squat, kneel, crawl, crouch, climb, and stoop as part of regular duties.
  • Ability to use hands and fingers to handle or operate objects, tools, or controls.
  • Ability to stand and walk for extended periods.
  • Ability to demonstrate CPR proficiency from floor level, including working on hands and knees, bending, standing, and lifting.
  • Close, distance, and peripheral vision, and ability to talk and hear.
  • For Deaf and Hard of Hearing Programs only, fluency in American Sign Language (ASL) is required; the talk-and-hear requirement does not apply.

Nice To Haves

  • Master’s degree.

Responsibilities

  • Lead overall business-unit management, person-centered service delivery, program integrity, and organizational culture.
  • Oversee and integrate the work of clinical, administrative, and operational departments and staff.
  • Maintain knowledge of federal, state, and local regulatory requirements and address non-compliance or risk.
  • Provide fiscal oversight, allocate resources efficiently, and ensure adherence to budgetary goals and financial targets.
  • Lead the Quality Management Team to improve outcomes and quality of care.
  • Oversee implementation and monitoring of Personal Outcome Measures (POMs).
  • Direct development, execution, and monitoring of the unit’s Quality Improvement Plan and corrective actions.
  • Oversee quality assurance processes, including audits, chart reviews, incident tracking, and risk mitigation.
  • Prepare for and lead responses to regulatory audits, life-safety surveys, certification and licensure reviews, and LME/MCO monitoring.
  • Ensure timely development and implementation of Plans of Correction, track progress, and communicate outcomes to stakeholders.
  • Ensure appropriate clinical oversight by licensed and credentialed professionals and support integration of clinical best practices.
  • Ensure services align with industry best practices, regulatory standards, accreditation guidelines, and organizational mission and values.
  • Lead staff training initiatives and ensure workforce readiness and compliance with required competencies, policies, and procedures.
  • Build a culture of professional development, employee engagement, and high performance.
  • Collaborate with external agencies, families, and community partners to strengthen services and promote engagement.
  • Provide direct and indirect supervision across the unit, build high-performing teams, foster leadership, and ensure effective performance management.

Benefits

  • Payactiv early access to earned wages before payday.
  • Employee perks and discount program.
  • Paid time off for full-time employees.
  • Health and insurance benefits for full-time employees.
  • 401(k) retirement savings program.
  • Physical, emotional, and financial wellbeing programs.
  • Chronic disease management programs for hypertension and diabetes for qualifying employees.
  • Free CPR, first-aid, and job-specific training opportunities.
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