Key Responsibilities and Duties
Statewide Residential & Clinical Leadership (Rule 115/116 Integration)
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Provide statewide leadership and oversight of residential and clinical services to ensure consistent, compliant, and person-centered support.
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Ensure Rule 115 residential standards and Rule 116 clinical/nursing standards are fully integrated into daily program operations.
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Support Area Managers, Residential Managers, and Team Leads in managing complex residential, medical, and behavioral situations.
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Establish statewide expectations for service delivery, documentation, staffing patterns, and home operations.
Rule 115 Application Oversight & Leadership Structure Accountability
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Serve as the statewide authority for Rule 115 interpretation, implementation, and enforcement across all programs.
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Define, train, and monitor the specific Rule 115 responsibilities of each leadership role, ensuring consistent application statewide.
Area Managers
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Ensure weekly home visits and operational oversight of assigned homes are completed and documented.
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Monitor implementation plans, staffing, medical follow-through, and daily service delivery for Rule 115 compliance.
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Verify house documentation systems (drills, logs, incident reporting, shift notes, etc.) are maintained accurately and on schedule.
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Provide coaching, corrective direction, and follow-up to Managers and DSPs tied to Rule 115 findings.
Residential Managers
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Oversee multi-home program compliance, audits, and individualized file accuracy.
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Ensure quarterly case file reviews, implementation plan updates, and support team participation meet Rule 115 expectations.
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Track Medicaid-waiver documentation standards and ensure required submissions are timely and complete.
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Coordinate with Area Managers to address systemic compliance gaps and service concerns.
Team Leads
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Maintain daily Rule 115 compliance at the home level including staffing coverage, documentation completion, and implementation of resident supports.
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Ensure all house binders, logs, and resident files are updated, organized, and audit-ready.
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Supervise DSP performance and ensure person-centered supports are delivered consistently.
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Ensure leadership teams use standardized tracking tools for Rule 115 compliance and performance monitoring.
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Hold leaders accountable for completion of corrective actions tied to Rule 115 audits, incident trends, and DHS-DDD correspondence.
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Lead statewide Rule 115 refresher training and competency checks for all supervisory roles.
Rule 115 Compliance & Residential Program Oversight
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Ensure statewide compliance with Rule 115, Medicaid Waiver requirements, and DHS-DDD directives.
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Oversee systems for development, implementation, and monitoring of individual implementation plans and service outcomes.
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Ensure support team meeting participation and follow-through on identified resident risks, goals, and service modifications.
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Ensure quarterly and annual residential audits are completed and corrective actions implemented.
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Coordinate with QA/Compliance to review monthly random client file reviews for Rule 115 and ensure timely corrections and retraining for staff.
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Monitor incident trends, environmental safety issues, and program risks; develop statewide mitigation plans.
House Documentation & Operational Standards
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Ensure oversight for all homes maintaining complete, accurate, and current house documentation, including:
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Fire, tornado, evacuation, and other emergency drills
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Water temperature logs
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Refrigerator/freezer temperature logs
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Medication Count Sheets and MAR/TAR alignment (with nursing oversight)
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Shift notes, progress notes, and incident documentation
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Vehicle logs and safety checks (if applicable)
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Create, standardize, and update statewide templates and tracking tools to improve documentation quality and consistency.
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Train residential leaders on documentation timelines, standards, and compliance expectations.
Clinical Services & Rule 116 Oversight
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Provide clinical direction and oversight to nursing staff and clinical contractors statewide.
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Ensure statewide compliance with Rule 116 and clinical Medicaid Waiver requirements.
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Oversee clinical documentation systems (health summaries, nursing notes, physician orders, medication reviews, treatment plans).
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Partner with QA/Compliance to review monthly random clinical file reviews for Rule 116 and drive corrective follow-up with staff.
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Review clinical incidents, medication errors, adverse events, and hospitalizations; implement systemic improvements.
Medical Coordination & Appointment Management
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Oversee statewide systems for scheduling, tracking, and follow-through on routine, specialty, and emergency medical appointments.
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Personally transport and/or accompany individuals to appointments when needed for continuity, advocacy, or crisis support.
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Ensure visit results, physician orders, and recommendations are communicated to teams and implemented accurately.
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Coordinate transitions of care after hospitalizations or major medical events.
Benefits, Medicaid & Social Security Coordination
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Ensure statewide completion and tracking of Medicaid redeterminations, including timelines, paperwork accuracy, and documentation storage.
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Oversee coordination of Social Security appointments and benefit setup, renewals, representative payee needs, and follow-through.
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Audit eligibility systems to prevent gaps in benefits and ensure uninterrupted funding/support.
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Collaborate with guardians, ISC/case managers, and funding entities statewide regarding eligibility issues.
Staff Supervision, Development & Workforce Systems
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Provide supervision, coaching, and performance oversight for residential and nursing leadership staff (direct reports may include Area Managers, Residential Managers, Nurses, or Case Managers.
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Ensure recruitment, onboarding, and retention systems support high-quality residential and clinical services.
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Oversee statewide staff compliance systems, including:
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Staff folders
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Annual background checks
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DSP Registry enrollment/updates
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Mandated training completion
Quality Improvement, Corrective Action & Licensing Readiness
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Lead statewide continuous quality improvement based on audits, trend data, incidents, and resident outcomes.
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Ensure all programs remain survey-ready and support preparation for licensing visits, Medicaid Waiver reviews, and compliance investigations.
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Produce statewide performance and compliance reports for executive leadership.
External & Community Liaison
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Serve as a statewide liaison to families/guardians, contracted providers, medical systems, and DHS-DDD regarding residential or clinical concerns.
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Participate in external meetings, state trainings, and regulatory updates; disseminate changes to teams and update policy accordingly.
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Strengthen community partnerships that enhance resident health, safety, inclusion, and outcomes.
Qualifications
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Bachelor’s Degree in Human Services, Social Work, Business Administration, or a related field. Advanced degree a plus.
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Minimum 5 years experience in clinical/nursing and/or residential services for individuals with developmental disabilities, including 2–3 years in leadership.
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Strong working knowledge of Rule 115, Rule 116, Medicaid Waiver requirements, and DHS-DDD standards.
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Demonstrated experience overseeing multi-site programs, audits, staff development, and compliance systems.
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High competence in documentation review, risk management, corrective action planning, and continuous improvement.
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Excellent organizational, analytical, training, and communication skills.
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Ability to travel statewide routinely and respond to urgent program or clinical needs.
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Proficiency in Google Suite and electronic documentation/clinical systems.
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Valid driver’s license and reliable transportation.
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Must pass required background checks and regulatory screenings.
Core Competencies
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Integrated residential + clinical leadership
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Rule 115/116 regulatory expertise and practical application
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Multi-site program management
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Documentation and audit readiness
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Medical and benefits coordination
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Staff coaching, training, and accountability
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Risk mitigation and crisis response
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Data-driven quality improvement
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Strong stakeholder communication
