Director, HCBS Growth & Compliance – DD (CA)

San Diego State University; San Diego (CA); On-site; USD 85,000 - 100,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Paid time off

Paid holidays

Mileage reimbursement

Paid training and professional develop

Job summary

Almost Family seeks a Director of Home and Community Based Services (HCBS) for California to lead our I/DD services, including SLS, ILS, respite, and SDP. You will manage the Program Management team, oversee regional center relationships, and drive census growth and quality outcomes in a heavily regulated environment.

The role requires deep knowledge of Title 17, Title 22, the Lanterman Act, and HCBS rules; you will manage budgets, vendor relations, and staff development across California

Qualifications

• Minimum of five years of experience in California I/DD services, including SLS and ILS.
• Minimum of 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.

Responsibilities

• Develop and execute an annual growth plan for California HCBS, including census, revenue, and new service line targets.
• Lead relationship development 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 all 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 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 DSP recruitment, training, and retention.
• Build a culture of accountability, person centered practice, and professional development.

Education

Bachelor's degree in social work, psychology, human services, business, or related field

Master's degree in social work, public administration, or related field

Job description

Almost Family seeks a Director of Home and Community Based Services (HCBS) for California to lead our I/DD services, including SLS, ILS, respite, and SDP. You will manage the Program Management team, oversee regional center relationships, and drive census growth and quality outcomes in a heavily regulated environment.

The role requires deep knowledge of Title 17, Title 22, the Lanterman Act, and HCBS rules; you will manage budgets, vendor relations, and staff development across California