Executive Director - SMI - iRISE Waiver

Delion Care Services; Frankfort (KY); On-site; USD 90,000 - 130,000; Full time

Job summary

Delion Care Services in Frankfort, KY, seeks an Executive Director to launch and oversee residential services under the Kentucky 1915(i) iRISE Initiative. The role ensures operational excellence, strong staff leadership, and strict regulatory compliance for Supervised Residential Care and In-Home supports for adults with Serious Mental Illness.

Responsibilities include program management and clinical oversight, regulatory alignment with 907 KAR 16:015, HIPAA, and DMS guidelines; quality

Qualifications

• Bachelor’s degree in a human services field (Social Work, Psychology, Counseling, or related).
• Minimum of two years’ experience with Serious Mental Illness or behavioral health needs.
• Minimum of two years’ direct supervisory or healthcare management experience.

Responsibilities

• Oversee iRISE residential settings and in-home supports to ensure a safe, therapeutic environment.
• Align supports with PCSP to foster independence and housing stability.
• Lead crisis intervention and trauma-informed de-escalation.

Skills

Staff supervision

Regulatory compliance

Program management

Leadership

Education

Bachelor's degree in human services

Job description

Frankfort, United States | Posted on 07/14/2026

• Region Frankfort Hub: Serving the Capital and Tri-County areas
• City Frankfort
• State/Province Kentucky
• Country United States

Job Description

Executive Director – iRISE Waiver Services

Location:Frankfort, KY |Type:Full-Time, Exempt |Reports To:CEO

Job Overview

TheExecutive Directorlaunches and oversees residential services under the Kentucky 1915(i) iRISE Initiative. This role is responsible for the operational excellence, staff leadership, and strict regulatory compliance of Supervised Residential Care and In-Home Independent Living Supports for adults with Serious Mental Illness (SMI).

Core Responsibilities

1. Program Management & Clinical Oversight

• Daily Operations:Oversee iRISE Supervised Residential settings and in-home support structures to ensure a safe, therapeutic environment.
  
• Person-Centered Care:Align all residential supports with each participant's Person-Centered Service Plan (PCSP) to foster independence and housing stability.
  
• Crisis Intervention:Lead the team in proactive, trauma-informed situational de-escalation and crisis management protocols.
  

2. Regulatory Compliance & Quality Assurance

• Medicaid Alignment:Maintain strict adherence to Kentucky Administrative Regulations (907 KAR 16:015), HIPAA, and Department for Medicaid Services (DMS) guidelines.
  
• Audit Readiness:Conduct routine quality assurance reviews of electronic health records (EHR), Electronic Visit Verification (EVV) data, and service notes.
  
• Incident Reporting:Ensure timely submission and mitigation of all critical incidents to the state within compliance windows.
  
• Staff Supervision:Recruit, train, and supervise Program Managers, Direct Support Professionals (DSPs), and administrative staff.
  
• Stakeholder Relations:Partner with external certified iRISE Case Managers, behavioral health therapists, and the Cabinet for Health and Family Services (CHFS).
  

Job Requirements & Qualifications

Candidates must meet the following criteria:

• Education:Bachelor’s degree in a human services field (Social Work, Psychology, Counseling, or closely related discipline).
  
• Experience:
  
• Minimum oftwo (2) yearsof documented experience working directly with individuals with Serious Mental Illness (SMI) or behavioral health needs.
  
• Minimum oftwo (2) yearsof direct supervisory or healthcare management experience.