Regional Director of Residential Services (Adult IDD & Medicaid Programs)

The Regional Director of Residential Services will oversee Cumberland, Lancaster and Northumberland Counties(Central PA) and is responsible for the strategic leadership, operational management, regulatory compliance, quality assurance, and financial performance of multiple group homes serving adults with intellectual and developmental disabilities (IDD), physical disabilities, and other support needs. This role oversees all residential operations within an assigned geographic region, ensuring person-centered services, high-quality outcomes, compliance with Medicaid waiver requirements, and adherence to applicable federal, state, and local regulations.

The Regional Director leads a team of Program Directors, Residential Managers, and other supervisory staff while promoting a culture of dignity, inclusion, safety, accountability, and continuous improvement.

Key Responsibilities

Leadership & Operations

• Provide direct oversight of all group homes and residential programs within the assigned region.
• Ensure consistent delivery of person-centered services that promote independence, community integration, and quality of life.
• Develop and implement operational strategies to improve service quality, efficiency, and resident outcomes.
• Monitor program performance through regular site visits, audits, and leadership meetings.
• Serve as the primary operational leader for crisis management, emergency preparedness, and incident response.

Regulatory Compliance

• Ensure all residential programs comply with Medicaid Home and Community-Based Services (HCBS) regulations, state licensing requirements, and organizational policies.
• Oversee compliance with federal and state regulations governing services for adults with disabilities.
• Lead preparation for state inspections, licensing reviews, accreditation surveys, and Medicaid audits.
• Monitor incident management systems and ensure timely reporting and resolution of all reportable incidents.
• Maintain documentation standards that support regulatory compliance and reimbursement requirements.

Financial Management

• Manage regional budgets, staffing allocations, and financial performance.
• Monitor revenue, expenses, occupancy levels, and service utilization.
• Ensure programs operate efficiently while maintaining quality standards.
• Identify opportunities for cost savings and operational improvement without compromising resident care.
• Collaborate with finance teams to support Medicaid billing integrity and fiscal accountability.

Quality Assurance & Program Development

• Establish and monitor key performance indicators related to quality, compliance, safety, staffing, and resident satisfaction.
• Conduct routine quality assurance reviews and corrective action planning.
• Lead initiatives that improve service delivery, resident outcomes, and employee engagement.
• Analyze trends related to incidents, employee turnover, medication administration, and regulatory findings.
• Ensure implementation of evidence-based practices and person-centered planning.

Human Resources & Workforce Leadership

• Directly supervise Program Directors, Residential Directors, and other regional leadership staff.
• Recruit, develop, coach, and retain high-performing leaders.
• Ensure adequate staffing levels across all residential programs.
• Promote employee engagement, accountability, and professional development.
• Address employee relations issues in partnership with Human Resources.

Resident Advocacy & Stakeholder Relations

• Foster positive relationships with residents, families, guardians, advocates, support coordinators, funding agencies, and community partners.
• Ensure resident rights are protected and upheld at all times.
• Respond to concerns and facilitate effective resolution of complaints or service issues.
• Represent the organization in external meetings, provider associations, and community forums.

Strategic Planning

• Support organizational growth initiatives, including expansion of residential services.
• Participate in strategic planning and organizational development activities.
• Evaluate community needs and emerging trends within disability services.
• Drive organizational goals related to service excellence, compliance, and financial sustainability.

Qualifications

Education

• Bachelor's degree in Human Services, Social Work, Psychology, Healthcare Administration, Public Administration, Business Administration, or a related field required.
• Master's degree preferred.

Experience

• Minimum 7–10 years of progressive leadership experience in residential services, behavioral health, IDD services, healthcare, or human services.
• Minimum 5 years of multi-site management experience.
• Demonstrated experience overseeing Medicaid-funded programs and regulatory compliance.
• Experience managing budgets, quality initiatives, and large teams.

Knowledge & Skills

• Extensive knowledge of Medicaid Waiver Programs, HCBS regulations, and state licensing requirements.
• Strong understanding of intellectual and developmental disability services.
• Knowledge of incident management, risk management, and quality assurance practices.
• Excellent leadership, communication, and relationship-building skills.
• Strong financial and operational management capabilities.
• Ability to analyze data and implement performance improvement strategies.
• Proficiency in electronic health records and reporting systems.

Physical & Travel Requirements

• Ability to travel frequently throughout the assigned region.
• Availability for evening, weekend, and emergency response responsibilities as needed.
• Valid driver's license with acceptable driving record.

Reporting Structure

Reports To: Vice President of Residential Services / Chief Operating Officer

Direct Reports:

• Area Directors
• Program Directors
• Residential Managers
• Quality and Compliance Staff (as assigned)

Oversight Responsibility:

• Multiple residential programs/group homes
• Regional operating budget
• 100–500+ employees depending on organizational size
• 50–300+ residents receiving services

Core Competencies

• Strategic Leadership
• Medicaid Compliance
• Regulatory Management
• Financial Stewardship
• Quality Improvement
• Team Development
• Resident Advocacy
• Risk Management
• Operational Excellence
• Change Management
• Relationship Management
• Problem Solving

Typical Title Alternatives:

• Regional Director of Residential Services
• Regional Operations Director (IDD Services)
• Director of Adult Residential Programs
• Regional Executive Director – Group Home Services
• Regional Director of Developmental Disability Services
• Senior Director of Residential Operation

This position offers full benefits including Medical, Dental, Vision, 403b, PTO. Also, this position could provide a monthly car allowance.