Clinical & Residential Services Director

Key Responsibilities and Duties Statewide Residential & Clinical Leadership (Rule 115/116 Integration)

• Provide statewide leadership and oversight of residential and clinical services to ensure consistent, compliant, and person-centered support.
• Ensure Rule 115 residential standards and Rule 116 clinical/nursing standards are fully integrated into daily program operations.
• Support Area Managers, Residential Managers, and Team Leads in managing complex residential, medical, and behavioral situations.
• Establish statewide expectations for service delivery, documentation, staffing patterns, and home operations.

• Serve as the statewide authority for Rule 115 interpretation, implementation, and enforcement across all programs.
• Define, train, and monitor the specific Rule 115 responsibilities of each leadership role, ensuring consistent application statewide.

• Ensure weekly home visits and operational oversight of assigned homes are completed and documented.
• Monitor implementation plans, staffing, medical follow-through, and daily service delivery for Rule 115 compliance.
• Verify house documentation systems (drills, logs, incident reporting, shift notes, etc.) are maintained accurately and on schedule.
• Provide coaching, corrective direction, and follow-up to Managers and DSPs tied to Rule 115 findings.

• Oversee multi-home program compliance, audits, and individualized file accuracy.
• Ensure quarterly case file reviews, implementation plan updates, and support team participation meet Rule 115 expectations.
• Track Medicaid-waiver documentation standards and ensure required submissions are timely and complete.
• Coordinate with Area Managers to address systemic compliance gaps and service concerns.

• Maintain daily Rule 115 compliance at the home level including staffing coverage, documentation completion, and implementation of resident supports.
• Ensure all house binders, logs, and resident files are updated, organized, and audit-ready.
• Supervise DSP performance and ensure person-centered supports are delivered consistently.
• Ensure leadership teams use standardized tracking tools for Rule 115 compliance and performance monitoring.
• Hold leaders accountable for completion of corrective actions tied to Rule 115 audits, incident trends, and DHS-DDD correspondence.
• Lead statewide Rule 115 refresher training and competency checks for all supervisory roles.

• Ensure statewide compliance with Rule 115
  , Medicaid Waiver requirements, and DHS-DDD directives.
• Oversee systems for development, implementation, and monitoring of individual implementation plans and service outcomes.
• Ensure support team meeting participation and follow-through on identified resident risks, goals, and service modifications.
• Ensure quarterly and annual residential audits are completed and corrective actions implemented.
• Coordinate with QA/Compliance to review monthly random client file reviews for Rule 115 and ensure timely corrections and retraining for staff.
• Monitor incident trends, environmental safety issues, and program risks; develop statewide mitigation plans.

• Ensure oversight for all homes maintaining complete, accurate, and current house documentation, including:
• Fire, tornado, evacuation, and other emergency drills
• Water temperature logs
• Refrigerator/freezer temperature logs
• Medication Count Sheets and MAR/TAR alignment (with nursing oversight)
• Shift notes, progress notes, and incident documentation
• Vehicle logs and safety checks (if applicable)
• Create, standardize, and update statewide templates and tracking tools to improve documentation quality and consistency.
• Train residential leaders on documentation timelines, standards, and compliance expectations.

• Provide clinical direction and oversight to nursing staff and clinical contractors statewide.
• Ensure statewide compliance with Rule 116 and clinical Medicaid Waiver requirements.
• Oversee clinical documentation systems (health summaries, nursing notes, physician orders, medication reviews, treatment plans).
• Partner with QA/Compliance to review monthly random clinical file reviews for Rule 116 and drive corrective follow-up with staff.
• Review clinical incidents, medication errors, adverse events, and hospitalizations; implement systemic improvements.

• Oversee statewide systems for scheduling, tracking, and follow-through on routine, specialty, and emergency medical appointments.
• Personally transport and/or accompany individuals to appointments when needed for continuity, advocacy, or crisis support.
• Ensure visit results, physician orders, and recommendations are communicated to teams and implemented accurately.
• Coordinate transitions of care after hospitalizations or major medical events.

• Ensure statewide completion…