Director of ICF Residential Services (Healthcare)
Director of ICF Residential Services
Job Description
Location/Department: San Diego County, Residential Services
Reports to: VP of Residential
Pay Range: $75,000 - $85,000 Annually
Schedule: Full-time
FLSA Status/CBA: Exempt, Non-union
Benefits Eligibility: Managers Exempt
Job Summary
The Director of ICF Residential Services is responsible for the leadership, oversight, and regulatory compliance of Intermediate Care Facilities (ICF) operated by Home of Guiding Hands. These homes serve individuals with intellectual and developmental disabilities who require structured, medically supported residential services. The Director ensures all programs meet or exceed standards set by federal and state agencies, including ICF/IID regulations, Title 17, Title 22, and Department of Developmental Services (DDS) guidelines.
Reporting to the Vice President of Residential Services, the Director LMA's (Leads, Manages, and holds Accountable) Qualified Intellectual Disabilities Professionals (QIDPs), fostering a multidisciplinary approach to care planning and implementation. The Director collaborates closely with clinical teams, including nursing, behavioral, and direct support staff, to promote individualized, person-centered services that support each resident's unique needs and goals.
This role also oversees systems training, tracks compliance, and manages both client referral screenings and staff applicant processing. The Director is a key driver of quality assurance, staff development, and operational effectiveness, ensuring that the ICF programs are positioned for long-term success while remaining responsive to emerging needs.
Tasks, Duties, and Responsibilities
- LMA: Lead, manage, and hold QIDPs accountable for clinical and operational excellence across all ICF homes.
- Ensure ongoing compliance with ICF/IID regulations, Title 17, Title 22, and DDS standards.
- Guide implementation of Individual Program Plans (IPPs) and clinical services using an interdisciplinary approach.
- Manage and coordinate client referral screening and intake processing.
- Oversee applicant screening and hiring collaboration with HR, ensuring the right people are in the right seats.
- Provide systems training and onboarding to Residential Supervisory staff to ensure strong infrastructure and performance.
- Track and ensure compliance for all mandatory staff trainings and certifications (Relias, CPR/First Aid, Medication Administration, ProAct, etc.).
- Facilitate the Human Rights Committee process, including meeting coordination, documentation, and staff education.
- Lead incident response, audits, and survey preparedness, and implement appropriate corrective actions.
- Support care coordination with medical providers, families, and community partners.
- Participate in on-call rotation and respond to emergencies with professionalism and urgency.
- Monitor and manage ICF program budgets and resources in alignment with agency expectations.
- Other duties as assigned.
Values
Innovation – We encourage creativity and innovation because we believe that by striving for more efficient and effective ways of doing things, we can achieve exceptional results. Our drive for success is shared by all. Our organization focuses on solutions and refuses to maintain the status quo. We challenge our team to be ahead of industry trends as we strive to lead and not follow.
Collaboration – We believe that working together collaboratively is the foundation of a culture that values teamwork, communication, and cooperation. This belief is central to every part of our business, both internally and externally, and strengthens our community.
Accountability – We take responsibility for our actions and for delivering on our commitments. We believe that by being transparent and accountable, we build trust and maintain the respect of our stakeholders.
Respect – We treat everyone with respect and dignity. We value inclusivity and believe that by upholding a culture of respect, we can foster a positive and supportive work environment. We treat others as we would want to be treated.
Empathy – We value empathy and understanding in all our interactions. We seek to understand the perspectives and needs of our colleagues, clients, and stakeholders to meet them with kindness and compassion.
Knowledge, Skills, and Education
- Bachelor's degree in Human Services, Social Work, Psychology, or related field (Master's preferred).
- Minimum 5 years of experience in IDD or ICF/IID services, with 3+ years in a leadership role.
- Expertise in regulatory compliance and clinical coordination for ICF/IID programs.
- Demonstrated ability to LMA: lead, manage, and hold teams accountable.
- Excellent leadership, organizational, and communication skills.
- Valid CA driver's license and acceptable driving record. Must have 2 years of licensed driving experience.
- Must obtain CPR and First Aid certification, Pro-Act, and Medication Administration.
- Must complete a pre-employment physical and negative Tuberculosis screen, then update annually.
Physical Requirements/Work Environment
This job operates in a residential home environment. The employee is frequently required to stand, walk, and sit. The employee may frequently move to interact with fellow employees and/or clients. Additionally, the individual may be required to lift objects weighing up to 50 pounds. Specific abilities required by this job include utilizing wheelchairs, gait belts, Hoyer lifts, and using the buddy system to lift over 50 pounds.
Equal Opportunity Employer Statement
Home of Guiding Hands is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, sexual orientation, or gender identity/expression), age, marital status, status as a protected veteran, among other things, or status as a qualified individual with disability.
About HGH
Home of Guiding Hands is a non-profit organization that was established in 1967 by a small group of dedicated and ambitious community members. The Mission of HGH is "to improve the lives of those we serve". We support children and adults in San Diego and Imperial Counties with intellectual and developmental disabilities, such as Down syndrome, epilepsy, autism, and cerebral palsy. We provide a full continuum of care including residential care in specialized group homes, independent living support, respite care, and adult foster home services. Additionally, we provide early childhood assessments and services, tailored day support, Life Planning workshops, county-wide transportation services, and on-site activities at our resource center.
To see all our available career opportunities please visit: https://www.guidinghands.org/careers/
