Director of Home and Community Based Services (HCBS) – Developmental Disabilities

Location: In Person - San Diego, CA

Employment type: Full time, salaried

Compensation: $85,000 to $100,000 annually DOE, plus bonus opportunities

Reports to: Executive Director

About Almost Family

Almost Family provides home and community based supports for adults with intellectual and developmental disabilities (I/DD) in Oregon and California. In San Diego, Almost Family is vendored through San Diego Regional Center (SDRC) to provide Supported Living Services and respite. Our California operation is expanding, and we are seeking an experienced Director to lead it.

Position Summary

The Director of Home and Community Based Services (HCBS) holds overall responsibility for Almost Family's California I/DD services, including Supported Living Services (SLS), Independent Living Services (ILS), respite, and Self Determination Program (SDP) services. This position leads the Program Management team, owns regional center relationships and vendorization, and is accountable for census growth, regulatory compliance, financial performance, and service quality across the region.

Essential Duties and Responsibilities

Strategic Growth and Business Development

• 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

Regulatory Compliance and Quality Assurance

• 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 Special Incident Reporting (SIR), risk management, and quality improvement processes
• Establish and maintain policies, procedures, and documentation standards for California operations

Operational and Financial Management

• 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

Leadership and Workforce Development

• Recruit, hire, and supervise Program Managers, administrative staff, and field staff
• Set workforce strategy for Direct Support Professional (DSP) recruitment, training, and retention
• Build a culture of accountability, person centered practice, and professional development
• Participate in the leadership on call rotation
• Collaborate with the San Diego, and corporate team 

Qualifications

Required

• Minimum of five years of experience in California I/DD services, including Supported Living Services (SLS) and Independent Living Services (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
• Experience managing a program budget and using data to drive decisions
• Bachelor's degree in social work, psychology, human services, business, or a related field
• Valid California driver's license, reliable transportation, and current auto insurance
• Ability to obtain DOJ/FBI Live Scan background clearance

Preferred

• Master's degree in social work, public administration, or a related field
• Experience with the Self Determination Program (SDP), including independent facilitators, Financial Management Services (FMS) providers, and spending plans
• Experience with new vendorization or opening a new service line
• Established relationships with San Diego Regional Center
• Bilingual in English and Spanish

Compensation and Benefits

• Annual salary of $85,000 to $100,000, commensurate with experience
• Bonus opportunities based on growth, financial, and quality outcomes
• Medical, dental, and vision insurance
• Paid time off and paid holidays
• Mileage reimbursement
• Paid training and professional development

Almost Family is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other legally protected status. Qualified applicants with arrest or conviction records will be considered in accordance with the California Fair Chance Act.