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Executive Director - SMI - iRISE Waiver

Job Description - Executive Director - SMI - iRISE Waiver

Executive Director – iRISE Waiver Services

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

Job Overview

The Executive Director launches 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.

3. Team Leadership & Collaboration

  • 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 of two (2) years of documented experience working directly with individuals with Serious Mental Illness (SMI) or behavioral health needs.
    • Minimum of two (2) years of direct supervisory or healthcare management experience.


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