Assistant Director (NHTD/TBI Waiver Program)

About the role

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Assistant Waiver Director - NHTD/TBI Programs

Reports To: Waiver Director

Supervises: Account Managers, Regional Staffing Managers, and designated Waiver Program personnel.

Salary

$95,000-$120,000 annually

Job Summary

The Assistant Waiver Director supports the Waiver Director in overseeing the daily operations, staffing, regulatory compliance, and overall performance of Always Compassionate Health's NHTD and TBI Waiver Programs across multiple regions.

This position provides direct operational leadership to ensure participant safety, continuity of care, staffing accountability, and compliance with New York State Department of Health and applicable Medicaid Waiver requirements.

The Assistant Waiver Director serves as a key management resource responsible for monitoring regional operations, addressing staffing and participant concerns, coordinating with nursing and service coordination teams, and ensuring timely resolution of operational issues. This position also supports quality improvement, program development, and the continued growth and sustainability of the waiver programs.

Essential Duties and Responsibilities

• Oversee daily NHTD/TBI operations across Rochester, Newburgh, White Plains, Long Island, and the New York City metropolitan area.
• Provide direct supervision and accountability for designated regional and operational staff.
• Monitor staffing coverage, unfilled shifts, weekend preparedness, and staffing escalations to ensure continuity of participant care.
• Address operational concerns involving participant safety, service interruptions, caregiver issues, and unresolved cases.
• Coordinate with nursing, staffing, and service coordination departments to ensure timely resolution of participant-related concerns.
• Monitor regulatory compliance, including incident reporting, Serious Reportable Incidents (SRIs), documentation, corrective actions, and participant complaints.
• Assist with maintaining effective relationships with Service Coordinators, RRDCs, participants, families, and referral sources.
• Monitor regional performance, operational reporting, staffing trends, and key performance indicators.
• Identify operational deficiencies and ensure appropriate follow-up and corrective action by responsible departments.
• Participate in designated management on-call coverage, including evenings, weekends, and holidays.
• Collaborate with the Waiver Director on quality improvement, program development, operational efficiency, and strategic initiatives.
• Provide regular updates to the Waiver Director regarding regional performance, staffing concerns, compliance issues, and operational challenges.

Qualifications / Education / Licensure / Certifications

Required

• RN, LMSW, or degree in Healthcare Administration, Nursing, Human Services, or a related field*

Additional information

Prior experience working with individuals with Traumatic Brain Injury (TBI), complex care needs, or community-ba sed healthcare programs.

• Knowledge of New York State NHTD and/or TBI Waiver Programs and applicable regulatory requirements.
• Previous healthcare operations, program management, or supervisory experience.
• Demonstrated ability to oversee staff, manage operational challenges, and ensure accountability.
• Strong understanding of participant safety, service coordination, and regulatory compliance.

Preferred

• Experience managing Medicaid Waiver programs.
• Previous multi-regional operational leadership experience.

Skills & Competencies

• Strong leadership, supervisory, and organizational skills.
• Excellent communication and relationship-building abilities.
• Knowledge of waiver regulations and healthcare operations.
• Strong problem-solving, crisis management, and decision-making skills.
• Ability to manage multiple priorities and hold departments accountable.
• Proficiency in documentation, reporting, and healthcare management systems.

Work Environment

• Primarily office-based, with travel between regional locations as needed.
• Frequent computer use and electronic documentation.
• Availability for designated after-hours, weekend, and holiday management coverage.

Additional information

All employment related decisions are based solely on relevant criteria including experience and suitability. If you require assistance to fill out this application form or during any phase of the job application process, please notify the person who gave you this form or Always Compassionate Home Care's Human Resources Department and every reasonable effort will be made to accommodate your needs in a timely manner in accordance with federal, state, and/or local law

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