Find & Apply For Nursing Home / Home Health Administrator Jobs in Fayetteville, North Carolina

About Us Chain of Change Residential provides structured, therapeutic residential services for adolescent males ages 12-17 experiencing behavioral and emotional challenges. Our program focuses on accountability, growth, and positive life change through structured support and therapeutic interventions. Job Overview Chain of Change Residential, a program of Life Net Services, is seeking a Qualified Professional (QP) to provide leadership, clinical oversight, and coordination of services in our Level III Residential Treatment Program for adolescent males ages 12-17. The QP plays a key role in ensuring quality care, regulatory compliance, and positive outcomes for youth served in the program. This position works closely with residential staff, therapists, families, and community partners to support youth in developing the skills needed for stability, growth, and independence. The qualified candidate will demonstrate excellent communication skills, cultural competence, and a commitment to maintaining confidentiality in accordance with HIPAA regulations. Responsibilities Clinical & Program Oversight The QP/House Manager will be responsible for: Providing clinical and program oversight for residential services. Completing, reviewing, and monitoring assessments, Person-Centered Plans (PCPs), service plans, and required documentation. Ensuring services are provided according to each youth's treatment goals and identified needs. Monitoring client progress toward treatment goals and documenting significant changes. Participating in treatment team meetings, discharge planning, and service planning. Conducting case management and coordinating care with therapists, schools, DSS, guardians, care coordinators, and other providers. Maintaining regular communication with families, guardians, referral sources, and members of the treatment team. Supporting staff with behavior management, de-escalation, crisis intervention, and implementation of individualized treatment strategies. Ensuring youth receive appropriate supervision and therapeutic support. House Manager & Daily Operations Oversee the day-to-day operation of the group home and ensure the residence remains safe, structured, clean, and therapeutic. Maintain an appropriate and consistent daily structure for residents, including school, appointments, meals, recreation, groups, chores, hygiene, and bedtime routines. Ensure staff follow established client schedules, treatment plans, behavioral plans, and house rules. Develop, review, and maintain staff schedules to ensure appropriate coverage and required staffing levels. Coordinate coverage for staff callouts, absences, vacations, and emergencies. Monitor staff attendance, punctuality, performance, and adherence to assigned duties. Conduct regular staff meetings, supervision, coaching, and performance follow-up. Assist with interviewing, onboarding, orientation, and training of residential staff. Ensure new employees complete required training and demonstrate competency before independently performing assigned duties. Ensure staff maintain required certifications, training, and personnel documentation. Monitor overtime and staffing needs and communicate concerns to administration. Conduct routine inspections of the home to identify safety, cleanliness, maintenance, or compliance concerns. Ensure bedrooms, common areas, kitchen areas, bathrooms, medication areas, and outdoor areas are maintained appropriately. Submit and follow up on maintenance and repair needs. Monitor household supplies, food, cleaning products, hygiene items, and other residential necessities. Ensure staff follow the approved food menu and that appropriate meals and snacks are available to residents. Ensure transportation is coordinated for school, medical appointments, therapy, community activities, family visits, and other approved activities. Maintain appropriate control and accountability of house keys, agency property, client belongings, and residential supplies. Ensure prohibited items, medications, chemicals, and other restricted materials are properly secured. Ensure shift responsibilities are completed and appropriate information is communicated during shift changes. Staff Supervision & Accountability Provide leadership, direction, and support to direct care staff and residential mentors. Ensure staff understand and maintain appropriate professional boundaries with residents. Monitor staff interactions with youth to ensure services are respectful, therapeutic, trauma-informed, and consistent with agency expectations. Address staff performance concerns promptly and report significant concerns to administration. Reinforce agency expectations regarding sleeping on duty, personal cell phone use, confidentiality, professional conduct, resident supervision, and other workplace requirements. Ensure staff follow behavior management and crisis intervention procedures. Promote consistency between shifts so residents receive predictable structure and expectations. Identify training needs and coordinate additional staff development when necessary. Documentation & Compliance Ensure residential services meet applicable NC Medicaid, NC DHHS, and Level III Residential program requirements. Review residential documentation for completeness, accuracy, timeliness, and compliance. Monitor daily service notes, shift documentation, communication logs, medication documentation, behavior documentation, and other required records. Ensure incidents are immediately communicated to appropriate leadership and documented and reported within required timeframes. Review incident reports and ensure appropriate follow-up and corrective action occurs. Ensure required client records and residential documentation are organized and available for internal and external audits. Conduct routine chart, personnel, medication, facility, and program compliance reviews. Assist with preparation for DHHS, LME/MCO, Medicaid, and other regulatory or quality reviews. Implement corrective actions identified through audits, incident reviews, complaints, or quality improvement activities. Assist with program development, quality assurance, and continuous quality improvement initiatives. Client Safety & Residential Support Maintain awareness of the location, supervision needs, behaviors, and safety concerns of all residents. Ensure staff follow procedures related to elopement/runaway behavior, contraband, aggression, property destruction, medication concerns, emergencies, and other high-risk situations. Respond to significant residential incidents and emergencies as required. Ensure residents are treated with dignity and that their rights, privacy, and confidentiality are protected. Promote a therapeutic environment that encourages accountability, healthy relationships, emotional regulation, independent living skills, and positive decision-making. Serve as a positive role model and promote professional, respectful interactions throughout the residence. On-Call Responsibilities The QP/House Manager may be required to respond to urgent residential issues outside normal business hours, including: Staffing emergencies and callouts. Significant behavioral or safety incidents. Elopements or runaway incidents. Hospitalizations or emergency department visits. Law enforcement involvement. Medication-related concerns. Facility emergencies. Other situations requiring management or QP intervention. Requirements Applicants must meet North Carolina Qualified Professional (QP) requirements: Bachelor's degree in Human Services, Psychology, Social Work, Counseling, or related field 2+ years experience working with children or adolescents with mental health or behavioral needs Knowledge of NC Medicaid service definitions and documentation standards Experience working in residential or behavioral health settings preferred Strong leadership, organization, and communication skills Preferred Qualifications Experience in Level III residential programs Knowledge of trauma-informed care and behavior management Excellent communication skills coupled with cultural competence; ability to work effectively within diverse populations while maintaining confidentiality under HIPAA regulations. Join our team dedicated to advancing mental health care through compassionate service delivery and innovative treatment approaches!

Pay:

$17.00 - $21.00 per hour

Work Location:

In person