Manager of Residential Clinical Services

Job Overview

The Manager of Residential Clinical Services is responsible for overseeing the clinical quality, person-centered service delivery, behavior support implementation, and individualized programming within AccessPoint RI's Residential Program, including 24-hour licensed group residences, supported independent living arrangements, and in-home/community-based supports.

This position provides leadership and oversight to ensure that individuals supported receive consistent, high-quality services aligned with their Individual Support Plans (ISPs), behavioral support needs, personal goals, and health and safety requirements.

The Manager of Residential Clinical Services works in partnership with the Manager of Residential Operations, Clinical Services, Nursing, Residential Managers, and other interdisciplinary team members to ensure that individualized supports are effectively implemented, documented, monitored, and adjusted as needed.

The position serves as a key resource for residential staff regarding person-centered practices, behavior support strategies, individual outcomes, and clinical service coordination.

Essential Duties and Responsibilities

Individual Support Plan (ISP) Oversight

- Oversee the development, implementation, monitoring, and ongoing review of Individual Support Plans (ISPs) for individuals receiving residential services.

- Ensure ISPs accurately reflect each individual's goals, preferences, strengths, support needs, and desired outcomes.

- Monitor implementation of ISP goals and objectives across residential settings.

- Conduct regular reviews of progress toward individual outcomes and identify barriers to achieving established goals.

- Ensure Residential Managers and Direct Support Professionals understand their responsibilities related to ISP implementation, data collection, and progress documentation.

- Coordinate with individuals supported, families, guardians, case managers, and interdisciplinary team members regarding ISP development and modifications.

- Participate in ISP meetings, annual reviews, and other planning meetings as appropriate.

- Ensure changes in an individual's needs, abilities, or circumstances are communicated and incorporated into service planning.

- Monitor the quality, completeness, and timeliness of ISP documentation and required reporting.

- Recommend adjustments to services and support strategies based on individual progress, assessment findings, and identified needs.

Behavioral Support and Clinical Oversight

- Provide oversight of the implementation of Behavior Support Plans (BSPs) and other individualized behavioral interventions across residential programs.

- Work collaboratively with qualified behavioral clinicians and other appropriate professionals to ensure behavior support strategies are individualized, clinically appropriate, and consistent with approved plans.

- Monitor staff adherence to behavior support plans, including proactive strategies, positive reinforcement, de-escalation techniques, and approved interventions.

- Review behavioral data, incident patterns, and individual outcomes to identify trends and opportunities for improvement.

- Coordinate with behavioral specialists, psychologists, clinicians, and other professionals regarding behavioral assessments, support strategies, and plan modifications.

- Ensure Residential Managers and Direct Support Professionals receive appropriate training and demonstrate understanding of individualized behavior support requirements.

- Conduct observations within residential settings to evaluate the effectiveness and consistency of behavioral interventions.

- Identify concerns related to behavioral support implementation and coordinate corrective actions, additional training, or clinical consultation.

- Promote the use of positive behavior supports, trauma-informed approaches, and the least restrictive appropriate interventions.

- Participate in behavioral review meetings and interdisciplinary discussions involving individuals with complex support needs.

- Monitor behavioral incidents and follow-up to ensure appropriate documentation, communication, and plan review.

Clinical Coordination and Individualized Supports

- Serve as a primary liaison between Residential Services, Clinical Services, Nursing, behavioral specialists, and other clinical professionals.

- Coordinate interdisciplinary reviews for individuals with complex behavioral, developmental, communication, or other support needs.

- Ensure clinical recommendations and individualized support strategies are communicated effectively to residential staff.

- Monitor the implementation of recommendations made by clinical professionals, including occupational therapy, physical therapy, speech-language pathology, behavioral services, and other applicable disciplines.

- Support the development of individualized strategies that promote independence, communication, skill development, community participation, and overall quality of life.

- Participate in intake assessments and residential transitions to help determine individual support needs, staff training requirements, and clinical resources.

- Identify gaps in service delivery and recommend additional assessments, consultations, or supports as appropriate.

- Collaborate with Nursing on concerns involving the intersection of behavioral, clinical, and health-related support needs.

- Promote continuity of individualized supports when individuals transition between programs, residences, or levels of care.

Program Quality and Service Delivery

- Conduct regular visits to residential locations to observe services and evaluate the quality and consistency of individualized supports.

- Assess whether staff interactions, daily routines, and programming reflect person-centered practices and individual preferences.

- Monitor implementation of meaningful daily activities, community integration opportunities, and skill-building programs.

- Review individual documentation, progress notes, behavioral data, and related records to evaluate service effectiveness.

- Identify areas where programming is not producing desired outcomes and collaborate with the interdisciplinary team to recommend improvements.

- Develop and monitor corrective action plans related to clinical service delivery and individual support implementation.

- Promote dignity, choice, self-determination, independence, and community inclusion for individuals supported.

- Work collaboratively with the Manager of Residential Operations to address service delivery concerns requiring operational or staffing adjustments.

Staff Training and Professional Development

- Identify training needs related to ISP implementation, behavior support plans, person-centered practices, and individualized clinical supports.

- Collaborate with the Training and Quality Department and clinical professionals to develop and coordinate targeted training for Residential Managers, Assistant Managers, and Direct Support Professionals.

- Ensure staff are trained on individualized support plans and relevant behavioral strategies before assuming applicable support responsibilities.

- Provide coaching, guidance, and technical assistance to residential management teams regarding individualized programming and support implementation.

- Monitor staff competency and identify opportunities for additional instruction or performance improvement.

- Support the development of consistent documentation practices and effective data collection.

- Participate in the orientation and training of newly hired residential management staff as appropriate.

Regulatory Compliance and Clinical Documentation

- Maintain working knowledge of applicable Rhode Island Division of Developmental Disabilities (DDD/BHDDH) requirements and other regulations governing services to individuals with intellectual and developmental disabilities.

- Ensure clinical and individual support documentation meets applicable regulatory, organizational, and program requirements.

- Monitor timely completion of ISPs, behavioral documentation, progress reports, and other required individual records.

- Assist with licensing surveys, quality reviews, audits, and investigations involving clinical programming or individualized service delivery.

- Support the development and implementation of corrective action plans resulting from clinical or programmatic deficiencies.

- Ensure concerns related to individual rights, behavioral interventions, or restrictive practices are promptly escalated to appropriate leadership and qualified professionals.

- Promote compliance with applicable requirements governing behavior support plans, individual rights, and approved interventions.

Leadership and Interdepartmental Collaboration

- Demonstrate and support the mission, values, and standards of AccessPoint RI.

- Partner closely with the Manager of Residential Operations to promote consistent communication and shared accountability for program quality.

- Provide guidance and support to Residential Managers regarding clinical and programmatic responsibilities.

- Participate in regular residential leadership meetings to review individual needs, program outcomes, behavioral concerns, and opportunities for improvement.

- Communicate significant clinical concerns, behavioral trends, and service delivery issues to appropriate leadership in a timely manner.

- Develop collaborative relationships with individuals supported, families, guardians, clinicians, regulatory agencies, and community partners.

- Participate in organizational committees and quality improvement initiatives as assigned.

Peripheral Duties and Responsibilities

- Participate in an on-call or consultation rotation as assigned.

- Provide guidance during urgent behavioral or individual support situations within the scope of the position's training and qualifications.

- Attend interdisciplinary meetings, case conferences, and regulatory reviews as needed.

- Perform other duties consistent with the responsibilities of the position as assigned.

Qualifications

Minimum Qualifications

- Bachelor's degree from an accredited college or university in psychology, social work, human services, special education, behavioral sciences, or a related field required.

- Minimum of five years of experience providing or overseeing services for individuals with intellectual and/or developmental disabilities.

- Minimum of three years of supervisory, clinical coordination, or program management experience.

- Demonstrated experience developing, implementing, or overseeing Individual Support Plans and behavior support strategies.

- Experience working with individuals with complex behavioral or developmental support needs.

- Knowledge of positive behavior supports, person-centered planning, and interdisciplinary service coordination.

- Knowledge of Rhode Island DDD/BHDDH requirements preferred.

- Valid driver's license and acceptable driving record.

- Willingness and ability to complete required organizational training, including CPR/First Aid and approved behavior management training.

Preferred Qualifications

- Master's degree in psychology, social work, applied behavior analysis, special education, or a related field.

- Experience in residential program clinical oversight, behavioral services, or quality assurance.

- Experience with functional behavioral assessments, behavioral data analysis, and individualized treatment or support planning.

- BCBA, LICSW, or another applicable clinical credential preferred, but not required unless the role is assigned responsibilities requiring professional licensure or certification.

Knowledge, Skills and Abilities

- Strong understanding of person-centered planning and individualized service delivery.

- Knowledge of positive behavior support principles and evidence-based approaches to supporting individuals with intellectual and developmental disabilities.

- Ability to interpret ISPs, behavior support plans, behavioral data, and clinical recommendations.

- Strong observational, analytical, problem-solving, and critical-thinking skills.

- Ability to evaluate individual outcomes and recommend improvements to service delivery.

- Strong communication, coaching, and staff development skills.

- Ability to collaborate effectively with clinical professionals, residential leadership, families, and regulatory agencies.

- Ability to manage competing priorities across multiple residential settings.

- Ability to maintain confidentiality and demonstrate sound professional judgment.

- Proficiency in electronic documentation and related information systems.

Supervision Received

- Works under the general supervision of the President and CEO or designated senior leader.

- ## Supervision Exercised

- Provides clinical and programmatic oversight and guidance to Residential Managers, Assistant Managers, and Direct Support Professionals in collaboration with the Manager of Residential Operations.

- May provide direct supervision to designated clinical or program support staff as assigned.

Essential Physical Demands

- Ability to travel regularly between residential locations.

- Standing, walking, bending, and other physical activity associated with residential program observations and staff support.

- Ability to perform the essential functions of the position, with or without reasonable accommodation.

- Ability to complete and implement approved behavior management training within the scope of the position's responsibilities.