Director of Residential Operations

Rimrock Trails Treatment Services

$95K — $115K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Master's degree in healthcare administration, nonprofit management, public administration, or related field.
  • 5+ years of leadership experience in healthcare or related fields.
  • Proven skills in program development, project management, and operations oversight.
  • Ability to successfully manage multiple priorities and implement complex project plans.
  • Strong knowledge of behavioral health systems, compliance, and service delivery metrics.

Responsibilities

  • Provide administrative supervision over key residential personnel.
  • Oversee daily operations, staffing, and policy compliance for the program.
  • Ensure operational processes link admissions, treatment, and medical workflows.
  • Lead initiatives for program goal development and performance tracking.
  • Manage budget performance, staffing, and fiscal accountability.
  • Maintain readiness for compliance reviews and audits.
  • Cultivate referral relationships with community and healthcare partners.

Benefits

  • Health insurance with 100% employer premium coverage.
  • Dental and vision insurance provided.
  • 401(k) plan with employer matching contributions.
  • Flexible spending account for additional financial flexibility.
  • Generous paid time off including holidays, vacation, and wellness days.
Full Job Description
Job Type

Full-time

Description

Department: Residential

Reports to: Chief Executive Officer

FLSA Status: Full-time exempt

In Person, Prineville, OR

POSITION OVERVIEW

The Director of Residential Operations provides executive-level administrative, operational, and program development leadership for the adolescent residential treatment program. This position is responsible for daily and strategic program operations, census and referral development, staffing systems, budget accountability, compliance systems, performance metrics, operational outcomes, and program growth. The Director of Residential Operations administratively supervises assigned residential staff and partners closely with the Residential Clinical Director, who provides clinical supervision and clinical quality leadership, and the Medical Director, who provides medical oversight for medication-related protocols and medical workflow expectations.

ESSENTIAL POSITION RESPONSIBILITIES

Administrative and Operational Leadership
  • Provide administrative supervision for the Residential Program Manager, Residential Behavioral Health Clinicians/Counselors, Admissions Coordinator, Kitchen Manager, and other assigned residential administrative or operational staff.
  • Oversee residential operations, staffing systems, scheduling accountability, productivity expectations, PTO/attendance processes, performance management, and policy compliance.
  • Ensure clear and effective operational processes between admissions, treatment, medical coordination, medication workflows, residential staff, food services and the Medical Director.
  • Lead project management and implementation of key residential initiatives, ensuring follow-through, clear ownership, deadlines, and sustainable systems.
  • Develop, implement, and monitor residential program goals, strategic objectives, key performance indicators, census targets, referral conversion metrics, and operational improvement plans.
  • Maintain accountability for residential budget performance, staffing analysis, overtime management, resource use, purchasing practices, and fiscal stewardship.
  • Ensure operational compliance systems are organized, current, and prepared for licensing, audit, contract, and payer requirements in partnership with Quality/Compliance leadership.

Program Development and Community Relationships
  • Develop and maintain referral relationships with hospitals, counties, juvenile justice partners, CCOs, schools, providers, funders, and community partners.
  • Oversee admissions workflow, waitlist management, census management, referral source communication, and access-to-care improvements.
  • Identify opportunities for program development, new services, improved utilization, and strengthened residential service delivery.
  • Partner with the Residential Clinical Director to ensure operational decisions support treatment quality and clinical best practice.
  • Collaborate with Finance, HR, Quality/Compliance, Community Relations, Billing, Medical Director, and other departments to support program sustainability.

What we offer:
  • Health insurance - employer pays 100% of base plan premium
  • Dental insurance
  • Vision insurance
  • 401(k) with employer match
  • Flexible spending account
  • Life insurance
  • 10 paid holidays including your birthday
  • Paid vacation (PTO accrual)
  • Sick leave accrual
  • Paid wellness days
  • Compensation $95,000-$115,00 per year, depending on experience


Requirements

QUALIFICATIONS, SKILLS AND KNOWLEDGE

Minimum Required
  • Master's degree in healthcare administration, nonprofit management, public administration, behavioral health administration, business administration, or related field.
  • Minimum of five years of progressively responsible leadership experience in healthcare, behavioral health, social services, residential treatment, nonprofit administration, or a closely related field.
  • Demonstrated experience with program development, project management, operations, budgets, staff supervision, performance management, and process improvement.
  • Ability to manage competing priorities, develop sustainable systems, and move complex projects from planning to implementation.
  • Knowledge of healthcare operations, behavioral health systems, payer requirements, compliance expectations, and service delivery metrics.

Preferred
  • Experience with adolescent residential treatment, CCO relationships, OHA/OAR requirements, or Medicaid-funded healthcare/behavioral health programs.
  • Behavioral Health or Healthcare Licensure/Certification

PHYSICAL JOB DESCRIPTION Typical Working Conditions Residential treatment and office setting; prolonged periods of sitting and computer work; ability to access and navigate residential facilities; occasional lifting up to 25 pounds unless otherwise required by the role.

Equipment Used Telephone system, computer, electronic health record, copier/printer/binding equipment, agency vehicle as applicable, medication-related tracking tools and supplies as applicable, and other standard office or program equipment.

Essential Physical Tasks Employee must be able to perform the essential functions of the position satisfactorily, with or without reasonable accommodation. Specific physical demands may vary based on program needs and assigned duties.

Salary Description

$95,000-$115,000 per year

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