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Job DescriptionDescription: The Administrator is responsible for the overall management and daily operations of the Nevada Intermediary Service Organization (ISO) providing Personal Care Services (PCS). This role ensures the agency complies with all applicable regulations under Nevada Revised Statutes (NRS) Chapter 449, Nevada Administrative Code (NAC) 449.397–449.3979, and the Nevada Medicaid Services Manual (MSM) Chapters 100 and 2600. The Administrator oversees agency personnel, service delivery, financial and administrative systems, and quality assurance programs to ensure that services are delivered in a safe, effective, and client-centered manner. The Administrator must be physically present or immediately available during operating hours and is accountable to the Governing Body for ensuring compliance, continuity of operations, and regulatory readiness at all times. As Venture Forthe grows and expands service lines in Nevada, the Administrator will also assume responsibility for additional programs and regulatory frameworks, providing leadership and continuity across the organization’s evolving service portfolio. Schedule: Full-Time, 40+ hours weekly Availability Required: 7:00AM-7:00PM Responsibilities: • Oversee all operations of the Nevada ISO PCS program to ensure safe, effective, and compliant service delivery., • Ensure compliance with all state and federal regulations governing ISOs, including NRS 449, NAC 449.397–449.3979, and Nevada Medicaid Services Manual Chapters 100 and 2600., • Supervise and manage agency staff, including hiring, onboarding, payroll oversight, training, and performance monitoring., • Ensure all Personal Care Attendants (PCAs) are properly onboarded, complete required background checks, and meet state training requirements before providing services., • Maintain accurate personnel, payroll, and training records for staff and PCAs in compliance with Medicaid documentation standards., • Oversee payroll and fiscal agent functions, ensuring timely and accurate compensation for PCAs in accordance with Medicaid requirements., • Support consumer-directed care by assisting participants and their representatives with employer-of- record responsibilities, including enrollment, compliance, and payroll processing., • Oversee agency financial systems, including budgeting, billing, and Medicaid reimbursement compliance., • Lead quality assurance activities, including incident reporting, complaint resolution, and ongoing performance improvement., • Maintain and enforce written agency policies and procedures covering operations, personnel, quality management, and emergency preparedness., • Maintain Administrator availability during agency operating hours, and ensure a qualified alternate Administrator is designated when absent., • Serve as the primary liaison with Nevada Division of Public and Behavioral Health (DPBH) and Nevada Medicaid during inspections, site visits, and audits., • Provide regular reports to the governing body regarding operations, compliance, and quality performance., • Support organizational growth by preparing the ISO for expansion into additional service lines as authorized by DPBH and Medicaid. WORKING CONDITIONS • Primary work performed in an office environment with routine travel to client homes or community locations., • Must be available during and outside of standard business hours as needed for operational oversight., • Ability to sit, stand, and walk intermittently throughout the workday., • At least 21 years of age., • Education: Education in Health Administration, Business Administration, or a related human services field or equivalent combination of education and progressively responsible experience (minimum high school diploma or equivalent required by regulation)., • Experience: Minimum of two (2) years of health administrative experience, including at least one (1) year in a supervisory role; additional experience may be considered in lieu of formal education., • Background Check: Must pass the state-required criminal background check prior to hire and as required thereafter., • Training: Successful completion of Division-required Administrator training within required timelines and maintained thereafter., • Availability: Administrator must be physically present or immediately available during agency operating hours; a qualified alternate Administrator must be designated in writing for periods of absence., • Regulatory Knowledge: Demonstrated knowledge of Nevada statutes, administrative codes, and Medicaid requirements governing ISOs and PCS agencies., • Compliance Management: Ability to interpret, apply, and ensure compliance with Nevada Division of Public and Behavioral Health (DPBH) regulations, NRS 449, NAC 449, and Medicaid policy requirements., • Survey Readiness: Knowledge of regulatory inspections, audit preparation, and corrective action processes for licensed health facilities and agencies., • Quality Assurance: Familiarity with performance improvement frameworks, incident reporting, and complaint resolution in accordance with state standards., • Fiscal Competence: Understanding of payroll, budgeting, and Medicaid reimbursement systems, with the ability to ensure fiscal integrity and compliance., • Operational Systems: Competence in using Electronic Visit Verification (EVV), payroll/HRIS platforms, and electronic documentation systems for healthcare and PCS delivery., • Community Integration: Familiarity with Nevada health insurance programs and community resources to support participant needs and continuity of care., • Registered Nurse (RN) licensure, • Demonstrated professionalism and ability to work collaboratively as part of a team., • Excellent communication skills across all levels of the organization, including staff, caregivers, clients, external stakeholders, and regulatory personnel., • Strong interpersonal and conflict resolution skills., • Active listening skills and the ability to foster a supportive, respectful environment., • Ability to coach and develop staff through clear feedback and mentorship., • Strong organizational skills and attention to detail., • Commitment to providing excellent customer service and building rapport with clients and stakeholders., • Willingness to learn, grow, and adapt in a fast-paced regulatory environment., • Familiarity with Electronic Visit Verification (EVV) systems., • Background in healthcare administration, public health, or a related human services field., • Knowledge and familiarity with Nevada Home Care and PCS programs, including Medicaid requirements., • Familiarity with Nevada health insurance programs and community resources to support participant needs., • Knowledge of budgeting, payroll, and reimbursement systems, including Medicaid fiscal compliance., • Technology proficiency: Microsoft Office, payroll/HRIS, or healthcare documentation systems. We offer a full benefits package including health insurance with employer contribution, vision insurance, dental insurance, short term disability supplement, critical illness, FSA/DCA, Health Saving Account, Employer Assistance Program, hospital indemnity, Employee Discount Programs, PTO, 401k w/ match, and more, plus room for growth and advancement! Venture Forthe Inc. is an Equal Opportunity Employer and prohibits Discrimination and Harassment of any kind. Venture Forthe, Inc. is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment.