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ICF-IID Program Director

State of South Carolina
Lexington, SC Full Time
POSTED ON 5/24/2026
AVAILABLE BEFORE 6/6/2026
Are you passionate about making a real difference in people's lives? Join our team at the South Carolina Office of Intellectual and Developmental Disabilities (OIDD) where we are dedicated to providing compassionate and accessible care to our community. We are seeking an ICF-IID Program Director who is motivated to help individuals and families navigate life's challenges and achieve long-term wellness. If you want to use your skills to build a healthier, more resilient community, we encourage you to apply.

This is a senior leadership position responsible for program management, fiscal management, and oversight of five state operated Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs-IID) as well as the supervision of respective facility administrative personnel. This position requires in-state travel on a recurring basis to support the facilities under their oversight.
  • Provides guidance and supervision to Facility Administrators and personnel with responsibilities impacting facility operations. Ensures acumen of Centers for Medicare & Medicaid Services (CMS) State Operations Manual provisions, federal and state rules and regulations pertaining to Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs-IID).
  • Proactively engages employees to build relationships that create trust, open dialogues, and full transparency; establish roles, responsibilities, and expectations with extraordinary clarity; motivate every single employee to take action and connect their duties in a compelling manner with OIDD's mission; assertively engages employees to drive outcomes and overcome adversity, obstacles, and resistance; creates a culture of clear accountability; and makes decisions that are based on productivity. Develops a deep personal responsibility for all subordinate activity in area of responsibility.
  • Facilitates organizational and operational uniformity among all OIDD operated Regional Centers.
  • Proactively identifies specific improvement projects, develop specific guidance/parameters, specific milestones, final completion time, fix accountability for results, and effectively brief higher level managers periodically on status. 
  • Ensures state operated ICFs-IID comply with federal and state labor laws and Department of Labor (DOL) regulations to maintain full compliance of Bill 533. Ensures no individual with a disability is paid less than the federal minimum wage. Matures therapeutic and non-work related activities for consumers unable to work. Explores and develops increased opportunities for self-advocacy, volunteerism and community inclusion as appropriate and based on consumer's strengths and desires. 
  • Establishes capacity within one or more OIDD operated Regional Centers to provide emergency care to individuals in crisis.
  • Serves as the Interim Facility Administrator at the ICFs-IID in the absence of a Facility Administrator.
  • Performs special projects and other administrative duties as assigned by Deputy Director of Operations.
  • May be required to serve as a Regional Center Facility Administrator in his/her absence.
  • Bachelor's Degree and at least five (5) years of leadership experience.
  • Licensed Nursing Home Administrator or Qualified Intellectual Disability Professional (QIDP). A QIDP is an individual who possesses the following minimal qualifications:
    • At least one (1) year of experience working directly with persons with intellectual disability or other developmental disabilities; and
    • Is a doctor of medicine or osteopathy, a registered nurse or an individual who holds at least a bachelor's degree in one (1) of the following professional categories specified in 42 C.F.R. 483.430(b)(5) including, but not limited to: occupational therapy; occupational therapy assistant; physical therapy; physical therapy assistant; psychology; sociology; speech-language pathology or audiology; recreation; dietetics; or human services.
Progressive leadership experience in an ICF-IID, long-term care, or services for individuals with intellectual and developmental disabilities (IDD) and/or demonstrated success overseeing multi-site ICF-IID operations or large, complex residential programs. Knowledge of an agency's mission, vision, and services. Working knowledge of the network of agencies contracting with OIDD to deliver services.  Knowledge of federal and state regulations pertaining to the operation 1915(c) home and community based waiver services, Medicaid state plan services, and services available through other state agencies. Ability to supervise and communicate effectively with and to personnel, both stationed and out-stationed. Ability to establish key performance indicators (KPI) for internal agency operations and other programs operated directly and indirectly by SC-OIDD. Progressive leadership experience in ICF-IID, long-term care, or services for individuals with intellectual and developmental disabilities (IDD) and/or demonstrated success overseeing multi-site ICF-IDD operations or large, complex residential program.

Employment Contingency: Employment is contingent upon our receipt of the following required pre-employment screenings: medical screening – to include a drug screening; background record checks (to include fingerprinting), South Carolina Department of Social Services’ Child Abuse and Neglect Central Registry screening, U.S. Department of Health and Human Services Office of Inspector General “List of Excluded Individuals/Entities” screening; South Carolina Department of Motor Vehicles Driving Record check; and a review of transcripts verifying educational credentials. We reserve the right to rescind an offer of employment in the event minimum requirements are not met to include positions that require certifications and/or licensure, your application is incomplete or inaccurate, or our review of your background uncovers information, including opinions of previous employers and references, which cause us to conclude, at our sole discretion, that you are not suited for the position.  
 
Immunization: If this position requires the applicant to work directly with consumers of The South Carolina Department of Behavioral Health and Developmental Disabilities, Office of Intellectual and Developmental Disabilities, tuberculosis (TB) skin or blood testing must be completed prior to beginning employment. All new employees who are healthcare providers are required to provide documentation of immunity or be immunized against measles, mumps, rubella, pertussis, Varicella and Hepatitis B prior to beginning employment.
 
State Disaster Plan: In accordance with the State's Disaster Plan, which includes hazardous weather, employees of The South Carolina Department of Behavioral Health and Developmental Disabilities, Office of Intellectual and Developmental Disabilities may be required to work in times of an emergency or disaster.
 
Employee Referral: The South Carolina Department of Behavioral Health and Developmental Disabilities, Office of Intellectual and Developmental Disabilities supports a Referral Incentive Reward and a Retention Bonus program.  You may contact Human Resource for further information.
 
Supplemental Questions: Supplemental questions are considered part of your official application. Any misrepresentation will result in your disqualification from employment. Please complete the State application to include all current and previous work history and education. A resume will not be accepted nor reviewed to determine if an applicant has met the qualifications for the position.



The South Carolina Department of Behavioral Health and Developmental Disabilities is committed to providing equal employment opportunities to all applicants and does not discriminate on the basis of race, color, religion, sex (including pregnancy, childbirth, or related medical conditions including, but not limited, to lactation), national origin, age (40 or older), disability or genetic information.



The South Carolina Department of Behavioral Health and Developmental Disabilities, Office of Intellectual and Developmental Disabilities offers an exceptional benefits package for FTE positions that includes:

  • Health, dental, vision, long-term disability, and life insurance for employees, spouse, and children. Click here for additional information.
  • 15 days annual (vacation) leave per year
  • 15 days sick leave per year
  • 13 paid holidays
  • Paid Parental Leave
  • S.C. Deferred Compensation Program available (S.C. Deferred Compensation)
  • Retirement benefit choices*
    • State Retirement Plan (SCRS)
    • State Optional Retirement Program (State ORP)

Salary : $92,300 - $133,800

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