The Muckleshoot Elders In home suppor services (MEIHSS) Director provides strategic, operational, and clinical oversight of the Muckleshoot Elder In-Home Support Services (MEIHSS) program. This role is accountable for program performance, quality of care, regulatory compliance, workforce development, and financial stewardship. The Director establishes program vision, sets priorities, and ensures alignment with Tribal values, community needs, and Health & Wellness system goals. This position provides executive-level leadership to program management staff and ensures a coordinated, culturally grounded continuum of care for Elders. The Director oversees the MEIHSS leadership structure, including the Administrator and Nursing Services Manager, and ensures clear accountability, effective communication, and consistent service delivery across all program areas.

• The Director ensures quality and safe delivery of home health care services; coordinates services that reflect the Tribe's philosophy and standards of care; and plans, develops, implements and evaluates the Tribe’s services, programs and activities.
• Assumes overall responsibility for Program Operations and ensuring Quality Patient Care. Maintains accountability for day-to-day program operations through oversight of the MEIHSS Administrator and Nursing Services Manager.
• Ensures consistent, coordinated service delivery across all program areas, including in-home care, nursing services, and support services.
• May be a called on as subject matter expert in Elder Care Services to provide consultative advice and insight on Tribal Program Development requests or projects, including unique patient situations and/or client issues
• Collaborates with Adult Protective Services incident/occurrence reporting process, including State reporting requirements to ensure safety, quality, compliance and culturally relevant conflict resolution for elders and families.
• Establishes and maintains effective working relationships with staff, departments, community and representatives of federal, state, local, and other agencies to address relevant issues.
• Directly supervises assigned staff and evaluates staff in assigned areas.
  1. Provide guidance and direction to staff regarding techniques and tools to collect and utilize data for evaluation and assessment of program effectiveness.
  2. Skilled in effective team-building, motivation, mediation, negotiation, and conflict resolution.
• Provides executive oversight of clinical services and ensures adherence to established standards of care.
• Monitors program performance through defined metrics, using data to drive decision-making and continuous improvement.
• Administers and manages the budgets and compliance guidelines for funds, including grants and contracts.
  1. Maintains compliance with state, federal and tribal entities through timely submission of grant and contract reports and other necessary correspondence.
  2. Aligns staffing models and service delivery with financial resources and program sustainability goals
• Establishes and maintains effective working relations with the clients, families, community, Tribal departments, and outside resources with tact and impartiality.
• Responsible for organizing information (maintaining files, notes, and records) and be able to organize and plan multiple tasks and projects.
• Assures appropriate staff supervision during all operating hours and delegates authority to a similarly qualified alternate when the Director is unavailable.
• Analyzes complex problems and situations and proposes quick, effective and reasonable courses of action.

Because of the Tribe's commitment to community service and the well-being of its members, each employee may be expected to perform a wide range of office and field duties from time to time. Such duties may or may not be related to their regular responsibilities.

• Must be a licensed physician, registered nurse, OR
• Has training and experience in health services administration and at least two (2) years of supervisory or administrative experience in home health care or related health program.
• Master’s degree in relevant field.
• Three (3) years’ experience providing complex administrative support that includes at least one (1) year experience in social work and/or health care environment.
• Must obtain First Aid, CPR, Blood Borne Pathogens, Oxygen certifications within 6 months of hire
• Food Handler’s permit within 30 days of hire.
• Must maintain valid Washington State Driver’s License, own transportation and valid insurance coverage.
• Experience working with Elders and within a native community.
• Demonstrated ability in or application of organizational/communication skills.
• Ability to deal effectively with high levels of stress.
• Ability to enlist the cooperation of many people in furthering a program.

Skills 

• Excellent Communication
• Speak clearly so listeners can understand.
• Understand spoken information.
• Read and understand work-related materials.
• Write clearly so others can understand.
• Understand written information.
• Listen to others and ask questions.
• Working with people
• Effectively interacting with a diverse group of people.
• Be aware of others’ reactions and understand the possible causes.
• Change behavior in relation to others’ actions.
• Teach others how to do something.
• Persuade others to approach things differently.
• Look for ways to help people.
• Solve problems by bringing others together to discuss differences.
• Use several methods to learn or teach new things.
• Analyzing needs and requirements when designing products.
• Preparing and maintaining accurate records,
• Using standard office equipment and personal computer, including pertinent software applications; time management; conflict resolution.
• Utilization review, quality assurance and managed health care concepts.
• Clinical or client assessment.
• Elder care and home care practices.
• HIPAA compliance.
• Budget management.

• Ability:
• Prepare and present effective oral and written informative material. This will include technical writing and presentations to diverse audiences.
• Perform a broad range of supervisory responsibilities including the selection, scheduling, training, and supervision in performing varied operations connected to departmental activities.
• Maintain personal integrity and cultural sensitivity.
• Analyze workload of assigned staff to determine effectiveness of programs and determine future needs.
• To interpret and apply legal, regulatory, and policy requirements for Elder health care programs.
• Reason and solve problems
• Notice when something is wrong or is likely to go wrong.
• Gather and interpret data, reach logical conclusions, and present findings and recommendations
• Judge the costs and benefits of a possible action.
• Analyze ideas and use logic to determine their strengths and weaknesses.
• Use reasoning to discover answers to problems.
• Combine several pieces of information and draw conclusions.
• Follow guidelines to arrange objects or actions in a certain order.
• Recognize the nature of a problem.
• Understand new information or materials by studying and working with them.
• Recognize when important changes happen or are likely to happen in a system.
• Identify what must be changed to reach goals.
• Develop rules that group items in various ways.
• Think of original, unusual, or creative ways to solve problems.
• Think of new ideas about a topic.
• Concentrate and not be distracted while performing a task.
• Use math and science
• Choose a mathematical method or formula to solve problems.
• Use scientific methods to solve problems.
• Add, subtract, multiply, and divide quickly and correctly.
• Manage oneself, people, time, and things
• Time management of self and others.
• Motivate, develop, and direct people as they work.
• Check how well one is learning or doing something.
• Decide how to budget money to get the work done and keep track of how the money was used.
• Obtain needed equipment, facilities, and materials and oversee their use.
• Maintain confidentiality.
• Maintain a positive attitude and work ethic.
• Work effectively within a high stress environment.

• Knowledge:
• The functions of federal, state and local jurisdiction and authorities as they relate to Elder, Social and Family service programs.
• Budgeting, personnel and employee relations.
• Standards by which the quality of services are evaluated.
• Native American Elder issues.
• Grant and contract reporting and management.
• Native American culture and history.

The MEIHSS Director is occasionally required to stand, walk, climb, bend at the waist, kneel, grasp objects with the fingers, and reach with hands and arms. The employee must occasionally push/pull up to 10 pounds. The employee is occasionally required to drive a motor vehicle. Specific vision abilities required by this job include close vision and the ability to adjust focus in order to see details of objects that are less than a few feet away and see differences between colors, shades, and brightness.  Good hearing in order to hear sounds and recognize the difference between them and focus on one source of sound and ignore others. The noise level in the work environment is usually moderately quiet.