Care Director

Written By Jamie's Place

About the Opportunity

The Methow Valley Family Home Center Association, also known as Jamie’s Place, is a real home in the heart of the Methow Valley where elders, with the support of family, community, and caregivers, can enjoy meaningful lives with dignity and grace. Rather than focusing on limitations, our approach supports retained abilities, autonomy, and participation in daily life — allowing elders to remain active contributors within their home and community.

Jamie’s Place is expanding to achieve our vision of meeting the long-term care needs of all Methow Valley elders and preparing the next generation of caregivers. Our long-range plan includes a new facility in Twisp, Washington that will double our capacity, create 30 new caregiver jobs, and serve as a training hub to support relationship-centered elder care throughout the Methow Valley. Development of the expansion project is advancing quickly - construction for the new facility is underway and Jamie’s Place has raised $21M toward our $24M expansion goal. 

Jamie’s Place is located in the Methow Valley, a place of extraordinary natural beauty with an extraordinarily caring community, in North Central Washington. The thriving local business community includes people working in construction, ranching, outdoor sporting and tourism. The valley is located on the eastern slope of the North Cascades, just outside of the North Cascades National Park. The nearest metropolitan areas are Seattle and Spokane, each about four hours away. The 501(c)(3) organization employs 22 full- and part-time staff members currently and operates with a $1.6 million annual budget. Jamie’s Place is poised for a vibrant future and continued impact and success.

Role Overview

The Care Director provides clinical leadership and regulatory oversight for Jamie's Place, ensuring exceptional person-centered care for elders while maintaining full compliance with Adult Family Home regulations. As the organization's Greenhouse Model expert, this role guides all caregivers in creating real homes where elders live with dignity, autonomy, and meaningful connection. This position leads clinical care coordination, supervises House Managers and Lead Nurse, manages resident admissions and family relations, and ensures regulatory compliance. The ideal candidate brings clinical expertise, exceptional and compassionate communication skills for navigating families through complex care decisions, deep commitment to the Greenhouse Model, skill in Medicaid navigation and cost management, strong leadership abilities, and the ability to balance person-centered care with regulatory requirements in a small, intimate care environment. This role reports to the Executive Director. This individual holds the Adult Family Home Administrator License through DSHS and serves as the Entity Representative (Chapter 388-76 WAC).

Success in this role looks like:

Elders receive exceptional, person-centered care guided by the Greenhouse Model, with comprehensive Care Plans that reflect their preferences and needs and support their highest quality of life;

  • Elders receive exceptional, person-centered care guided by the Greenhouse Model, with comprehensive Care Plans that reflect their preferences and needs and support their highest quality of life;

  • Jamie's Place maintains full regulatory compliance with Adult Family Home regulations and consistently receives positive state inspection outcomes without direct care citations;

  • House Managers and Lead Nurse feel supported, well-trained, and empowered to provide excellent care aligned with the Greenhouse Model;

  • Families feel informed, supported, and confident in the care their loved ones receive, especially during admission, transitions and end-of-life;

  • Families receive clear, compassionate guidance on care costs and Medicaid processes, with residents receiving maximum appropriate Medicaid coverage;

  • The HCA/CNA training pipeline builds local caregiver capacity and ensures Jamie's Place has skilled, committed staff;

  • Caregivers feel confident and competent in providing Greenhouse Model care, supported by clear training and accessible clinical guidance.

The role is 40+ hours/week on-site at Jamie's Place with some schedule flexibility as needed for a 24-hour coverage care facility. The role includes:

  • Typical schedule: Monday-Friday with variable hours based on resident and organizational needs; includes evening and weekend hours as needed for resident care and family meetings, emergency care and related staff support

  • Weekend/holiday requirements: Occasional hours on weekends and holidays for care coordination and family engagement

  • Exempt status: Exempt

Role Responsibilities

The following key responsibilities shall be fulfilled by the Care Director:

    • Ensure full compliance with Adult Family Home regulations and maintain the highest standards of care quality.

    • Oversee hiring, training compliance and medication tracking in collaboration with Lead Nurse and House Managers

    • Prepare for and coordinate state inspections, complete all compliance paperwork, and serve as state entity representative

    • Manage Medicaid renewals, care audits, and ensure staff and Board of Directors understand and follow AFH regulations

    • Provide clinical oversight and ensure person-centered care aligned with the Greenhouse Model.

    • Oversee the monthly updates to Care Plans led by nurses with input from doctors, and coordinated care team; Coordinate as necessary with all external providers with support from House Managers

    • Oversee charting, medication management, and medical issue documentation

    • Coordinate end-of-life care when necessary, including hospice, family support, and 24/7 bedside care

    • Provide direct care assistance (transfers, mobility, personal care) and emotional support to residents daily in conjunction with House Managers and Caregivers

    • Coordinate with the Executive Director to contract and manage clinical care vendors

    • Lead and support House Managers and Lead Nurse while building caregiver capacity through training, development, policies, practices, and process improvement.

    • Hire and supervise House Managers and Lead Nurse including daily employee relationship management, performance evaluations, and HR processes; oversee new employee paperwork processing and coordinate background checks for House Managers and Nurses

    • Plan and teach comprehensive Greenhouse Model training and oversee onboarding, credentialing, and process improvements for staffing and training systems

    • Lead HCA/CNA pipeline development as trainer, proctor, and bridge program coordinator

    • Lead scheduling of director-level staff, nurses, house managers, and on-call

    • Manage staff communication, delegation, and ensure adherence to care plans

    • Maintain a positive staff culture and collaborate with the Executive Director on staff recognition efforts

    • Manage the full resident lifecycle from waitlist through admission, ongoing family engagement, and supporting families in care transitions, including discharges.

    • Manage waitlist, conduct tours, facilitate admissions interviews, and assess organizational capacity for new residents

    • Establishes level of care and manages contracts for new residents in coordination with management team

    • Provide daily family engagement including answering questions, medical updates, and support during transitions

    • Serve as primary contact for financial matters with residents and families, including private pay cost communications

    • Support organizational operations and expansion efforts; provide input on projected caregiver costs, supplies, staffing levels, and care acuity for annual budget planning and expansion forecasting

    • Lead Operations Committee, provide information for Executive Director's monthly Operations Report 

    • Support fundraising events and community relations at request of Executive Director

    • Oversee facilities and building maintenance and rental agreements for Tiny Homes (temporary duty)

    • Participate in community partnerships focused on elder care (care quality, care education, etc.)

Desired Qualifications, Qualities, and Competencies 

A successful candidate will possess the following qualifications:

Education and Experience

  • High school diploma or equivalent; college or professional degree or equivalent combination of education and experience preferred

  • 5+ years of experience in long-term care, elder care, or healthcare settings

  • Holds Adult Family Home Administrator License (or ability to obtain one)

  • Demonstrated experience in high-level clinical care coordination and decision making, care plan development, and care support during emergencies

  • Experience supervising healthcare staff

  • Experience working with families in care settings

Certifications and Licenses

  • Washington State licensed clinical practitioner (LPN, RN, NP, PA, MD/DO);  MSW, CNA/HCA-R with relevant experience

  • Valid driver's license and reliable transportation

  • CPR and First Aid certification

  • Ability to obtain and maintain required background clearances

Physical Requirements

  • Ability to provide direct care including transfers and personal care support

  • Ability to lift up to 50 lbs and assist with resident mobility

  • Ability to respond to emergency situations and provide hands-on care

Technology Skills

  • Proficiency with electronic health records and charting systems (Synkwise currently used)

  • Experience with care planning software or documentation systems

  • Comfortable with Google Workspace (Docs, Sheets, Gmail) or ability to learn

  • Ability to use communication tools (email, video calls) for staff coordination

Compliance Requirements

  • Successful candidate must complete fingerprint background checks, TB testing, and CPR/First Aid certification

Preferred Skills

  • Advanced knowledge and experience applying the Greenhouse Model or other person-centered care frameworks

  • Medicaid billing, rate setting, and documentation knowledge

  • HCA/CNA training or teaching experience

  • Hospice & end-of-life care, palliative care, and elder care experience

  • Rural or small community healthcare experience

  • Bilingual skills or cultural competency in serving diverse populations

Compensation and Benefits

Compensation commensurate with experience in the range of $92,000-100,000. Available benefits include health benefits and Paid Time Off (PTO).

Application Guidelines

Interested candidates are encouraged to apply using the online application form below.

Alternatively, applicants may submit a single PDF containing a resume and cover letter outlining their interest and qualifications emailed to boardchair@jamiesplace.org.

Download Job Description

Equal Opportunity Employer

Jamie's Place is proud to be an equal opportunity employer committed to creating an inclusive environment where all team members can thrive. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, veteran or military status, marital status, genetic information, or any other status protected by applicable federal, state, or local law.

Statement of Inclusivity

We believe that diverse perspectives strengthen our ability to provide compassionate, elder-centered care and build the intentional community of belonging at the heart of our mission. We welcome applicants from all backgrounds who share our commitment to dignity, meaningful engagement, and empowered teamwork.

Reasonable Accommodations

Jamie's Place is committed to providing reasonable accommodations to qualified individuals with disabilities in the application and employment process. If you need assistance or accommodation due to a disability, please contact us at boardchair@jamiesplace.org. We will work with you to ensure you have equal access to employment opportunities.

Jamie's Place https://jamiesplace.org
Next

Executive Director