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Program Integrity Director Jobs in Kentucky (NOW HIRING)

Program Director Behavioral Health Group (BHG) is the largest network of Joint Commission ... Sound judgment and high integrity * Effective and timely decision-making * Good at identifying ...

CARE COORDINATOR-CRISIS

Elizabethtown, KY · On-site

$17.75 - $23.75/hr

... program integrity, safety, and therapeutic structure. Responsible for care coordination and case ... Support medication administration protocols as directed by nursing staff. 19. Assist consumers with ...

Program Manager

Covington, KY · On-site +1

$75.90K - $140.63K/yr

Taxpayer Services - Return Integrity & Compliance Services (RICS) - Return Integrity Verifications ... Serves as a second-level Department Manager responsible for planning, organizing, directing ...

Center Director

Prestonsburg, KY · On-site

$50.10K - $68.80K/yr

... audits to ensure integrity, accountability, and prevention of fraud and program abuse ... Director of Job Corps. * Conducts and documents weekly senior management meetings to provide ...

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Program Integrity Director information

What are the key skills and qualifications needed to thrive as a Program Integrity Director, and why are they important?

To thrive as a Program Integrity Director, you need expertise in compliance, risk management, regulatory analysis, and a relevant degree such as in business administration, public policy, or law. Familiarity with data analytics tools, case management systems, and certifications like Certified Fraud Examiner (CFE) or Certified Internal Auditor (CIA) are often important. Strong leadership, ethical judgment, and effective communication skills are crucial for building trust and guiding teams through complex investigations. These skills ensure the organization maintains regulatory compliance, prevents fraud, and promotes operational transparency.

What are some typical challenges faced by a Program Integrity Director, and how can they be addressed?

Program Integrity Directors often face challenges such as navigating complex regulatory requirements, detecting and preventing fraud, and ensuring compliance across multiple departments or partners. Addressing these requires strong analytical skills, clear communication, and effective collaboration with legal, compliance, and operational teams. Staying updated on industry best practices and fostering a culture of transparency can also help mitigate risks and support program goals.

What are Program Integrity Directors?

Program Integrity Directors are responsible for overseeing and ensuring the compliance, effectiveness, and accountability of organizational programs, often within government agencies or large organizations. They develop and implement policies to prevent fraud, waste, and abuse, and they monitor program operations to ensure adherence to regulations and standards. Program Integrity Directors often lead teams, conduct audits, and collaborate with other departments to promote transparency and ethical practices. Their work is crucial for maintaining public trust and ensuring resources are used appropriately.

What is the difference between Program Integrity Director vs Claims Manager?

AspectProgram Integrity DirectorClaims Manager
Required CredentialsBachelor's degree, certifications in healthcare compliance or auditingBachelor's degree, experience in claims processing or insurance
Work EnvironmentHealthcare or insurance organizations, compliance departmentsInsurance companies, healthcare payers, claims processing units
Employer & Industry UsageUsed in healthcare, government programs, insurance sectorsPrimarily in insurance companies and healthcare payers

The Program Integrity Director focuses on ensuring compliance, preventing fraud, and maintaining program integrity within healthcare or insurance organizations. In contrast, Claims Managers oversee the processing and adjudication of insurance claims. While both roles require knowledge of healthcare or insurance operations, the Program Integrity Director emphasizes compliance and fraud prevention, whereas the Claims Manager concentrates on claims processing efficiency and accuracy.

What cities in Kentucky are hiring for Program Integrity Director jobs? Cities in Kentucky with the most Program Integrity Director job openings:
Infographic showing various Program Integrity Director job openings in Kentucky as of May 2026, with employment types broken down into 2% Internship, 5% As Needed, 67% Full Time, 21% Part Time, 3% Contract, and 2% Nights. Highlights an 97% Physical, and 3% Remote job distribution.

PROGRAM MANAGER-CRISIS

Communicare KY

Elizabethtown, KY • On-site

Full-time

Posted 11 days ago


Job description

Description
POSITION SUMMARY: Responsible for the operational leadership, supervision, and day-to-day management of the Adult Crisis Stabilization Unit (ACSU) and Children's Crisis Stabilization Unit (CCSU), while supporting staffing ratio oversight and training coordination for the East Recovery Unit. Oversees direct-care staff and associated support roles to ensure consumer care is delivered at the highest standard while maintaining program integrity, safety, therapeutic structure, regulatory compliance, and operational effectiveness. Responsible for staffing, scheduling, employee performance management, training, program readiness, supply oversight, interdepartmental coordination, and crisis response support. Provides on-call leadership support and staffing coordination outside normal business hours as needed to ensure safe program operations.
REQUIRED SKILLS/ABILITIES: Strong leadership, verbal and written communication, organization, critical thinking, and problem-solving skills. Ability to effectively represent the program and agency in professional and community settings while building collaborative relationships with consumers, families, referral sources, community partners, and interdisciplinary team members. Ability to manage high-stress and crisis situations, provide effective staff supervision, maintain accountability, and ensure consistent implementation of agency expectations, policies, and program standards. Proficiency with MS 365 and electronic documentation systems preferred.
PHYSICAL AND ENVIRONMENTAL DEMANDS: Considerable walking, standing, and participation in program oversight and crisis response activities. Frequent hearing and talking required to communicate with consumers, guardians, professionals, staff, and community partners. Manual dexterity for written and electronic documentation. Possible exposure to bloodborne pathogens, biohazardous waste, and communicable diseases during day-to-day contact with consumers. Ability to stoop, kneel, and utilize Safe Crisis Management (SCM) techniques as needed. Sufficient physical strength required. Must have visual acuity, accurate depth perception, and physical and mental dexterity sufficient to safely transport consumers if required.
SPECIFIC FUNCTIONS/TASKS/RESPONSIBILIITES:
1. Provide direct operational leadership and day-to-day oversight of ACSU and CCSU.
2. Ensure safe staffing ratios, training coordination, and operational support needs for the East Recovery Unit as assigned.
3. Directly supervise crisis program staff, including scheduling, attendance management, performance monitoring, coaching, corrective action, evaluations, and overall day-to-day employee oversight.
4. Develop and maintain staff schedules while ensuring appropriate coverage and safe staffing levels.
5. Coordinate staffing coverage for call-offs and provide direct coverage support when necessary to maintain safe operations and minimize unnecessary overtime.
6. Maintain on-call leadership availability outside normal business hours as needed for staffing and operational support.
7. Oversee onboarding, orientation, staff development, competency validation, and ongoing performance support.
8. Maintain Safe Crisis Management (SCM) Instructor certification and ensure staff receive appropriate crisis intervention and safety training.
9. Maintain medication management training competency and ensure relevant staff maintain required certifications.
10. Ensure a safe, structured, therapeutic, and regulatory-compliant treatment environment.
11. Monitor program integrity, consumer rights, safety practices, and adherence to agency policies, procedures, and program expectations.
12. Coordinate with nursing staff, prescribers, therapists, and other treatment team members regarding resident needs and operational support.
13. Support crisis response, de-escalation, and operational problem-solving as needed.
14. Ensure unit readiness, including hygiene supplies, dietary needs, office supplies, programming materials, safety equipment, and other operational necessities.
15. Coordinate with internal departments including HR, IT, Maintenance, Nursing, Leadership, and other support services.
16. Monitor documentation practices and ensure compliance with agency, regulatory, and program standards.
17. Assist with recruitment, interviewing, hiring, retention, and culture-building efforts.
18. Complete employee performance evaluations, approve time-off requests, and address attendance or performance concerns.
19. Participate in quality improvement efforts, incident review, program development, and operational planning.
20. Support collaboration with referral sources, community partners, and leadership to strengthen program effectiveness.
21. Assist with development and implementation of unit programming, structure, and operational processes.
22. Ensure emergency preparedness and appropriate response for crisis situations.
23. Crosstrain to support related crisis or residential operational needs as appropriate.
24. Perform other duties as assigned.
QUALIFICATIONS: Bachelor's degree in behavioral health, Social Work, Psychology, Human Services, Nursing, or a related field preferred. Equivalent experience may be considered in lieu of degree expectations, with candidates expected to demonstrate experience and competency comparable to Senior Specialist - Crisis expectations.
High school diploma or equivalent and 21 years of age or older required. Minimum of two (3) years of relevant experience in mental health, behavioral health, residential treatment, crisis services, working with children/adolescents, or a related field required.
Minimum of three (3) years of relevant experience in mental health, behavioral health, residential treatment, crisis services, or a related field required, including demonstrated leadership, supervisory, or advanced operational experience.
Candidates should additionally demonstrate advanced knowledge and experience through one or more of the following:
1. Current or ability to obtain Safe Crisis Management (SCM) Instructor certification.
2. Additional relevant training in Trauma-Informed Care, de-escalation techniques, medication administration, behavioral management, crisis intervention, supervision, or program leadership.
3. Prior supervisory, leadership, scheduling, staffing, or program management experience.
4. Experience coordinating with interdisciplinary teams, community partners, and operational support departments.
5. Must pass all required background checks
MANDATORY REQUIREMENTS:
1. Adheres to all policies and procedures of Inlet Health and subsidiaries.
2. Attends mandatory in-services and other training/educational programs as required.