Regional Director of Medically-Based Programs & Compliance

California & Washington | Mostly Remote
Salary Range: $120,000 – $145,000 (DOE)

Mysti’s Adult & Family Services is seeking a senior leader to oversee medically based programs across California and Washington. This role leads Program Directors and multidisciplinary medical teams, ensures compliance, and protects service quality in trauma-informed, harm-reduction models.

This is not a Medical Director role, but strong clinical leadership experience is required.

What You’ll Do
   •    Lead Program Directors and oversee medically based service delivery across two states
   •    Ensure programs are trauma-informed, harm-reduction focused, and grounded in individualized care planning
   •    Oversee program compliance with Medicaid, state, and contractual requirements
   •    Partner with Compliance, QA, and Medical Directors (no direct medical care)
   •    Operate in a mostly remote, multi-state environment with periodic travel

What We’re Looking For (Non-Negotiable)
   •    8+ years leading medically based programs with direct client care experience
   •    Deep experience with trauma-informed care, harm reduction, and care coordination
   •    Proven leadership of Program Directors and medical/clinical staff
   •    Clinical license required
   •    Nurse Practitioner (strongly preferred)
   •    RN or LCSW with significant medical program leadership considered
   •    Comfortable working remotely and leading through systems and technology

Why Mysti’s
   •    Senior leadership role with real authority and impact
   •    Medically driven programs serving high-acuity populations
   •    Mostly remote with intentional, mission-centered leadership

Salary: $120,000 – $145,000 annually (DOE)
Location: Remote (West Coast preferred) | Travel required

Director of Finance (Remote – Multi-State Healthcare Operations)

Position Overview

The Director of Finance oversees financial operations across two state-based healthcare entities (California and Washington). This role is responsible for financial oversight, budgeting, reporting, cash flow management, and compliance support, while maintaining clear separation of entity-level financials.

This is a hands-on, director-level role ideal for a finance professional who can manage day-to-day financial operations today and grow into a more strategic leadership role as the organization scales.

The Director of Finance supports approximately $4M+ in combined annual revenue, including government contracts and grant funding, and works closely with executive leadership to stabilize and strengthen financial systems.

This position reports directly to the Chief Executive Officer.

⸻

Key Responsibilities

Financial Operations & Oversight

• Oversee day-to-day financial operations for both CA and WA entities

• Ensure accurate, timely bookkeeping and reconciliations (in coordination with accounting support)

• Maintain separate books and financial records for each legal entity

• Monitor cash flow, burn rate, and financial health of each entity

⸻

Budgeting & Forecasting

• Develop and manage entity-specific annual budgets

• Prepare cash flow forecasts and financial projections

• Support financial planning related to program changes, restructuring, and growth

• Track actuals vs. budget and identify risks or variances

⸻

Grants, Contracts & Lending Support

• Support financial compliance for:

• Government contracts

• Grant-funded programs

• Lender reporting (e.g., PCR Business Finance)

• Track restricted vs. unrestricted funds

• Assist with grant reporting and financial documentation

• Prepare financial narratives and schedules for lenders, auditors, and funders

⸻

Compliance & Controls

• Ensure financial practices comply with:

• GAAP (as applicable)

• State and federal funding requirements

• Internal controls and segregation of duties

• Support audits, reviews, and financial due diligence

• Establish clear approval and documentation processes

⸻

Systems & Process Improvement

• Oversee accounting systems (e.g., QuickBooks or equivalent)

• Improve financial workflows to reduce errors and inefficiencies

• Reduce reliance on manual tracking and spreadsheets where possible

• Partner with HR and leadership on payroll, benefits, and staffing cost controls

⸻

Leadership & Advisory Role

• Serve as a financial advisor to the CEO and leadership team

• Translate financial data into clear, actionable insights

• Support decision-making related to staffing, programs, and expansion

• Help build scalable finance processes for future growth

⸻

Reporting Structure

• Reports to: Chief Executive Officer

• Works closely with:

• Director of Human Resources

⸻

Required Qualifications

• 5–8+ years of progressive finance or accounting experience

• Experience managing multi-entity financials

• Strong budgeting and cash flow management skills

• Experience with grants, contracts, or government-funded programs

• Working knowledge of GAAP and internal controls

• High attention to detail and accuracy

• Ability to work independently in a remote environment

⸻

Preferred Qualifications

• Healthcare, social services, or regulated industry experience

• Experience supporting organizations with $3M–$10M in annual revenue

• CPA, CMA, or MBA (preferred but not required)

• Experience preparing financials for lenders or audits

⸻

Location

• Remote (United States)

• Must support Pacific Time business hours

⸻

Compensation

$95,000 – $130,000 base salary, depending on experience

• Benefits package

Qualifications

• Leadership and team management skills, with experience in supervising and mentoring staff

• Strong strategic planning and decision-making abilities

• Proficiency in budget management and financial planning

• Excellent verbal and written communication skills for stakeholder engagement

• Experience with regulatory compliance and organizational policies

• Ability to foster relationships and collaborate with diverse teams

• Proven problem-solving and conflict resolution skills

• Bachelor’s degree in Business Administration, Management, or related field (Master's preferred)

• Previous experience in a director-level or similar role, particularly in the adult and family services sector

✨ New Year. New Leadership. Real Impact. ✨

​As we step into the new year, we’re looking for a Regional Director of Programs & Compliance (Remote) to help lead and strengthen services that change lives and support communities across Washington and California.

This role is for someone who believes that strong programs + strong compliance = real impact. If you’re ready to bring fresh ideas, support trauma-informed teams, and ensure services are delivered with integrity, accountability, and heart—this may be your next chapter.

🌱 Why This Role Matters

Our teams support individuals and families navigating housing instability, crisis response, and complex life transitions. The Programs & Compliance Director plays a critical role in ensuring those services are high-quality, contract-compliant, and ethically delivered, while supporting staff to succeed in demanding, meaningful work.

You’ll partner closely with executive leadership to strengthen programs, protect funding, and build systems that last.

💼 What You’ll Be Doing
   •    Overseeing programs across both entities (WA & CA)
   •    Ensuring compliance with contracts, policies, and state regulations
   •    Supporting trauma-informed service delivery and staff accountability
   •    Monitoring documentation, performance, and quality assurance
   •    Leading program improvement, audits, and corrective action plans
   •    Supporting managers with program oversight and compliance guidance

🎯 Who Thrives Here
   •    Leaders with 5+ years in program management, compliance, or regulated services
   •    Experience in housing, social services, healthcare, or government-funded programs
   •    Strong understanding of audits, contracts, and regulatory requirements
   •    Collaborative, detail-driven, and mission-oriented professionals
   •    People who balance structure, compassion, and accountability

💰 Compensation

$95,000 – $130,000 annually
(Full-time, exempt | Remote | U.S.-based)

📍 Supports programs across Washington & California
🕒 Pacific Time preferred

👉 How to Apply
Please apply directly through Indeed.
Applications submitted via LinkedIn messages will not be reviewed.

⸻

🌟 Start the year doing work that truly matters.
If you’re ready to strengthen programs, protect services, and support teams doing life-changing work, we’d love to hear from you.

Case Manager – Immediate Hire Disabilities

Mystis Adult and Family Services- CA
Antioch, CA
Hybrid work
$24.53 - $29.55 an hour - Temporary, Part-time, Full-time

Full job description
OFull-Time or Part-Time, W-2 Employee (On-Call/Temporary also available)

Job Description:
Mysti’s Adult & Family Services is seeking compassionate and qualified Case Managers to support individuals with developmental disabilities. This is an immediate hire opportunity, and candidates must meet NLACRC staffing requirements.

Responsibilities:

Provide case management and advocacy for clients with developmental disabilities
Conduct intake assessments and develop individualized service plans
Connect clients and families to Regional Center and community resources
Maintain accurate and timely documentation per NLACRC standards
Coordinate with providers, clinicians, and other stakeholders to ensure quality care
Requirements :

Bachelor’s degree in Social Work, Psychology, Sociology, Child Development, Human Services, or related field OR equivalent experience
Minimum 1 year experience working with individuals with developmental disabilities
Knowledge of Regional Center services preferred
Strong communication, organizational, and problem-solving skills
Must pass background check and meet all compliance requirements
Reliable transportation (may include travel to client homes or community
Job Type: Full-time, Part-time, Temporary

Pay: $24.53 - $29.55 per hour

Work Location: Hybrid remote in Antioch, CA

Case Manager — Developmental Disabilities (Hybrid, LA County/Walnut Creek)

Job description:

Full-Time or Part-Time, W-2 Employee (On-Call/Temporary also available)

​

Job Description:
Mysti’s Adult & Family Services is seeking compassionate and qualified Case Managers to support individuals with developmental disabilities. This is an immediate hire opportunity, and candidates must meet staffing requirements.

​

Responsibilities:

• Provide case management and advocacy for clients with developmental disabilities

• Conduct intake assessments and develop individualized service plans

• Connect clients and families to Regional Center and community resources

• Maintain accurate and timely documentation standards

• Coordinate with providers, clinicians, and other stakeholders to ensure quality care

Requirements :

• Bachelor’s degree in Social Work, Psychology, Sociology, Child Development, Human Services, or related field OR equivalent experience

• Minimum 1 year experience working with individuals with developmental disabilities

• Knowledge of Regional Center services preferred

• Strong communication, organizational, and problem-solving skills

• Must pass background check and meet all compliance requirements

• Reliable transportation (may include travel to client homes or community
   

Job Types: Full-time, Part-time, Temporary

​​

Ability to Commute:

Work Location & Travel Requirements:
We are hiring in multiple locations, and candidates must be able to travel to one of the following areas:

LA County

Contra Costa County

Monterey County

Santa Cruz County

Work Type: Hybrid remote (in-person travel required as needed)