Job description


Positions available for internal and external candidates

Provide in-home care for the individuals served by the agency.  Provide services as DSP Purpose Description outlines. Daily tasks include:  reviewing MARs, behavior data and other documentation to ensure completion and quality, on the job training of DSPs, ensure ISL is a clean and safe environment for the individuals and staff. Must communicate regularly with Manager and assist with given tasks in a timely manner. 


Other duties may be assigned. 

RESPONSIBILITY TO THE INDIVIDUAL SERVED – Provide services as outlined in DSP Purpose Description  


  • Ensure support staff are made aware of any changes in service delivery.  This includes, but is not limited to, changes in the individual’s service plan, medications,      and daily routine 
  • Ensure support staff understand the Individualized Support Plan and all services are delivered consistently with the individual’s service plan 
  • Assist in training staff in the implementation of individual’s service plan as needed 
  • Serve as a role model to support staff, by consistently conducting him/herself in a professional and ethical manner in all situations, including but not limited to promptness of completing assignments, verbal/non-verbal communications, maintaining professional boundaries, representing agency with a professional image, wearing appropriate attire (See Employee Handbook), serving as a “team player,” complying with Federal Anti-Kickback Laws, and not engaging in, or coercing others to engage in, any fraudulent behavior (see Federal Anti-Kickback Laws and Medicaid Fraud Defined) 


  • Attend monthly Administrative meeting  
  • Maintain current training and certifications/licensure requirements, as applicable 
  • Participate in all required team meetings, committees, and audits as required 
  • In collaboration with the office, promote the growth of the company by making sound clinical decisions regarding revenue and expenditures as related to current and new services  
  • As requested, participate in and render clinical insight to internal investigations specific to clinical services 
  • Any other duties as assigned/required by the Manager, Coordinator, Director, and/or other Management 


  • Assist Manager with Individual’s Monthly Summaries 
  • Accurately document services provided at the time of service 
  • Ensure effective and regular communication with Manager and Coordinator. 
  • Notify Manager of any observed or reported situation that does not follow company policy, or endangers an individual served. 
  • Ensure all Emergency Management Tracking (EMT) forms are completed and submitted as required 
  • Express ideas clearly and be able to plan and execute work effectively 
  • Establish and maintain effective professional relationships with colleagues, employees, individuals served, their families and guardians. 
  • Review all individual’s served documentation/data on a weekly basis. Review: goals of the ISP are being followed, all shifts are documented, documentation is appropriate, and that documentation meets all applicable requirements   


  • Services are provided in residential homes leased/owned and paid for by the Individual Served.  LWPMO service delivery sites are located in St Charles and St Louis counties.  Transportation may occur outside these locations for rare and scheduled events. The noise level in the work environment is usually minimum. 


  • Required to work 40 hours a week. Overtime is required when shifts are unable to be filled by Personnel Coordinator.  


  • TBD; determined by level of support required by the Individual Served and experience 


The requirements listed below are representative of the knowledge, skill, and/or ability required.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 


  • High School Diploma or equivalency 
  • Completion of all required agency and state-mandated trainings. (provided by LWPMO) 
  • At least 2 years of experience in direct care or similar service position 
  • Ability to apply basic concepts of mathematics and computations 
  • Ability to read, write and comprehend English; ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write reports and correspondence. Use of computer skills including Microsoft word and excel. 
  • Good verbal communication skills 
  • Ability to work as part of a team  
  • Valid driver’s license, current automobile liability insurance, safe and reliable transportation, and willingness to use personal vehicle to transport service recipient as needed or required. 

Knowledge Requirements 

  • Have or develop a working knowledge of various forms of developmental disabilities and/or mental illness, along with common accompanying issues of both disability areas 
  • Have or develop a working knowledge of rules, service definitions, and statutes governing the provision of the services provided 
  • Have or develop a working knowledge of all applicable agency Policies and Procedures, and documentation requirements 
  • Have or develop an understanding of HIPAA confidentiality rules 
  • Have or develop a working knowledge of programs and applications used by the agency, such as: log noting program, time keeping applications, and more 


  • The Lead Staff is responsible for ensuring systems are in place to address the on-going facilitation of services to each individual served, as well as oversee the collective services of his/her caseload, which has the potential to severely affect the health and safety of individuals served and staff.  


  • A drive to work without constant supervision and adhere to policies and procedures 
  • Good analytical skills 
  • Sense of personal responsibility for work performance and a professional attitude 
  • Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists 
  • Must be able to use other equipment such as a fax, copier and calculator. 
  • Good organizational skills and the ability to perform numerous tasks simultaneously in a fast-paced ISL environment. 


  • Physical requirements include: 
  • ability to sit, stand, squat, bend, pivot, and walk 
  • lift objects weighing over 25 pounds 
  • use normal range of motion of all body parts 
  • tolerate exposure to “normal” scents and chemicals (e.g., laundry detergent, bleach, cleaning supplies, etc.) 
  • go into medical settings where exposure to germs may be increased 
  • have the physical stamina and agility to break service recipient’s fall, bear his / her weight, and /or assist service recipient to an upright position 
  • Physically, mentally, and emotionally fit to perform the following actions:  
  • rapidly pursue service recipient if he/she tries to leave premises  
  • use Crisis Prevention “blocking” techniques to protect self from thrown objects and physical aggression  
  • use Crisis Prevention “holding” techniques to restrain service recipient, if necessary, to protect service recipient, employee, or others from injury; and, 
  • endure prolonged periods and varying intensity of maladaptive behaviors 

Locations: All locations

Job Type: Full-time