Direct Support Professional 19

Job Description

Job Description

DISCLOSURES

The specific statements shown in each section of this job description are not intended to be all-inclusive. They represent typical elements and criteria considered necessary to perform the job successfully. The job’s responsibilities/tasks may be modified and/or expanded over time. The company will inform the personnel member when changes in the respective job description are made.

ABOUT THE COMPANY

Enterprise Management Solutions, LLC (EMS) is a full-spectrum consulting and management firm specializing in back-office operations, financial infrastructure, and executive oversight for health and human services organizations. We provide strategic support to affiliated companies through contractual partnerships, optimizing operations and maintaining compliance across multiple industries including behavioral health, primary care, real estate, supportive housing, and food service.

Our goal is to relieve mission-driven companies of administrative burden by overseeing financial and operational systems that allow leadership teams to focus on quality care and innovation.

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POSITION TITLE: Direct Support Professional 19

ALTERNATE TITLE(S): Direct Care Worker, PRP Worker, School-Based PRP Specialist

COMPANY : Enterprise Management Solutions, LLC

DEPARTMENT: Psychiatric Rehabilitation

DIVISION: Operations

UNIT:  N/A

LOCATION: Pretty Boy Elementary School, Baltimore County, Maryland

ACCOUNTABLE TO: Psychiatric Rehabilitation Specialist (Operations Manager 3)

ACCOUNTABLE FOR:  Delivering billable, Medicaid-compliant psychiatric rehabilitation services to youth in a school-based setting that promote emotional regulation, social skills development, independence, and achievement of treatment goals.

WORK SCHEDULE: This is a structured, school-based Fee-for-Service position aligned with client authorizations and school schedules.

Assigned Caseload: 10 clients total

• 5 clients seen three (3) times per week on Monday, Wednesday, and Friday
• 5 clients seen two (2) times per week on Tuesday and Thursday

Consistent availability is required to meet assigned service schedules and Medicaid requirements.

CLASSIFICATION: Fee-for-Service (FFS), with the following classification options available:

• Fee-for-Service W-2
• Fee-for-Service 1099

COMPENSATION RANGE:  Compensation for this position ranges from $15.00 to $25.00 per hour, and is commensurate with experience, expertise, verified credentials, and available company budget.

BENEFITS PACKAGE

• W-2 Fee-for-Service Employees:
  Eligible for company-sponsored benefits in accordance with agency policy and plan availability.
• 1099 Fee-for-Service Employees:
  Not eligible for company-sponsored benefits and are responsible for their own taxes, insurance, and benefits.
  

ANTICIPATED TRAVEL: Minimal travel required. Services are primarily delivered on-site at Pretty Boy Elementary School in Baltimore County. No additional travel compensation is provided.

CLIENT SERVICE LOCATION EXPECTATION

This position provides school-based PRP services exclusively at:

• Pretty Boy Elementary School
• Approved school-related community settings (as authorized)

Telehealth services may be provided only when explicitly approved by Medicaid and agency policy, if applicable. This is not a home-based or office-based role.

CASELOAD MAKEUP

The DSP 19 will be assigned a fixed caseload of ten (10) youth clients enrolled in PRP services.

• 5 clients receive services 3x per week (Monday/Wednesday/Friday)
• 5 clients receive services 2x per week (Tuesday/Thursday)

All services are delivered on-site within the school setting and must comply with Medicaid PRP regulations and individualized rehabilitation plans (IRPs).

SUMMARY OF POSITION RESPONSIBILITIES

The Direct Support Professional 19 (DSP 19) provides school-based psychiatric rehabilitation services to youth with mental health needs. The DSP supports clients in developing coping skills, emotional regulation, social functioning, and school-related life skills to improve overall functioning and academic engagement. Services are delivered according to each client’s IRP and documented in Medicaid-compliant progress notes.

SCHEDULED DUTIES AND RESPONSIBILITIES

• Provide one-on-one PRP skill-building sessions in the school setting.
  
• Support development of emotional regulation, coping strategies, and social skills.
  
• Assist clients with school-related functional skills and age-appropriate ADLs.
  
• Reinforce recovery-oriented goals outlined in the IRP.
  
• Deliver billable PRP services according to assigned schedule and service authorizations.
  
• Submit accurate, timely progress notes in the Electronic Health Record (EHR).
• Complete documentation in real time or before the end of each service day.
• Use correct service codes for all PRP sessions:
  • PRP Group off-site (H2016-15)
  • PRP Group on-site (H2016-52)
  • PRP Individual off-site (H2016-15)
  • PRP Individual on-site (H2016-52)
    
• Maintain Medicaid minimum service delivery requirements:
  • Minors: Minimum 3 PRP sessions per month
  • Adults: Minimum 6 PRP sessions per month
• Follow all Scheduling Department procedures and communicate availability for client scheduling.

UNSCHEDULED DUTIES AND RESPONSIBILITIES

• Respond to emerging student needs during the school day.
  
• Participate in trainings, supervision, and interdisciplinary team meetings.
• Assist clients during urgent community needs (housing crises, legal matters, emergency appointments).
• Support engagement efforts including wellness events and outreach.
• Report client safety concerns immediately to supervisors.
• Maintain HIPAA, confidentiality, and trauma-informed practices.
• Collaborate weekly with the client’s therapist and RN case manager and submit a collaboration note in the EHR.

PHYSICAL DEMANDS

• Frequent walking throughout school buildings
• Ability to stand, sit, and move between classrooms
• Ability to lift up to 20 lbs
• Ability to respond appropriately to behavioral situations
• Use of PPE as required
  

WORKING CONDITIONS

• School-based service delivery
• Direct engagement with youth experiencing behavioral health challenges
• Requires adaptability and professionalism
• Must comply with Medicaid, PRP, and school documentation standards
  

COMPETENCIES AND SKILLS

• Strong interpersonal and communication skills
• Ability to work respectfully with diverse populations
• Understanding of PRP and psychiatric rehabilitation concepts
• Organization, dependability, and time management
• Ability to produce accurate EHR documentation
• Flexibility to meet clients in dynamic community settings
• Strong working knowledge of COMAR and Medicaid PRP standards (or willingness to learn)

LEVEL OF EDUCATION / TRAINING / QUALIFICATIONS

• High school diploma or GED required.  For those working with minors, at least a bachelor's degree is required.
• At least 1 year of experience working in behavioral health, social services, or human services preferred
• Must pass background check and complete PRP observation by supervisor of 20 hours and 40 hours of training
• CPR/First Aid certification required (or must be obtained within 30 days of hire)
• Valid driver’s license and reliable transportation strongly preferred
• Must be able to complete and submit timely, accurate progress notes using required PRP service codes