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Career Listings

 

Employees at Symbral enhance the lives of people with developmental disabilities through loving care, guidance, and opportunity. We offer a variety of positions with flexible weekday and weekend schedules. Most of our hours are non-traditional. Below are jobs we have available. Click on the job to view the required qualifications and responsibilities. 

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All employees must be committed to the care and support of those we serve, have a nurturing spirit, and be willing to share your life with others:

 

  • 18 years of age or older

  • High School Diploma or GED

  • Valid driver’s license with a good driving record for at least 3 years

  • Ability to pass a basic math and reading test

  • Our Family Living Director positions require that applicants be 18 years of age or older and have direct care and supervisory experience.

  • covid-19 vaccine shot card 

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If you require special accommodations to complete our job application, please contact the Human Resources team at HR@symbral.org , 301-650-5722 (T) or 301-650-5729 (F). 8505 Fenton Street, Suite 211, Silver Spring, MD 20910.

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Direct Support Professional (DSP)

Lead DSP

Qualified Intellectual Disabilities Professional (QIDP)/
Residential Coordinator

House Manager

Licensed Practical Nurse (LPN)

Registered Nurse (RN)

Applications are currently only open for LPN**

Direct Support Professional (DSP)

The Direct Support Professional provides essential support to individuals with developmental and intellectual disabilities, promoting their independence and quality of life. This role involves assisting with daily activities, implementing personalized goals, and fostering social interactions in a safe and respectful environment.

Qualifications

  • Must be at least eighteen (18) years of age. 

  • High School Diploma required. 

  • Two (2) years of experience with individuals with developmental and intellectual disabilities. 

  • Suitable applicants may be trained. 

  • Additional education in a closely related field may be substituted for experience.

Direct Support Professional

Duties

  • Assist individuals in refining independent living skills, including:

    • Appropriate behavior, dress, hygiene, and grooming. 

    • Meal preparation, shopping, and nutrition. 

    • Effective communication. 

    • Money management. 

    • Appropriate sexual behavior. 

    • Traveling independently. 

    • Housekeeping. 

    • Clothing purchases and maintenance. 

    • Socialization. 

    • Use of phone, clock, calendar, etc. 

    • Personal responsibility. 

    • Basic reading, writing, and math. 

    • Recreation. 

    • Motivation for personal development. 

    • Assist new individuals in adjusting to the residence as easily as possible. 

  • Manage day-to-day operations of the residence:

    • Adhere to principles of normalization. 

    • Follow all relevant program standards and policies, particularly those of Symbral and the licensing agencies. 

    • Assist individuals in purchasing household items as necessary, within their budget limits, and only with the approval of the Director of Residential Services. 

    • Ensure that the grounds and the interior of the house are appropriately maintained and utilized. 

    • Ensure that the residence and yard are properly maintained. 

  • Ensure individuals use appropriate community resources (e.g., educational facilities, pools, parks, etc.)

  •  Prepare and maintain records, written reports, correspondence, and files regarding:

    • Individual evaluations. 

    • Resident Individual Habilitation and Program Plans. 

    • Fire Safety Checklist. 

    • Conduct monthly fire drills and complete log reports to the Director of Residential Services. 

    • Visitors log. 

    • Reports on individuals, meetings attended, staff issues, evaluations, etc., as requested. 

    • Safeguard the confidentiality of all individual records and information. 

  • Participate in meetings and training sessions as needed.

  • Strive for the health, safety, and welfare of the individuals: 

    • Follow proper procedures and take appropriate precautions for the security and safety of the residence and its occupants. Ensure all individuals are trained in fire safety and evacuation.

    • Assist with public relations and community education by sharing program information with family, officials, etc., as requested by the Director of Residential Services. 

  • Perform all other required duties.

Lead Direct Support Professional

The Lead Direct Support Professional oversees and guides a team of Direct Support Professionals in providing high-quality care to individuals with developmental and intellectual disabilities. This role includes coordinating care plans, training staff, and ensuring a safe, supportive environment that promotes client independence and community engagement.

Qualifications

  • Must be at least twenty-one (21) years of age.

  • High School Diploma required.

  • At least two (2) years of work-related experience with individuals with developmental and intellectual disabilities.

  • Suitable applicants may be trained.

  • Additional education in a closely related field may be substituted for experience.

  • No authority to take corrective action; must defer to a supervisor.

Lead Direct Support Professional

Duties

  • Transportation:

    •  Serve as the driver or second person on van runs when staff are off duty or arriving late.

  • Medical Appointments:

    • Escort individuals to medical appointments.

  • Fire & Disaster Drills:

    • Prepare for and document fire and disaster drills.

    • Ensure staff are knowledgeable about evacuation procedures, including gathering necessary items like HCMP, Health Passport, PMOF, MAR with medication, PEPP, and Fire/Disaster book.​

  • Program and Recreational Data:

    • Complete and review program data, recreational data, MARs, and daily progress notes.

  • Report deficiencies to your supervisor. If unresolved within three (3) days, elevate the issue to other supervisors. Health and safety issues must be resolved immediately, but no later than four (4) hours.

  • Fire Safety Equipment:

    • Check fire safety equipment such as extinguishers and pull stations as scheduled.

  • Backup Staffing:

    • Provide coverage for vacation, sick leave, call-offs, and emergency staff needs.

  • Data Entries:

    • Review and ensure completeness of data entries in program books.

    • Report incomplete entries to the manager or QIDP/Residential Coordinator.

  • Co-worker Support:

    • Demonstrate tasks for co-workers as needed for reinforcement or previous training.

  • Incident Reports:

    • Ensure incident reports are completed before staff leave their shift, under the direction of the Residential House Manager and QIDP/Residential Coordinator.

  • Maintenance Reporting:

    • Report damages needing repair to the Residential House Manager and CFO.

    • Follow up until repairs are completed and maintain relevant paperwork.

  • Staff Issues:

    • Report attendance, lateness, and any other staff issues to your supervisor for follow-up.

  • Community Activities:

    • Escort individuals on vacation, community, and recreational activities.

    • Ensure adherence to personalized community and recreational activities.

  • Staff Breaks:

    • Cover staff breaks as needed.

  • Grocery Management:

    • Complete grocery lists according to each diet.

    • Ensure proper storage, rotation, and labeling of all foods.

  • Adaptive Equipment:

    • Check adaptive equipment and report corrective issues to the Residential House Manager and QIDP/Residential Coordinator.

  • Clothing Inventory:

    • Process and document clothing inventory for each individual.

  • Environmental Maintenance:

    • Ensure kitchen equipment, adaptive tools (e.g., food scale, measuring cup), and household furnishings are maintained.

  • Van Maintenance:

    • Check the van for maintenance, safety, and cleanliness, and maintain a daily updated driver’s log report.

    • Report damages, vehicular accidents, or acts of vandalism to your supervisor immediately.

House Manager

The House Manager oversees the daily operations of the residential home.

Qualifications

  • High School Diploma

  • At least one (1) year of experience with the intellectually and developmentally disabled population. Preferable: some experience in supervising.

  • Valid Driver’s License

  • Must be able to drive a 12-15 seat passenger van

House Manager

Duties

  • Training and Supervision:

    • Assist in training, supervising, and evaluating all in-house personnel.

  • On-Call Duties:

    •   Assist in responding to calls on a 24-hour basis.

  • Shift Coverage:

    • Ensure proper coverage during all shifts.

  • Household Maintenance:

    • Assist in household maintenance tasks.

  • Documentation:

    • Write monthly progress notes and assist staff in doing the same.

  • Meetings:

    • Attend scheduled meetings.

  • Appointments:

    • Assist in taking individuals to special appointments.

  • Logs and Charts:

    • Maintain appropriate logs and charts, including daily logs, visitor logs, mileage, phone calls, daily charts, and progress reports.

  • Maintenance and Repairs:

    • Inform the coordinator of needed repairs, services, and problems in written form.

  • Special Assignments:

    • Assist in special jobs as assigned to the house manager.

  • Daily Activities:

    • Participate in daily activities with the individuals on a regularly scheduled basis.

  • Program Plans:

    • Assist in implementing and evaluating individuals’ program plans.

  • Hygiene and Grooming:

    • Assist individuals in areas of hygiene and grooming.

  • Court Sessions:

    • Attend court sessions when required.

  • IDT Meetings:

    • Actively participate in IDT meetings.

  • Emergency Response:

    • Respond to emergencies.

  • Other Duties:

    • Perform other duties as required.

Qualified Intellectual Disabilities Professional (QIDP) Residential Coordinator

The QIDP (Qualified Intellectual Disabilities Professional) / Residential Coordinator is responsible for developing, implementing, and overseeing individualized care plans for residents with intellectual and developmental disabilities. The QIDP works closely with residents to develop and implement tailored care plans that address their unique needs, preferences, and goals by collaborating with interdisciplinary teams—including healthcare providers, therapists, and support staff.

Qualifications

  • BSC or BA in Human Services

  • Supervisory and residential experience necessary

  • Extensive background with developmentally disabled individuals

  • Strong organizational ability

Qualified Intellectual Disability Professional

Duties

  • Program Coordination:

    • Coordinate and monitor all day and residential program services for Persons.

  • Record-Keeping:

    • Responsible for all Title XIX record-keeping requirements.

    • Ensure proper record-keeping for behavior management programs.

    • Supervise maintenance of records on persons’ personal finances.

  • Progress Monitoring:

    • Monitor and record all persons’ progress.

    • Write quarterly summaries for each resident.

  •  Multidisciplinary Team:

    • Convene and chair the multidisciplinary team.

    • Ensure that persons’ plans of care are properly implemented.

  •  Attendance and Billing:

    •  Keep resident attendance records.

    • Assist the bookkeeper in making monthly Medicaid and private billings.

  • Reviews and Reports:

    • Review all Persons’ ISPs.

    • Review all Incident and Restraint Reports.

    • Ensure compliance with all DMH, DPW, DPH, and Title XIX standards.

  • Supervision and Coordination:

    • Directly supervise the House Manager.

    • Coordinate with psychologists and other consultant staff as required.

    • Provide ongoing programmatic and clinical supervision of all Direct Support Professionals.

  • Residential Program Quality:

    • Responsible for the operation of a quality residential program for all persons affiliated with it.

  • Staff Management:

    • Oversee the hiring and training of new staff.

    • Act as Case Manager for all persons, prioritizing their needs above all other considerations.

  •  Referral Process:

    • Gather information for the person referral process.

  • Compliance:

    • Ensure compliance with DDS/DDA Policy & Procedure.

  • Other Duties:

    • Perform other duties as required.

Licensed Practical Nurse (LPN)

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Under the direct supervision of a Registered Nurse (RN), the LPN Nurse Case Manager will provide case management services, which include training, testing, and occasional supervision of unlicensed personnel responsible for the day-to-day care of developmentally disabled persons (“Persons”). The role also involves reviewing patient records, interpreting medical orders, assessing medical needs, and planning for the care of such Persons. Direct care provision is generally not included in this role.

Qualifications

  • Must be licensed by the District of Columbia and the State of Maryland.

  • Must comply with applicable laws and regulations, including the Maryland/DC Nurse Practice Act/Code of Maryland Regulation (COMAR) Title 10, Subtitle 27 Chapter 10, Sections 02 through 03 regarding standards of practice for Licensed Practical Nurses.

  • Must comply with DC Regulation 35 Code and DC Department of Health, State of Maryland Department of Health and Mental Hygiene (DHMH), and Developmental Disabilities Administration (DDA) regulations, particularly health general article #7-904, Annotated Code of Maryland 10.22.02.12D(1-4) regarding medication administration.

Licensed Practical Nurse

Duties

  • Health Assessments:

    • Conduct health nursing assessments for each new Person admitted to a Group Home within ten (10) days of admission as assigned by the RN.

  •  Data Collection:

    • Collect written data for the 30-day and/or quarterly nursing review for each Person.

    • Collect written data for the annual nursing review for each Person’s IP (“Person Plan” of service).

  • Interdisciplinary Team Participation:

    • Participate as a member of the interdisciplinary team at all thirty-day post-admission conferences.

    •  Participate as a member of the interdisciplinary team in all annual Person reviews.

  •  Monitoring and Compliance:

    • Regularly monitor, including at least a 30-day review of Person’s medical and dental records, and ensure direct care employees have obtained recommended medical and dental examinations.

    • Ensure any recommended treatment is completed and proper follow-up is done.

    • Conduct monthly reviews of all physician and dentist orders in each Person’s record.

    • Consult regularly with RH/OH/Residential/Day Program management to ensure the implementation of nursing recommendations.

    •  Review any medical/medication incidents to ensure adequate medical attention is provided and proper follow-up is done.

    • Ensure the implementation of SYMBRAL Medication, Nursing Delegation, and Medical/Nursing guidelines and policies.

    •  Consult with physicians, staff, and Persons on health-related issues as needed.

  • Medication Administration:

    • Perform monthly reviews of MAR and physician/dentist orders for each Person.

    •  Monitor Certified Medication Technicians’ daily audit reviews.

    •  Perform 30-day reviews of medication administration to ensure compliance with DDA/DDS regulations.

    •  Conduct routine observations of Certified Medication Technicians administering medications and report any deviations to the RN Case Manager/Delegating Nurse.

    •  Ensure Certified Medication Technicians start administering new medication or changes in medication orders in a timely manner as per SYMBRAL policy.

  •  Documentation:

    • Consult regularly with staff on DDA documentation requirements for content and format.

    • Review Person’s records to ensure proper documentation of medical treatment, including the effects of medications.

    •  Ensure physicians have documented the rationale for prescribing DDA-defined “behavior modifying” and “non-behavior modifying” medications.

    • Ensure Person’s seizures and bowel movements are properly recorded by direct care staff and that proper follow-up is done as per SYMBRAL policy.

  • Training:

    •  Provide new employee training.

    • Conduct on-site training for all staff on changes in persons’ medical conditions and nursing care plans.

    •  Provide other relevant training as agreed upon on a case-by-case basis.

Registered Nurse (RN)

Case Manager/Delegating Nurse Services generally encompass services provided by licensed Registered Nurses acting in the role of a Delegating Nurse. These services include training, testing, and supervision of RNs, as well as occasional supervision of unlicensed personnel responsible for the day-to-day direct care of developmentally disabled persons (“Persons”). Additional responsibilities include reviewing patient records, interpreting medical orders, assessing medical needs, and planning for the care of such Persons. Direct care provision is generally not included in this role.

Qualifications

  •  Must be licensed by the District of Columbia and Maryland.

  •  Must perform duties in compliance with applicable laws and regulations, including the DC and Maryland Nurse Practice Act/Code of District of Columbia Chapter 16, 35, and 37 Regulation, governing standards of Nursing Practice.

  • Must adhere to Maryland regulation (COMAR) Title 10, Subtitle 27 Chapter 09, Sections 02 through 03 regarding governing standards of practice for Registered Nurses, and COMAR Title 10, Subtitle 27, Chapter 11 Sections 03 through 06 regarding delegation of nursing function.

  • Must comply with District of Columbia Department of Health (DOH), State of Maryland Department of Health and Mental Hygiene (DHMH) - Developmental Disabilities Administration (DDA) Authority: Health General Article #7-904, Annotated Code of Maryland 10.22.02.12D(1-4) regarding Medication Administration Process.

Registered Nurse

Duties

  • Health Assessments:

    • Conduct initial nursing assessments for each new Person admitted to a DDS program within ten (10) days of admission.

  • Data Collection and Review:

    • Provide written quarterly nursing and PRN reviews for each Person.

    • Develop comprehensive Person nursing plans of care for medically involved Persons or those with nursing delegation, in accordance with DC/DDS Regulation.

    • Provide written annual nursing reviews for each Person’s IP (Person Plan).

    • Review and sign off on RN monthly monitoring and running notes.

  • Interdisciplinary Team Participation:

    • Participate as a member of the interdisciplinary team at all thirty-day post-admission conferences.

    • Participate as a member of the interdisciplinary team in all annual Person reviews.

  • Monitoring and Compliance:

    • Regularly monitor, including at least a 45-day review of Person’s medical and dental records, to ensure direct care employees have obtained recommended medical and dental examinations.

    • Ensure recommended treatments are completed and proper follow-up is conducted.

    • Conduct monthly reviews of all physician and dentist orders in each Person’s record.

    • Consult with QIDP/Residential/Day Program Management regularly to ensure the implementation of nursing recommendations.

    • Review any medical/medication incidents to ensure adequate medical attention is provided and proper follow-up is conducted.

    • Ensure the implementation of SYMBRAL Medication, Nursing Delegation, and Medical/Nursing guidelines and policies.

  • Consultation:

    • Provide consultations with physicians, staff, and Persons on health-related issues as needed or requested by staff.

    • Consult with hospital Case Managers/Social Workers to start discharge planning for Persons admitted to the hospital.

    • Attend pre-hospital discharge assessments as determined by the Nursing Supervisor.

    • Perform group home/residential re-admission assessments for Persons returning from emergency rooms or hospital admissions within 48 hours of re-admission.

    • Complete annual ICF/MR recertification applications and initial certifications as required.

  • Medication Administration:

    •  Review and Monitoring:

      • Ensure monthly reviews of MAR and physician/dentist orders for each Person are conducted by RNs or LPNs.

      • Monitor Certified Medication Technicians to ensure daily audit reviews are performed.

      • Perform 45-day reviews of medication administration to ensure compliance with DDS/DDA regulations.

      • Include reviews of the Person’s records, direct observations, and review of storage and disposal of medications procedures.

  • Error Reporting:

    • Monitor that Certified Medication Technicians follow SYMBRAL’s recommended procedures and DDA/DDS regulations for reporting medication administration errors.

    • Submit written reports to MBON as required by applicable Maryland Law, upon determination that Certified Medication Technicians have failed to comply with MBON/DCBON regulations.

  • Reporting and Observation:

    • Prepare quarterly medication administration reports based on monthly reviews and submit to agency administration.

    • Conduct initial and routine observations of Certified Medication Technicians administering medications in accordance with training protocol, including annual on-site observations.

    • Ensure timely administration of new medications or changes in medication orders as indicated in SYMBRAL policy.

  •  Documentation:

    • ​Consultation and Review:

      • Regularly consult with staff on DDS documentation requirements for content and format.

      •  Perform reviews of the Person’s records to ensure proper documentation of medical treatment, including the effects of medications.

      • Review Person’s records to ensure physicians have documented the rationale for prescribing DDS-defined “behavior modifying” and “non-behavior modifying” medications.

      • Ensure seizures and bowel movements are properly recorded and that proper follow-up is conducted as per SYMBRAL’s policy and procedures.

  • Training:

    • ​Staff Training:

    • Provide new employee training.

    • upervise initial worksite medication administration by Certified Medication Technicians (CMTs) and document as required by DDS regulations.

    • Provide on-site training/testing of CMTs in medication administration at least annually and for biennial recertification, and as needed for retraining at the discretion of SYMBRAL’s RN/CM/DN.

    • Provide on-site training for all staff on changes in Persons’ medical conditions and nursing care plans.

    • Provide other relevant training as agreed upon on a case-by-case basis.

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