The nature of the job as a Manager of Direct Supports is to provide care to
individuals with developmental disabilities in home and community-based
settings by hiring, training, and managing Direct Support Professional (DSP)
employees, as well as participating in individual specific planning and
meetings.
64.5. Job Duties
64.5.1. All Director of Direct Supports employees must adhere to the rules and
regulations set forth in Indiana Administrative Code (IAC) 460-6.
64.5.2. All Director of Direct Supports employees must adhere to the rules and
regulations set forth by the Division of Disability and Rehabilitative Services
(DDRS) and Bureau of Disability Services (BDS).
64.5.3. All Director of Direct Supports employees must abide by the requirements
set forth by the Commission on Accreditation for Rehabilitation
Facilities (CARF) as well as participate in schedule accreditation surveys.
64.5.4. All Director of Direct Supports employees shall be eligible to provide and
oversee the following supports:
64.5.4.1. Residential Habilitation and Services (RHS)
64.5.4.2. Day Habilitation (DHI), formerly known as Community Based
Habilitation – Individual (CHIO
64.5.4.3. Respite care services (RSPO)
64.5.4.4. Participant Assistance and Care (PAC)
64.5.4.5. Transportation
64.5.5. All Director of Direct Supports employees must assist the individual to
which is being provided supports with one of the following:
64.5.5.1. Self-care
64.5.5.2. Self-direction
64.5.5.3. Expressive or receptive language
64.5.5.4. Ambulation or mobility
64.5.5.5. Activities of Daily Living (ADL’s)
64.5.5.6. Learning
64.5.5.7. Independent Living
64.5.5.8. Economic Self-Sufficiency
64.5.5.9. Physical Activity
64.5.5.10. Community Participation
64.5.6. All Director of Direct Supports employees will assist a Medicaid recipient
or Medicaid recipients that meet at least one of the following criteria set
forth by the Division of Disability and Rehabilitative Supports (DDRS):
64.5.6.1. SSI (MASI)
64.5.6.2. Aged (MA A)
64.5.6.3. Blind (MA B)
64.5.6.4. Disabled (MA D)
64.5.6.5. MED Works (MADW, MADI)
64.5.6.6. Low-income Caretakers (MAGF)
64.5.6.7. Foster Care (MA 15)
64.5.6.8. Foster Care Independence (MA14)
64.5.6.9. Children under Age 1 (MA Y)
64.5.6.10. Children Age 1-5 (MA Z)
64.5.6.11. Children Age 1-18 (MA 2, MA 9)
64.5.6.12. Transitional Medical Assistance (MA F)
64.5.6.13. IV-E FC Foster Care children (MA 4)
64.5.6.14. Children in the Adoption Assistance Program (MA 8)
64.5.7. All Director of Direct Supports employees will document the following:
64.5.7.1. Incident Reporting
64.5.7.1.1. All Director of Direct Supports employees are to submit an
Incident Report form for any of the following incidents, or
knowledge of any of the following incidents:
64.5.7.1.1.1. Alleged, suspected, or actual abuse, neglect, or
exploitation occurs,
64.5.7.1.1.2. Anytime injury occurs,
64.5.7.1.1.3. Anytime death occurs,
64.5.7.1.1.4. Anytime structural or environmental problems
threaten the health and safety of an individual
64.5.7.1.1.5. Anytime a fire occurs at the site of supports
delivery
64.5.7.1.1.6. Anytime elopement occurs
64.5.7.1.1.7. Anytime alleged, suspected, or actual criminal
activity by an employee of Assisted Independence, LLC.
occurs
64.5.7.1.1.8. Anytime a medication error occurs
64.5.7.1.1.9. Anytime a physical or mechanical restraint is used
64.5.7.1.1.10. Anytime a client has a fall
64.5.7.1.1.11. Any unusual incident that may affect the health,
wellness, and functioning of a client
64.5.7.1.2. Incident Reports must include the following:
64.5.7.1.2.1. Employee first and last name
64.5.7.1.2.2. Client first and last name
64.5.7.1.2.3. Date in MM/DD/YEAR format
64.5.7.1.2.4. Time the incident began in 00:00AM format
64.5.7.1.2.5. Time the incident end in 00:00AM format
64.5.7.1.2.6. Description of the events immediately before,
during, and following the event
64.5.7.1.2.7. All individuals involved in the event
64.5.7.1.2.8. Description of response to the event
64.5.7.1.3. Incident Reports are to be submitted to Assisted
Independence, LLC. via AccelTraxwithin twenty-four (24) hours
of the incident occurring, as well as with the Division of
Disability and Rehabilitative Supports (DDRS) online
https://ddrsprovider.fssa.in.gov/IFUR/
64.5.8. Scheduling
64.5.8.1. All Director of Direct Supports employees will be responsible for
scheduling work times, which includes a minimum requirement of 35
hours per week.
64.5.8.2. Director of Direct Supports employees must inform the Assisted
Independence, LLC. office and administration of dates when and when
not available to provide supports.
64.5.8.3. All Director of Direct Supports employees may not cancel a
scheduled work time without permission from Assisted Independence,
LLC. administration.
64.5.8.4. All Director of Direct Supports employees must submit supporting
documentation (doctor’s notes, Certificate of Death, etc.) for missed
work.
64.5.9. Management
64.5.9.1. All Director of Direct Supports employees are direct supervisors to
Direct Support Professional (DSP) employees. All Director of Direct
Supports employees will actively conduct
64.5.9.1.1. Recruitment of Direct Support Professional (DSP)
employees
64.5.9.1.2. Interviewing of potential Direct Support Professional
(DSP) employees
64.5.9.1.3. Hiring, disciplining, suspending, and terminating Direct
Support Professional (DSP) employees
64.5.9.1.4. Training of Direct Support Professional (DSP) employees
64.5.9.1.5. Meetings with Direct Support Professional (DSP)
employees
64.5.9.1.6. Annual trainings for Direct Support Professional (DSP)
employees
64.5.9.1.7. All communication with Direct Support Professional (DSP)
employees
64.5.9.1.8. Annual, formal, employee reviews
64.5.10. Care Coordination
64.5.10.1. All Director of Direct Supports employees will oversee the
delivery of direct supports to a maximum of 60 individuals, which
includes,
64.5.10.1.1. The formulation and updating of Person-Centered
Individualized Support Plans (PCISP’s)
64.5.10.1.2. The formulation and updating, required at least once
annually, of each individual specific risk plan
64.5.10.1.3. The collection of documentation from other care providers
relevant to the delivery of direct supports.
64.5.10.1.4. Uploading and downloading of documentation to the
Bureau of Disability Services (BDS) online portal.
64.5.10.1.5. Responding, investigating, documenting, and resolving any
and all complaints received from individuals supported, or anyone
making the complaint on behalf of the individual supported, as
well as educating individuals and their family on how to report a
complaint.
64.5.10.1.6. The attendance of all individual specific quarterly
meetings.
64.5.10.1.7. The formulation, distribution, and data compilation of an
Annual Survey of Individual Satisfaction, which is to be provided
to all individuals supported once annually.
64.5.10.1.8. All communication with individuals supported or
individuals communicating on behalf of individuals supported.
64.5.10.1.9. Director of Direct Supports must respond immediately to
individuals supported for the following reasons:
64.5.10.1.9.1. anytime alleged, suspected, or actual abuse, neglect,
or exploitation occurs
64.5.10.1.9.2. anytime injury occurs
64.5.10.1.9.3. anytime death occurs
64.5.10.1.9.4. anytime a structural or environmental problem
threaten the health and safety of Individual supported,
64.5.10.1.9.5. anytime a fire occurs at Individual supported’s
whereabouts
64.5.10.1.9.6. anytime a first responder, police officer, fire fighter,
or EMT arrives to individual supported’s home
64.5.10.1.9.7. anytime elopement occurs, or Individual supported
wanders without telling somebody
64.5.10.1.9.8. anytime alleged, suspected, or actual criminal
activity by an employee of Assisted Independence, LLC.
occurs
64.5.10.1.9.9. anytime a medication error occurs
64.5.10.1.9.10. anytime a medication side effect occurs that
warrants immediate attention
64.5.10.1.9.11. anytime a physical or mechanical restraint is used
64.5.10.1.9.12. anytime an Individual supported has a fall
64.5.10.1.9.13. any unusual incident that may effect the health,
wellness, and functioning of Individual supported
64.5.10.1.9.14. anytime a medical appointment, such as doctor’s
appointment, psychiatry appointment, or therapy
appointment is scheduled, and was not able to be scheduled
during a scheduled shift
64.5.10.1.9.15. anytime a behavioral related incident occurs that
results in potential self-harm, harm to others, or property
damage
64.5.10.1.9.16. anytime a threat is made towards Individual
supported or oneself
64.5.10.1.9.17. anytime a vehicular accident involving Individual
supported occurs
64.5.10.1.9.18. anytime public transportation is not available to
Individual supported, and Individual supported needs
transportation for school or groceries, when food is not
present at the home
64.5.10.1.9.19. anytime another scheduled employee is unable to
fulfill a scheduled shift
64.5.10.1.9.20. anytime an unexpected visitor arrives to Individual
supported’s residence
64.5.10.1.9.21. anytime a severe, adverse weather event, such as a
tornado or flood, occurs
64.5.10.1.9.22. anytime an electricity outage occurs
64.5.10.1.9.23. anytime a terror threat or act occurs in Individual
supported’s vicinity
64.5.10.1.9.24. any “act of God” or severe adverse event that were
to pose a serious threat to Individual supported
64.5.10.1.9.25. anytime an animal enters Individual supported’s
household unexpectedly, and the animal does not leave
willingly
64.5.11. Administration
64.5.11.1. All Director of Direct Supports employees will actively participate
in administrative tasks of Assisted Independence, LLC., including, but
not limited to,
64.5.11.1.1. Meetings with Assisted Independence, LLC.
64.5.11.1.1.1. President
64.5.11.1.1.2. Director of Recreational Therapy
64.5.11.1.1.3. Nurse
64.5.11.1.1.4. Administrative Support Specialist
64.5.11.1.1.5. any consultants hired by Assisted Independence,
LLC.
64.5.11.1.1.6. community members
64.5.11.1.1.7. journalists
64.5.11.1.2. Audit, surveys, webinars, and inquiries from
64.5.11.1.2.1. the Bureau of Disability Services (BDS)
64.5.11.1.2.2. the Division of Disability and Rehabilitative
Services (DDRS)
64.5.11.1.2.3. the Family and Social Services Administration
(FSSA)
64.5.11.1.2.4. the Centers of Medicaid/ Medicare (CMS)
64.5.11.1.3. Audit, surveys, and inquiries from
64.5.11.1.3.1. the Disability Determination Bureau (DDB)
64.5.11.1.3.2. the Department of Labor (DOL)
64.5.11.1.3.3. the Department of Workforce Development (DWD)
64.5.11.1.3.4. the Commission on Accreditation for Rehabilitation
Facilities (CARF)
64.5.11.1.3.5. the Occupational, Health, and Safety
Administration (OSHA)
64.5.11.1.4. The formulations of programs, including
64.5.11.1.4.1. Recreational activities
64.5.11.1.4.2. Outdoor activities
64.5.11.1.4.3. Educational opportunities
64.5.11.1.4.4. Opportunities for individual supported to generate
an income
64.5.11.1.4.5. Teaching of resources available to individuals
supported
64.5.11.1.4.6. Health promoting activities
64.5.11.1.5. Quality assurance checks, including,
64.5.11.1.5.1. The aggregating of data
64.5.11.1.5.2. Individual supported and employee retention
analysis
64.5.11.1.5.3. Documentation checklists
64.5.11.1.5.4. Goal tracking and outcomes
64.5.11.1.5.5. Utilization reports
64.5.11.1.5.6. Any activity that promotes the betterment of
Assisted Independence, LLC. and the individuals supported.
64.5.12. Use of Technology
64.5.12.1. All Director of Direct Supports employees will receive and be
expected to use
64.5.12.1.1. Laptop computer
64.5.12.1.2. Cellular smartphone
64.5.12.1.3. Email account
64.5.12.1.4. AccelTrax/ Provide Management Software
64.5.12.1.5. Bureau of Disability Services (BDS) online portal login
64.5.12.1.6. Items requested in writing may be granted by the President
of Assisted Independence, LLC.