Direct Support Professional/Paraprofessional
Job Description
Position Summary
The Home and Community-Based Mental Health Paraprofessional provides direct support services to children, adolescents, and/or adults with mental health, behavioral health, or co-occurring needs in home and community settings. Services are delivered in accordance with North Carolina service definitions and under the supervision of a Qualified Professional (QP). The Paraprofessional assists individuals in developing coping skills, daily living skills, social skills, and behavioral management strategies to promote stability, independence, and community integration.
Key Responsibilities
Deliver skill-building interventions outlined in the Individualized Service Plan (ISP) under QP supervision.
Provide one-on-one support in home and community settings.
Assist individuals in developing coping skills, emotional regulation, and problem-solving skills.
Support behavioral interventions and reinforce positive behavior strategies.
Model appropriate social interactions and daily living skills.
Assist with crisis prevention and follow agency crisis protocols as needed.
Document services accurately and timely in accordance with North Carolina Department of Health and Human Services (NCDHHS) guidelines and agency policies.
Maintain communication with supervisors, caregivers, and treatment team members.
Participate in team meetings, supervision sessions, and required trainings.
Maintain confidentiality in compliance with HIPAA and state regulations.
Minimum Qualifications
High school diploma or GED required.
At least 1–2 years of experience working with individuals with mental health, developmental, or behavioral health needs preferred.
Must meet North Carolina Medicaid and service definition requirements for paraprofessional staff.
Valid North Carolina driver’s license, reliable transportation, and current auto insurance.
Ability to pass background check, drug screening, and credentialing requirements.
Preferred Qualifications
Associate degree or coursework in human services, psychology, social work, or related field.
Experience providing services under Intensive In-Home (IIH), Community Support Team (CST), or other NC Medicaid mental health services.
Knowledge of trauma-informed care, mental health and IDD population and evidence-based behavioral interventions.
Required Skills & Competencies
Strong interpersonal and communication skills.
Ability to work independently in community settings.
Effective documentation and organizational skills.
Cultural competence and sensitivity to diverse populations.
Ability to manage crisis situations calmly and professionally.
Work Environment
Services are primarily delivered in client homes and community locations.
Requires travel within the assigned service area.
Flexible schedule, including evenings and occasional weekends as needed.
Physical Requirements
Ability to sit, stand, bend, and move for extended periods.
Ability to safely respond to behavioral crises when necessary (following agency training).
Supervision
This position receives supervision from a Qualified Professional (QP) in accordance with North Carolina Medicaid service definitions and agency policies.
