Lead Direct Support Professional Jobs
Lead Direct Support Professional jobs are open across residential care, community programs, and behavioral health settings, from entry-level direct support roles to senior team lead positions, covering specializations in person-centered planning, crisis intervention, and staff supervision. Find a role that fits below and apply directly.
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Showing 5 of 448+ Lead Direct Support Professional jobs
Direct Support Professional III - LPN
Pay: $40.00/hour base rate; $41.00/hour Cape Cod rate
Schedule: Week 1 - Monday, Thursday, Saturday 11pm-7am; Week 2 - Sunday, Monday, Thursday 11pm-7am; 24/hours
The Direct Support Professional III - LPN is a direct service position providing individual medical support and education to individuals in assigned programs who advocate for all medical needs of assigned program participants focusing on optimal health for all individuals. Hours assigned by supervisor; on call responsibilities.
Benefits for Full-time employees:
Health Insurance: Offered through Blue Cross Blue Shield, with generous company contribution.
Enhanced Retirement Plan: 25% - 33% Employer match based on tenure.
Student Loan Assistance: Consolidation, counseling, & limited employer contribution!
Discounted Tuition with College & University Partnerships!
Tuition Assistance: Reimbursed or prepaid college coursework!
Home Mortgage Initiative: Favorable down payment (3-5%), reduced closing costs co-paid by Seven Hills!
Work-Life Balance:
Generous Accrued Paid Vacation: 3 weeks in your first year!
Vacation Cash-Out Option
3 Paid Personal Days
11 Paid Holidays
Accrued Paid Sick Time
What You'll Do:
Assess and coordinate healthcare services for individuals, ensuring timely follow-up and communication with relevant SHCS staff
Assist and transport individuals to medical appointments in accordance with DDS standards
Document all nursing interventions, medical updates, and care changes in Electronic Health Records (EHR)
Maintain and review medication and treatment orders; monitor for side effects and report concerns to appropriate personnel
Support Individual Service Plan (ISP) implementation by understanding and monitoring relevant care components (e.g., behavior plans, hygiene, self-medication)
Train staff on medication policies and procedures
Ensure health records are accurate and compliant with DDS regulations
Communicate medical updates and treatment plans to residential and day program staff
Maintain safety standards and monitor for compliance across settings
Collaborate with Health Care Director or program RN for supervision and clinical guidance
Participate in staff meetings and mandatory in-services
Uphold agency policies and maintain professionalism, confidentiality, and respect at all times
Foster a supportive and cooperative team environment
Perform additional duties as assigned by the Health Care Director or RN
Why Join Seven Hills Foundation?
Be part of a mission-driven team dedicated to person-centered care.
Opportunities for professional development and growth.
Create meaningful connections and positively impact lives every day.
Ready to Make a Difference?
Apply now to join a supportive, innovative team where you can help individuals achieve their full potential and thrive in their communities.
High school diploma/GED/HiSET required
Standard driver’s license – class C or class D
Licensed Practical Nurse (LPN) or Registered Nurse (RN) with current Massachusetts license.
1 – 3 years of related experience
One year working with individuals with Department of Developmental Services (MR/DDS)
Direct Support Professional III - LPN
Pay: $40.00/hour base rate; $41.00/hour Cape Cod rate
Schedule: Week 1 - Monday, Thursday, Saturday 11pm-7am; Week 2 - Sunday, Monday, Thursday 11pm-7am; 24/hours
The Direct Support Professional III - LPN is a direct service position providing individual medical support and education to individuals in assigned programs who advocate for all medical needs of assigned program participants focusing on optimal health for all individuals. Hours assigned by supervisor; on call responsibilities.
Benefits for Full-time employees:
Health Insurance: Offered through Blue Cross Blue Shield, with generous company contribution.
Enhanced Retirement Plan: 25% - 33% Employer match based on tenure.
Student Loan Assistance: Consolidation, counseling, & limited employer contribution!
Discounted Tuition with College & University Partnerships!
Tuition Assistance: Reimbursed or prepaid college coursework!
Home Mortgage Initiative: Favorable down payment (3-5%), reduced closing costs co-paid by Seven Hills!
Work-Life Balance:
Generous Accrued Paid Vacation: 3 weeks in your first year!
Vacation Cash-Out Option
3 Paid Personal Days
11 Paid Holidays
Accrued Paid Sick Time
What You'll Do:
Assess and coordinate healthcare services for individuals, ensuring timely follow-up and communication with relevant SHCS staff
Assist and transport individuals to medical appointments in accordance with DDS standards
Document all nursing interventions, medical updates, and care changes in Electronic Health Records (EHR)
Maintain and review medication and treatment orders; monitor for side effects and report concerns to appropriate personnel
Support Individual Service Plan (ISP) implementation by understanding and monitoring relevant care components (e.g., behavior plans, hygiene, self-medication)
Train staff on medication policies and procedures
Ensure health records are accurate and compliant with DDS regulations
Communicate medical updates and treatment plans to residential and day program staff
Maintain safety standards and monitor for compliance across settings
Collaborate with Health Care Director or program RN for supervision and clinical guidance
Participate in staff meetings and mandatory in-services
Uphold agency policies and maintain professionalism, confidentiality, and respect at all times
Foster a supportive and cooperative team environment
Perform additional duties as assigned by the Health Care Director or RN
Why Join Seven Hills Foundation?
Be part of a mission-driven team dedicated to person-centered care.
Opportunities for professional development and growth.
Create meaningful connections and positively impact lives every day.
Ready to Make a Difference?
Apply now to join a supportive, innovative team where you can help individuals achieve their full potential and thrive in their communities.
High school diploma/GED/HiSET required
Standard driver’s license – class C or class D
Licensed Practical Nurse (LPN) or Registered Nurse (RN) with current Massachusetts license.
1 – 3 years of related experience
One year working with individuals with Department of Developmental Services (MR/DDS)
Lead Direct Support Professional Jobs by Experience Level
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Find JobsLead Direct Support Professional Job Market
Who's Hiring
- Abound Health95
- RHA Health Services26
- Action Behavior Centers - ABA Therapy for Autism12
- Seven Hills Foundation11
- Reach Services9
Top Industries Hiring
- Healthcare & Medical Services
- Manufacturing
What Employers Look For
The qualifications that appear most often in lead direct support professional jobs.
- High school diploma or GED with one to three years of direct support experience
- Current CPR, first aid, and medication administration certification
- Experience supervising or mentoring direct support professional staff
- Knowledge of person-centered planning and individualized support plans
- Valid driver's license and ability to transport individuals served
- Familiarity with incident reporting systems and state compliance documentation
Tips for Your Lead Direct Support Professional Job Search
Highlight your supervisory experience clearly
Lead roles require documented evidence of coaching or overseeing DSP staff. List the number of staff you directed, any scheduling you managed, and specific outcomes like reduced incident rates or improved documentation compliance to separate your application from standard DSP candidates.
Certify in CPR, first aid, and medication administration
Most job postings for lead direct support professionals require current CPR and first aid cards, and many require a medication administration certification. Having all three before you apply removes a common screening barrier and signals you can step into the role without a delayed start date.
Tailor your resume to each population served
Employers supporting adults with intellectual disabilities screen differently from those serving individuals with traumatic brain injuries or mental health diagnoses. Match your language to the specific population in each posting, using the same terminology the employer uses in their job description.
Apply early to roles that fit
Migrate Mate lists lead direct support professional openings from across the United States in one place, so you can find roles that match and apply directly to each listing.
Prepare for scenario-based interview questions
Interviewers for lead direct support professional positions commonly ask how you would handle a staff member not following a behavior support plan or a participant in crisis during a shift. Prepare two or three specific examples from past experience using a clear situation, action, and result format.
Ask about caseload ratios and on-call expectations
Before accepting an offer, clarify the staff-to-participant ratio you would oversee, whether on-call coverage is required, and how incidents are documented and escalated. These details vary widely by agency and directly affect your day-to-day workload and long-term fit in the role.
Lead Direct Support Professional Jobs: Frequently Asked Questions
Which companies are hiring the most lead direct support professionals?
The most active employers for lead direct support professionals right now are Abound Health, RHA Health Services, and Action Behavior Centers - ABA Therapy for Autism, and the most openings are in New Jersey, North Carolina, and California, based on current listings on Migrate Mate as of November 2026. Availability shifts frequently, so checking current listings is the most reliable way to find active openings near you.
How many lead direct support professional jobs are remote?
About 19% of lead direct support professional openings are fully remote or hybrid as of November 2026, reflecting the hands-on nature of most direct support work. Administrative or case coordination components of some lead roles can be performed remotely, but positions that involve direct participant supervision or facility-based oversight are almost always in-person.
How do you become a lead direct support professional?
Start by working as a direct support professional to build hands-on experience with the population you want to serve. Complete required certifications including CPR, first aid, and medication administration, then pursue a National Alliance for Direct Support Professionals credential if your state recognizes it. Demonstrate reliability, take on shift lead responsibilities when available, and document any supervisory or training tasks you perform to build a record of readiness for a lead role.
Can you get hired as a lead direct support professional with little experience?
Some agencies will hire candidates with limited formal DSP experience if they have a background in a related field such as behavioral health, special education, or social services. Volunteering with disability service organizations, completing a DSP certificate program, or working as a home health aide can substitute for direct support hours. Applying to entry-level direct support roles first and moving into a lead position within the same agency is also a common path.
What does the lead direct support professional interview process look like?
Most agencies conduct an initial phone screen followed by one or two in-person interviews. Expect questions about how you handle behavioral incidents, how you document care, and how you support and correct staff in the moment. Some employers include a facility tour or a brief shadowing period. Background checks and reference verification are standard before any offer is finalized.
Where can I find and apply to lead direct support professional jobs?
You can find and apply to lead direct support professional jobs on Migrate Mate, which lists current openings from across the United States. Find roles that fit your experience, location, and preferred population, then apply directly to each listing. New positions are added regularly, so checking back frequently gives you the best chance of catching recently posted openings.
See All 448+ Lead Direct Support Professional Jobs
Find roles that match your experience and apply in just a few clicks.
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