Residential Support Specialist (RSS)

ALIGN INTEGRATED CARE PLLC
Sandston, VA

Job Description

Job Description

Position Summary

The Residential Support Specialist (RSS) provides direct care, structure, and supervision to residents within the ASAM Level 3.1 Clinically Managed Low-Intensity Residential Program, as defined by the Virginia Department of Behavioral Health and Developmental Services (DBHDS). This role ensures a safe, therapeutic, and recovery-oriented environment consistent with DBHDS 3.1 staffing and program criteria, which require 24-hour onsite allied health staff presence and 24/7 physician consultation availability.

The RSS supports residents in achieving treatment goals by maintaining safety, modeling recovery principles, documenting progress, and fostering personal responsibility, emotional growth, and independence.

Key Responsibilities

  • Provide 24-hour milieu supervision , ensuring resident safety, accountability, and adherence to DBHDS and ALIGN Community & Treatment Services (ACTS) program standards.
  • Conduct scheduled wellness, safety, and room checks in compliance with Level 3.1 staffing expectations.
  • Support residents’ daily routines, including life skills development, hygiene, meal preparation, community integration, and social interaction.
  • Assist residents in following individualized treatment and recovery plans, encouraging engagement in groups, therapy sessions, and recovery-related activities.
  • Monitor and document resident behavior, mood, and progress in accordance with DBHDS documentation requirements (12VAC35-105-1630 & 12VAC35-105-1640) .
  • Communicate behavioral or safety concerns promptly to the clinical and medical teams.
  • Participate actively in team meetings, case reviews, and supervision to promote consistency and quality of care.
  • Support medication observation and administration while ensuring compliance with prescribed regimens.
  • Maintain facility cleanliness and assist with household tasks, meal preparation, and inventory checks.
  • Uphold confidentiality, professional ethics, and trauma-informed practices in accordance with all federal, state, and agency regulations, policies, and procedures.

Minimum Qualifications

  • High school diploma or GED required; associate’s or bachelor’s degree in Human Services, Psychology, or related field preferred.
  • One (1) year of experience in behavioral health, residential, or substance use treatment preferred.
  • Valid driver’s license and clean driving record.
  • Successful completion of criminal background and central registry checks.
  • CPR, First Aid, and medication administration certification (within 90 days of hire).
  • CNA, QMHP, or related credentials preferred.

Knowledge, Skills & Abilities

  • Knowledge of substance use recovery, relapse prevention, and co-occurring mental health conditions.
  • Strong interpersonal, communication, and de-escalation skills.
  • Ability to maintain clear, timely, and accurate documentation.
  • Capacity to work independently while maintaining alignment with team and clinical direction.
  • Professional, empathetic, and consistent approach with residents.

Physical Requirements

  • Ability to remain alert during assigned shifts.
  • Ability to lift up to 25 lbs and respond quickly in emergencies.
  • Ability to stand, walk, or sit for extended periods during an 8-hour shift.

Job Types: Full-time, Part-time, PRN

Posted 2026-03-27

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