cURRENT oPENINGS

Location: Bremer County, Iowa
Schedule: Full-Time | Weekdays

NIRCS is hiring a mission-driven Team Lead to oversee first-shift operations in our residential program. This leadership role supports staff, ensures quality care, and maintains compliance with Medicaid and ICF/ID standards.

• Supervise DSPs and support daily care routines
• Monitor documentation and shift transitions
• Communicate with families and case managers
• Assist with scheduling and onboarding
• Uphold HCBS and ICF/ID compliance

• 2+ years in residential or disability services
• Positive attitude and leadership skills
• Respect for DSPs as the heart of our care model
• Commitment to professional growth and stewardship
• Experience with Therap is a plus

• Competitive wages and clear expectations
• Supportive leadership and training
• A culture of dignity, professionalism, and rural pride

Now Hiring: QIDP – Supported Community Living

Full-time | Weekends off | Competitive pay + stipend + mileage

Lead person-centered planning, oversee Therap documentation, ensure compliance, and investigate CIDs.

Must have a Human Services degree, 1+ year ID/DD experience, CPR/BLS certified, and strong Medicaid knowledge.

Organized, detail-driven, and ready to lead with purpose.

To apply, please list your availability.

Direct Support Professional (DSP) – First Shift

Location: Bremer County, Iowa

Schedule: Compressed Weekday Shifts | Biweekly Pay

🧭 About the Role

This isn’t just a job—it’s a calling. At NIRCS, DSPs are the soul of our homes. They build relationships, foster independence, and support individuals with intellectual disabilities (ID) in living full, meaningful lives. We don’t reduce people to diagnoses. We honor their stories, preferences, and potential.

🕒 Schedule & Pay

• Compressed Schedule: Full-time DSPs work fewer days with longer shifts, allowing for more time off between workweeks.

• Overtime Minimum: Each pay period includes at least 20 hours of overtime, except for 24-hour shifts which are not OT-eligible.

• Biweekly Pay: Direct deposit is required for all staff.

• Shift Availability: First shift openings prioritize weekday coverage.

🛠️ First Shift Responsibilities

• Coordinate and attend appointments with members

• Manage medication refills and documentation

• Plan and lead activities that reflect each person’s interests

• Support daily routines with respect and consistency

• Communicate with Team Leads and families as needed

• Maintain a safe, clean, and welcoming home environment

• Document supports and progress using Therap

💡 What You Bring

• A belief that people are more than their diagnosis

• Patience, professionalism, and a sense of humor

• Comfort with structure and openness to feedback

• Ability to follow compliance standards without losing the human touch

• Experience with Therap or HCBS/ICF/ID systems is a plus—but heart comes first

🌱 What We Offer

• A comfortable, enjoyable position rooted in dignity and rural pride

• Clear expectations and non-punitive accountability

• Paid training and mentorship from mission-aligned leaders

• Competitive wages and shift flexibility

• A culture that sees DSPs as the heart of our care model 

        A competitive wage and incentives. 

Location: Bremer County, Iowa
Schedule: Full-time, flexible hours with remote documentation and in-person collaboration
Reports to: CEO

Northeast Iowa Rural Care Solutions (NIRCS) builds person-centered residential systems for individuals with intellectual and physical disabilities across rural Iowa. We prioritize audit-proof compliance, trauma-informed documentation, and sustainable staffing models that honor both clients and Direct Support Professionals (DSPs).

The BOM is a strategic operations partner who ensures NIRCS runs smoothly behind the scenes. This role blends Medicaid billing, payroll coordination, and compliance tracking with mission-driven leadership. The BOM collaborates closely with the CEO, Business Development Director & CFO, and Payee Coordinator to maintain financial integrity and support staff culture.

• Manage Medicaid billing, payroll processing, and expense reconciliation
• Track LOCE, service authorizations, and monthly documentation deadlines
• Maintain audit-ready records across homes and service types
• Collaborate on wage modeling, budget forecasting, and financial reporting
• Support onboarding, staff scheduling, and internal workflows
• Liaise with fiscal agents, MCOs, and external vendors as needed
• Uphold trauma-informed, non-punitive accountability systems

• Experience with Medicaid billing and HCBS service documentation
• Familiarity with payroll systems and expense reconciliation
• Strong organizational skills and attention to compliance details
• Billing/coding certificate optional—real-world experience preferred

• Competitive wage based on experience and scope
• Flexible scheduling and remote documentation options
• Mission-driven team with strong onboarding rituals and staff support
• Opportunities for growth in strategic operations and leadership If you are looking for an organization that values you and your time. Please apply. 

At North East Iowa Rural Care Solutions, we offer a nurturing family home environment for individuals in need of supportive services.   We are seeking an individual whose core values align with our mission.  

Location: Bremer County, Iowa (Hybrid)
Schedule: Flexible, 10–15 hours/month
Contract Type: 1099 Consultant

NIRCS is seeking a licensed social worker to serve as a flex-time consultant supporting intake assessments, benefit coordination, and trauma-informed documentation. This role is ideal for a clinician who values autonomy, mission alignment, and rural impact—without the constraints of daily direct care.

• Conduct intake assessments for new clients (remote or onsite)
• Coordinate Money Follows the Person (MFP) transitions and funding
• Review SSA payee eligibility and HCBS documentation
• Provide trauma-informed consults for staff and guardians
• Track LOCE status and prepare audit-ready summaries
• Attend scheduled team meetings or compliance reviews

• Licensed Social Worker (LMSW, LCSW, or equivalent)
• Experience with HCBS, SSA, and Medicaid systems
• Strong documentation and benefit navigation skills
• Respect for person-centered language and rural values
• Comfortable with hybrid workflow and secure digital platforms

• Flexible scheduling and remote-friendly workflow
• Monthly retainer or hourly compensation
• Mission-driven culture rooted in dignity and stewardship
• Opportunity to shape sustainable rural care systems

All consultant agreements with NIRCS require:

• Verification of licensure and legal authorization to work in the U.S.
• Agreement to maintain confidentiality and audit-ready documentation

NIRCS is an Equal Opportunity Employer. We do not discriminate based on race, color, religion, sex, national origin, age, disability, or veteran status, in accordance with applicable federal law. We are committed to building a workplace rooted in dignity, inclusion, and rural pride.

North East Iowa Rural Care Solutions is looking for dedicated individuals to join our team as independent contractors. If you are passionate about providing support and care to those in need, we want to hear from you. This role offers flexibility and the chance to make a meaningful impact in your community. Apply now to become a part of our mission!

Location: Bremer County, Iowa
Schedule: Flexible part-time (10–15 hrs/week)
Reports to: Business Office Manager

NIRCS is seeking a detail-oriented Payee Coordinator to oversee financial stewardship for individuals receiving Representative Payee services. This role ensures timely bill payment, accurate benefit tracking, and audit-ready documentation—all within a person-centered, trauma-informed framework.

• Maintain individual ledgers and reconcile monthly Social Security deposits
• Process rent, utilities, and personal spending requests with accuracy and care
• Track benefit changes, LOCE status, and payee authorizations
• Prepare quarterly reports for guardians, case managers, and auditors
• Collaborate with BOM to ensure compliance with SSA and HCBS standards
• Uphold NIRCS values of dignity, transparency, and rural stewardship

• Strong organizational and financial tracking skills
• Familiarity with SSA payee guidelines and HCBS billing preferred
• Experience with QuickBooks, Excel, or similar platforms
• Ability to maintain confidentiality and clear boundaries
• Respect for person-centered language and trauma-informed practices

• Flexible scheduling and remote-friendly workflow
• Mission-driven team culture rooted in rural pride
• Training in NIRCS systems and compliance protocols
• Opportunity to grow into expanded financial roles

At North East Iowa Rural Care Solutions, we provide transformative Host Home services that create a nurturing environment for individuals with diverse needs. Our dedicated families offer support and companionship, ensuring that no one feels alone in their journey. We believe in empowering our residents to thrive and achieve their fullest potential while living in a community setting. Explore our programs today!

At North East Iowa Rural Care Solutions, we specialize in HCBS Waiver Supported Community Living and Home-Based Habilitation services. Our programs are tailored to meet the unique needs of each individual, providing them with the support required to live independently and participate fully in their communities. Find out how our services can benefit you or your loved one.

Discover the inspiring success stories of individuals who have benefited from North East Iowa Rural Care Solutions's Host Home services. Our residents have achieved remarkable milestones with the support of our dedicated families and staff. These stories highlight the strength of community and the positive impact of our services. Read about their journeys and be inspired by their resilience.

For more information about the services we provide at North East Iowa Rural Care Solutions, please reach out to us. Our friendly team is eager to assist you and answer any questions you may have. We believe in the importance of communication and are committed to providing the best support for individuals and families in our community. Contact us now!