Direct Care Team Lead
Upstate Medical University
Syracuse, NY · Posted November 4, 2026
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About the job
Job Summary:
General Summary
The Milieu Team Lead supports the mission and objectives of the Golisano Center for Special Needs by providing on-site leadership and supervision to staff members delivering direct care to individuals with intellectual and/or developmental disabilities who may engage in severe challenging behavior.
This position plays an essential role in maintaining appropriate staffing, supporting consistent implementation of individualized treatment and behavior plans, developing staff competency, and promoting high-quality care throughout the shift.
Key Responsibilities
The Milieu Team Lead will:
Provide on-site supervision and day-to-day directions to staff members providing direct patient care.
Coordinate staffing assignments to ensure appropriate staff coverage for patients throughout each shift.
Adjust current and upcoming staffing schedules as operational needs change, including responding to employee callouts.
Schedule and coordinate employee breaks while maintaining appropriate patient coverage.
Coordinate staff across the range of patientcare and operational responsibilities required during each shift.
Train staff on each patient's individualized behavior and treatment plans.
Directly observe staff as they implement patient treatment plans and provide timely, constructive feedback and coaching.
Support consistent implementation of established treatment approaches and patient-specific plans.
Document staffing, supervision, training, observations, feedback, and other required activities.
Review documentation to identify concerns or areas requiring follow-up.
Address staff concerns through appropriate counseling or disciplinary processes when warranted.
Collaborate with team members to support a safe, organized, and effective treatment environment.
Perform other related responsibilities consistent with the needs and objectives of the program.
Why This Role Matters
The Milieu Team Lead has a direct impact on both staff effectiveness and the consistency of patient care. By coordinating staffing, reinforcing individualized treatment plans, providing real-time coaching, and addressing performance concerns promptly, the Team Lead helps create a structured and supportive environment for individuals with complex behavioral and developmental needs.
Minimum Qualifications:
Associates degree in Psychology, Behavioral Health, Human Services, or related field and 3 year of relevant experience; or Bachelor's degree in Psychology, Behavioral Health, Human Services, or related field and 1 year of relevant experience; or Master's degree in Psychology, Behavioral Health, Human Services, or related field
Preferred Qualifications:
Experience working with individuals with intellectual and/or developmental disabilities.
Experience supporting individuals who engage in challenging behavior.
Experience implementing individualized behavioral or treatment plans.
Previous leadership, supervisory, or team-lead experience in behavioral health, human services, healthcare, or residential setting.
Experience training, coaching, and providing feedback to direct-care staff.
Strong organizational, communication, documentation, and staff-coordination skills.
Ability to respond effectively to changing staffing and patient-care needs in a fast-paced environment.
Work Days:
Shifts available are days, evenings, overnights – every other weekend and holidays.
Message to Applicants:
Salary Range: $70,000 - $80,000 DOE
Recruitment Office: Human Resources