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Imagine the Possibilities

Non-profit disability services and community supports

Home & Community Based Services Coordinator

Full-TimeUpdated on 10/23/2026
$22.63/hr
Entry
Creston, IA, USA
In PersonIn-office, Monday–Friday, 8:00 a.m.–4:30 p.m.; participates in an on-call rotation and may cover open site hours.
Social & Community ServicesResidential & Direct Support
No H1B Sponsorship

About the job

Requirements
  • Must be at least 18 years old.
  • Must hold a driver's license.
  • Must have reliable transportation and provide proof of automobile insurance with liability coverage of $100,000/$300,000/$50,000.
  • Must have a high school diploma or GED equivalent.
  • Must be able to work in the United States without sponsorship.
  • Must be able to meet the stated physical demands, including lifting up to 35 pounds (or using assistance for heavier lifting), sitting or standing for up to eight hours, frequent bending/stooping/stretching, wearing hearing and eye protection in designated areas, and the specified visual, hearing, speech, and wakefulness abilities.
Responsibilities
  • Hire, schedule, and supervise direct-support staff; manage training, evaluations, meetings, and documentation; ensure adequate coverage, including on-call coverage and filling in as needed.
  • Ensure services comply with the HCBS philosophy, agency policies, Department of Human Services regulations, and applicable compliance standards; conduct site visits and maintain quality assurance across programs.
  • Develop, implement, and monitor Individual Service Plans with case managers and the interdisciplinary team; ensure assessments, goals, authorizations, and required documentation are current and accurate.
  • Oversee medication administration processes, appointment follow-ups, and individual financial management, including budgets, ledgers, and payee responsibilities.
  • Serve as the primary liaison with case managers, families, and stakeholders; manage incident reports, service documentation, and transportation coordination.
  • Perform general operational duties, including reports, committee work, and agency support tasks.
  • Monitor and coordinate services, develop strategies to help individuals meet and exceed their goals, maintain accurate records, and ensure decisions and services are implemented in compliance with governing-body rules and regulations.
  • Emphasize individual choice and decision-making while collaborating with team members, individuals served, and support systems.

About the company

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Imagine the Possibilities

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Imagine the Possibilities, Inc. is a nonprofit in Iowa that supports children and adults with disabilities across 27 counties. It delivers a mix of home and community-based services, licensed residential care, day habilitation, and employment supports tailored to each person’s goals. Services are funded primarily by Medicaid, with additional support from state and local funds, grants, fundraising, and donations, and are organized through a merged network of DAC, Imagine the Possibilities, Midwest Opportunities, and G & G Living Centers to provide integrated programs. Its goal is to empower people to achieve independence, participate in their communities, and pursue meaningful employment across the life spectrum.

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Simplify Jobs

Simplify's Take

What believers are saying

  • FY2025-2026 footprint spans 26 counties, preserving demand across diversified Iowa markets.
  • Leadership continuity under Marlette supports operational execution and further merger-driven growth.
  • Region 6 still offers RCF, crisis, respite, and employment services after restructuring.

What critics are saying

  • Closing Burlington Crisis Center July 31, 2025 signals service contraction and revenue pressure.
  • Can-redemption ended March 31, 2025 because losses were insurmountable, exposing thin margins.
  • Medicaid reimbursement dependence and nonprofit fragmentation threaten layoffs if Iowa rates tighten.

What makes Imagine the Possibilities unique

  • 27 Iowa counties, 850 staff, and Medicaid-funded HCBS create statewide scale.
  • Tiffany Marlette became CEO January 2025 after rising from direct care and operations.
  • Hope Haven integration plus 2017 G&G merger built unusually broad rural-service coverage.

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Benefits

  • 401(k) Retirement Plan
  • Health Insurance
  • Dental Insurance
  • Vision Insurance
  • Life Insurance
  • Pre-Paid Legal Services
  • Employee Discounts
  • Employee Assistance Program
  • Training Programs
  • Paid Vacation
  • Hybrid Work Options
  • Flexible Work Hours