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The employment rate for individuals with disabilities is low. Some individuals with disabilities are able to maintain employment for extended periods of time by using unspecified social competencies, which allow them to react appropriately during co-worker and supervisor interactions at the work site. The purpose of the qualitative case study was to explore the social competencies utilized by an individual with disabilities who has maintained employment as a hospital housekeeper. Interviews and observations following appreciative inquiry principles and social role valorization perceptions were used to gain insight from the individual with disabilities, his supervisors, co-workers, and the individual’s employer. The results of the study identified the social competencies needed for individuals with disabilities to maintain employment.