Available Positions


Direct Support Staff Opportunities in Fulton County and Albany

Click here to see our available Direct Support Positions.

Transitions Peer Mentor

Transitions supports young adults ages 15-27 with learning differences as they go to college, get their first jobs and learn how to live on their own. We’re looking for peer mentors to work with these bright young adults and be their teachers, guardians, counselors, guides and friends as they work to become more independent and achieve their goals.

We have several different types of positions that offer maximum flexibility to fit with student schedules. You may even be able to use this opportunity as a paid internship where you earn college credit.

For more information and how you may apply, please click here.


Using the principles of positive behavioral approaches, this position will provide person-centered supports to individuals receiving services and will also provide training and guidance about how to better support people in attaining their desired personal goals to agency staff. Behaviorists support people in their homes and day programs to achieve their hopes and dreams, and serve as integral members of the behavioral support team.

A Master’s Degree in a Psychology field is required, along with one year of experience supporting individuals with developmental disabilities. Strong communication skills, organizational talent and technical abilities are a must.  

Licensed Practical Nurse

Lexington is looking for energetic and committed LPN to work full time within our attractive residential settings that have been designed for medically frail individuals with developmental disabilities in the Fulton County area. Candidates will need to possess strong clinical skills, in addition to the ability to work independently and as part of the Lexington team.


We are searching for several certified lifeguards to work part-time during the spring/summer months at our residential homes. The selected candidates will need to attend extra training to support people with developmental disabilities. Our Direct Support Staff teach, encourage, and mentor the people we support, helping them to lead a life of purpose. Direct Support Staff work various shifts in attractive settings throughout Fulton County providing assistance with individuals’ daily accomplishments, meal preparation, medication administration, personal care and participation in the life of their community.

We offer paid training, a great starting rate with shift differentials!

Nurse Practitioner

Lexington’s commitment to people with disabilities and to our employees has resulted in a thriving not-for-profit agency, recognized for excellence throughout New York State. We are accredited through the Council on Quality and Leadership (CQL) and were recognized in 2013 and again in 2014 by the Albany Times Union as the Top Place to Work in the Capital District. Our dedication to “people first” has created a culture where people we support in our programs receive service of the highest quality and our 1,600 employees enjoy outstanding human service careers.

The qualified professional candidate will assist with health management, in consultation with other medical professionals. Some key responsibilities include physicals, assessments, diagnosis, treatments and prescription management.  

Candidates should be currently registered in NYS. This is a Monday through Friday position with on-call responsibilities. Experience in internal medicine or family practice preferred.

We offer an excellent medical and dental plan with a generous time off package. Salary is commensurate with experience.

Registered Nurse (Weekend On-Call)

The Medical Services Department has an opening for an experienced registered nurse to coordinate medical and healthcare needs during the weekend shift. This is a PT position consisting of rounds to our residences and involving on-call responsibilities.

Residence Manager

Lexington is seeking experienced managers to motivate and energize our residential direct support staff and provide oversight at the homes we support. The Residence Manager position is an exciting one. Managers are actively involved in training and supervising staff in order to ensure a positive and nurturing environment for both employees and the people we support. We work hard to make sure that everyone we support has an amazing life.

Requirements include: High School diploma or equivalent, at least one year experience in a similar field, and at least one year of supervisory experience. Must be able to gain working knowledge of federal and state regulations and be willing to work flexible hours.

We offer a competitive salary and exceptional benefits along with the opportunity to work in a team-oriented environment. If you are looking for a career that matters, this is it! Click the link below to apply!


Safety Manager

Lexington has been recognized as the # 1 workplace in the Capital District Region and selected as a Best Company in New York State!

Lexington is currently recruiting for a dynamic, self-starter to lead our Safety Department. The selected candidate will administer employee workers compensation supports to ensure a high level of service, maintain agency record-keeping, ensure efficient case management, prepare incident and accident reports and evaluate trends, oversee transitional duty plans to reduce lost work time and support the employee upon return to work.

Qualifications: Strong administrative skills and exceptional interpersonal communication skills are required for this FT position with excellent benefits. A minimum of two years of workplace safety and/or risk management experience is preferred. Computer literacy and good analytical skills are necessary. Bachelor’s degree in a related field is preferred. A valid NYS driver’s license in good standing is required.