Available Positions


Direct Support Staff - Fulton County

If you are looking for a meaningful career in human services that offers a nurturing workplace and a chance to interact with extraordinary people, consider a Direct Support Staff position within one of Lexington’s various programs. Direct Support Staff receive paid training and work flexible morning, evening or overnight shifts. Direct Support Staff provide assistance with individuals’ daily accomplishments such as meal preparation, medication administration, personal care and active participation in the community. Once full-time employment is achieved, our employees enjoy outstanding benefits.

We also have full time and part time Direct Support Staff positions located in Albany County.

Transitions Peer Mentor

We are seeking several part-time peer mentors to work within our Transitions program for college-bound young men and women with learning differences. This program is designed to work with students who are working toward a college degree or entering the work force, helping them to become more independent and achieve their life goals.

The ideal candidates for consideration will be currently enrolled in college or have recently graduated from college and will serve as role models to the participating students, fostering social and personal growth. A positive and enthusiastic outlook is required. Experience in college student orientation and residential living is a plus.


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.  

Creative Expressions Direct Support Staff

Lexington’s Creative Expressions Program is looking for a few good people to work with our program on a part-time basis. Our Creative Expressions Program is an innovative program committed to creating inspired living through the arts. The ideal candidates will assist with the organizing, planning and implementation of creative arts programs and community opportunities that promote well-being, identity, growth, autonomy, security, connectedness, meaning and joy in the lives of people with disabilities. A High School diploma or GED is preferred. A valid NYS driver license is also required. This position requires evenings and weekend hours.

Habilitation Aides - Family Services

Lexington Family Services is looking for dedicated part-time Habilitation Aides to provide services to individuals with disabilities of all ages at our program site, in their homes or within the community.  New daytime positions are due to expansion of the program. Positions are available with children in our after school program or in supporting adults in learning skills to live more independently. Habilitation activities could also include participating in a community activity of the participant’s choice, where the person can learn new ways of interacting with others. Flexible schedules, weekdays, weekends, after school or evenings are available. Please come visit us to fill out an application! Day time, afternoon and evening hours are available.

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.

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!


Self-Directed Habilitation Aide

Individuals supported by Lexington are looking for dedicated part-time staff to support them at their home and in the community. Self-Directed Habilitation Aides provide services to individuals with disabilities based upon the desired goals and interests of the individuals.

Job duties include engaging in community and in-home activities, improving knowledge of safety skills, accessing community resources, meal planning, grocery shopping, money management skills and other daily living skills. Flexible schedules are available with some weekends as needed. Please come visit us in person or online to fill out an application!