HCA "builds" doors when all others have closed. No challenge is too great when the goal is to help others fulfill their dreams.
Eric Varden  Behavioral Specialist
It's easy to come to work when you love what you do and who you work with.  I feel blessed to work with the kids, their families and my co-workers here at HCA!
Tara Lynne Roof  Speech and Language Pathologist
I learn something new almost everyday and really enjoy what I do... I love my job!
Rick Henderson  House Manager
There is no job more rewarding or more fulfilling than working with the children, families, and staff at HCA
Desiree M. zu Hone  Special Education Teacher

HCA offers a variety of rewarding careers. Whether you enjoy working with or for individuals with developmental disabilities, HCA is the place for you. Read above what some of our employees have to say about working at HCA.

Employees may be eligible for the following benefits:

  • Paid Vacation Time
  • Paid Sick Time
  • Paid Personal Days
  • Paid Holidays
  • Educational Assistance
  • Health Insurance
  • Dental Insurance
  • Life Insurance
  • Long-term Disability
  • 403b Pension/Savings Plan

Applications are currently being accepted for the following positions:

Employment Specialist

Position Overview: Under general supervision, provide direct support in enabling individuals to achieve their vocational goals and provide clear communication with supervisory staff regarding the progress of their work plan.

Essential Duties and Responsibilities: Provide necessary orientation, training, supervision, and follow along services to assigned individuals at the work site. Implement treatment according to defined program objectives, maintain cooperative working relationships with host company employees, referral agency representatives and all other personnel including the consumer and family to assure the necessary integration and coordination of service delivery to individuals. Responsible for training individuals to perform assigned work to best of their ability, familiarizes individuals with their new work environment, assist individuals in learning other new tasks such as organization, time management, professionalism and interpersonal relations. Help individuals work through issues that may arise on the job by using creating problem solving.

Education and Experience Requirements: A minimum of 2-4 years’ experience working with the developmentally disabled population or a combination of education and experience that meets or exceeds the standards of the program. Qualifications and knowledge:  Must have the ability to provide strong advocacy, problem-solving and negotiating skills, and the ability to foster positive relationships, must obtain and maintain training as required by OPWDD, the ability to show initiative, motivation, creativity and ability to understand many areas of OPWDD requirements and knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, and other office procedures and terminology.

Habilitation Specialist

Position Overview: Under the direction of the Residential Psychologist, provides supervision of individuals’ Habilitation plans. As part of the Clinical team will have assume the primary responsibility for development, maintenance and implementation of Habilitation plans.  Will evaluate Individual response; and monitor treatment-planning efforts, provide direct support to staff to assist individuals in achieving more effective personal, social, educational, and vocational development and adjustment as indicated by the plans.

Essential Duties and Responsibilities: Facilitate discussion with individuals, and/or families to help them understand problems, define goals, and develop realistic action plans as they relate to their plans and ISP’s. Attend ISP meetings and hold 6 month review meetings. Collect information about individuals, using interviews, case histories, observational techniques, and other assessment methods. Assist with the development of therapeutic and treatment plans based on Individuals interests, abilities, and needs and OPWDD Guidelines. Collaborate with other professionals to discuss therapies, treatments, counseling resources, or techniques. Ensure that Habilitation meets the OPWDD Billing requirements. Other duties as assigned.

Education and Experience Requirements: Bachelors’ degree in psychology, Behavioral Science or related field from an accredited educational institution.  Must meet QIDP criteria. Minimum one year’s experience and OPWDD experience. Qualifications and knowledge: Excellent verbal, written and active listening skills. Excellent organizational & time management skills. Knowledge of all appropriate ethical, professional, and legal standards. .Understands and respects the unique needs of Individuals served and their families. Knowledge of the NYS Office of People With Developmental Disabilities (OPWDD) and prefer experience with individual dually diagnosed (developmental disabilities and Mental Health Disorders). Knowledge of diagnostic and treatment services including occupational therapy, physical therapy, speech therapy, and special education. Knowledge of human behavior and performance; individual differences in ability, personality, and interests. Ability to multi-task in a fast-paced, team-oriented environment.  Strong collaboration skills. Exceptional problem solving skills, including a proactive approach to problem solving and the ability to make quick and independent decisions in response to changing conditions. Demonstrates motivation to augment current level of knowledge and practice through participation in continuing education courses. Demonstrates energy and enthusiasm for working with OPWDD population. Demonstrate appropriate/professional interpersonal skills with agency personnel, Individuals  and their families. Valid NYS Driver’s license. Proficient with Internet Explorer; Microsoft Excel; Microsoft Outlook; Microsoft Word; and Windows Operating System. Maintain OPWDD and agency required trainings.

LPN (There is a sign-on bonus of up to $2,500 for this position)

Position Overview: Under the direction of a Registered Nurse (RN) assess and monitor medical concerns, provides care to ill, injured or disabled program participants.  Performs/teaches and reinforces accepted infection control and personal grooming techniques; assists in bathing, toileting, dental care, hair and nail care, personal hygiene and grooming routines as necessary.  Administers medications skillfully.  Keeps supervisor informed of individual needs and problems.  Performs other duties as assigned. Maintains confidentiality of information.


Education and Experience Requirements:  Licensed Practical Nurse (LPN), valid NYS License, nursing experience with OPWDD population

Medicaid Service Coordinator

Position Overview: Provide OMRDD Medicaid Service Coordination and POCSS (Plan of Care Support Services) to children and adults with developmental disabilities to help consumers strive for the highest quality of life.

Role and Responsibilities: Responsible for the development, implementation, maintenance of a consumer’s Individualized Service Plan (ISP) utilizing person centered planning philosophy through promotion of choice, individualized services and supports resulting in consumer satisfaction. Assisting the individual and/or their family in defining a person centered plan with outcomes that lead to successful inclusion into his/her community as a valued, participating member. Assuring that all referrals and associated linkages needed to achieve the valued outcomes are made. Oversee the Agency/program supports to the individual ensuring that the person’s interests, preferences, and capabilities along with inclusion into the community are maintained. Document all service coordination activities. Minimum Education and Experience Requirements: Associate’s degree in health or human services field and a minimum of one year working with people with developmental disabilities or a service coordinator with any population.

Required Qualifications and Knowledge: Excellent verbal, written and active listening skills. Excellent organizational skills and ability to resolve crisis situations in a positive manner. Knowledge of human behavior and performance: individual differences in ability, personality, and interests. Have access to reliable transportation and possess a valid NYS Driver’s license. Must be proficient with Internet Explorer; Microsoft Excel; Microsoft Outlook; Microsoft Word; and Windows Operating System. EOE

Occupational Therapist

Position Overview: Assess, plan, organize, and participate in rehabilitative programs to help rehabilitate those impaired because of illness, injury or psychological or developmental problems. Essential Duties and Responsibilities:Test and evaluate patients’ physical and mental abilities and analyze medical data to determine realistic rehabilitation goals for patients. Make professional recommendations on the basis of evaluation results, regarding the need for occupational therapy services. Establishes goals and objectives for each child, which are appropriate, functional, and measurable. Plans and implements appropriate treatment programs, based on the established goals and objectives, using sound treatment practices.


Education and Experience Requirements: Bachelors or Master’s Degree from an accredited college or university and must have current license to practice occupational therapy in New York State, or hold a valid temporary license pending board examination results, or pending out-of-state reciprocity completion

Residential Counselor - Full-Time and Part-Time - New Pay Rates!

Position Overview: Under direct supervision care for the developmentally disabled. These tasks involve encouraging, guiding and training individuals in developing daily living skills and habits, taking care of their personal needs, and maintaining the living environment. Requirements are High School Diploma and you must possess a valid driver’s license and satisfactory driving record. Must maintain all required training and certifications, including AMAP (Approved Medication Administration Personnel), CPR and First Aid certification.

Residential Shift Managers

Position Overview: The Shift Manager will be the designated “point person” for their assigned shift. Must have the ability to be a positive role model and team leader and provide care for the developmentally disabled.  These tasks involve encouraging, guiding and training individuals in developing daily living skills and habits, taking care of their personal needs, and maintaining the living environment.

Essential Duties and Responsibilities: Ensure daily assignment sheet completed and all responsibilities are completed, give direction and be an on-site resource to all staff to ensure the work flow of the house, main contact person with on call Manager to facilitate service provision. Ensure proper supervision and safety of consumers and ensure timely incident reporting. Refer concerns regarding staff issues to on call Manager for proper follow-up. Education and Experience Requirements: High School Diploma and two years working with the developmentally disabled or a combination of education and experience that meets or exceeds the standards of the program. OPWDD experience preferred.

Qualifications and knowledge: Must maintain all required training and certifications including, AMAP (Approved Medication Administration Personnel), CPR and First Aid certifications. Must possess a valid driver’s license and a satisfactory driving record. Proficient with Internet Explorer; Microsoft Excel; Microsoft Outlook; Microsoft Word

1:1 Aide
Position Overview: Under the general supervision of the Special Education Teacher, perform routine classroom assignments for the designated child. Assist with daily classroom activities and routines including facilitating and monitoring interactions of designated child. Implementation of designated child’s individual goals/objectives. and with acquisition of self-help skill and personal hygiene. Ensure a safe environment for the designated child in the classroom, playground, and on trips. Prepare for daily snack for designated child and clean up. Perform designated assignments as directed. 2 positions available. Location: Johnson City, NY
Investigator - Full Time

Position Overview:

Conducts investigations of alleged instances of abuse and neglect and other types of employee complaints or misconduct in a confidential manner.

Role and Responsibilities:

Conduct and accurately, complete a thorough investigation within Justice Center and OPWDD specified timeframe.

Investigate assigned cases by various methods including but not limited to interviews, collection of evidence, taking photographs, drawing diagrams/floor plans, etc.

Analyze data and evidence to write narrative reports to effectively communicate independent conclusion of investigation to Special Review Committee.

Present all investigations to the Special Review Committee.

If needed, follow up on all events at the direction of the Special Review Committee to substantiate independent conclusion of investigative findings.

Complete administrative requirements of the Justice Center and OPWDD investigative guidelines.

Assist with audits and required follow-up.

Other duties as assigned.

Minimum Education and Experience Requirements (one of the following):

Associate’s Degree in related field and two years’ independent investigation experience.

Associate’s Degree in related field with four years’ OPWDD experience and investigation experience.

A combination of education and experience that meets or exceeds the standards of the program.

Qualifications and Knowledge:

Familiar with OPWDD regulations and procedures.

The ability to obtain and maintain an Investigator Level I Certification.

Knowledge/background in investigation procedures and processes

Physical Therapist

Position Overview:

Evaluates, assesses, and treats movement dysfunction with the global goals of improving the quality and skill level of posture and movement through space, toward functional independence in mobility.

Role and Responsibilities:

  • Perform evaluations with written report including information pertaining to medical and developmental history, assessment of muscle tone, strength, range of motion, postural alignment, reflexes, postural reactions, neuro-motor control and coordination (quality of movement), gross motor functional levels, respiration, adaptive equipment needs and any other pertinent information.
  • Make recommendations for provision of physical therapy services, based on evaluation results.
  • Plan and implement appropriate treatment programs using sound treatment practices, including neuro-developmental techniques, motor control strategies, sensory integration, therapeutic exercises, neuromuscular electrical stimulation, lower extremity splinting, taping, and other related procedures.
  • Establish goals and motor objectives for consumers, which are appropriate, measurable, documenting progress on these goals and objectives as per department and agency policy and procedure.
  • Document treatment procedures, response to treatment, and progress, in a clear, concise, and timely manner.
  • Determine the needs for adaptive equipment; pursue funding/purchase in collaboration with appropriate vendor(s), parents/caregivers, and other team members as appropriate.  Adaptive equipment may include, but is not limited to the following: wheelchairs, walkers, gait trainers, standers, adaptive car seats, strollers, therapeutic chairs, orthotics, etc.
  • Provide information, education, in-services, consultation, and/or monitoring, to other team members and parents/caregivers in regard to proper handling techniques, use and care of adaptive equipment, use and care of orthotics, positioning recommendations, and transfers.
  • Communicate verbally and in written form clearly and concisely to parents and other professionals and paraprofessionals.
  • Supervise and delegate responsibility to physical therapist assistants in a manner which is consistent with safe, legal, and ethical, physical therapy practice.  This includes taking responsibility  for conducting evaluations/re-evaluations, establishing treatment goals and procedures, reviewing documentation and monitoring treatment provision according to regulation.
  • Maintain ethical and legal standards of practice at all times.
  • Maintains appropriate professional conduct at all times in interactions with agency personnel, consumers, and their families.
  • Understand and respect the individual needs of consumers and their families.
  • Establish professional goals to (continuously) pursue training in new techniques, areas of interest in the field.
  • Pefroms other duties as assigned.

Education and Experience Requirements:

  • Master’s Degree in Physical Therapy from an accredited college.
  • Must have current license to practice physical therapy in New York State or have a temporary license pending licensure board examination results or pending out-of-state reciprocity completion.


To Apply

If you are interested in applying for available positions, contact HCA’s Human Resources department at (607) 217-0066

Please download and fill in the application, print, sign and mail or fax to:

HCA – Helping Celebrate Abilities
Attention: Human Resources
139 Grand Ave.
Johnson City, NY 13790
Fax: (607) 217-5640

You may also upload the filled out employment application and resume through the form below:

  • Drop files here or
  • This field is for validation purposes and should be left unchanged.

The Handicapped Children’s Association

Attention: Human Resources
139 Grand Ave.
Johnson City, NY 13790
Fax: (607) 217-5640