Employment Opportunities

Below are our current job opportunities at Hilltop Home.

Is this you?:

  • You have a passion for children with severe disabilities?
  • You 're interested in working in a home-like, residential setting?
  • You believe all people matter?

This is us:

Hilltop Home is a private, nonprofit, intermediate Care Facility (ICF/IID) serving a maximum of 22 young children who have severe to profound developmental disabilities and are medically fragile. Hilltop Home provides a comprehensive residential program that includes individualized medical, therapeutic and developmental/educational services. The program is designed to assist children with multiple disabilities and medical fragility to reach their fullest potential. The care includes medical, therapeutic and educational services provided in an intimate, homelike setting.

We like to say, "There's no place like Hilltop Home," but you wont know for sure unless you see for yourself!.

We are currently hiring for the following positions:

Direct Support Professionals/CNA

Direct Support Professionals/CNA:

We currently have 3 shifts available:

* 1st Shift: 7a.m. -3 p.m.

* 2nd Shift: 3 p.m. to 11 p.m.

* 3rd Shift: 11 p.m. to 7 a.m.

Job Description:

  • Manage all aspects of the developmental program for children ages birth – 18 years.

  • Implement appropriate developmental activities, and perform regular assessments and data collection for children’s residential goals and objectives.

  • Follow through with lesson plans and/or activities adapted to match each child’s skill set. (I.e. basic sensory learning experiences.

  • Provide all aspects of personal care such as: grooming, feeding, diapering, and repositioning, etc.

Requirements: High School diploma and at least 2 years of significant experience working with developmentally disabled and/or medically fragile children.

  • Experience working with Trachs preferred.

  • Ability to communicate effectively with others, including excellent oral and written communication skills. Competency in computer skills. Sound judgment and decision-making skills. Strong interpersonal skills, including ability to work within a team situation. Well-developed organizational skills and ability to manage/coordinate a variety of tasks and responsibilities concurrently.

  • Ability to pass health registry check, criminal background check, driving record check, and drug screening. Valid NC Driver's License Ability to re-position, lift, and transfer residents safely using proper techniques up to 40 pounds unaided, up to 100 pounds aided.

Position Details: Compensation is commensurate with experience. A comprehensive benefits package including paid time off is available for full-time staff.

Hilltop Home is an equal opportunity employer

Job Types: Full-time, Part-time

Pay: From $15.00 per hour


  • 401(k)
  • Dental insurance
  • Health insurance
  • Paid time off
  • Vision insurance

COVID-19 considerations:
*COVID-19 vaccination required.


Full-time RN/LPN : Flexible work schedule! 6:00pm-6:00am, 6:00am-6:00pm 3X per week- Twelve hour shifts; with the option to pickup additional hours. (NIGHT-SHIFT DIFFERENTIAL PAY)

Responsibilities and Duties:

  • Provide comprehensive nursing care to children with severe/profound developmental disabilities who are medically fragile residing at Hilltop Home in Raleigh, NC.

  • Administer medications according to the physician's orders while meeting the 6 rights of medication administration and administer enteral feedings according to the physicians orders

  • Implement and monitor all treatments ordered for each resident by the physician, evaluating the outcomes and documenting as appropriate as well as implement the plan of care established for each resident

  • Evaluate the effectiveness of the nursing interventions and achievement of expected outcome for each resident, and modify the plan of care as needed

  • Follow the policy and procedures for emergency response if a residents health status declines

  • Communicate with family members regarding residents conditions

  • Monitor the care provided to the residents by the habilitation technicians/CNAs and LPNs

  • Contribute positively to an interdisciplinary team approach, and maintain a family home atmosphere while respecting dignity and confidentiality of all residents

  • Attend and participate in training and staff meetings as requested by the supervisor/management

  • All other duties as required and requested by the supervisor

Qualifications and Skills:

Graduation from an accredited school of nursing, RN or LPN, Current North Carolina RN or LPN license (or licensed in a compact state), Current Healthcare Provider BLS certification, ability to re-position, lift, and transfer residents safely using proper techniques up to 40 pounds unaided, up to 100 pounds aided, one or more years' experience working with pediatrics and/or ICF/IID is preferred, solid interpersonal, communication (verbal and written) and organizational skills required. Must submit to thorough pre-employment background check and drug screening.

A comprehensive benefits package is available for full-time staff. Compensation is commensurate with education and experience.

Hilltop Home is an equal opportunity employer.

Job Types: Full-time, Part-time

Salary: *Compensation based on experience


  • 401(k)

  • 401(k) matching

  • Dental insurance

  • Flexible schedule

  • Health insurance

  • Life insurance

  • Paid time off

  • Vision insurance

Medical specialties:

  • Home Health

  • Pediatrics

Physical setting:

  • Long term care

Standard shift:

  • Day shift

  • Evening shift

  • Night shift

  • Overnight shift

COVID-19 considerations:

COVID-19 vaccination required.

Special Education Teacher Assistant

Special Education Teacher Assistant

(12-month position) Monday-Friday, 8:00 am to 4:00 pm


  • Provide support and assist in coordinating instructional programs relating to special education students with severe/profound intellectual disabilities and their Individual Education Plans (IEP)

  • Ensure an encouraging, caring, safe, and healthful environment for all students

  • Organize classroom materials and lead/implement small group lessons/activities as provided by the classroom teacher

  • Assist teacher in using a multisensory approach for students with sensory disabilities

  • Assist in the teaching, learning, and interpretation of different communication modes for students who communicate nonverbally

  • Flexibility to adjust and respond “in the moment” based on student output, behaviors, needs, and level of engagement

  • Provide physical support to assist students in accessing, exploring, and interacting with classroom materials

  • Ability to take direction and feedback from classroom teacher to support students’ various needs in accessing materials, engaging in activities, and communicating throughout the academic day

  • Assist in preparing and organizing classroom materials, communication devices, technology, and resources for lessons as instructed by classroom teacher

  • Provide mobility assistance including lifting, positioning, or transferring students

  • Assist students by providing for special health care needs, which include assisting students with adaptive equipment needs, personal care, hygiene, toiletry assistance, G- tube feedings, and respiratory care

  • Participate in Professional Development and ongoing trainings as required

  • Perform other related duties as assigned


  • High school diploma or GED and shall hold an Associate’s degree in birth-through- kindergarten, child development, early childhood education, or an early childhood education related field

  • Ability to work in a team environment and effectively collaborate with others

  • Working knowledge of successful instructional delivery methods

  • Ability to constantly monitor and supervise the safety and well-being of students

  • Ability to recognize and support students with a variety of backgrounds, abilities, exceptionalities, behavioral needs, and learning styles

  • Maintain a positive disposition, exercise good judgement, and remain calm when interacting with students at all times

*COVID-19 vaccine required.

Job Type: Full-time

Salary: *Compensation based on experience.


  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Life insurance
  • Retirement plan
  • Vision insurance


  • 8 hour shift
  • Day shift
  • Monday to Friday

Please scroll down to fill out the online application form below:

Please send your resume to ccarrasco@hilltophome.org and we will be in touch with you as soon as possible.

I'm interested in learning more about working at Hilltop Home! Please contact me.

Martin Communications