Sector

Senior Care & Disability Services Careers

Senior care and disability services supports older adults and people with disabilities living in community settings. Very high credential requirements with on-site work in homes and day programs.

2.4M
U.S. jobs
In this sector
$35K
Median salary
Across all roles
Senior Care & Disability Services jobs by metro area
Bubble size = total employment
Senior Care & Disability Services employment by metro ยท ~377 areas

Jobs per 100K workforce โ€” measures industry density

BLS OEWS May 2024
Understanding this Sector
What it's like to work in Senior Care & Disability Services

Senior care and disability services help people live with dignity and maximum independence โ€” there's satisfaction in supporting those who need assistance, building relationships over time, and meaningful work with vulnerable populations.

The challenge can come from staffing demands and modest compensation. Direct care work is often understaffed. Pay tends to be low relative to the responsibility. Physical demands of assisting people are significant. Emotional investment in clients who decline is difficult.

The field varies by population and setting. Developmental disability services differ from aging services, brain injury programs, or physical disability support. Group homes operate differently than day programs, supported employment, or home-based services.

For those who thrive here, the rewards are genuine: meaningful relationships, helping people achieve independence, work that matters, and knowing you make daily life possible for those who need support. If you're drawn to helping vulnerable populations and can accept the compensation realities, disability services offers deeply meaningful work.

How people break in

Direct support positions are accessible. Training is provided. Nursing and therapy roles require credentials. Program management requires experience.

Work environment tends toward
Mission-drivenStaffing challengesGovernment fundingDirect support entryDiverse service models
Industries it connects to
HealthcareSocial ServicesGovernmentNonprofit Organizations
Salary vs. national average
-50%
$35K median vs. $71K national
$239K$179K$119K$60K$0K$15K$37K$150K$239K*387 metro areas across 50 states, sorted by salary level โ†’
Salary range across all senior care & disability services roles
Where your dollar goes furthest
1. San Jose-Sunnyvale-Santa Clara$84K
2. Boulder$73K
3. Washington-Arlington-Alexandria$70K
4. Trenton-Princeton$67K
5. Durham-Chapel Hill$67K
BLS OEWS May 2024
* Top salaries exceed this figure. BLS caps reported wages at ~$240K to protect individual privacy in high-earning roles.

Median salaries range from ~$68K in mid-market metros to ~$95K in top-tier cities. But cost of living closes a lot of that gap โ€” metros with lower regional price parities often offer the best purchasing power.

Highest paying
San Jose-Sunnyvale-Santa Clara ยท $95K
San Francisco-Oakland-Fremont ยท $83K
Washington-Arlington-Alexandria ยท $76K
Best purchasing power
San Jose-Sunnyvale-Santa Clara ยท $84K adj.
Boulder ยท $73K adj.
Washington-Arlington-Alexandria ยท $70K adj.
Most jobs
New York ยท 24.7M
Los Angeles ยท 16.1M
Chicago ยท 11.7M
BLS OEWS May 2024 ยท BEA Regional Price Parities

What the data says about this sector

Beyond salary and job counts โ€” signals that shape the day-to-day experience of working in Senior Care & Disability Services.

๐Ÿšช
Annual Quit Rate
Based on all Healthcare data
23%
Higher than average turnover. This could indicate challenging conditions, seasonal work, or abundant external opportunities.
โ†‘ 1%vs. 22% all industries
๐Ÿข
Typical Employer Size
Small-skewed
Small businesses dominate. More variety in roles but less formal structure and benefits.
83%
Small
<50
14%
Mid
50โ€“249
2%
Large
250+
๐Ÿ 
Remote / Hybrid Prevalence
Mostly on-site
Many roles can be done remotely. Location flexibility is a realistic expectation.
Mostly on-siteHybrid commonRemote-first
๐Ÿ“‹
Credential Density
High
Most roles don't require formal credentials. Skills and experience matter more than certificates.
Few credentialsSome requiredMany required
๐Ÿค
Union Presence
Based on all Healthcare data
~6%
Minimal union coverage means compensation is individually negotiated. Know your market rate going in.
โ†“ 6%vs. 11% all industries
BLS JOLTS 2024 ยท BLS QCEW 2024 ยท O*NET Work Context ยท BLS Union Members Summary 2024
Career Tracks

Career tracks in Senior Care & Disability Services

How jobs in this sector break down by function, and what they typically pay.

Healthcare ยท Hospitals, clinics, and medical practices. Direct patient care, specialization paths, shift work common. Meaningful impact, strong demand.
14%
$55K median
Explore โ†’
Social Services ยท The heart of social services employment โ€” hospitals, mental health facilities, and community health organizations providing direct care and support.
12%
$57K median
Explore โ†’
Admin & Office ยท Medical offices, hospitals, and clinics need organized admins who can handle sensitive information. Stable, meaningful work with clear career paths.
11%
$59K median
Explore โ†’
Business Operations ยท Hospitals and clinics balance patient care with complex operations. Regulatory pressure, 24/7 demands, meaningful impact. Growing field with strong demand.
10%
$64K median
Explore โ†’
Personal Care ยท Medical spas, rehabilitation facilities, and clinical settings. Higher pay, medical oversight, insurance billing knowledge valued.
7%
$48K median
Explore โ†’
Science ยท Clinical research, medical laboratories, pharmaceutical R&D, and biotech โ€” translating science into treatments and diagnostics.
6%
$59K median
Explore โ†’
Median salary for occupations employed within Senior Care & Disability Services. BLS OEWS May 2024.
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FAQ

Common questions about Senior Care & Disability Services careers

What kinds of roles exist in senior care and disability services?

This industry centers on direct care โ€” nurses, aides, and therapists are the backbone. Beyond hands-on care, there are care coordinators, geriatric physicians, housing managers, and facility administrators who keep services running.

How many people work in senior care and disability services?

Around 2.4 million people work in this industry, and the workforce is expected to grow as the U.S. population ages. Demand for direct care workers is particularly high.

What does pay look like in this sector?

Median annual earnings are roughly $35,000, reflecting the high proportion of direct care and aide roles that start near minimum wage. Nurses, therapists, and managers earn considerably more.

Is turnover high in senior care and disability services?

The monthly quit rate across healthcare broadly runs around 2.2%, but senior care often experiences higher turnover in direct care roles due to physical demands, pay constraints, and emotional intensity.

How do people enter senior care and disability services?

Nurse aide and direct support roles are the most common entry points โ€” many require only a short training program and state certification. Career ladders from aide to LPN to RN are well-established in this industry.

Find where you fit in Senior Care & Disability Services

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Federal data: BLS Occupational Employment & Wage Statistics (May 2024) ยท BLS JOLTS 2024 ยท BLS QCEW 2024 ยท O*NET Work Context ยท BLS Employment Projections 2024โ€“2034
Truest editorial: Industry narrative, sector context, career track mapping, working signals analysis.