Background: Over the past 25 years, research has demonstrated the value of the demand-side placement model in increasing employment opportunities for people with disabilities. Objective: The demand-side model is focused on working with businesses (the demand-side) to create systemic change within companies to pull-in consumers, in contrast to a supply side model in which we try to push clients into employment. Method: This article describes an extension of the model that is focused on establishing sector-based career pipelines between transition age youth and entry-level jobs that offer opportunities for advancement along career pathways. Findings: A number of the components of the model described in this article have been tried in various states and localities but nowhere has this model been comprehensively implemented. Conclusion: The six phases of the model are outlined with a detailed description of the activities rehabilitation counselors need to perform or facilitate the system change necessary to increase employment opportunities for transition age youth.