Home care jobs in the USA have become one of the fastest-growing employment opportunities, offering stable income, valuable benefits, and a chance to make a direct difference in people’s lives. As an employer looking to hire immigrants for this role, we understand the demand for reliable and compassionate caregivers across the country.
With the aging population increasing, there is a significant need for trained and dedicated workers who can provide quality in-home care services to elderly individuals, people with disabilities, and patients recovering from illness or surgery.
In 2025, the USA continues to offer thousands of home care job openings, many of which come with visa sponsorship for qualified foreign workers. This allows you to work legally in the United States while receiving a competitive salary, professional training, and in some cases, housing or relocation assistance.
The demand for caregivers means that employers are willing to support your immigration process, making this a realistic opportunity for many who want to live and work in the USA.
Home care positions are not only financially rewarding, with potential annual earnings of up to $42,000, but they also offer a chance for career progression. Many workers who start in entry-level care roles move into supervisory or nursing positions over time. As an immigrant, this pathway gives you both immediate employment and long-term career security.
Employers in the home care sector prioritize individuals who are reliable, patient, and committed to providing personal assistance with compassion and professionalism.
Whether you are from Africa, Asia, Europe, or Latin America, there is a high demand for your skills in American households. The visa sponsorship programs provided by certain agencies and employers make it possible for you to secure a legal work status while earning a good living.
In the following sections, we will cover the skills and experience you need, the best-paying regions for home care workers, salary expectations, leading companies hiring, visa options available, where to find opportunities, and the exact steps to apply for a home care job in the USA as an immigrant.
Entry-level Skills and Experience Required
One of the main advantages of home care jobs in the USA is that many positions are open to candidates with minimal formal experience. While some employers prefer applicants with previous caregiving or healthcare backgrounds, others are ready to provide full training on the job. This makes home care a suitable option for immigrants who are entering the US job market for the first time.
The most important qualities for a home care worker include patience, compassion, and reliability. Clients rely on caregivers for assistance with daily living activities, which can include helping with personal hygiene, preparing meals, assisting with mobility, and offering companionship. Since you will often be working in a private home, trustworthiness and good communication skills are essential.
For entry-level roles, employers typically require a high school diploma or equivalent. However, certifications such as Certified Nursing Assistant (CNA) or Home Health Aide (HHA) can significantly improve your chances of getting hired and may lead to higher pay.
Some states in the USA have specific training programs for home care workers, and completing them can be a strong advantage when applying for jobs with visa sponsorship.
Basic medical knowledge, such as taking vital signs or understanding medication schedules, is often beneficial but not mandatory. Employers will look for candidates who are willing to learn, follow instructions from nurses or doctors, and maintain a safe environment for clients.
Language skills are also important. While fluency in English is not always a strict requirement, being able to communicate clearly with clients and healthcare providers can increase your employability. Some agencies even offer English language support or training for international hires.
As an employer, we also value flexibility. Many home care jobs involve shift work, including evenings, weekends, or live-in arrangements. The more adaptable you are with your schedule, the higher your chances of securing a position with better pay and benefits.
For immigrants, meeting the minimum requirements for a work visa will be crucial. This often includes passing a background check, undergoing a health examination, and providing proof of your skills or training. These steps are part of ensuring that you are fully prepared for a safe and successful career in the USA home care industry.
Regions with the Highest Payment Structures
While home care jobs are available across the United States, salaries vary significantly depending on the state, city, and demand for caregivers in that area. As an employer hiring immigrants, it is important to highlight the regions where you can expect the highest pay for your work.
States such as California, New York, Massachusetts, and Washington are known for offering some of the most competitive salaries for home care workers. This is largely due to the higher cost of living in these areas, as well as a greater demand for specialized caregiving services.
For example, in California, home care workers can earn between $18 and $22 per hour, which can total over $40,000 per year for full-time positions. In New York, rates can be similar or even higher in certain metropolitan areas.
Other states with high payment structures for home care jobs include Alaska, Oregon, and Minnesota. While these states may not have the same population size as California or New York, they often have shortages of trained caregivers, leading employers to offer attractive salaries, overtime pay, and even signing bonuses.
Some rural areas also pay well because of the difficulty in attracting skilled workers. Employers in these regions may provide free accommodation, transportation, or relocation assistance in addition to the base salary. This can be a great advantage for immigrants who are open to living outside of major cities.
It is worth noting that wages are not the only factor to consider. States with higher pay may also offer better healthcare benefits, retirement plans, and more generous paid leave policies. If you are coming to the USA on a work visa, choosing the right location can significantly improve your quality of life and financial stability.
Employers hiring under visa sponsorship programs will often guide you through relocation and help you settle in the state where the job is located. By targeting regions with higher pay, you can maximize your earnings while building a stable career in home care services.
Salary Expectations for Home Care Workers
Home care jobs in the USA offer a wide range of salaries depending on experience, certifications, and location. For immigrants joining the workforce through visa sponsorship, employers generally provide competitive pay packages to attract and retain dedicated caregivers.
On average, entry-level home care workers can expect to earn between $28,000 and $34,000 per year in most states. For those working in high-demand areas like California, New York, or Washington, salaries can rise to $38,000–$42,000 annually, especially when overtime or live-in arrangements are included.
Many employers also offer additional incentives such as performance bonuses, referral rewards, and paid training programs, which can further increase your annual income.
Workers with specialized skills or certifications, such as Certified Nursing Assistants (CNA) or Home Health Aides (HHA), can command higher wages.
For example, a CNA providing in-home care in a metropolitan area can earn up to $22 per hour, which translates to over $45,000 per year for full-time employment. If you are bilingual, especially in languages like Spanish, French, or Tagalog, you may also be offered higher pay due to the added value of communicating with clients from diverse backgrounds.
In addition to salary, home care jobs often include valuable benefits such as health insurance, dental coverage, retirement contributions, and paid time off. For immigrant workers on visa sponsorship, employers may also provide relocation assistance, temporary housing, and support in completing immigration paperwork. These benefits can make a significant difference in your overall financial well-being.
It’s important to understand that home care work can also offer opportunities for advancement. Many employers provide training that allows you to move into supervisory roles, care coordinator positions, or even nursing careers. These promotions typically come with higher salaries and expanded benefits.
As an employer, we emphasize that home care jobs are not just about the paycheck—they are about stability, growth, and the opportunity to make a meaningful difference in someone’s life. With visa sponsorship, you can earn a good living while building a long-term career in the United States.
Companies Hiring Home Care Workers in the USA
The demand for home care workers in the USA has led to a large number of reputable companies actively recruiting both local and international candidates. Many of these employers are ready to provide visa sponsorship for qualified foreign workers who meet their hiring criteria.
Leading nationwide home care agencies such as Home Instead Senior Care, Visiting Angels, and Right at Home have hundreds of branches across the United States and consistently advertise positions for caregivers.
These companies offer structured training programs, competitive pay, and comprehensive benefits packages that make them attractive to immigrant workers.
Hospitals and healthcare networks, including Kaiser Permanente, Mayo Clinic, and Cleveland Clinic, also hire home care workers, particularly for patients recovering at home after hospital stays. These positions often come with higher pay and medical benefits due to being part of large healthcare organizations.
Some employers focus specifically on live-in caregiving roles, which can be ideal for immigrants arriving in the USA without established housing arrangements. Companies like Comfort Keepers and Griswold Home Care provide room and board as part of the compensation package, reducing living expenses while you settle into your new job.
For immigrants, working with an agency that has experience sponsoring visas is a major advantage. These companies handle the legal requirements, guide you through the application process, and ensure you meet all government standards for employment. They may also offer relocation support, airport pickup, and help with obtaining state-required caregiver certifications.
In 2025, the home care sector is projected to grow even further, meaning more companies will expand their recruitment internationally.
As an employer, we value commitment, reliability, and compassion, and we are ready to support foreign workers through visa sponsorship so they can join our teams and contribute to providing high-quality care in American homes.
Visa Types and Options for Home Care Workers
For immigrants seeking to work as home care workers in the USA, understanding the visa options available is essential. Employers hiring from overseas generally provide sponsorship under visa categories that allow legal employment and potential long-term residency.
One of the most common options is the H-2B Temporary Non-Agricultural Worker Visa, which allows employers to hire foreign nationals for non-farm jobs, including caregiving roles, when there are not enough local workers available. This visa is typically valid for up to one year but can be extended for a maximum of three years. It is ideal for candidates seeking immediate work with the possibility of renewing their stay.
Another pathway is the EB-3 Employment-Based Immigrant Visa, which is a permanent residency option. This visa category is available for skilled and unskilled workers, making it suitable for home care roles that do not require a degree. It allows you to work and live in the USA permanently, and in some cases, your employer may cover the costs of the application process.
For caregivers working in private households, the J-1 Exchange Visitor Visa may also be an option, especially for those coming as part of cultural exchange or au pair programs. While more limited in scope, it can be a starting point for gaining work experience in the USA.
Employers providing visa sponsorship will guide you through the process, which generally includes proving that there is a shortage of domestic workers, submitting documentation to US immigration authorities, and ensuring you meet health and background requirements.
Choosing the right visa type depends on your career goals. If you are looking for long-term stability and the possibility of bringing your family to the USA, the EB-3 is often the best route. If you want to start working quickly and are open to shorter contracts, the H-2B visa can be a faster option.
As an employer hiring immigrants, we ensure transparency about the visa process, timelines, and legal requirements, giving you the best possible foundation for a successful move to the United States.
Where to Find Home Care Jobs Opportunities
Finding the right home care job in the USA as an immigrant requires knowing where to look and which employers are open to hiring foreign workers. Fortunately, there are several trusted platforms and networks where you can connect with companies offering visa sponsorship.
One of the most reliable options is searching through specialized job portals such as Indeed, Glassdoor, and Care.com, which frequently post openings from home care agencies and healthcare providers. These platforms allow you to filter by “visa sponsorship” to focus on positions that support immigrant hiring.
Recruitment agencies that work directly with US employers are another valuable resource. Many of these agencies have established partnerships with home care companies that regularly sponsor visas. By applying through them, you increase your chances of finding a legitimate and well-paying position.
Social media platforms like LinkedIn also play a crucial role in connecting job seekers with employers. Many home care agencies post job openings on LinkedIn, and you can directly message hiring managers to express your interest. Facebook groups dedicated to caregiver jobs in the USA are also popular among immigrants.
In addition, community networks and immigrant support organizations often share job leads for newcomers. Many non-profit groups in the USA help match foreign workers with home care opportunities, especially in areas facing caregiver shortages.
Employers offering visa sponsorship usually prefer candidates who apply early and have all necessary documents ready. Having your passport, educational certificates, and any relevant work experience records prepared will make your application process smoother and faster.
From an employer’s perspective, we want candidates who show genuine interest in the role, have the patience for the application process, and are ready to commit to working in the USA for the agreed contract period. The more proactive you are in searching for opportunities, the better your chances of securing a high-paying home care job with visa sponsorship.
How to Apply for Home Care Jobs as an Immigrant in the USA
Applying for a home care job in the USA as an immigrant requires careful preparation and attention to detail. Employers offering visa sponsorship expect applicants to meet both job requirements and US immigration standards.
The first step is to prepare a professional resume that highlights your caregiving skills, experience, and any relevant certifications. Even if you have never worked as a caregiver before, include any volunteer work, personal caregiving for family members, or related training you have received. Employers value compassion and reliability just as much as formal qualifications.
Next, you should research employers who explicitly mention visa sponsorship in their job postings. Once you identify a suitable position, submit your application through the company’s website or recruitment portal, ensuring that your cover letter clearly states your interest in working in the USA and your willingness to commit to the role for the duration of the contract.
If your application is successful, you will likely go through an interview process. For international candidates, this may take place over video call. Be prepared to answer questions about your caregiving experience, your availability, and your motivation for working in the USA.
Once you receive a job offer, your employer will start the visa sponsorship process. This involves submitting petitions to the US Department of Labor and US Citizenship and Immigration Services (USCIS) to prove that hiring a foreign worker is necessary. You will need to provide personal documents, pass a medical exam, and undergo a background check.
After your visa is approved, your employer may assist with your travel arrangements and initial accommodation in the USA. Upon arrival, you will complete any required state training or certifications before starting work.
As an employer, we seek applicants who are prepared, adaptable, and committed to providing quality care. Following these steps carefully increases your chances of securing a well-paying home care job with visa sponsorship and starting a stable, rewarding career in the United States.