Home Health Aides
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What they do:
Monitor the health status of an individual with disabilities or illness, and address their health-related needs, such as changing bandages, dressing wounds, or administering medication. Work is performed under the direction of offsite or intermittent onsite licensed nursing staff. Provide assistance with routine healthcare tasks or activities of daily living, such as feeding, bathing, toileting, or ambulation. May also help with tasks such as preparing meals, doing light housekeeping, and doing laundry depending on the patient's abilities.
On the job, you would:
- Check patients' pulse, temperature, and respiration.
- Maintain records of patient care, condition, progress, or problems to report and discuss observations with supervisor or case manager.
- Provide patients with help moving in and out of beds, baths, wheelchairs, or automobiles and with dressing and grooming.
Important Qualities
Detail oriented. Home health and personal care aides must adhere to specific rules and protocols to help care for clients. They must carefully follow instructions, such as how to care for wounds, that they receive from other healthcare workers.
Emotional skills. Home health and personal care aides must be sensitive to clients’ needs, especially while in extreme pain or distress. Aides must be compassionate and enjoy helping people.
Integrity. Home health and personal care aides must be dependable and trustworthy so that clients and their families can rely on them. They also should be respectful when tending to personal activities, such as helping clients bathe.
Interpersonal skills. Home health and personal care aides must be able to communicate with clients and other healthcare workers. They need to listen closely to what they are being told and convey information clearly.
Physical stamina. Home health and personal care aides should be comfortable doing physical tasks. They might need to be on their feet for many hours or do strenuous tasks, such as lifting or turning clients.
Personality
A3 | Your Strengths | Importance |
Characteristics of this Career |
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91% | Integrity  -  Job requires being honest and ethical. | |
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90% | Self-Control  -  Job requires maintaining composure, keeping emotions in check, controlling anger, and avoiding aggressive behavior, even in very difficult situations. | |
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90% | Dependability  -  Job requires being reliable, responsible, and dependable, and fulfilling obligations. | |
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88% | Concern for Others  -  Job requires being sensitive to others' needs and feelings and being understanding and helpful on the job. | |
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87% | Attention to Detail  -  Job requires being careful about detail and thorough in completing work tasks. | |
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85% | Cooperation  -  Job requires being pleasant with others on the job and displaying a good-natured, cooperative attitude. | |
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84% | Stress Tolerance  -  Job requires accepting criticism and dealing calmly and effectively with high-stress situations. | |
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80% | Adaptability/Flexibility  -  Job requires being open to change (positive or negative) and to considerable variety in the workplace. | |
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79% | Independence  -  Job requires developing one's own ways of doing things, guiding oneself with little or no supervision, and depending on oneself to get things done. | |
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79% | Social Orientation  -  Job requires preferring to work with others rather than alone, and being personally connected with others on the job. | |
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65% | Persistence  -  Job requires persistence in the face of obstacles. | |
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65% | Achievement/Effort  -  Job requires establishing and maintaining personally challenging achievement goals and exerting effort toward mastering tasks. | |
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61% | Initiative  -  Job requires a willingness to take on responsibilities and challenges. | |
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58% | Analytical Thinking  -  Job requires analyzing information and using logic to address work-related issues and problems. | |
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58% | Leadership  -  Job requires a willingness to lead, take charge, and offer opinions and direction. | |
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57% | Innovation  -  Job requires creativity and alternative thinking to develop new ideas for and answers to work-related problems. |
A3 | Your Strengths | Importance |
Strengths |
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100% | Social  -  Work involves helping, teaching, advising, assisting, or providing service to others. Social occupations are often associated with social, health care, personal service, teaching/education, or religious activities. | |
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67% | Realistic  -  Work involves designing, building, or repairing of equipment, materials, or structures, engaging in physical activity, or working outdoors. Realistic occupations are often associated with engineering, mechanics and electronics, construction, woodworking, transportation, machine operation, agriculture, animal services, physical or manual labor, athletics, or protective services. |
A3 | Your Strengths | Importance |
Values of the Work Environment |
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56% | Relationships  -  Occupations that satisfy this work value allow employees to provide service to others and work with co-workers in a friendly non-competitive environment. Corresponding needs are Co-workers, Moral Values and Social Service. |
Aptitude
A3 | Your Strengths | Importance |
Abilities | Cognitive, Physical, Personality |
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72% | Oral Expression  -  The ability to communicate information and ideas in speaking so others will understand. | |
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69% | Oral Comprehension  -  The ability to listen to and understand information and ideas presented through spoken words and sentences. | |
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69% | Problem Sensitivity  -  The ability to tell when something is wrong or is likely to go wrong. It does not involve solving the problem, only recognizing that there is a problem. | |
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63% | Near Vision  -  The ability to see details at close range (within a few feet of the observer). | |
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60% | Inductive Reasoning  -  The ability to combine pieces of information to form general rules or conclusions (includes finding a relationship among seemingly unrelated events). | |
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56% | Deductive Reasoning  -  The ability to apply general rules to specific problems to produce answers that make sense. | |
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56% | Information Ordering  -  The ability to arrange things or actions in a certain order or pattern according to a specific rule or set of rules (e.g., patterns of numbers, letters, words, pictures, mathematical operations). | |
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56% | Speech Recognition  -  The ability to identify and understand the speech of another person. | |
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56% | Speech Clarity  -  The ability to speak clearly so others can understand you. | |
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53% | Written Expression  -  The ability to communicate information and ideas in writing so others will understand. |
A3 | Your Strengths | Importance |
Skills | Cognitive, Physical, Personality |
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52% | Active Listening  -  Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times. |
Job Details
A3 | Your Strengths | Importance |
Attributes & Percentage of Time Spent |
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84% | Contact With Others  -  How much does this job require the worker to be in contact with others (face-to-face, by telephone, or otherwise) in order to perform it? | |
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84% | Physical Proximity  -  To what extent does this job require the worker to perform job tasks in close physical proximity to other people? | |
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83% | Importance of Being Exact or Accurate  -  How important is being very exact or highly accurate in performing this job? | |
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80% | Face-to-Face Discussions  -  How often do you have to have face-to-face discussions with individuals or teams in this job? | |
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80% | Work With Work Group or Team  -  How important is it to work with others in a group or team in this job? | |
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80% | Wear Common Protective or Safety Equipment such as Safety Shoes, Glasses, Gloves, Hearing Protection, Hard Hats, or Life Jackets  -  How much does this job require wearing common protective or safety equipment such as safety shoes, glasses, gloves, hard hats or life jackets? | |
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74% | Impact of Decisions on Co-workers or Company Results  -  What results do your decisions usually have on other people or the image or reputation or financial resources of your employer? | |
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71% | Telephone  -  How often do you have telephone conversations in this job? | |
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69% | Coordinate or Lead Others  -  How important is it to coordinate or lead others in accomplishing work activities in this job? | |
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68% | Frequency of Decision Making  -  How frequently is the worker required to make decisions that affect other people, the financial resources, and/or the image and reputation of the organization? | |
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67% | Consequence of Error  -  How serious would the result usually be if the worker made a mistake that was not readily correctable? | |
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66% | Structured versus Unstructured Work  -  To what extent is this job structured for the worker, rather than allowing the worker to determine tasks, priorities, and goals? | |
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65% | Spend Time Standing  -  How much does this job require standing? | |
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64% | Responsible for Others' Health and Safety  -  How much responsibility is there for the health and safety of others in this job? | |
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64% | Spend Time Bending or Twisting the Body  -  How much does this job require bending or twisting your body? | |
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63% | Exposed to Disease or Infections  -  How often does this job require exposure to disease/infections? | |
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62% | Freedom to Make Decisions  -  How much decision making freedom, without supervision, does the job offer? | |
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61% | Time Pressure  -  How often does this job require the worker to meet strict deadlines? | |
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58% | Deal With External Customers  -  How important is it to work with external customers or the public in this job? | |
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57% | Responsibility for Outcomes and Results  -  How responsible is the worker for work outcomes and results of other workers? | |
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56% | Spend Time Making Repetitive Motions  -  How much does this job require making repetitive motions? | |
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54% | Indoors, Environmentally Controlled  -  How often does this job require working indoors in environmentally controlled conditions? | |
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52% | Letters and Memos  -  How often does the job require written letters and memos? | |
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51% | Spend Time Using Your Hands to Handle, Control, or Feel Objects, Tools, or Controls  -  How much does this job require using your hands to handle, control, or feel objects, tools or controls? |
A3 | Your Strengths | Importance |
Tasks & Values |
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94% | Assisting and Caring for Others  -  Providing personal assistance, medical attention, emotional support, or other personal care to others such as coworkers, customers, or patients. | |
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85% | Getting Information  -  Observing, receiving, and otherwise obtaining information from all relevant sources. | |
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82% | Communicating with Supervisors, Peers, or Subordinates  -  Providing information to supervisors, co-workers, and subordinates by telephone, in written form, e-mail, or in person. | |
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80% | Documenting/Recording Information  -  Entering, transcribing, recording, storing, or maintaining information in written or electronic/magnetic form. | |
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76% | Identifying Objects, Actions, and Events  -  Identifying information by categorizing, estimating, recognizing differences or similarities, and detecting changes in circumstances or events. | |
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75% | Handling and Moving Objects  -  Using hands and arms in handling, installing, positioning, and moving materials, and manipulating things. | |
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71% | Establishing and Maintaining Interpersonal Relationships  -  Developing constructive and cooperative working relationships with others, and maintaining them over time. | |
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70% | Evaluating Information to Determine Compliance with Standards  -  Using relevant information and individual judgment to determine whether events or processes comply with laws, regulations, or standards. | |
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69% | Monitoring Processes, Materials, or Surroundings  -  Monitoring and reviewing information from materials, events, or the environment, to detect or assess problems. | |
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67% | Organizing, Planning, and Prioritizing Work  -  Developing specific goals and plans to prioritize, organize, and accomplish your work. | |
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67% | Updating and Using Relevant Knowledge  -  Keeping up-to-date technically and applying new knowledge to your job. | |
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65% | Processing Information  -  Compiling, coding, categorizing, calculating, tabulating, auditing, or verifying information or data. | |
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64% | Thinking Creatively  -  Developing, designing, or creating new applications, ideas, relationships, systems, or products, including artistic contributions. | |
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63% | Inspecting Equipment, Structures, or Materials  -  Inspecting equipment, structures, or materials to identify the cause of errors or other problems or defects. | |
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63% | Making Decisions and Solving Problems  -  Analyzing information and evaluating results to choose the best solution and solve problems. | |
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61% | Judging the Qualities of Objects, Services, or People  -  Assessing the value, importance, or quality of things or people. | |
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59% | Performing General Physical Activities  -  Performing physical activities that require considerable use of your arms and legs and moving your whole body, such as climbing, lifting, balancing, walking, stooping, and handling materials. | |
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57% | Scheduling Work and Activities  -  Scheduling events, programs, and activities, as well as the work of others. | |
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55% | Resolving Conflicts and Negotiating with Others  -  Handling complaints, settling disputes, and resolving grievances and conflicts, or otherwise negotiating with others. | |
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54% | Estimating the Quantifiable Characteristics of Products, Events, or Information  -  Estimating sizes, distances, and quantities; or determining time, costs, resources, or materials needed to perform a work activity. | |
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53% | Interpreting the Meaning of Information for Others  -  Translating or explaining what information means and how it can be used. | |
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53% | Performing for or Working Directly with the Public  -  Performing for people or dealing directly with the public. This includes serving customers in restaurants and stores, and receiving clients or guests. | |
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53% | Coaching and Developing Others  -  Identifying the developmental needs of others and coaching, mentoring, or otherwise helping others to improve their knowledge or skills. |
What Home Health and Personal Care Aides Do
Home health and personal care aides monitor the condition of people with disabilities or chronic illnesses and help them with daily living activities. They often help older adults who need assistance. Under the direction of a nurse or other healthcare practitioner, home health aides may be allowed to give a client medication or to check the client’s vital signs.
Duties
Home health and personal care aides typically do the following:
- Assist clients in their daily personal tasks, such as bathing or dressing
- Perform housekeeping tasks, such as laundry, washing dishes, and vacuuming
- Help to organize a client’s schedule and plan appointments
- Arrange transportation to doctors’ offices or other outings
- Shop for groceries and prepare meals to meet a client’s dietary specifications
- Keep clients engaged in their social networks and communities
Home health aides may provide some basic health-related services—such as checking a client’s pulse, temperature, and respiration rate—depending on the state in which they work. They also may help with simple prescribed exercises and with giving medications. Occasionally, they change bandages or dressings, give massages, care for skin, or help with braces and artificial limbs. With special training, experienced home health aides also may help with medical equipment, such as ventilators to help clients breathe.
Home health aides are supervised by medical practitioners, usually nurses, and may work with therapists and other medical staff. These aides keep records on the client, such as services received, condition, and progress. They report changes in the client’s condition to a supervisor or case manager.
Personal care aides, sometimes called caregivers or personal attendants, are generally limited to providing nonmedical services, including companionship, cleaning, cooking, and driving. Some of these aides work specifically with people who have developmental or intellectual disabilities to help create a behavior plan and teach self-care skills, such as doing laundry or cooking meals.
Work Environment
Home health and personal care aides held about 3.7 million jobs in 2022. The largest employers of home health and personal care aides were as follows:
Individual and family services | 49% |
Home healthcare services | 24 |
Residential intellectual and developmental disability facilities | 7 |
Continuing care retirement communities and assisted living facilities for the elderly | 7 |
Many home health and personal care aides work in clients’ homes; others work in group homes or care communities. Some aides work with only one client, while others work with groups of clients. They sometimes stay with one client on a long-term basis or for a specific purpose, such as hospice care. They may work with other aides in shifts so that the client always has an aide.
Aides may travel as they help people with disabilities go to work and stay engaged in their communities.
Injuries and Illnesses
Work as a home health or personal care aide can be physically and emotionally demanding. Because they often move clients into and out of bed or help with standing or walking, aides must use proper lifting techniques to guard against back injury.
In addition, aides may work with clients who have cognitive impairments or mental health issues and who may display difficult or violent behaviors. Aides also face hazards from minor infections and exposure to communicable diseases but can lessen their chance of infection by following proper procedures.
Work Schedules
Most aides work full time, although part-time work is common. They may work evening and weekend hours, depending on their clients’ needs. Work schedules may vary.
Getting Started
How to Become a Home Health or Personal Care Aide
Home health and personal care aides typically need a high school diploma or equivalent, but some positions do not require it. Those working in certified home health or hospice agencies must complete formal training and pass a standardized test.
Education
Home health and personal care aides typically need a high school diploma or equivalent, although some positions do not require a formal educational credential. Postsecondary nondegree award programs are available at community colleges and vocational schools.
Training
Home health and personal care aides may be trained in housekeeping tasks, such as cooking for clients who have special dietary needs. Aides may learn basic safety techniques, including how to respond in an emergency. If state certification is required, specific training may be needed.
Training may be completed on the job or through programs. Training typically includes learning about personal hygiene, reading and recording vital signs, infection control, and basic nutrition.
In addition, individual clients may have preferences that aides need time to learn.
Licenses, Certifications, and Registrations
Home health and personal care aides may need to meet requirements specific to the state in which they work. For example, some states require home health aides to have a license or certification, which may involve completing training and passing a background check and a competency exam. For more information, check with your state board of health.
Certified home health or hospice agencies that receive payments from federally funded programs, such as Medicare, must comply with regulations regarding aides’ employment. Private care agencies that do not receive federal funds may have other employment requirements that vary by state.
Aides also may be required to obtain certification in first aid and cardiopulmonary resuscitation (CPR).
Job Outlook
Employment of home health and personal care aides is projected to grow 22 percent from 2022 to 2032, much faster than the average for all occupations.
About 684,600 openings for home health and personal care aides are projected each year, on average, over the decade. Many of those openings are expected to result from the need to replace workers who transfer to different occupations or exit the labor force, such as to retire.
Employment
The services that home health and personal care aides provide will be in high demand to care for the rising number of older people.
The locations in which care is offered are affected by both policy changes and lifestyle preferences of older adults and people with disabilities. Long-term care services are increasingly shifting from institutional settings, such as nursing homes, to home- and community-based settings. This shift is expected to create many new jobs for home health and personal care aides.
Contacts for More Information
For more information about home health and personal care aides, visit
National Association for Home Care & Hospice
For more information about licensing and certification requirements, check with your state board of health.
Similar Occupations
This table shows a list of occupations with job duties that are similar to those of home health and personal care aides.
Occupation | Job Duties | Entry-Level Education | Median Annual Pay, May 2022 | |
---|---|---|---|---|
Childcare Workers |
Childcare workers attend to children's needs while helping to foster early development. |
High school diploma or equivalent | $28,520 | |
Licensed Practical and Licensed Vocational Nurses |
Licensed practical nurses (LPNs) and licensed vocational nurses (LVNs) provide basic medical care. |
Postsecondary nondegree award | $54,620 | |
Medical Assistants |
Medical assistants complete administrative and clinical tasks, such as scheduling appointments and taking patients’ vital signs. |
Postsecondary nondegree award | $38,270 | |
Nursing Assistants and Orderlies |
Nursing assistants provide basic care and help patients with activities of daily living. Orderlies transport patients and clean treatment areas. |
See How to Become One | $35,740 | |
Occupational Therapy Assistants and Aides |
Occupational therapy assistants and aides help patients develop, recover, improve, as well as maintain the skills needed for daily living and working. |
See How to Become One | $63,450 | |
Physical Therapist Assistants and Aides |
Physical therapist assistants and aides are supervised by physical therapists to help patients regain movement and manage pain after injuries and illnesses. |
See How to Become One | $57,240 | |
Psychiatric Technicians and Aides |
Psychiatric technicians and aides care for people who have mental conditions or developmental disabilities. |
See How to Become One | $37,330 | |
Registered Nurses |
Registered nurses (RNs) provide and coordinate patient care and educate patients and the public about various health conditions. |
Bachelor's degree | $81,220 | |
Social and Human Service Assistants |
Social and human service assistants provide client services in a variety of fields, such as psychology, rehabilitation, and social work. |
High school diploma or equivalent | $38,520 |