Top USA Employers Hiring Foreigners for Care Aids Jobs with Visa Sponsorship

Introduction

Hiring foreign care aides (caregivers, home health aides, personal support workers) is an increasingly important strategy for U.S. care employers facing worker shortages. As the U.S. population ages, demand for direct care workers has surged, and many regions report persistent vacancies for home-based and facility-based aides. Employers that build compliant visa-sponsorship programs can expand their candidate pool, improve continuity of care, and stabilize operations. For care agencies, assisted living facilities, and home-health providers, developing a transparent sponsorship pathway (temporary or permanent) helps recruit reliable employees and reduce turnover costs associated with repeated short-term hiring. Keywords: care aide jobs USA, visa sponsorship caregivers, home health aide sponsorship. Bureau of Labor Statistics+1

From the candidate’s perspective, work with a sponsoring employer can be life-changing: a clear job offer, support for immigration paperwork, and often assistance with travel, orientation, and training. Employers considering sponsorship must balance compliance obligations (wage and workplace rules, prevailing wage, recruitment attestations) with operational needs. Two sponsorship tracks are commonly used in this sector: temporary worker programs for seasonal/short-term demand and employment-based immigrant tracks (permanent residence) for long-term staffing. Clear job descriptions, documented training plans (CNA/HHA), background-check procedures, and transparent pay scales make sponsorship both feasible and legally defensible. USCIS+1

Entry-level Skills and Experience Required

Care aide roles are entry-to-mid level but still require several baseline competencies:

Basic caregiving certification or training such as Certified Nursing Assistant (CNA), Home Health Aide (HHA) certificate, or completion of an accredited PSW/Direct Care program (where required by state).
Soft skills: empathy, communication, patience, and cultural sensitivity for one-on-one care.
Practical experience: 6–12 months of paid caregiving, volunteer work, or documented practicum is often preferred.
Background checks & immunizations: employers require criminal background checks, TB screening, and up-to-date immunizations.
Language & documentation: functional English for patient interaction; legal identity documents; and readiness for I-9 verification if hired in the U.S.
Employers should state minimum requirements clearly in job postings (e.g., “CNA or HHA, 6 months experience, willing to complete state training”) to streamline recruitment and ease the PERM/H-2B documentation process. (SEO: caregiver jobs visa sponsorship, hire foreign caregivers).

Regions with the Highest Payment Structures (Top 5)

Below are five U.S. regions/states that typically pay the most for care aides (highest mean wages), with a simplified payment-structure description:

Washington State (Puget Sound / Seattle region) — High hourly means driven by state labor markets and Medicare/private pay; many agencies offer $18–$25/hr plus benefits. Bureau of Labor Statistics
Oregon (Portland metro) — Competitive hourly pay and cost-of-living adjustments; employers often include mileage and shift differentials. Bureau of Labor Statistics
Massachusetts / Boston — Strong healthcare sector means higher base pay and unionized facility roles with step increases and benefits. Bureau of Labor Statistics
New York State (Downstate metro & suburbs) — Higher median wages for home attendants and strong private-pay markets; many agencies add on call-pay and bonuses. Bureau of Labor Statistics
California (Bay Area & coastal metros) — Large demand, higher wages and supplemental benefits (travel, training stipends); pay varies widely by county. Bureau of Labor Statistics

Salary Expectations for Immigrants (Approximate)

Role / Title	Entry Level (annual)	Mid Level (annual)	Senior / Live-in (annual)
Personal Care Aide / HHA	$26,000 – $34,000	$34,000 – $42,000	$40,000 – $52,000
Certified Nursing Assistant (CNA)	$28,000 – $36,000	$36,000 – $45,000	$45,000 – $58,000
Live-in Caregiver	$30,000 – $38,000	$38,000 – $48,000	$48,000 – $60,000
Home Health Aide (agency)	$27,000 – $35,000	$35,000 – $44,000	$44,000 – $58,000

Summary: National median wages for home health & personal care aides hover in the low $30,000s annually (BLS data), but top states and agency roles can push compensation higher. Employers preparing sponsorship offers must budget for prevailing-wage compliance (for EB-3) and competitive hourly rates (for H-2B) to recruit successfully. Bureau of Labor Statistics+1

Companies Hiring Care Aids in the USA & Typical Immigrant Requirements

Large home-care and staffing organizations that recruit extensively (and in some cases run PERM/H-2B programs) include:

BAYADA Home Health Care — careers pages list home-health and nursing positions and extensive training; staffing scale and recruitment support vary by office. BAYADA Careers
Home Instead — global franchise network with local hiring; some offices run long-term recruitment and training for CNAs/HHAs. Home Instead
Visiting Angels — franchise model; many local agencies hire CNAs/HHAs and support training. Visiting Angels
BrightStar Care — national brand; certain offices advertise PERM/immigration support programs to retain staff. BrightStar Care+1
Amedisys / Interim HealthCare / local home-care franchises — regional employers with frequent postings for caregivers (some offices engage with immigration counsel for sponsorship projects). (SEO: caregiver sponsorship jobs, home health aide sponsorship). Jooble+1

Typical employer requirements for sponsorship: CNA/HHA certification (or willingness to train), minimum experience, background checks, English competency, willingness to comply with state licensing where relevant, and legal hiring steps (I-9, wage attestations). Sponsorship availability is employer- and location-dependent—always confirm directly with the local agency. BrightStar Care

Visa Types and Options for Care Aids

Common pathways employers use:

H-2B (Temporary non-agricultural worker): Employers can petition for temporary caregiver positions when they show seasonal/temporary need and meet program conditions. See USCIS H-2B guidance. USCIS
EB-3 (Skilled and Other Workers): Employment-based permanent residency for “other workers” is often used where employers file PERM labor certification and an immigrant petition for long-term caregiver hires. USCIS EB-3 info explains the process. USCIS
State/licensing routes: For licensed practical nurses or RNs, Schedule A/other expedited paths exist—but most care aide roles (HHA/PCA) are not on Schedule A and rely on H-2B or EB-3 routes. Employers should consult immigration counsel early. USCIS+1

Where to Find Care Aids Job Opportunities

Top channels for sourcing and posting caregiver roles: LinkedIn, Indeed, ZipRecruiter, local Craigslist (with caution), industry job boards, franchise career pages (Home Instead, BAYADA, BrightStar), and specialty staffing agencies. Also use community colleges, CNA training programs, and veteran employment centers to source trained applicants. (SEO: care aide jobs USA, home health hiring).

How to Apply for Care Aids Jobs as an Immigrant in the USA

Target agencies that advertise “visa sponsorship” or PERM programs. 2. Prepare proof of training & references (CNA/HHA certificates). 3. Be transparent about sponsorship needs and start-date constraints. 4. Follow instructions for I-9 and background checks; have docs ready. 5. If offered, request written confirmation of sponsorship support (what the employer will file, timelines, and who pays legal fees). Employers should offer a clear sponsorship timeline and a written job offer that matches the PERM or H-2B petition.