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A Home Health Aide (HHA) may also be known as a Home Caregiver, Certified Nursing Assistant (CNA), Patient Care Technician or Residential Assistant (RA). An HHA provides basic, personal care and health-related services to a variety of individuals (patients) who require more assistance than family and/or friends are able to provide. HHAs are part of a category of occupations that is commonly referred to as "direct care workers." The services/care that a Home Health Aide provides depends upon their specialty area.

Home Health Aide Schools and Training

While neither a high school diploma nor formal education is a requirement in this profession, it is advantageous for an individual to have at least achieved a high school diploma or equivalent. Some employers provide classroom training for new hires, but most individuals receive on-the-job training under the tutelage of RNs, Licensed Practical Nurses (LPNs), or other seasoned/experienced HHAs. The latter form of home health aide training may take anywhere from several days to a few months to complete. Other training available to home health aides includes workshops, lectures, and in-service training. Once an HHA completes training, it is not uncommon that they be required to go through a competency evaluation to ensure that they can properly perform required tasks.

Typical home health aide programs may include courses in:

  • Geriatric Skills
  • HIV/AIDS Awareness Training
  • Introduction to Body Systems
  • Introduction to Nutrition
  • Introduction to Physical Therapy
  • Occupational Therapy Aide Training
  • Patient Communication
  • Patient Mobility
  • Patient Personal Care
  • Phlebotomy
  • Recording Vital Signs
  • Respiratory Equipment Training
  • Respiratory Therapy Aide
  • Understanding Vital Signs
  • Uses of Basic Laboratory Equipment

It is important to note that HHAs, who work for employers who receive Medicare reimbursement, must adhere to specific Federal Government guidelines. As such, HHAs are required by Federal law to pass a competency test that covers a wide range of disciplines; training may be obtained beforehand. Furthermore, a Home Health Aide may seek voluntary certification from the National Association for Home Care and Hospice (NAHC). Licensing as a Certified Nursing Assistant (CNA) may be required by some states.

When it comes to advancement, opportunities are limited. Moving on to health occupations generally requires formal education or training. Most HHAs move on to become RNs, medical assistants or LPNs.

Home Health Aide Job Characteristics

While some HHAs work part-time, the majority work a full-time, 40-hour work week. Many may also work nights, evenings, weekends, and holidays for patients who require round-the-clock care. If not self-employed, Home Health Aides are typically employed by state or county welfare agencies, or private home health agencies.

More often than not, home health aides have heavy workloads that include physical demands such as walking and standing for long periods of time. Also, because an HHA may be required to move clients from one spot to another and assist in standing and walking, it is very important that they learn and practice correct procedures for lifting and moving patients. Other hazards that an HHA may encounter in this occupation include minor infections and major diseases (e.g., hepatitis). It is important to note, however, that infections can be avoided by adhering to proper procedures. There are also duties performed by an HHA that most individuals would consider unpleasant, such as changing soiled bed linens and emptying bedpans.

Most home health aides simultaneously work with a variety of patients where the duration of each assignment may last anywhere from a few hours, days, or weeks. During a given day, many will drive from one patient to another. There are also HHAs who work with the same patient at their residence for many months or years.

Individuals in this profession must possess and exude the following characteristics, attributes, and abilities:

  • patience
  • dependability
  • precision and accuracy
  • emotional stability
  • sensitivity
  • honesty
  • discretion
  • strong communications abilities
  • good physical health (including strength to lift, carry, push, pull)
  • service oriented
  • socially perceptive
  • problem recognition/sensitivity/solving
  • ability to work as part of a team

Major Employers of Home Health Aides

If not self-employed, HHAs will find employment with state or county welfare agencies, private home health agencies, social assistance agencies, health care services, and nursing and residential care facilities.

Resource for Home Health Aides

Metro Areas Sorted by Total Employment for:
Home Health Aides

Listed below are metro areas sorted by the total number of people employed in Home Health Aides jobs , as of 2015

Source: 2015 Occupational Employment Statistics and 2014-24 Employment Projections, Bureau of Labor Statistics, BLS.gov.

     
Metro Area (Alabama) Total Employment Annual Median Salary
Hoover 1060 $18,060
Birmingham 1060 $18,060
Huntsville 940 $19,080
Montgomery 720 $18,510
Mobile 430 $20,720
Decatur 240 $18,230
Tuscaloosa 220 $18,230
Opelika 160 $19,130
Auburn 160 $19,130
Gadsden 90 $17,940
Florence 40 $23,120
Muscle Shoals 40 $23,120
Dothan N/A $21,820
Fairhope N/A $28,050
Daphne N/A $28,050
Foley N/A $28,050
     
Metro Area (Alaska) Total Employment Annual Median Salary
Anchorage 1200 $29,290
Fairbanks 30 $22,750
     
Metro Area (Arizona) Total Employment Annual Median Salary
Scottsdale 11010 $22,170
Mesa 11010 $22,170
Phoenix 11010 $22,170
Tucson 1450 $22,890
Yuma 300 $18,630
Prescott 230 $24,590
Kingman 140 $23,240
Lake Havasu City 140 $23,240
Flagstaff 70 $26,160
     
Metro Area (Arkansas) Total Employment Annual Median Salary
Little Rock 1520 $21,020
Conway 1520 $21,020
North Little Rock 1520 $21,020
Hot Springs 460 $18,640
Pine Bluff 340 $17,820
Jonesboro 290 $19,200
     
Metro Area (California) Total Employment Annual Median Salary
Long Beach 11530 $23,070
Los Angeles 11530 $23,070
Anaheim 11530 $23,070
Hayward 4770 $25,270
Oakland 4770 $25,270
San Francisco 4770 $25,270
San Diego 3550 $26,000
Carlsbad 3550 $26,000
Ontario 1980 $23,670
San Bernardino 1980 $23,670
Riverside 1980 $23,670
Arden 1570 $24,610
Roseville 1570 $24,610
Arcade 1570 $24,610
Sacramento 1570 $24,610
San Jose 1360 $24,550
Sunnyvale 1360 $24,550
Santa Clara 1360 $24,550
Oxnard 920 $23,680
Thousand Oaks 920 $23,680
Ventura 920 $23,680
Fresno 630 $20,190
Fairfield 630 $21,040
Vallejo 630 $21,040
Santa Barbara 620 $24,980
Santa Maria 620 $24,980
Bakersfield 550 $23,220
Santa Cruz 390 $23,350
Watsonville 390 $23,350
Napa 310 $25,240
San Luis Obispo 310 $27,440
Paso Robles 310 $27,440
Arroyo Grande 310 $27,440
Chico 270 $19,650
Salinas 210 $24,320
Redding 170 $22,600
Corcoran 50 $20,110
Hanford 50 $20,110
Porterville N/A $21,470
Visalia N/A $21,470
Santa Rosa N/A $23,110
Stockton N/A $23,370
Lodi N/A $23,370
Modesto N/A $26,450
     
Metro Area (Colorado) Total Employment Annual Median Salary
Lakewood 8390 $24,850
Denver 8390 $24,850
Aurora 8390 $24,850
Pueblo 890 $19,300
Colorado Springs 710 $22,690
Boulder 610 $27,490
Fort Collins 370 $22,860
Grand Junction 300 $23,760
Greeley N/A $19,210
     
Metro Area (Connecticut) Total Employment Annual Median Salary
East Hartford 2820 $27,020
West Hartford 2820 $27,020
Hartford 2820 $27,020
New Haven 2190 $27,100
Stamford 1970 $25,990
Bridgeport 1970 $25,990
Norwalk 1970 $25,990
Waterbury 210 $28,610
Danbury N/A $25,220
     
Metro Area (Delaware) Total Employment Annual Median Salary
Dover 420 $26,620
     
Metro Area (Florida) Total Employment Annual Median Salary
West Palm Beach 8640 $21,810
Miami 8640 $21,810
Fort Lauderdale 8640 $21,810
Tampa 3210 $21,850
St. Petersburg 3210 $21,850
Clearwater 3210 $21,850
Kissimmee 2310 $21,980
Sanford 2310 $21,980
Orlando 2310 $21,980
Sarasota 1820 $22,870
North Port 1820 $22,870
Bradenton 1820 $22,870
Jacksonville 1330 $21,840
Deltona 1270 $22,870
Ormond Beach 1270 $22,870
Daytona Beach 1270 $22,870
Ferry Pass 1050 $20,940
Pensacola 1050 $20,940
Brent 1050 $20,940
Fort Myers 950 $22,150
Cape Coral 950 $22,150
Winter Haven 910 $22,090
Lakeland 910 $22,090
Port St. Lucie 700 $22,790
Tallahassee 600 $19,920
Palm Bay 590 $22,660
Titusville 590 $22,660
Melbourne 590 $22,660
Immokalee 550 $26,420
Marco Island 550 $26,420
Naples 550 $26,420
Homosassa Springs 310 $20,490
Ocala 240 $22,760
Vero Beach 180 $27,230
Sebastian 180 $27,230
Panama City 170 $20,140
Gainesville 160 $18,920
Destin 160 $22,440
Fort Walton Beach 160 $22,440
Crestview 160 $22,440
Punta Gorda 90 $22,220
Sebring N/A $23,150
     
Metro Area (Georgia) Total Employment Annual Median Salary
Sandy Springs 5060 $20,630
Atlanta 5060 $20,630
Roswell 5060 $20,630
Rome 220 $17,880
Albany 170 $20,010
Gainesville 160 $22,630
Clarke County 50 $22,480
Athens 50 $22,480
Brunswick N/A $17,650
Savannah N/A $19,170
Valdosta N/A $20,670
Macon N/A $21,920
     
Metro Area (Hawaii) Total Employment Annual Median Salary
Urban Honolulu 3010 $26,910
Lahaina 260 $25,330
Wailuku 260 $25,330
Kahului 260 $25,330
     
Metro Area (Idaho) Total Employment Annual Median Salary
Boise City 1370 $22,140
Idaho Falls 330 $18,960
Pocatello 230 $19,750
Coeur d'Alene 110 $19,010
     
Metro Area (Illinois) Total Employment Annual Median Salary
Rockford 690 $22,730
Peoria 480 $20,490
Springfield 310 $22,510
Urbana 290 $23,420
Champaign 290 $23,420
Decatur 210 $21,420
Kankakee 120 $21,650
Bloomington N/A $24,390
     
Metro Area (Indiana) Total Employment Annual Median Salary
Carmel 4850 $22,490
Indianapolis 4850 $22,490
Anderson 4850 $22,490
Fort Wayne 1170 $21,590
Bloomington 350 $22,250
Kokomo 250 $21,920
West Lafayette 240 $19,820
Lafayette 240 $19,820
Muncie 210 $21,980
Terre Haute N/A $21,480
Columbus N/A $25,960
     
Metro Area (Iowa) Total Employment Annual Median Salary
Des Moines 1030 $24,130
West Des Moines 1030 $24,130
Waterloo 570 $23,490
Cedar Falls 570 $23,490
Cedar Rapids 420 $26,140
Dubuque 110 $22,970
Iowa City N/A $23,160
     
Metro Area (Kansas) Total Employment Annual Median Salary
Wichita 750 $22,130
Manhattan 190 $23,290
Lawrence 50 $22,270
Topeka N/A $22,840
     
Metro Area (Kentucky) Total Employment Annual Median Salary
Lexington 210 $25,880
Fayette 210 $25,880
Bowling Green 80 $22,290
Owensboro 50 $23,760
Fort Knox N/A $26,100
Elizabethtown N/A $26,100
     
Metro Area (Louisiana) Total Employment Annual Median Salary
Baton Rouge 1670 $18,290
Lafayette 1600 $18,520
New Orleans 1560 $21,220
Metairie 1560 $21,220
Shreveport 1130 $18,450
Bossier City 1130 $18,450
Monroe 1060 $18,460
Lake Charles 500 $18,300
Alexandria 330 $20,890
Houma N/A $19,090
Thibodaux N/A $19,090
     
Metro Area (Maine) Total Employment Annual Median Salary
South Portland 1160 $23,160
Portland 1160 $23,160
Bangor 420 $22,420
Auburn N/A $31,860
Lewiston N/A $31,860
     
Metro Area (Maryland) Total Employment Annual Median Salary
Towson 4880 $23,190
Columbia 4880 $23,190
Baltimore 4880 $23,190
     
Metro Area (Massachusetts) Total Employment Annual Median Salary
Barnstable Town 570 $29,480
Pittsfield 380 $28,850
Gardner 150 $26,140
Leominster 150 $26,140
New Bedford N/A $23,280
     
Metro Area (Michigan) Total Employment Annual Median Salary
Warren 15330 $21,280
Detroit 15330 $21,280
Dearborn 15330 $21,280
Wyoming 2850 $20,480
Grand Rapids 2850 $20,480
Ann Arbor 1810 $21,780
Kalamazoo 1630 $21,670
Portage 1630 $21,670
Flint 1470 $19,390
East Lansing 1430 $19,090
Lansing 1430 $19,090
Saginaw 810 $19,270
Muskegon 530 $22,680
Bay City 430 $18,590
Jackson 360 $20,540
Battle Creek 340 $20,640
Monroe 290 $20,480
Midland 220 $19,750
Benton Harbor 80 $22,920
Niles 80 $22,920
     
Metro Area (Minnesota) Total Employment Annual Median Salary
Rochester 1590 $23,480
St. Cloud 780 $23,290
North Mankato 540 $22,500
Mankato 540 $22,500
     
Metro Area (Mississippi) Total Employment Annual Median Salary
Jackson 4900 $22,280
Gulfport 450 $19,070
Pascagoula 450 $19,070
Biloxi 450 $19,070
Hattiesburg 240 $21,690
     
Metro Area (Missouri) Total Employment Annual Median Salary
Springfield 180 $20,860
Jefferson City N/A $18,500
Columbia N/A $19,700
Joplin N/A $20,850
     
Metro Area (Montana) Total Employment Annual Median Salary
Great Falls 290 $21,930
Missoula 100 $22,210
Billings 30 $26,130
     
Metro Area (Nebraska) Total Employment Annual Median Salary
Lincoln 390 $24,160
Grand Island 70 $22,810
     
Metro Area (Nevada) Total Employment Annual Median Salary
Paradise 1140 $22,950
Henderson 1140 $22,950
Las Vegas 1140 $22,950
Reno 370 $22,260
     
Metro Area (New Hampshire) Total Employment Annual Median Salary
Manchester 580 $26,700
     
Metro Area (New Jersey) Total Employment Annual Median Salary
Trenton 1420 $24,060
Hammonton 640 $24,420
Atlantic City 640 $24,420
Ocean City 90 $29,990
     
Metro Area (New Mexico) Total Employment Annual Median Salary
Albuquerque 4070 $23,800
Las Cruces 640 $17,910
Farmington 80 $19,630
Santa Fe N/A $23,610
     
Metro Area (New York) Total Employment Annual Median Salary
Niagara Falls 4930 $23,380
Cheektowaga 4930 $23,380
Buffalo 4930 $23,380
Rochester 4370 $23,200
Albany 3830 $23,560
Schenectady 3830 $23,560
Troy 3830 $23,560
Rome 2960 $27,350
Utica 2960 $27,350
Syracuse 1830 $22,950
Binghamton 740 $23,370
Kingston 720 $23,420
Fort Drum 380 $19,650
Watertown 380 $19,650
Elmira 170 $23,150
Glens Falls 150 $25,690
     
Metro Area (North Carolina) Total Employment Annual Median Salary
High Point 4220 $18,590
Greensboro 4220 $18,590
Raleigh 3980 $21,000
Salem 3150 $18,870
Winston 3150 $18,870
Lenoir 2920 $21,190
Morganton 2920 $21,190
Hickory 2920 $21,190
Durham 2730 $19,500
Chapel Hill 2730 $19,500
Fayetteville 1870 $18,020
Asheville 1770 $21,300
New Bern 1360 $18,020
Greenville 1360 $18,370
Wilmington 1360 $20,700
Goldsboro 670 $18,880
Burlington 610 $19,930
Rocky Mount 460 $18,360
Jacksonville 400 $18,330
     
Metro Area (North Dakota) Total Employment Annual Median Salary
Bismarck 440 $27,740
     
Metro Area (Ohio) Total Employment Annual Median Salary
Columbus 14900 $21,630
Elyria 14230 $20,640
Cleveland 14230 $20,640
Dayton 4140 $19,430
Akron 3540 $19,210
Toledo 3140 $19,990
Canton 2540 $18,790
Massillon 2540 $18,790
Mansfield 960 $19,070
Springfield 810 $19,970
Lima 620 $19,530
     
Metro Area (Oklahoma) Total Employment Annual Median Salary
Tulsa 2590 $24,240
Oklahoma City 2080 $22,720
Lawton 310 $18,200
     
Metro Area (Oregon) Total Employment Annual Median Salary
Salem 690 $22,140
Medford 570 $22,650
Eugene 540 $22,730
Redmond 430 $22,550
Bend 430 $22,550
Corvallis 220 $22,200
Albany 180 $22,210
     
Metro Area (Pennsylvania) Total Employment Annual Median Salary
Pittsburgh 6260 $21,700
Reading 2410 $21,600
Carlisle 2160 $22,210
Harrisburg 2160 $22,210
Wilkes 2160 $22,510
Scranton 2160 $22,510
Barre 2160 $22,510
Hazleton 2160 $22,510
Erie 2080 $21,470
Lancaster 1550 $22,640
Hanover 920 $20,550
York 920 $20,550
Altoona 670 $20,220
Johnstown 430 $19,410
State College 380 $22,330
Lebanon 370 $21,960
East Stroudsburg 350 $22,190
Williamsport 330 $18,640
Gettysburg 250 $23,030
Chambersburg 200 $24,930
Waynesboro 200 $24,930
Bloomsburg N/A $23,160
Berwick N/A $23,160
     
Metro Area (Puerto Rico) Total Employment Annual Median Salary
San Juan 1410 $17,650
Carolina 1410 $17,650
Caguas 1410 $17,650
San Germ�n 160 $17,400
Ponce 140 $17,560
Mayag�ez 100 $17,580
Arecibo 40 $17,870
Guayama 30 $17,530
Isabela N/A $17,590
Aguadilla N/A $17,590
     
Metro Area (South Carolina) Total Employment Annual Median Salary
Columbia 2290 $20,570
Mauldin 1150 $18,980
Anderson 1150 $18,980
Greenville 1150 $18,980
Florence 940 $19,420
Spartanburg 920 $21,350
Bluffton 790 $20,050
Hilton Head Island 790 $20,050
Beaufort 790 $20,050
Charleston 650 $20,870
North Charleston 650 $20,870
Sumter 410 $18,930
     
Metro Area (South Dakota) Total Employment Annual Median Salary
Sioux Falls 220 $25,390
     
Metro Area (Tennessee) Total Employment Annual Median Salary
Franklin 2220 $19,330
Davidson 2220 $19,330
Murfreesboro 2220 $19,330
Nashville 2220 $19,330
Knoxville 1270 $18,490
Jackson 270 $17,780
Johnson City 140 $21,300
Cleveland 110 $18,780
Morristown 70 $20,940
     
Metro Area (Texas) Total Employment Annual Median Salary
Fort Worth 14110 $20,250
Arlington 14110 $20,250
Dallas 14110 $20,250
Sugar Land 9600 $18,200
The Woodlands 9600 $18,200
Houston 9600 $18,200
McAllen 6850 $17,660
Edinburg 6850 $17,660
Mission 6850 $17,660
Harlingen 6120 $17,530
Brownsville 6120 $17,530
Corpus Christi 4070 $18,140
San Antonio 3970 $20,800
New Braunfels 3970 $20,800
Round Rock 2130 $20,830
Austin 2130 $20,830
Tyler 1440 $17,480
El Paso 1210 $18,520
Laredo 830 $17,680
Lubbock 520 $20,380
San Angelo 210 $18,670
Midland 170 $19,550
Abilene 160 $18,270
Denison 140 $21,190
Sherman 140 $21,190
Beaumont 130 $26,450
Port Arthur 130 $26,450
Waco N/A $17,990
Victoria N/A $18,030
Temple N/A $18,080
Killeen N/A $18,080
Wichita Falls N/A $18,380
Longview N/A $18,500
Amarillo N/A $18,960
     
Metro Area (Utah) Total Employment Annual Median Salary
Salt Lake City 1250 $24,990
Provo 620 $20,910
Orem 620 $20,910
Ogden 470 $22,730
Clearfield 470 $22,730
St. George N/A $23,210
     
Metro Area (Vermont) Total Employment Annual Median Salary
South Burlington 100 $25,420
Burlington 100 $25,420
     
Metro Area (Virginia) Total Employment Annual Median Salary
Richmond 1370 $18,630
Roanoke 530 $18,730
Lynchburg 340 $18,880
Waynesboro 320 $18,770
Staunton 320 $18,770
Charlottesville 300 $22,610
Harrisonburg 210 $22,220
     
Metro Area (Washington) Total Employment Annual Median Salary
Seattle 4240 $24,510
Tacoma 4240 $24,510
Bellevue 4240 $24,510
Richland 300 $24,570
Kennewick 300 $24,570
Bellingham 90 $24,860
Wenatchee 40 $23,250
Yakima N/A $22,830
Spokane Valley N/A $23,210
Spokane N/A $23,210
Anacortes N/A $23,950
Mount Vernon N/A $23,950
Olympia N/A $28,440
Tumwater N/A $28,440
Silverdale N/A $29,750
Bremerton N/A $29,750
     
Metro Area (West Virginia) Total Employment Annual Median Salary
Vienna 390 $18,300
Parkersburg 390 $18,300
Morgantown 310 $18,680
Charleston N/A $18,570
Beckley N/A $18,570
     
Metro Area (Wisconsin) Total Employment Annual Median Salary
Waukesha 3150 $22,500
West Allis 3150 $22,500
Milwaukee 3150 $22,500
Madison 1570 $24,510
Eau Claire 230 $23,090
Green Bay 140 $23,200
Fond du Lac 120 $21,930
Wausau N/A $20,660
     
Metro Area (Wyoming) Total Employment Annual Median Salary
Cheyenne 40 $29,420

Career Stories (Job Profiles) for Home Health Aides

To find out more about building a career as Home Health Aides, we spoke with professionals in the field across a variety of specialties. Learn about their experiences on the job, the steps they took to complete their education, and what it takes to excel in this industry. Click the link to see a story.

All Types

Most Popular Industries for :
Home Health Aides

Industries representing at least 1% of total jobs for the occupation.

Source: 2015 Occupational Employment Statistics and 2014-24 Employment Projections, Bureau of Labor Statistics, BLS.gov.

Industry Jobs Percent Annual Median Salary
Nursing And Residential Care 388,170 43% $20,410
Medical Office 290,950 32% $20,230
Social Service 137,870 15% $19,770
Government 28,090 3% $28,520
Office Services And Staffing 23,380 2% $22,010
Hospital 17,890 2% $24,080
These schools offer particularly quick info upon request, and we have written detailed profiles for each (click school names to see the profiles). Request info from multiple schools, by clicking the Request Info links.
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CityTownInfo Career and College Resources

We have some additional detailed pages at the state level for Home Health Aides.

Numbers in parentheses are counts of relevant campus-based schools in the state; online schools may also be available.

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