The United States is facing a critical shortage of qualified caregivers, nursing assistants, and elder care professionals — and employers are now actively offering visa sponsorship to fill these roles. Care home jobs in the USA with visa sponsorship provide foreign workers a legal pathway to live and work in America, earn up to $60,000 per year, and access employer-sponsored health insurance, housing support, and long-term residency options.
In this comprehensive guide, you’ll discover the highest-paying care home jobs, U.S. work visa options (H-1B, H-2B, EB-3), required certifications, top states hiring, and the best care agencies sponsoring foreign workers. Whether you’re an experienced healthcare professional or just starting your caregiving career, this article shows you how to apply safely, legally, and successfully.
Thousands of international caregivers are already securing visa-sponsored care home jobs in the USA with competitive salaries, full healthcare coverage, and permanent residency opportunities. If you’re serious about working in the U.S. healthcare system, now is the time to explore approved employers, understand your visa options, and submit your application before available sponsorship slots fill up.
Why Choose Care Home Jobs in the USA?
Caregiving has evolved into one of the most in-demand and financially attractive healthcare careers in the United States, driven by demographic shifts, healthcare expansion, and workforce shortages. Beyond compassion, care home roles now offer strong income potential, legal work opportunities, and long-term career security. Here’s why care home jobs in the USA stand out as a smart and rewarding choice:
- High Demand: The rapidly aging U.S. population has created an urgent and sustained demand for professional caregivers nationwide. According to the U.S. Bureau of Labor Statistics, healthcare support occupations are projected to grow significantly over the next decade—outpacing most other industries. This consistent demand translates into job stability, multiple employment options, and strong employer competition.
- Competitive Salaries: Care home positions offer competitive annual earnings of up to $60,000 or more, depending on qualifications, certifications, and geographic location. Many employers also provide overtime pay, healthcare insurance, retirement plans, and paid leave—benefits that align closely with high-value sectors such as insurance, financial planning, and employee benefits.
- Visa Sponsorship:To address critical labor shortages, many U.S. care facilities actively offer employer-sponsored visa opportunities for qualified international caregivers. These programs allow foreign professionals to work legally in the USA and, in some cases, pursue long-term residency pathways—making caregiving one of the most accessible healthcare roles for international talent.
- Job Satisfaction:Caregiving delivers more than financial rewards—it offers meaningful work with lasting impact. Care professionals play a vital role in improving lives while gaining valuable experience, professional training, and career advancement opportunities within the U.S. healthcare system.
What Is a Sponsorship Visa?
A sponsorship visa is a legally approved U.S. immigration pathway that allows foreign nationals to live and work in the United States with the formal support of a qualified U.S.-based sponsor. This sponsor—typically an employer, licensed organization, or eligible family member—assumes legal responsibility for initiating and supporting the visa application.
In employment-based sponsorships, U.S. employers must demonstrate a genuine labor shortage, confirm the role meets federal wage and compliance standards, and prove that hiring an international worker is necessary. The process involves government verification, labor certification, and strict regulatory oversight, making sponsorship visas one of the most secure and legitimate ways to migrate to the USA for work, long-term employment, and potential permanent residency.
Best US States with Highest Caregiver Salaries
One of the biggest draws of applying for caregiver jobs in the USA with visa sponsorship is the high earning potential. However, caregiver salaries vary significantly depending on the state, city, and local demand for healthcare professionals.
Here’s a breakdown of the top U.S. states offering the highest caregiver salaries in 2026:
- California – Caregivers in California earn $34,000 – $42,000 per year. Major cities like Los Angeles, San Diego, and San Francisco have high living costs, so employers offer premium salaries to attract skilled caregivers.
- New York – With a growing elderly population and high demand for qualified healthcare workers, caregivers make $32,000 – $40,000 annually. Areas like New York City and Long Island are hotspots for foreign caregivers seeking visa sponsorship.
- Massachusetts – Known for its world-class medical facilities, Massachusetts pays caregivers $31,000 – $38,000 per year, particularly in Boston and surrounding metro areas.
- Washington State – With a strong healthcare system and a rapidly aging population, caregivers earn $30,000 – $37,000 annually. Seattle leads in caregiving job opportunities.
- Texas – While wages are slightly lower ($28,000 – $35,000 per year), Texas has one of the highest demands for caregivers in the U.S. Cities like Houston, Dallas, and Austin are constantly hiring foreign caregivers.
When applying for CNA jobs in the USA for foreigners or elderly care visa jobs, always weigh both salary and cost of living. California may pay more, but Texas offers more affordable housing, lower taxes, and a high volume of opportunities.
| Job Title | Average Salary (USD/Year) | Visa Sponsorship Availability | Top States Hiring |
|---|---|---|---|
| Caregiver (Entry Level) | $27,000 – $32,000 | Yes | Texas, Florida, New York |
| Certified Nursing Assistant (CNA) | $30,000 – $38,000 | Yes | California, Illinois, Pennsylvania |
| Registered Nurse (RN) | $60,000 – $95,000 | Yes (H-1B/EB-3) | New York, California, Massachusetts |
| Home Health Aide | $25,000 – $33,000 | Yes | Ohio, Michigan, Georgia |
Average Caregiver Pay in the United States
Caregiver earnings depend on location, certifications, employer type, and overtime availability. However, nationwide income ranges are strong and trending upward.
- Average hourly wage: $14 – $28 per hour
- Average annual gross income: $32,000 – $60,000+
- Total earnings with overtime & bonuses: $65,000+ in high-demand states
Ongoing workforce shortages and an aging population continue to push wages higher, making caregiving one of the most stable income paths in U.S. healthcare.
High-Demand Care Home Jobs in the USA With Visa Sponsorship
The U.S. healthcare system is experiencing a nationwide caregiver shortage, creating legal employment opportunities for foreign workers through employer-sponsored visas such as EB-3, H-2B, and H-1B. Below are the most in-demand care home jobs currently offering visa sponsorship, competitive salaries, and relocation support for international applicants.
1. Care Home Jobs in High-Demand U.S. States (EB-3 / H-1B Visa)
Care homes in California, Florida, Texas, and New York are actively recruiting international caregivers due to rising elderly populations and healthcare worker shortages. These states offer some of the highest-paying care home jobs in the USA with visa sponsorship.
Average Salary: $32,000 – $45,000 per year
Visa Options: EB-3 Green Card, H-1B Work Visa
Job Roles: Personal care aides, home health aides, elderly care assistants, support staff
Why these states attract foreign workers:
- High concentration of care facilities
- Strong employer visa sponsorship programs
- Competitive wages and full healthcare benefits
- Clear pathways to permanent residency (Green Card)
2. Live-In Caregiver Jobs With Free Accommodation (EB-3 / H-2B Visa)
Live-in caregiver jobs offer one of the most cost-effective ways to work legally in the USA. These roles provide free housing, utilities, and meals, allowing foreign workers to save a significant portion of their income while earning in U.S. dollars.
Average Salary: $30,000 – $42,000 per year
Visa Options: EB-3 Immigrant Visa, H-2B Temporary Work Visa
Key benefits:
- Free accommodation and reduced living costs
- Stable long-term employment
- Employer-sponsored health insurance
- High demand in urban and suburban areas
These roles are ideal for international workers seeking low-expense living + high-income potential.
3. Certified Nursing Assistant (CNA) Jobs With Paid Training (EB-3 Visa)
CNA roles are among the most sponsored healthcare jobs in the USA for foreigners. Many U.S. employers offer paid CNA training programs, certification support, and full visa sponsorship to fill staffing shortages in care homes and nursing facilities.
Average Salary: $35,000 – $50,000 per year
Visa Option: EB-3 Green Card Sponsorship
Why CNA jobs are highly attractive:
- Employer-funded certification programs
- Fast-track employment opportunities
- Long-term career growth in U.S. healthcare
- Direct pathway to permanent residency
This is one of the easiest legal entry routes into the U.S. healthcare system for foreign workers.
4. Entry-Level Care Home Jobs for Foreign Workers (EB-3 / H-2B Visa)
Foreign applicants with little or no experience can still secure visa-sponsored care home jobs in the USA through entry-level roles that include on-the-job training and structured onboarding programs.
Average Salary: $28,000 – $36,000 per year
Visa Options: EB-3 Immigrant Visa, H-2B Work Visa
Common roles:
- Personal care assistants
- Elderly support workers
- Home care aides
- Residential support staff
These positions are ideal for foreigners seeking legal U.S. work experience, visa sponsorship, and career advancement opportunities.
5. Assisted Living Caregiver Jobs With Overtime Pay (EB-3 / H-1B Visa)
Assisted living facilities across the U.S. offer high-paying caregiver jobs with overtime, holiday pay, and long-term employment contracts. These facilities actively sponsor visas to meet staffing demands.
Average Salary: $38,000 – $55,000 per year
Visa Options: EB-3 Green Card, H-1B Work Visa
Benefits include:
- Overtime and holiday pay
- Full health, dental, and vision insurance
- Retirement plans (401k)
- Paid leave and wellness benefits
- Stable long-term employment
These roles provide financial security, legal residency opportunities, and long-term career stability for international caregivers.
Types of Care Home Jobs in the USA With Visa Sponsorship Opportunities
Care homes across the United States offer a wide range of high-demand healthcare roles, many of which qualify for visa sponsorship due to ongoing labor shortages. These positions suit different experience levels—from entry-level caregivers to licensed medical professionals—while offering stable income, career growth, and long-term employment security.
Below are the most in-demand care home jobs in the USA, including responsibilities and earning potential.
1. Certified Nursing Assistant (CNA)
Certified Nursing Assistants are the backbone of daily patient care in U.S. care homes. They work closely with nurses and doctors to support residents with essential personal and medical needs.
Key Responsibilities:
- Assisting residents with bathing, dressing, and feeding
- Monitoring vital signs and reporting health changes
- Supporting mobility and physical therapy exercises
- Providing emotional comfort to patients and families
Average Annual Salary: $30,000 – $40,000
2. Home Health Aide (HHA)
Home Health Aides provide personalized care to patients in their homes or residential care settings. This role is ideal for individuals seeking flexible schedules and entry into the U.S. healthcare system.
Key Responsibilities:
- Assisting with personal hygiene and daily routines
- Preparing meals and light housekeeping
- Providing medication reminders and basic health monitoring
- Offering companionship and emotional support
Average Annual Salary: $25,000 – $35,000
3. Licensed Practical Nurse (LPN)
Licensed Practical Nurses perform hands-on medical duties under the supervision of doctors and Registered Nurses. LPNs are highly valued in care homes, assisted living facilities, and long-term care centers.
Key Responsibilities:
- Administering medications and prescribed treatments
- Monitoring patient health and maintaining medical records
- Performing wound care and clinical procedures
- Supporting patient recovery and comfort
Average Annual Salary: $45,000 – $55,000
4. Registered Nurse (RN)
Registered Nurses hold leadership roles in care homes and are responsible for delivering and managing high-quality patient care. RN positions often come with higher pay, benefits, and visa sponsorship priority.
Key Responsibilities:
- Developing and managing patient care plans
- Administering advanced treatments and medications
- Coordinating with doctors and healthcare teams
- Supervising CNAs and LPNs
Average Annual Salary: $60,000 – $80,000+
5. Care Home Manager
Care Home Managers oversee the overall operations of care facilities, combining healthcare knowledge with leadership and business management skills.
Key Responsibilities:
- Managing staff recruitment, schedules, and training
- Ensuring compliance with U.S. healthcare regulations
- Handling budgets, payroll, and financial reporting
- Maintaining quality standards and resident satisfaction
Average Annual Salary: $50,000 – $70,000
Caregiver Work Visas in the USA: Sponsorship, Green Cards, and Permanent Residency
Foreign nationals who want to work in the United States as caregivers must obtain a U.S. work visa sponsored by an approved employer. Due to chronic labor shortages in healthcare and elder care, many U.S. care homes actively sponsor international workers through multiple visa pathways.
Below are the most common and most valuable visa options for care home workers—ranked by long-term benefits, income security, and residency potential.
EB-3 Visa (Best Option for Permanent Residence)
The EB-3 Employment-Based Green Card is the most powerful and desirable visa option for caregivers seeking long-term stability in the U.S. It is especially suitable for Certified Nursing Assistants (CNAs), Registered Nurses (RNs), and skilled care home workers.
Key Benefits:
- Permanent residence (Green Card)
- Pathway to U.S. citizenship
- Dependents allowed (spouse and children under 21)
- No seasonal or short-term employment limits
- Access to full U.S. labor protections and benefits
Requirements:
- Employer sponsorship from a U.S. care facility
- Labor certification (PERM) proving worker shortage
- Relevant training or experience
H-2B Visa (Temporary Caregiver Jobs)
The H-2B visa is commonly used for temporary, seasonal, or peak-demand caregiving roles, particularly in home health and assisted living facilities.
Key Features:
- Employer-sponsored temporary work visa
- Common for home health aides and personal caregivers
- Renewable (subject to annual caps)
Requirements:
- Employer must prove no available U.S. workers
- Job must be time-limited or seasonal
While not a permanent visa, H-2B roles often lead to EB-3 sponsorship after employment.
H-1B Visa (Skilled Healthcare Roles)
The H-1B visa is designed for specialty occupations requiring advanced education. Although more popular in tech, certain healthcare positions may qualify.
Key Features:
- Employer-sponsored skilled worker visa
- Valid for up to 6 years
- Potential pathway to permanent residence
Requirements:
- U.S. job offer
- Relevant bachelor’s degree or equivalent experience
Best suited for licensed nurses, healthcare coordinators, and clinical specialists.
TN Visa (Canada & Mexico Only)
The TN visa, available under the USMCA Agreement, allows Canadian and Mexican citizens to work legally in the U.S. healthcare sector.
Key Features:
- Fast processing
- No annual cap
- Renewable indefinitely
Requirements:
- Citizenship of Canada or Mexico
- Valid U.S. job offer in a qualifying healthcare role
Popular among registered nurses and healthcare professionals from North America.
J-1 Visa (Exchange-Based Healthcare Programs)
The J-1 visa is intended for exchange visitors participating in approved work-and-study healthcare programs.
Key Features:
- Cultural and professional exchange focus
- Temporary employment authorization
- Structured training environment
Requirements:
- Enrollment in an approved exchange program
- Compliance with program duration and rules
Some J-1 visas carry a home residency requirement, limiting immediate Green Card transition.
Care Companies and Agencies Offering Visa Sponsorship in the USA
Securing a care home job in the United States with visa sponsorship starts with targeting reputable, immigration-compliant employers. Due to ongoing workforce shortages in elder care and healthcare support, many U.S. care providers actively recruit international caregivers and offer end-to-end visa sponsorship support, including legal processing and relocation assistance.
Below are the top employer categories most likely to sponsor H-1B, H-2B, and EB-3 Green Card visas—ranked by approval success and long-term career potential.
1. Large National Care Agencies with Structured Visa Onboarding
Large care agencies affiliated with national healthcare networks are among the most reliable sponsors for international caregivers. These organizations typically maintain in-house immigration teams or partner with U.S. immigration law firms, making the sponsorship process smoother and faster.
Why target national agencies?
- Proven experience sponsoring H-1B and EB-3 Green Card visas
- Structured onboarding, paid training, and certification support
- Job placements available across multiple U.S. states
- Strong compliance with U.S. labor and immigration laws
Examples of reputable agencies:
- Amedisys
- BrightStar Care
- Visiting Angels
How to apply:
Visit official company career pages or use high-authority job platforms such as Indeed, LinkedIn Jobs, and Glassdoor, filtering for “visa sponsorship” or “international applicants.”
2. Private Assisted Living & Senior Care Facilities
Privately owned assisted living facilities frequently hire foreign caregivers to meet personalized elderly care needs. These employers often sponsor visas for roles such as personal care aides, live-in caregivers, and activity coordinators, especially in high-cost urban markets.
Why private facilities are attractive:
- Smaller staff-to-resident ratios
- Personalized work environments
- Higher willingness to sponsor EB-3 Green Cards for long-term staffing
Visa sponsorship support:
Many private employers work directly with immigration attorneys to facilitate permanent residence (EB-3) applications.
Best locations to search:
- Los Angeles
- Miami
- New York City
3. Rural & Underserved Area Healthcare Facilities (High Approval Rates)
Care homes and healthcare facilities in rural or underserved U.S. regions face the most severe staffing shortages—making them far more likely to sponsor foreign workers.
Key advantages:
- Higher probability of visa approval
- Faster EB-3 Green Card processing
- Competitive salaries with lower cost of living
- Employer-covered relocation or housing benefits
Common visa types offered:
- EB-3 (most common)
- H-2B for temporary roles
How to find these roles:
Search niche healthcare job boards or apply directly through facility websites listed on state healthcare networks.
4. Employers with Established International Hiring Programs
Some U.S. care home operators have formal international recruitment pipelines, specifically designed to attract and retain foreign caregivers. These employers usually have dedicated HR and legal teams to manage sponsorship, compliance, and settlement.
Why these employers stand out:
- Documented history of hiring foreign caregivers
- Clear EB-3 and H-1B sponsorship pathways
- Ongoing career development and promotion opportunities
Well-known employers include:
- Brookdale Senior Living
- Sunrise Senior Living
Application strategy:
Submit visa-ready resumes and tailored cover letters, emphasizing flexibility, relocation readiness, and long-term employment goals.
Healthcare Insurance Benefits for Caregivers in the USA
Beyond high salaries, another major perk of working in the U.S. as a caregiver is the comprehensive employer-sponsored healthcare benefits. In a country with a private healthcare system, these benefits are essential for caregivers and their families.
Common healthcare insurance benefits for caregivers in the USA include:
- Full Health Coverage – Insurance typically covers doctor visits, hospital stays, surgeries, and prescription medications.
- Dental & Vision Insurance – Many caregivers receive coverage for dental cleanings, eye exams, and corrective lenses.
- Retirement Plans (401k) – Some employers match contributions, helping caregivers save for long-term financial security.
- Paid Leave – Includes sick leave, vacation days, and sometimes maternity leave.
- Wellness Programs – Mental health support, counseling services, gym memberships, or wellness allowances.
For international caregivers, these benefits are a huge financial relief. Without employer coverage, even a routine doctor’s visit can cost $100–$200, and hospital stays can run into thousands of dollars.
This makes applying for caregiver jobs in the USA with visa sponsorship not only a career choice but a strategic financial decision for long-term security.