Where to Find Home Health Aide Jobs

The healthcare field is one of the largest and fastest growing fields in the nation today, and home health aide jobs are in high demand.

If you are looking for healthcare job that requires minimal entry requirements, a career as a HHA just may be a perfect place to start!

Within just a few weeks of training and the completion of a state certification exam (if required) you can, in most states, become a HHA and start working immediately

As a home health aide you will likely work under the supervision of a medical professional, typically a qualified nurse or RN.

Working as an HHA can be a stepping stone on the path of upward mobility in the healthcare field.


Types of HHA Employment

As an HHA, you have options to earn a living by either working for someone else as an employee, or you can choose to work for yourself through self-employment.

Many types of employers are available to you if you choose to have an employer.

Employers include home health care agencies, hospice care services, assisted living facilities, state or county welfare agencies, nursing and residential care facilities, and social assistance agencies.

Working for an Employer

Of the various types of companies hiring for home health aides, home health care agencies are know for having the largest percentage of home health aide jobs.

At the initial start of your HHA career, it is a good idea to start working with an agency or facility so that you will be sure to acquire the skills necessary to perform your job duties properly. The great advantage of working for an agency is that you will be a part of a health care team to help you.

When starting at a home health care agency, you will most likely get on-the-job HHA training and be under the supervision of another experience health professional such as a registered nurse.

At an agency, employers most likely will provide you with ongoing training and educational opportunities for advancement.

Depending on the state in which you live, certain requirements must be met to work for a home health care agency.

Chances are that working for an agency will require you to be HHA certified. This is because the federal government requires agencies having Medicaid and Medicare clients that all staff is certified.

Help with getting your HHA certification may also be available as a benefit at the agency you work for. The agency will most likely assist you with successfully completing the combination of classroom hours and clinical hours, along with passing an exam to get your coveted certification.

Understand that many times after getting training and certification provided by the agency, they may require an agreement from you to work for the agency for a specified time period, typically for one year.

If you get a home health aide job with an agency, you will be assigned to clients that the agency has located for care. Therefore you will not have to find your own clients.

Employment at an agency can also provide you with flexibility for your working hours – both full and part time. If you can make yourself available, you can work at any time during the day or evening.

Working for blocks of hours in the morning, afternoon or evening are all options. You may work routinely with one customer every day, or just several days a week. Or perhaps you’ll have multiple clients throughout the day that you work with in separate residences.

The agency will also take care of withholding taxes and send you an annual W-2 form for your income tax returns. They may also offer benefits such as health insurance, vacation, paid holidays and sick days as well.

A downside to working at an agency regards the rules that may be enforced when working with your clients. If you are preparing food for your clients, agency rules may prohibit you from sharing food with them and you may be required to pack and bring your own separate meals.

Another concern may be that you are not always assigned to the same clients on a routine basis.

Rules and processes like these does not allow for HHAs to develop healthy relationships with their clients.

But depending on what suits you best, these may or may not be concerns for you to work for a home health care agency.


To be self-employed, otherwise known as an independent contractor, as an HHA means that you are not associated with an agency or supervised by a medical professional.

You are solely in charge of finding and accepting your own clients, setting hourly fees and work schedules, making job agreements, and paying annual W-2 form.

You will be your own boss, operating as your own business. Thus, you will need to be very organized and proactive to be successful.

HHAs who have a large amount of experience under their belt may prefer being self-employed.

As opposed to working for a home health care agency, you would have much more freedom and flexibility – but also a lot more responsibility!

A main added responsibility is actually finding clients who you will work for and scheduling the days and time you will work. You will find that each of your potential clients have varying needs and requirements of you to fulfill the job as they require.

You may also find that your income will fluctuate – as your work and hours are not guaranteed, and could potentially end at a moment’s notice.

These are important concerns to keep in mind if you are contemplating being self-employed.


When contemplating where to find home health aide jobs, consider what is important to you.

Do you prefer freedom from agency rules, and are well-organized and motivated to get clients on your own?

Or would you rather work with a team of medical staff where you will get support, and ongoing jobs?

With home health aide jobs working either for yourself or an agency has both upsides and downsides – it all depends on what you prefer!

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