The Résumé Rx

The Ultimate Guide to Becoming a Home Care Nurse: Salary, Education, Duties, and More!

Amanda Guarniere

This guide explores the path to becoming a home care nurse, discussing education, certification, and training requirements. We’ll also give you insights into salary expectations and the career outlook for home care nurses, offering a comprehensive understanding of this vital healthcare profession.


What does a Home Care Nurse do?

Home care nursing is a diverse and deeply rewarding field, with a broad spectrum of responsibilities. These range from providing emotional support to patients in their homes to imparting crucial guidance on patient care to family members and other caregivers. An effective home care nurse also serves as a valuable liaison between the patient and their doctor, ensuring the physician is kept informed about the patient’s health condition. 

Physical support is another major aspect of home care nursing. This includes in-home mobility assistance, aiding patients with getting in and out of their bed or wheelchair, and administering therapeutic exercises and other medical treatments as directed by the patient’s physician. Rigorous record-keeping is also a must, with home care nurses required to maintain detailed records of patient’s health progress and the nursing interventions performed. 

Medication management is a critical part of the job. Home care nurses handle the administration of medicines, ensuring they are taken as prescribed and at the right times. They also provide palliative care focused on symptom management to enhance the quality of life for terminally ill patients, and aid patients in managing their own health. This might involve teaching patients how to care for wounds or monitor their blood sugar levels if they are diabetic. 

Overseeing their patient’s nutrition plays a significant part in a home care nurse’s duties, along with meal preparation based on the patient’s dietary needs. They also work on improving patients’ cognitive abilities through prescribed exercises and activities and conduct comprehensive tests to monitor for signs of infection, weakness, and bedsores. 

Assisting with personal care and hygiene, such as bathing, tooth brushing, and toileting is also part of a home care nurse’s duties. Their role involves working alongside doctors to develop tailored healthcare plans for each patient, undertaking wound care management, including inspection, cleaning, and dressing changes, and conducting routine household tasks that the patient may struggle with, such as light housekeeping or laundry. Finally, home care nurses administer care and medical assistance in the patient’s home, traveling as required.

Home Care Nurse Salary Info (How much do they actually make?)

According to Glassdoor, the annual compensation for a Home Care Nurse in the United States area is estimated to range from a minimum of $68,000 to a maximum of $113,000. At the heart of this range, the median salary stands at $84,314 per year, with the total median pay reaching approximately $87,721 once additional benefits are included. These additional earnings, which may amount to around $3,408 annually, encompass elements such as cash bonuses, commissions, tips, and profit sharing.

Career Path to Becoming a Home Care Nurse

There are 5 general steps in becoming a home care nurse, and we’ll cover each step in more detail below: 

Step 1:  Get a Bachelor’s Degree in Nursing (BSN)

While getting into the nursing field might be achievable with just an associate degree, a good number of employers are more inclined towards hiring nurses who hold a Bachelor of Science in Nursing (BSN).  

Why the preference, you ask? Well, the BSN degree provides more comprehensive training, covering vital areas such as health assessment, physiology, anatomy, pharmacology, and let’s not forget, medical ethics.

Step 2: Licensure – Registered Nurse (RN)

Upon completion of the BSN program, aspiring home care nurses must pass the National Council Licensure Examination for Registered Nurses (NCLEX-RN) to become a Registered Nurse (RN).

Step 3: Getting Relevant Experience

After obtaining their RN license, nurses typically gain experience in a clinical setting, such as a hospital or clinic. This experience often involves providing direct patient care, collaborating with other healthcare professionals, and learning to use medical equipment and electronic health records (EHR) systems.

Step 4: Specialize in Home Care

Nurses often transition to home care after gaining some experience in a more general setting. This shift may involve receiving additional on-the-job training or earning a certification in home health care

Step 5: Get Certified to be a Home Care Nurse

The American Nurses Credentialing Center (ANCC) offers a Home Health Nursing Certification. While not always required, obtaining this certification can demonstrate competence in the field and make nurses more attractive to potential employers.

What is The Work Environment of a Home Care Nurse?

The primary work environment for a home care nurse is in the patient’s home. This includes everything from small apartments to larger houses. But it also extends to assisted living facilities and senior housing communities, painting a diverse picture of work settings. 

Adaptability is key in this job. Home care nurses typically travel from home to home to visit different patients throughout the day. This means they need to be comfortable working in a variety of settings. 

Independence in Home Care Nursing

Home care nurses often work solo, as they are usually the only healthcare provider present during a home visit. They must be confident and capable of making decisions on their own. This aspect of the job emphasizes the importance of their training and expertise. 

Working Hours and Patient Demographics

The working hours for home care nurses can be quite flexible. Some patients require early morning visits, while others need care in the evenings or even overnight. They may also need to work on weekends—a testament to the round-the-clock nature of healthcare. 

Home care nurses may work with a wide range of patients, from infants to the elderly, with various medical conditions. This includes patients with chronic illnesses, post-surgical patients, patients needing palliative care, and more. 

Core Skills Required to Become a Home Care Nurse

In the dynamic world of home health care, certain skills are more than just beneficial – they’re essential. Let’s dive into the crucial hard and soft skills that make a successful home care nurse, as outlined by Zippia:

Hard Skills 

  • At the forefront, with a mention in 25.1% of home care nurses’ resumes, is patient care. This encompasses a wide range of tasks, from administering medication and documenting health progress to aiding with daily activities and providing emotional support. It is the essence of the home care nurse’s role.
  • Home health is not far behind, featuring in 17.7% of the resumes. Home health skills include knowledge of home-based medical equipment, understanding safety protocols for in-home care, and being able to adapt medical procedures for the home environment.
  • Rounding out the top three hard skills is CPR, appearing on 8.0% of resumes. A home care nurse needs to be prepared for emergencies, and being certified in Cardiopulmonary Resuscitation (CPR) is a clear prerequisite.

Soft Skills 

While hard skills are undeniably important, a home care nurse’s soft skills can make a difference in providing high-quality, compassionate care. The most commonly exhibited by home care nurses include: 

  • Communication skills: Conveying and interpreting medical information accurately, listening effectively, and fostering open dialogue with patients and their families are all essential.
  • Compassion: Empathy and understanding are at the heart of nursing. A good home care nurse will sympathize with a patient’s situation and strive to make them feel comfortable and cared for.
  • Emotional stability: Being a nurse can be emotionally taxing. To provide the best care, home care nurses need to manage their emotions, remain calm in stressful situations, and offer support to those in their care.


How long does it take to become a home care nurse?

The journey to becoming a home care nurse is dependent on the type of nursing role you aspire to. If you aim to be a Licensed Practical Nurse, the process usually spans a year. On the other hand, becoming a Registered Nurse (RN) involves obtaining an Associate’s Degree in Nursing (ADN) over two years, or a Bachelor of Science in Nursing (BSN) over four years.

Are home care nurses in demand?

Home care nursing is currently experiencing a significant surge in demand across the United States. According to Zippia, current job postings reveal there are approximately 692,730 active openings for home care nurses, underlining the strong demand for these professionals in the healthcare sector.

What is the career outlook for a home care nurse?

The future outlook for home care nursing is indeed bright. According to Zippia, job growth in this sector is projected to be 12% from 2018 to 2028, demonstrating promising prospects for those choosing this career path. 



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