Work environments


In-home care
Providing support in private residences, helping individuals maintain independence in their homes.


Residential care
Assisting residents in adult family homes and assisted living facilities with daily needs while fostering connection.
Skilled nursing facilities
Delivering specialized support in nursing homes for individuals requiring higher levels of care.

In-home care
Home care aides, paid family caregivers, and Nursing Assistants can work in this setting.
- As a caregiver providing in-home care, you work directly in people's homes, one-on-one with individuals.
- You assist with daily needs like personal care, mobility, meals, housework, and grocery shopping.
- Your schedule is often flexible, depending on the needs of each client. You may support multiple clients, depending on the hours you want to work.
Employers for in-home care
Home care agency
You can work for a home care agency by applying directly for a job with an agency in your area. The agency will supervise you and match you with clients.
Individual provider
As an Individual Provider, you would apply through the Consumer Direct Care Network of Washington. You can choose to work with someone you already know, such as an eligible family member or be matched with someone new.
After applying, you can register with Carina, a job-matching service that helps connect caregivers with clients who need support.
Home Care Aides and Certified Nursing Assistants can work in this setting.
- As a caregiver in residential care, you work in licensed facilities where multiple people needing care live.
- You assist residents with daily needs such as personal care, mobility, and meals, working as part of a dedicated caregiving team.
- Job opportunities may be available for day, evening, overnight, or weekend shifts.
Employers for residential care
Adult family homes
You can work in small, private homes of 2-8 residents by applying directly to the adult home.
Assisted living facilities
You can work in these larger licensed facilities serving 8+ residents in a shared setting by applying directly to the facility.

Skilled nursing facilities
Certified nursing assistants can work in this setting.
- As a caregiver working in a skilled nursing facility, you work in licensed facilities where multiple people live or are staying short-term to recover from illness or injury.
- You assist with providing specialized care as part of a caregiving and medical team that delivers 24-hour care.
- Job opportunities may exist to work day, evening, overnight, or weekend shifts.
Employers for skilled nursing facilities
Skilled nursing facility
You can work at licensed nursing facilities by applying directly to the facility.