H-1B Visa Direct Care Worker Jobs
H-1B visa jobs for Direct Care Workers exist, but sponsoring employers typically structure these roles around degree-level clinical duties to meet USCIS specialty occupation standards. Residential care networks, behavioral health agencies, and disability service providers are the most active sponsors. Your degree field and the employer's LCA documentation are the two variables that determine whether a position qualifies.
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Get Access To All JobsINTRODUCTION
The Mission of the Homeless Services Bureau is to improve the quality of life of Boston's homelessness citizens by providing emergency shelter, social services, and housing searching services. We strive to affirm the dignity and human rights of each and every person that we serve. Homeless Services partners with governmental agencies, private homeless services providers, and homeless advocates to seek solutions to end homelessness. The Homeless Services Bureau is committed to helping individuals with any challenges that may have led to homelessness. We offer a broad range of services and over 600 beds in the City of Boston. We recognize that each homeless individual has his or her own story.
Duties
- Serve as part of the service and operation team. Meeting individuals "where they are at" and providing non-judgmental, non-coercive services, and resources to individuals.
- Provide a safe and supportive environment for those experiencing homelessness. Ensure overall safety of clients and environment.
- Develop positive professional relationships with clients to facilitate care.
- Performs rounds throughout the shelter as needed. Searches guests for contraband upon arrival in shelter.
- Intervenes to de-escalate conflict situations, anticipating potential conflict situations and intervening prior to crisis.
- Conducts formal and informal assessment to assess needs and make appropriate referrals to internal and external programs. Develops positive professional relationships with guests to facilitate care.
- Works collaboratively with other HSB and BPHC programs and departments.
- Maintains professional relationships and conduct with all internal and external partners.
- Maintains stable environment by ensuring resident compliance with program rules and policies.
- Collect and enter data into ETO or other HMIS.
- Demonstrates knowledge of trauma informed care.
- Maintain confidentiality and standards of ethical practice.
- Assists in overseeing and facilitation of support group meetings, NA/AA meetings, life skills and other training for guests.
- Distribute harm reduction materials and supplies according to HSB policy.
- Monitors and serves meals, coordinates food and other supplies, and supervises and assist with clean up after meals if needed. Monitors and distributes linen and clothing supplies for guests.
- Attends required meetings and training sessions.
- Provides phone coverage as necessary.
- Transports clients via program van.
- Performs other duties as required.
BASIC QUALIFICATIONS
- Associate of Science Degree OR High School Diploma / GED and 1 year of related experience.
- Experience working with those experiencing mental health or substance use disorders preferred.
- Experience working with diverse ethnic, racial, and low-income populations required.
- Homeless Services is a 24-hour operation providing essential services: punctuality, professionalism and respect for guests and staff are expected.
- Able to follow directions and work harmoniously with staff and guests.
- Computer literacy preferred. Strong written and verbal skills required.
- Bi-Lingual/Spanish, Portuguese, Haitian Creole, or Cape Verdean Creole speaking preferred.
- Valid MA driver's license and good driving record required.
PREFERRED QUALIFICATIONS
The mission of the Boston Public Health Commission (BPHC) is to work in partnership with communities to protect and promote the health and well-being of all Boston residents, especially those impacted by racism and systemic inequities. The BPHC sets an expectation that all staff and leadership commit, individually and as part of the BPHC team, to hold ourselves accountable to establishing a culture of anti-racism and advance racial equity and justice through each of our bureaus, programs, and offices.
- City of Boston residency is required; Allston, Back Bay, Bay Village, Beacon Hill, Brighton, Charlestown, Chinatown, Dorchester, Downtown, East Boston, Fenway-Kenmore, Hyde Park, Jamaica Plain, Mattapan, Mid-Dorchester, Mission Hill, North End, Roslindale, Roxbury, South Boston, South End, West End, West Roxbury, Wharf district.
- A Criminal Offenders Records Information request must be completed for this position. However, a record is not an automatic bar to employment but is reviewed in relation to the job applied for.
- Certain immunizations will be recommended and/or required prior to commencement of employment duties.
- Any position that requires an advanced degree will be subject to education verification.
- Certain positions at the BPHC may be Grant Funded.
- The Boston Public Health Commission is an EEO Employer and all applicants meeting the minimum requirements are eligible to apply.
- Certain positions at the BPHC may require Child Protective Service Background verification.
- The advertised shift and schedule are subject to change at the department's discretion.
SCHEDULE
35 hours per week, Days to be determined, 3 shifts available: 7AM to 3PM; 3PM to 11PM; 11PM to 7AM
COMPENSATION
$709.72/Weekly
INTRODUCTION
The Mission of the Homeless Services Bureau is to improve the quality of life of Boston's homelessness citizens by providing emergency shelter, social services, and housing searching services. We strive to affirm the dignity and human rights of each and every person that we serve. Homeless Services partners with governmental agencies, private homeless services providers, and homeless advocates to seek solutions to end homelessness. The Homeless Services Bureau is committed to helping individuals with any challenges that may have led to homelessness. We offer a broad range of services and over 600 beds in the City of Boston. We recognize that each homeless individual has his or her own story.
Duties
- Serve as part of the service and operation team. Meeting individuals "where they are at" and providing non-judgmental, non-coercive services, and resources to individuals.
- Provide a safe and supportive environment for those experiencing homelessness. Ensure overall safety of clients and environment.
- Develop positive professional relationships with clients to facilitate care.
- Performs rounds throughout the shelter as needed. Searches guests for contraband upon arrival in shelter.
- Intervenes to de-escalate conflict situations, anticipating potential conflict situations and intervening prior to crisis.
- Conducts formal and informal assessment to assess needs and make appropriate referrals to internal and external programs. Develops positive professional relationships with guests to facilitate care.
- Works collaboratively with other HSB and BPHC programs and departments.
- Maintains professional relationships and conduct with all internal and external partners.
- Maintains stable environment by ensuring resident compliance with program rules and policies.
- Collect and enter data into ETO or other HMIS.
- Demonstrates knowledge of trauma informed care.
- Maintain confidentiality and standards of ethical practice.
- Assists in overseeing and facilitation of support group meetings, NA/AA meetings, life skills and other training for guests.
- Distribute harm reduction materials and supplies according to HSB policy.
- Monitors and serves meals, coordinates food and other supplies, and supervises and assist with clean up after meals if needed. Monitors and distributes linen and clothing supplies for guests.
- Attends required meetings and training sessions.
- Provides phone coverage as necessary.
- Transports clients via program van.
- Performs other duties as required.
BASIC QUALIFICATIONS
- Associate of Science Degree OR High School Diploma / GED and 1 year of related experience.
- Experience working with those experiencing mental health or substance use disorders preferred.
- Experience working with diverse ethnic, racial, and low-income populations required.
- Homeless Services is a 24-hour operation providing essential services: punctuality, professionalism and respect for guests and staff are expected.
- Able to follow directions and work harmoniously with staff and guests.
- Computer literacy preferred. Strong written and verbal skills required.
- Bi-Lingual/Spanish, Portuguese, Haitian Creole, or Cape Verdean Creole speaking preferred.
- Valid MA driver's license and good driving record required.
PREFERRED QUALIFICATIONS
The mission of the Boston Public Health Commission (BPHC) is to work in partnership with communities to protect and promote the health and well-being of all Boston residents, especially those impacted by racism and systemic inequities. The BPHC sets an expectation that all staff and leadership commit, individually and as part of the BPHC team, to hold ourselves accountable to establishing a culture of anti-racism and advance racial equity and justice through each of our bureaus, programs, and offices.
- City of Boston residency is required; Allston, Back Bay, Bay Village, Beacon Hill, Brighton, Charlestown, Chinatown, Dorchester, Downtown, East Boston, Fenway-Kenmore, Hyde Park, Jamaica Plain, Mattapan, Mid-Dorchester, Mission Hill, North End, Roslindale, Roxbury, South Boston, South End, West End, West Roxbury, Wharf district.
- A Criminal Offenders Records Information request must be completed for this position. However, a record is not an automatic bar to employment but is reviewed in relation to the job applied for.
- Certain immunizations will be recommended and/or required prior to commencement of employment duties.
- Any position that requires an advanced degree will be subject to education verification.
- Certain positions at the BPHC may be Grant Funded.
- The Boston Public Health Commission is an EEO Employer and all applicants meeting the minimum requirements are eligible to apply.
- Certain positions at the BPHC may require Child Protective Service Background verification.
- The advertised shift and schedule are subject to change at the department's discretion.
SCHEDULE
35 hours per week, Days to be determined, 3 shifts available: 7AM to 3PM; 3PM to 11PM; 11PM to 7AM
COMPENSATION
$709.72/Weekly
See all 60+ H-1B Visa Direct Care Worker Jobs
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Get Access To All JobsTips for Finding H-1B Visa Sponsorship in Direct Care Worker
Match your degree to clinical duties
Direct Care Worker roles qualify as H-1B visa specialty occupations only when the position requires a bachelor's degree in a specific field like psychology, social work, or health sciences. Pull the job description and confirm your degree aligns with the listed clinical or behavioral responsibilities before applying.
Look up prevailing wages before negotiating
Use the OFLC Wage Search to find the certified prevailing wage for Direct Care Worker roles in your target city. Your employer's LCA must meet or exceed that wage level, so knowing the floor before salary conversations protects you from offers that can't support a valid LCA.
Target agencies with multi-site LCA experience
Residential care networks and behavioral health organizations that operate across multiple facilities understand that each worksite requires its own certified LCA. Prioritize employers who already manage multi-site LCA portfolios using Migrate Mate to filter for verified H-1B sponsors in this space.
Verify state licensing before the I-129 is filed
Many Direct Care Worker roles require state-specific certifications in direct support, behavioral intervention, or medication administration. Confirm you hold or can obtain the required credential before your employer files the I-129 petition, since USCIS can issue an RFE if licensure is incomplete at filing.
Account for cap timing in your job search
H-1B cap selection rules have changed recently, so plan your timeline carefully. Nonprofit social service agencies and government-affiliated care programs are often cap-exempt, meaning they can file year-round without entering the annual cap process. These employers are worth targeting specifically.
Review the O*NET profile before writing your resume
The O*NET occupation profile for Direct Care Workers lists the specific tasks and knowledge domains USCIS evaluates for specialty occupation status. Align your resume language with degree-level duties from that profile so your employer's H-1B petition reflects a consistent, defensible job description.
H-1B Visa Direct Care Worker: Frequently Asked Questions
Does a Direct Care Worker role qualify as an H-1B specialty occupation?
Not automatically. Direct Care Worker is not a degree-required occupation by default, so the position qualifies for H-1B sponsorship only when the employer structures it around duties that require at least a bachelor's degree in a specific field, such as psychology, social work, applied behavior analysis, or health sciences. USCIS reviews the actual job duties, not just the job title, so the offer letter and LCA must clearly reflect degree-level clinical responsibilities.
Which employers are most likely to sponsor H-1B visas for Direct Care Workers?
Behavioral health agencies, intellectual and developmental disability service providers, and residential care networks are the most active sponsors for degree-structured Direct Care Worker roles. University-affiliated programs and nonprofit social service agencies are worth targeting because many qualify as cap-exempt H-1B employers, allowing them to file petitions outside the annual cap process. Browse verified H-1B sponsors for this role on Migrate Mate.
What documents should I prepare before approaching a sponsoring employer?
Have your degree transcripts, any state-required direct support or behavioral intervention certifications, and a credential evaluation if your degree is from outside the United States ready before the conversation starts. Employers need to confirm your education aligns with the role's specialty occupation claim before they commit to filing an LCA with DOL and an I-129 petition with USCIS. Missing documents slow every step of the process.
What happens if I work at multiple care facilities under one H-1B?
Each worksite requires its own certified Labor Condition Application. If your employer places you at a facility not listed on your original LCA, that worksite is not covered until a new LCA is certified by DOL and an amended or new I-129 is filed with USCIS. Moving between sites without updated LCA coverage puts both you and your employer out of compliance, so confirm worksite documentation before each placement.
How long does H-1B status last for a Direct Care Worker position?
H-1B status is granted for up to three years and can be extended for an additional three years, reaching a six-year maximum under standard rules. Longer stays require qualifying for an employment-based green card or meeting specific extension criteria under AC21. Plan your sponsorship timeline with that six-year ceiling in mind, particularly if you're working toward permanent residence through a nonprofit or government-affiliated care employer.