Direct Care Worker Jobs in USA with Visa Sponsorship
Direct care worker jobs can be sponsored under the H-2B visa for temporary placements or through EB-3 green card pathways for permanent roles. Employers in home care, residential facilities, and group homes regularly file for foreign workers, but proving temporary need or clearing PERM labor certification takes careful planning.
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Get Access To All JobsThe Department of Developmental Services (DDS) seeks a caring and compassionate applicant for the role of Direct Care Worker II (DCW II). The DCW II position is a shift supervisor position that provides oversight and direct services to individuals with developmental disabilities. The position is an excellent opportunity, including for potential candidates who are interested in furthering their career within the Department of Developmental Services, as it affords valuable work experience to build one’s foundation for professional development and advancement.
Duties and Responsibilities (these duties are a general summary and not all inclusive):
- Assist individuals in meeting his/her personal care and nutritional needs;
- Assist and support individuals in making choices in his/her life;
- Maintain individuals’ rights by complying with applicable laws and regulations;
- Provide leisure activities; may drive individuals to work, appointments, and to recreational activities;
- Provide daily supervision and training to Direct Care Worker I staff to ensure that they are acting as advocates for the individuals and demonstrate respect and positive regard for individuals with developmental disabilities;
- Oversee, as the shift supervisor, the health and safety of the individuals by administering medications;
- Communicate with appropriate medical and health care providers regarding health concerns and accompany individuals to various appointments as necessary.
Preferred Qualifications:
- Knowledge of practices and procedures necessary to assure the health and safety of individuals, including evacuation procedures.
- Ability to plan, assign, and coordinate the activities of others.
- Ability to give written or oral instructions in a clear and understandable manner.
Agency Requirements:
- Must possess current and valid Class D Motor Vehicle Operator’s License.
Please Note:
This position is located in the Templeton Community Services Program in Clinton, MA.
Schedule: 10:30 PM - 6:30 AM
Days Off: Friday/Saturday
This is a 24 hour/ 7 days a week staff position. The Department of Developmental Services requires employees in this position to be able to perform mandatory overtime when circumstances dictate the need.
About the Department of Developmental Services:
The mission of the Department of Developmental Services (DDS) is to create innovative and genuine opportunities for individuals with intellectual and developmental disabilities including Autism Spectrum Disorder to participate fully and contribute meaningfully to their communities as valued members. DDS serves over 43,000 vulnerable individuals throughout their lifetimes, providing a spectrum of day, employment, and residential supports. The agency directly oversees and manages $3 billion in public funds ($2.7B+ operating budget) and approximately 5,500 staff, the largest state employee workforce of any agency in the Massachusetts executive branch of government.
Pre-Hire Process:
Education and license/certification information provided by the selected candidate(s) is subject to the Massachusetts Public Record Law and may be published on the Commonwealth's website.
- Education, licensure, and certifications will be verified in accordance with the Human Resources Division's Hiring Guidelines.
Recommended candidates must successfully complete pre-employment screening which includes:
- Commission for the Protection of Persons with Disabilities (CPPD) Abuse Registry Search: https://cppdmass.gov
- Criminal background check (CORI) by regulations set forth by the Executive Office of Health and Human Services. http://www.mass.gov/hhs/cori
- National Background Checks, Chapter 234 of the Acts of 2014, conduct fingerprint-based check. https://www.mass.gov/lists/dds-fingerprint-background-checks
ADA Reasonable Accommodation:
If you require a reasonable accommodation with the application/interview process, please contact us at: EOHHS Candidate ADA Requests
For technical help with MassCareers, including logging into your profile and/or resetting your password, please call the Employee Service Center at 617-979-8500 for assistance.
For questions regarding this requisition, please contact the Executive Office of Health and Human Services Human Resources at 1-800-510-4122 Ext. #4
Qualifications
First consideration will be given to those applicants that apply within the first 14 days.
Minimum Entrance Requirements:
Applicants must have (A) at least one (1) year of full-time or equivalent part-time experience in providing direct support services to persons with developmental/intellectual, emotional or physical disabilities, or (B) any equivalent combination of the required experience and substitutions below.
Substitutions:
An Associate’s degree or higher with a major in a human services field, including sociology, special education, psychology, rehabilitation counseling, occupational therapy, physical therapy, or other related field may be substituted for the required experience.
Incumbents are required to possess a current and valid motor vehicle driver’s license at a class level specific to assignment.
Salary placement is determined by a combination of factors, including the candidate’s years of directly related experience and education, and alignment with our internal compensation structure as set forth by the Human Resources Division’s Hiring Guidelines. For all bargaining unit positions (non-management), compensation is subject to the salary provisions outlined in the applicable collective bargaining agreement and will apply to placement within the appropriate salary range.
Comprehensive Benefits
When you embark on a career with the Commonwealth, you are offered an outstanding suite of employee benefits that add to the overall value of your compensation package. We take pride in providing a work experience that supports you, your loved ones, and your future.
Want the specifics? Explore our Employee Benefits and Rewards!
Title 101 CMR 23.00 (“Regulation”) requires certain agency staff to have received the COVID-19 vaccination and Influenza vaccination, or have taken required mitigation measures, to prevent viral infection and transmission in State Hospitals and State Congregate Care Facilities. The Regulation applies to this position. Successful candidates will be required to acknowledge and attest to your vaccination status for both COVID-19 and Influenza.
An Equal Opportunity / Affirmative Action Employer. Females, minorities, veterans, and persons with disabilities are strongly encouraged to apply.
The Commonwealth is an Equal Opportunity Employer and does not discriminate on the basis of race, religion, color, sex, gender identity or expression, sexual orientation, age, disability, national origin, veteran status, or any other basis covered by appropriate law. Research suggests that qualified women, Black, Indigenous, and Persons of Color (BIPOC) may self-select out of opportunities if they don't meet 100% of the job requirements. We encourage individuals who believe they have the skills necessary to thrive to apply for this role.
Official Title: Developmental Services Wrk II
Primary Location: United States-Massachusetts-Clinton - Res 5270
Job: Direct Care
Agency: Department of Developmental Services
Schedule: Full-time
Shift: Night
Job Posting: Nov 5, 2026, 11:01:17 AM
Number of Openings: 1
Salary: 52,178.36 - 67,380.30 Yearly
If you have Diversity, Affirmative Action or Equal Employment Opportunity questions or need a Reasonable Accommodation, please contact Diversity Officer / ADA Coordinator: Christina Hyppolite, (Christina.R.Hyppolite@mass.gov) - 8572835830
Bargaining Unit: 02-AFSCME - Service/Institutional
Confidential: No
Potentially Eligible for a Hybrid Work Schedule: No
The Department of Developmental Services (DDS) seeks a caring and compassionate applicant for the role of Direct Care Worker II (DCW II). The DCW II position is a shift supervisor position that provides oversight and direct services to individuals with developmental disabilities. The position is an excellent opportunity, including for potential candidates who are interested in furthering their career within the Department of Developmental Services, as it affords valuable work experience to build one’s foundation for professional development and advancement.
Duties and Responsibilities (these duties are a general summary and not all inclusive):
- Assist individuals in meeting his/her personal care and nutritional needs;
- Assist and support individuals in making choices in his/her life;
- Maintain individuals’ rights by complying with applicable laws and regulations;
- Provide leisure activities; may drive individuals to work, appointments, and to recreational activities;
- Provide daily supervision and training to Direct Care Worker I staff to ensure that they are acting as advocates for the individuals and demonstrate respect and positive regard for individuals with developmental disabilities;
- Oversee, as the shift supervisor, the health and safety of the individuals by administering medications;
- Communicate with appropriate medical and health care providers regarding health concerns and accompany individuals to various appointments as necessary.
Preferred Qualifications:
- Knowledge of practices and procedures necessary to assure the health and safety of individuals, including evacuation procedures.
- Ability to plan, assign, and coordinate the activities of others.
- Ability to give written or oral instructions in a clear and understandable manner.
Agency Requirements:
- Must possess current and valid Class D Motor Vehicle Operator’s License.
Please Note:
This position is located in the Templeton Community Services Program in Clinton, MA.
Schedule: 10:30 PM - 6:30 AM
Days Off: Friday/Saturday
This is a 24 hour/ 7 days a week staff position. The Department of Developmental Services requires employees in this position to be able to perform mandatory overtime when circumstances dictate the need.
About the Department of Developmental Services:
The mission of the Department of Developmental Services (DDS) is to create innovative and genuine opportunities for individuals with intellectual and developmental disabilities including Autism Spectrum Disorder to participate fully and contribute meaningfully to their communities as valued members. DDS serves over 43,000 vulnerable individuals throughout their lifetimes, providing a spectrum of day, employment, and residential supports. The agency directly oversees and manages $3 billion in public funds ($2.7B+ operating budget) and approximately 5,500 staff, the largest state employee workforce of any agency in the Massachusetts executive branch of government.
Pre-Hire Process:
Education and license/certification information provided by the selected candidate(s) is subject to the Massachusetts Public Record Law and may be published on the Commonwealth's website.
- Education, licensure, and certifications will be verified in accordance with the Human Resources Division's Hiring Guidelines.
Recommended candidates must successfully complete pre-employment screening which includes:
- Commission for the Protection of Persons with Disabilities (CPPD) Abuse Registry Search: https://cppdmass.gov
- Criminal background check (CORI) by regulations set forth by the Executive Office of Health and Human Services. http://www.mass.gov/hhs/cori
- National Background Checks, Chapter 234 of the Acts of 2014, conduct fingerprint-based check. https://www.mass.gov/lists/dds-fingerprint-background-checks
ADA Reasonable Accommodation:
If you require a reasonable accommodation with the application/interview process, please contact us at: EOHHS Candidate ADA Requests
For technical help with MassCareers, including logging into your profile and/or resetting your password, please call the Employee Service Center at 617-979-8500 for assistance.
For questions regarding this requisition, please contact the Executive Office of Health and Human Services Human Resources at 1-800-510-4122 Ext. #4
Qualifications
First consideration will be given to those applicants that apply within the first 14 days.
Minimum Entrance Requirements:
Applicants must have (A) at least one (1) year of full-time or equivalent part-time experience in providing direct support services to persons with developmental/intellectual, emotional or physical disabilities, or (B) any equivalent combination of the required experience and substitutions below.
Substitutions:
An Associate’s degree or higher with a major in a human services field, including sociology, special education, psychology, rehabilitation counseling, occupational therapy, physical therapy, or other related field may be substituted for the required experience.
Incumbents are required to possess a current and valid motor vehicle driver’s license at a class level specific to assignment.
Salary placement is determined by a combination of factors, including the candidate’s years of directly related experience and education, and alignment with our internal compensation structure as set forth by the Human Resources Division’s Hiring Guidelines. For all bargaining unit positions (non-management), compensation is subject to the salary provisions outlined in the applicable collective bargaining agreement and will apply to placement within the appropriate salary range.
Comprehensive Benefits
When you embark on a career with the Commonwealth, you are offered an outstanding suite of employee benefits that add to the overall value of your compensation package. We take pride in providing a work experience that supports you, your loved ones, and your future.
Want the specifics? Explore our Employee Benefits and Rewards!
Title 101 CMR 23.00 (“Regulation”) requires certain agency staff to have received the COVID-19 vaccination and Influenza vaccination, or have taken required mitigation measures, to prevent viral infection and transmission in State Hospitals and State Congregate Care Facilities. The Regulation applies to this position. Successful candidates will be required to acknowledge and attest to your vaccination status for both COVID-19 and Influenza.
An Equal Opportunity / Affirmative Action Employer. Females, minorities, veterans, and persons with disabilities are strongly encouraged to apply.
The Commonwealth is an Equal Opportunity Employer and does not discriminate on the basis of race, religion, color, sex, gender identity or expression, sexual orientation, age, disability, national origin, veteran status, or any other basis covered by appropriate law. Research suggests that qualified women, Black, Indigenous, and Persons of Color (BIPOC) may self-select out of opportunities if they don't meet 100% of the job requirements. We encourage individuals who believe they have the skills necessary to thrive to apply for this role.
Official Title: Developmental Services Wrk II
Primary Location: United States-Massachusetts-Clinton - Res 5270
Job: Direct Care
Agency: Department of Developmental Services
Schedule: Full-time
Shift: Night
Job Posting: Nov 5, 2026, 11:01:17 AM
Number of Openings: 1
Salary: 52,178.36 - 67,380.30 Yearly
If you have Diversity, Affirmative Action or Equal Employment Opportunity questions or need a Reasonable Accommodation, please contact Diversity Officer / ADA Coordinator: Christina Hyppolite, (Christina.R.Hyppolite@mass.gov) - 8572835830
Bargaining Unit: 02-AFSCME - Service/Institutional
Confidential: No
Potentially Eligible for a Hybrid Work Schedule: No
See all 85+ Direct Care Worker Jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new Direct Care Worker roles.
Get Access To All JobsTips for Finding Direct Care Worker Jobs
Get your credentials verified before applying
Many states require a Certified Nursing Assistant or Home Health Aide credential before an employer can list the role. Have your foreign credentials evaluated by a NACES-approved agency so employers can confirm equivalency without delays during PERM or H-2B filing.
Target residential care facilities over staffing agencies
Residential care facilities and group homes file H-2B and PERM petitions as direct employers, giving you a stable sponsoring entity. Staffing agencies often can't serve as the petitioning employer for green card purposes, which limits your long-term options.
Search verified sponsors on Migrate Mate
Migrate Mate lists employers with confirmed sponsorship filing history for direct care roles, searchable by location. That's faster than manually sorting through OFLC disclosure files to identify which facilities have actually cleared labor certifications for this occupation.
Understand H-2B's temporary need requirement early
H-2B sponsorship requires the employer to prove the need is temporary or seasonal, not permanent. Home care agencies with fluctuating caseloads qualify more easily than facilities seeking a full-time permanent hire, so ask the employer directly how they intend to classify the need.
Ask your employer to run a OFLC Wage Search before filing
PERM and H-2B both require the employer to pay the DOL prevailing wage for your role and county. Use the OFLC Wage Search to look up the wage level yourself beforehand, so the offered rate in your contract aligns with what DOL will certify.
Prepare for PERM recruitment documentation requirements
PERM requires the employer to show they advertised the role to U.S. workers and found no qualified applicants. You should know this process takes several months, so align your start date expectations and confirm the employer has completed all required recruitment steps before filing.
Frequently Asked Questions
What visas can sponsor a direct care worker job in the U.S.?
Direct care worker roles most commonly use the H-2B visa for temporary or seasonal placements and the EB-3 skilled or unskilled worker category for permanent sponsorship. H-2A visa doesn't apply since the work isn't agricultural. J-1 visa is occasionally used for trainee programs but requires a designated sponsor organization and isn't a typical route for direct care employment.
Does a direct care worker need a degree to get visa sponsorship?
A bachelor's degree isn't required for direct care worker sponsorship. EB-3 unskilled worker covers positions requiring less than two years of training or experience. H-2B has no degree requirement either. What matters more is state-level certification, such as a CNA or Home Health Aide credential, which many employers list as a job requirement even when immigration rules don't mandate it.
How do I find employers who sponsor direct care worker visas?
Migrate Mate lists employers with verified sponsorship filing history for direct care roles, so you can browse by city or facility type without manually reviewing government disclosure files. Focus on residential care facilities, group homes, and home health agencies, as these are the employer types that most consistently file H-2B and PERM petitions for this occupation.
How long does EB-3 sponsorship take for a direct care worker?
PERM labor certification alone typically takes six to eighteen months before USCIS even receives the I-140 petition. After approval, workers from countries with high demand, such as India or China, face priority date backlogs that can extend the total timeline by years. Workers from less backlogged countries may complete the full green card process in two to four years, depending on USCIS processing times.
Can a direct care worker change employers during the green card process?
Switching employers during PERM restarts the labor certification from the beginning because PERM is tied to a specific employer and job. However, once an I-140 petition has been approved for 180 days or more, AC21 portability allows you to move to a same or similar occupation with a new employer without losing your priority date, which protects your place in the green card queue.
What is the prevailing wage requirement for sponsored Direct Care Worker jobs?
U.S. employers sponsoring a visa must pay at least the prevailing wage, which is what workers in the same role, area, and experience level typically earn. The Department of Labor sets this rate to make sure companies aren't hiring foreign workers simply because they'd accept lower pay than a U.S. worker. It varies by job title, location, and experience. You can look up current prevailing wage rates for any occupation and location using the OFLC Wage Search page.