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$90.9K

$144K

How much do nursing homes jobs pay per year?

As of Jul 27, 2026, the average yearly pay for nursing homes in the United States is $90,935.00, according to ZipRecruiter salary data. Most workers in this role earn between $74,500.00 and $103,500.00 per year, depending on experience, location, and employer.

What are the typical challenges faced by nurses working in nursing homes, and how can they effectively manage them?

Nurses in nursing homes often encounter challenges such as managing high patient-to-nurse ratios, addressing the complex medical and emotional needs of elderly residents, and ensuring effective communication with families and healthcare teams. To manage these challenges, it's important to prioritize tasks, utilize strong organizational skills, and seek support from colleagues and supervisors. Building trusting relationships with residents and maintaining open communication with interdisciplinary team members can also enhance care quality and job satisfaction.

Can I work at a nursing home with no degree?

Many entry-level positions in nursing homes, such as nursing assistants or caregivers, do not require a college degree but typically require a high school diploma or equivalent and completion of a state-approved training program. Certification or licensing, like a Certified Nursing Assistant (CNA) credential, is often required to perform direct patient care. Other roles, such as administrative or support staff, may have different educational requirements.

How much do nursing homes pay per hour?

Nursing home staff, including nurses and aides, typically earn between $12 and $25 per hour, depending on experience, location, and role. Certified nursing assistants (CNAs) usually earn lower wages, while registered nurses (RNs) and licensed practical nurses (LPNs) tend to earn higher wages. Wages can also vary based on shift differentials and facility size.

What jobs pay 4000 a week without a degree?

In the healthcare sector, some high-paying roles such as medical sales representatives or specialized medical equipment technicians can earn around $4,000 weekly without requiring a degree, often relying on experience, certifications, or on-the-job training. Other high-paying jobs outside healthcare include commercial pilots, real estate brokers, or skilled trades like electricians and plumbers, which may also reach this income level with experience and licensing. These roles typically demand specific skills, certifications, or licenses but not necessarily a traditional college degree.

What are nursing homes?

Nursing homes are residential facilities that provide 24-hour care and assistance to individuals who are unable to live independently, typically due to age, illness, or disability. They offer a range of medical, personal, and social services, including help with daily activities such as bathing, dressing, and medication management. Nursing homes are staffed by licensed nurses and care aides to ensure the health and well-being of residents. They also provide meals, housekeeping, and recreational activities to support quality of life. Many nursing homes also offer rehabilitation services and specialized care for conditions like dementia.

What is the difference between Nursing Homes vs Certified Nursing Assistants?

AspectNursing HomesCertified Nursing Assistants
CredentialsLicensed nurses, RNs, LPNs, CNAsCertified Nursing Assistant certification
Work EnvironmentLong-term care facilities, hospitals, nursing homesAssisting patients in nursing homes, hospitals, home care
Employer & Industry UsageHealthcare facilities providing ongoing patient careDirect patient care providers within healthcare settings
Common Search & ComparisonOften compared for roles in elder care and patient supportOften compared to nursing roles for entry-level caregiving

While nursing homes are healthcare facilities that provide long-term care, Certified Nursing Assistants are the frontline caregivers working within these settings. CNAs support nurses and provide direct patient care, making them essential staff in nursing homes. Understanding the differences helps in choosing the right career path or care option.

What are the key skills and qualifications needed to thrive as a Nursing Home Administrator, and why are they important?

To thrive as a Nursing Home Administrator, you need a bachelor's degree (often in health administration or a related field), state licensure, and strong knowledge of healthcare regulations and elder care. Proficiency with electronic health record (EHR) systems, billing software, and compliance management tools is typically required. Outstanding leadership, interpersonal, and problem-solving skills help administrators manage staff, address resident needs, and maintain high-quality standards. These competencies ensure the facility operates smoothly, complies with regulations, and delivers safe, compassionate care to residents.

What is the highest paying job in a nursing home?

The highest paying job in a nursing home is typically a Director of Nursing (DON) or Nursing Home Administrator, both of whom oversee staff and operations. These roles require advanced nursing or administrative certifications and often command salaries significantly higher than direct care positions.
More about Nursing Homes jobs
What cities are hiring for Nursing Homes jobs? Cities with the most Nursing Homes job openings:
What are the most commonly searched types of Nursing Homes jobs? The most popular types of Nursing Homes jobs are:
What states have the most Nursing Homes jobs? States with the most job openings for Nursing Homes jobs include:
What job categories do people searching Nursing Homes jobs look for? The top searched job categories for Nursing Homes jobs are:
Nursing Homes jobs near you
Infographic showing various Nursing Homes job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 71% Full Time, 25% Part Time, and 3% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $90,935 per year, or $43.7 per hour.
Specialty Manager/ Nursing Homes

Specialty Manager/ Nursing Homes

Essen Medical Associates

Bronx, NY

$20 - $25/hr

Full-time

Posted 23 days ago

Essen Health Care rating

3.3

Company rating: 3.3 out of 10

Based on 8 frontline employees who took The Breakroom Quiz

Job description

Essen Health Care is the largest privately held, multispecialty medical group in New York, providing high-quality, compassionate care to some of the state’s most vulnerable and underserved residents.

Founded in 1999, we’ve grown from a single primary care office into a network of 50+ locations offering urgent care, primary care and specialty services, from women’s health to endocrinology and psychiatry. We also provide nursing home support, care management, and in-home care through our Essen House Calls program. Guided by a Population Health model, our team of 500+ providers deliver care in-person, at home, or via telehealth, ensuring patients get the support they need when and where they need it.

We’re looking for talented, motivated individuals to join our growing team. Whether you’re a medical provider, administrator, or operations professional, there’s a career here for you. Join us in making a real difference in the health of our community.


Position title: Specialty Manager for Nursing Homes

Job summary: The Specialty Manager oversees the Nursing Home Division’s team of specialty providers and consultants, ensuring that clinical services are aligned with facility needs and organizational performance goals. This role provides leadership and oversight to both specialists and their supporting Clinical Assistants (CAs), ensuring visit targets are met, documentation is complete, and billing processes are timely. The Specialty Manager acts as the primary liaison between specialty services and facility leadership, driving quality, efficiency, and accountability across all consultative disciplines. This role requires a blend of clinical operations experience, people management, and performance tracking.


  • Oversee the operational performance of all specialty providers and consultants within the Nursing Home Division,
  • including psychiatry, podiatry, optometry, dentistry, and other consultative services.
  • Monitor provider productivity, ensuring visit goals are met and reported accurately across facilities.
  • Track and follow up on timely and complete documentation, including note submission and billing compliance.
  • Supervise and support the Clinical Assistants working with specialty providers to ensure smooth coordination of visits, schedules, and documentation workflows.
  • Serve as the main point of contact between specialty teams and facility administration, resolving escalations and maintaining positive working relationships.
  • Maintain up-to-date tracking of provider assignments, service frequencies, and facility coverage to ensure ongoing alignment with patient care needs.
  • Identify gaps in specialty services or performance trends and implement strategies to improve quality, efficiency, and outcomes.
  • Support onboarding and offboarding of specialty providers and coordinate related operational setup (e.g., access, credentialing, schedules).
  • Lead or assist with in-servicing and coaching of underperforming staff and specialists as needed.
  • Ensure specialists and CAs adhere to internal guidelines, regulatory requirements, and documentation standards.

  • Bachelor’s Degree Required

  • Medical School Degree preferred

  • Bilingual Spanish preferred

  • Excellent communication skills

  • Confidence when speaking to clinicians and business leaders

  • Computer literate (Excel, Word, Outlook, Teams)

  • Strong organizational skills to give team direction 

  • Knowledge of care provided in Nursing Homes 

  • Aware of and complies with E&M Guidelines for Nursing Home Care 

  • Able to navigate various EHR systems


Essen Health care is proud to be an equal opportunity employer, and we seek candidates who desire to work in and serve an ethnically diverse population. 

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