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Here's your quick checklist on how to hire nursing assistants. Read on for more details.

This hire guide was edited by the ZipRecruiter editorial team and created in part with the OpenAI API.

How to hire Nursing Assistant

Hiring the right Nursing Assistant is crucial for the operational success and reputation of any healthcare organization, whether it is a hospital, long-term care facility, or a large clinic. Nursing Assistants are the backbone of patient care, providing essential support to registered nurses and other healthcare professionals. Their role directly impacts patient satisfaction, safety, and the overall efficiency of your medical team. In today's competitive healthcare landscape, the demand for skilled and compassionate Nursing Assistants continues to rise, making it more important than ever to attract and retain top talent.

For medium to large businesses, the stakes are even higher. A single Nursing Assistant can influence the morale of the team, the quality of care delivered, and the organization's compliance with regulatory standards. Poor hiring choices can lead to increased turnover, higher training costs, and even legal liabilities. Conversely, a well-chosen Nursing Assistant enhances patient outcomes, supports a positive workplace culture, and contributes to the organization's reputation within the community.

This guide provides a step-by-step approach to hiring Nursing Assistants, from defining the role and required certifications to sourcing candidates, assessing both technical and soft skills, and ensuring a smooth onboarding process. By following these best practices, business owners and HR professionals can streamline their hiring process, reduce risks, and build a team of Nursing Assistants who are committed, skilled, and aligned with the organization's mission. Whether you are expanding your staff or replacing a key team member, understanding the nuances of the Nursing Assistant role is the first step toward making informed hiring decisions that drive business success.

Clearly Define the Role and Responsibilities

  • Key Responsibilities: Nursing Assistants, also known as Certified Nursing Assistants (CNAs), are responsible for providing basic patient care under the supervision of registered nurses or licensed practical nurses. Their typical duties include assisting patients with daily living activities such as bathing, dressing, feeding, toileting, and mobility. They are also tasked with monitoring vital signs, reporting changes in patient conditions, helping with medical equipment, and maintaining a clean and safe environment. In medium to large healthcare settings, Nursing Assistants may also be involved in transporting patients, supporting infection control protocols, and documenting patient information in electronic health records.
  • Experience Levels: Nursing Assistants can be categorized into three main experience levels:
    • Junior: 0-2 years of experience. Typically new graduates or those with limited hands-on experience. They require close supervision and ongoing training.
    • Mid-level: 2-5 years of experience. These Nursing Assistants are proficient in core responsibilities, can work independently, and may mentor junior staff.
    • Senior: 5+ years of experience. Senior Nursing Assistants often take on leadership roles, assist with training, and may be assigned to more complex patient cases or specialized units.
  • Company Fit: In medium-sized organizations (50-500 employees), Nursing Assistants may have broader roles, often covering multiple units or departments. Flexibility and adaptability are key. In large organizations (500+ employees), roles tend to be more specialized, with Nursing Assistants assigned to specific units such as ICU, geriatrics, or rehabilitation. Larger companies may also require experience with advanced electronic health record systems and adherence to more complex regulatory protocols.

Certifications

Certifications are a critical factor when hiring Nursing Assistants, as they ensure candidates meet industry standards for competency and safety. The primary certification for this role is the Certified Nursing Assistant (CNA) credential, which is recognized nationwide and required by most employers.

Certified Nursing Assistant (CNA): This certification is typically issued by state health departments or boards of nursing. To become a CNA, candidates must complete a state-approved education program, which includes both classroom instruction and hands-on clinical training. Programs usually range from 4 to 12 weeks. After completing the program, candidates must pass a competency exam that includes both written and practical components. Upon passing, they are listed on the state's Nurse Aide Registry.

Requirements: Most states require a minimum of a high school diploma or GED, completion of a state-approved CNA training program, and a passing score on the state certification exam. Some states may have additional requirements, such as background checks or continuing education.

Value to Employers: Hiring certified Nursing Assistants ensures compliance with state and federal regulations, reduces liability, and guarantees a baseline level of knowledge and skill. Certified staff are better prepared to handle emergencies, follow infection control protocols, and provide high-quality patient care. For organizations seeking to maintain accreditation or participate in Medicare and Medicaid programs, employing certified Nursing Assistants is often a mandatory requirement.

Additional Certifications: Some Nursing Assistants pursue specialized certifications to enhance their qualifications. Examples include:

  • Basic Life Support (BLS): Offered by the American Heart Association or American Red Cross, this certification demonstrates proficiency in CPR and emergency response.
  • Certified Medication Aide (CMA): Allows Nursing Assistants to administer medications in certain settings, subject to state regulations.
  • Geriatric Nursing Assistant (GNA): Recognized in some states, this certification focuses on elder care and is valuable for facilities specializing in geriatrics.

Renewal and Continuing Education: CNA certifications typically require renewal every two years, with proof of continued employment and/or completion of continuing education credits. Employers should verify that certifications are current and in good standing.

Impact on Hiring: Prioritizing candidates with up-to-date certifications not only ensures regulatory compliance but also signals a commitment to professional development and quality care. Employers should request copies of all relevant certifications during the hiring process and verify their authenticity through state registries or issuing organizations.

Leverage Multiple Recruitment Channels

  • ZipRecruiter: ZipRecruiter is a leading platform for sourcing qualified Nursing Assistants, offering a range of features designed to streamline the recruitment process. Its user-friendly interface allows employers to post job openings quickly and distribute them to hundreds of job boards with a single submission. ZipRecruiter's advanced matching technology scans millions of resumes and proactively invites qualified candidates to apply, increasing the likelihood of finding top talent fast. Employers can filter applicants based on certifications, experience, and location, ensuring only the most relevant candidates are considered. The platform also offers robust analytics, allowing HR professionals to track the effectiveness of their postings and adjust strategies in real time. Many healthcare organizations report higher response rates and faster time-to-hire when using ZipRecruiter, making it an ideal choice for medium to large businesses seeking Nursing Assistants. Additionally, ZipRecruiter's mobile-friendly application process and integrated messaging tools facilitate communication and scheduling, reducing administrative burden and improving candidate engagement.
  • Other Sources: While ZipRecruiter is highly effective, a multi-channel approach can further expand your talent pool. Internal referrals are a valuable source, as current employees often recommend candidates who are a good cultural fit and possess the necessary skills. Professional networks, such as alumni associations and local nursing schools, can connect employers with recent graduates or experienced Nursing Assistants seeking new opportunities. Industry associations frequently host job boards, career fairs, and networking events tailored to healthcare professionals. General job boards also offer access to a broad audience, but it is important to tailor job descriptions and screening questions to attract qualified Nursing Assistants specifically. Engaging with local community organizations and vocational training programs can help reach candidates who may not be active on national platforms but possess the required certifications and experience. By leveraging a combination of these channels, employers can increase their chances of finding the right Nursing Assistant quickly and efficiently.

Assess Technical Skills

  • Tools and Software: Nursing Assistants in medium to large healthcare organizations are often required to use a variety of tools and technologies. Familiarity with electronic health record (EHR) systems, such as Epic, Cerner, or Meditech, is increasingly important as these platforms are standard in most hospitals and clinics. Nursing Assistants should also be comfortable using basic medical equipment, including blood pressure monitors, thermometers, pulse oximeters, and mobility aids. In some settings, they may use patient tracking software or digital charting tools to document care activities and communicate with the broader healthcare team. Proficiency with scheduling software and secure messaging platforms can further enhance efficiency and coordination.
  • Assessments: Evaluating technical proficiency requires a combination of written tests, practical demonstrations, and scenario-based assessments. Written tests can cover knowledge of medical terminology, infection control procedures, and proper documentation practices. Practical evaluations should include hands-on demonstrations of vital sign measurement, patient transfers, and equipment usage. Scenario-based interviews, where candidates are asked how they would respond to specific patient care situations, can reveal both technical knowledge and critical thinking skills. Some organizations also use simulation labs or shadowing opportunities during the hiring process to observe candidates in real-world settings. By incorporating these assessment methods, employers can ensure that Nursing Assistants possess the technical skills necessary to perform their duties safely and effectively.

Evaluate Soft Skills and Cultural Fit

  • Communication: Effective communication is essential for Nursing Assistants, who must interact with patients, families, nurses, physicians, and other support staff. They need to convey information clearly, listen actively, and document care accurately. In medium to large organizations, Nursing Assistants often work with cross-functional teams and must adapt their communication style to suit different audiences. During interviews, look for candidates who demonstrate empathy, patience, and professionalism in their responses. Role-playing exercises or behavioral interview questions can help assess their ability to handle difficult conversations, deliver sensitive information, and collaborate with diverse team members.
  • Problem-Solving: Nursing Assistants frequently encounter unexpected challenges, such as changes in patient condition, equipment malfunctions, or conflicting priorities. Key traits to look for include adaptability, resourcefulness, and a proactive approach to problem-solving. During interviews, ask candidates to describe situations where they identified a problem, took initiative, and implemented a solution. Look for evidence of sound judgment, the ability to remain calm under pressure, and a willingness to seek help when needed. Scenario-based questions can further reveal how candidates prioritize tasks and respond to emergencies.
  • Attention to Detail: Precision is critical in healthcare, where small errors can have significant consequences. Nursing Assistants must accurately record vital signs, follow care plans, and adhere to strict protocols. To assess attention to detail, consider including exercises that require candidates to review patient charts, identify discrepancies, or follow multi-step instructions. Reference checks can also provide insight into a candidate's reliability and thoroughness. Look for candidates who demonstrate a track record of consistent, error-free performance and a commitment to maintaining high standards of care.

Conduct Thorough Background and Reference Checks

Conducting thorough background checks is a non-negotiable step when hiring Nursing Assistants, given their direct access to vulnerable patients and sensitive information. The process should begin with verification of employment history, ensuring that candidates have the experience they claim and that there are no unexplained gaps or discrepancies. Contact previous employers to confirm job titles, dates of employment, and performance. Ask specific questions about the candidate's reliability, teamwork, and adherence to protocols.

Reference checks are equally important. Speak with supervisors, colleagues, or instructors who can provide firsthand accounts of the candidate's skills, work ethic, and interpersonal abilities. Inquire about any disciplinary actions, attendance issues, or concerns related to patient care. Confirming certifications is another critical step. Request copies of all relevant credentials and verify their authenticity through state registries or the issuing organizations. Ensure that the candidate's CNA certification is current and in good standing, and that any additional certifications, such as BLS or CMA, are valid.

Criminal background checks are required by law in most states for Nursing Assistants, particularly those working in facilities that receive federal funding. These checks should include state and federal criminal databases, sex offender registries, and, where applicable, abuse or neglect registries. Some employers also conduct drug screenings and check for exclusion from Medicare or Medicaid programs. Finally, review the candidate's driving record if the role involves patient transport. By conducting comprehensive background checks, employers can mitigate risks, protect patients, and ensure compliance with regulatory requirements.

Offer Competitive Compensation and Benefits

  • Market Rates: Compensation for Nursing Assistants varies based on experience, location, and facility type. As of 2024, the national average hourly wage for Nursing Assistants ranges from $15 to $22 per hour. Entry-level positions typically start at $15 to $17 per hour, while mid-level Nursing Assistants earn $18 to $20 per hour. Senior Nursing Assistants or those with specialized certifications may command $21 to $25 per hour, especially in high-demand urban areas or specialized units. Geographic location plays a significant role, with higher wages in metropolitan regions and states with higher costs of living. Large organizations may offer additional shift differentials for nights, weekends, or holidays, further increasing total compensation.
  • Benefits: Competitive benefits packages are essential for attracting and retaining top Nursing Assistant talent. Standard offerings include health, dental, and vision insurance, paid time off, and retirement plans such as 401(k) matching. Many employers also provide tuition reimbursement, continuing education allowances, and opportunities for career advancement. Additional perks may include employee wellness programs, childcare assistance, transportation stipends, and access to employee assistance programs (EAPs). Some organizations offer flexible scheduling, which is highly valued by Nursing Assistants balancing work and personal commitments. Recognition programs, such as employee of the month awards or performance bonuses, can further boost morale and retention. By offering a comprehensive benefits package, employers demonstrate their commitment to employee well-being and professional growth, making their organization more attractive to high-quality candidates.

Provide Onboarding and Continuous Development

Effective onboarding is critical to the long-term success and retention of Nursing Assistants. A structured onboarding program should begin with a comprehensive orientation, introducing new hires to the organization's mission, values, policies, and procedures. Provide detailed training on the use of electronic health record systems, medical equipment, and infection control protocols. Assign a mentor or preceptor to guide the new Nursing Assistant through their first weeks, offering support, feedback, and hands-on instruction.

Shadowing experienced team members allows new hires to observe best practices and ask questions in real time. Regular check-ins with supervisors help identify any challenges early and provide opportunities for additional training or clarification. Encourage open communication and create a welcoming environment where new Nursing Assistants feel comfortable seeking help and sharing concerns. Incorporate team-building activities to foster relationships and integration with the broader staff.

Set clear performance expectations and provide a roadmap for professional development, including opportunities for continuing education and advancement. Solicit feedback from new hires about their onboarding experience and use this information to continuously improve the process. By investing in a thorough onboarding program, employers can accelerate the learning curve, reduce turnover, and ensure that Nursing Assistants are fully prepared to deliver high-quality patient care from day one.

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