Caregiver Jobs in Needles, CA
Needles is a city of about 4,800 on the Colorado River where more than a fifth of residents are 65 or older. IHSS work here pays $19.00 an hour, and the program has an office on Broadway. Create a free profile and keep an eye on the postings above, which update as families publish them.
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Finding in-home caregiver jobs in Needles
Needles is an incorporated city, one of the oldest in San Bernardino County: it grew up with the railroad in 1883 and incorporated in 1913. The city describes itself as sitting on the Colorado River just across the bridge from Arizona, with Interstate 40 and Highway 95 running through, and its own figures put Bullhead City, Arizona, about 23 miles north. The Public Authority's next-nearest office after its Needles district office, in Victorville, is about 181 road miles away.
About 11.2% of Needles's labor force was unemployed, on average, between August 2025 and August 2026, according to EDD estimates. San Bernardino County and California both averaged 5.3% over the same months, so the rate here is more than double. The labor force is about 1,700 people, so the estimate is approximate. Steady care work matters in a town like this, and IHSS is the steadiest kind: a Medi-Cal client, often your own parent, and hours the county pays at $19.00. For each enrollment step, read the San Bernardino County IHSS guide.
In your profile, state that you live in Needles, whether you drive, and whether you would also take private clients across the river, where IHSS does not apply.
Families looking for private caregivers near Needles, CA
Real postings from families on CaregiverConnect, matched to Needles by distance.
No open postings in Needles right now
No family within 50 miles has an open posting today. A profile created now is visible to San Bernardino County families as soon as they join, and they can send you a direct request.
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Types of caregiver jobs in Needles
Needles has an older, lower-income population with a high disability rate (36.4% of residents outside institutions in ACS 2020–2024). Families are likely to ask for personal care and bathing, help keeping a house running for someone who lives alone, companionship and meals, rides on the Bullhead shuttle days, and extra hours alongside hospice.
Senior caregiving · Personal care · Companion care · Dementia care · Respite care · Live-in · Overnight · Part-time and full-time
Caregiver pay in Needles: how much caregivers make
Public figures first, then what they mean for private work. Statistics describe employed aides across the Riverside–San Bernardino–Ontario, CA metro (San Bernardino County); private rates on CaregiverConnect are agreed between each caregiver and family and are not tracked by any agency.
| Measure | Hourly | Source and coverage |
|---|---|---|
| Home health and personal care aides, Riverside–San Bernardino–Ontario, CA metro (San Bernardino County) | $16.50 median ($17.03 mean) | BLS OEWS, May 2025; 102,760 jobs; concentration 2.16× national |
| IHSS provider wage, San Bernardino County | $19.00 | CDSS; effective January 1, 2026 |
| California minimum wage | $16.90 | effective January 1, 2026 |
Who is the employer. A family that hires you directly is your employer under California's Domestic Worker Bill of Rights. The state minimum wage ($16.90 an hour from 1 January 2026; some cities set more, for example $17.75 in the City of San Diego) is the legal floor, and a personal attendant earns overtime at 1.5× after 9 hours in a day or 45 in a week. The main exceptions are IHSS recipients and an employer's own parent, spouse or child. Source: California DIR, Domestic Worker Bill of Rights FAQ.
BLS counts Needles inside the two-county Inland Empire metro, so the $16.50 median reflects pay hundreds of miles west; EDD projects aide jobs in that metro to grow from 94,950 in 2023 to 126,020 in 2033 (+32.7%). Locally, the ACS puts Needles's median household income at $38,243, with 29.7% of residents below the poverty line and 26.8% of households receiving SSI, so few families can pay much privately and IHSS at $19.00 is the best-paid regular work most caregivers will find. No city ordinance raises the state $16.90 minimum. IHSS requires the client to be a California resident, so a client across the river pays you privately.
How to enroll as a provider in San Bernardino County, with the office phone lines and orientation steps, is in the IHSS San Bernardino County guide. IHSS wages for every county we cover, with effective dates, are in the IHSS pay by county guide.
How the public numbers relate to private rates, and what affects them, is covered in the caregiver pay guide.
Caregiver requirements in California, applied to Needles
California rules apply to work done in Needles. Direct non-medical care for a family needs no license; an agency, by contrast, has to list its aides with the CDSS registry ($35), which is optional for someone working on their own. To become an IHSS provider, contact the San Bernardino County IHSS Public Authority, the employer of record for providers, which runs enrollment, criminal background checks, a provider registry and training; its Needles office is on (760) 326-9328 and the main line is (866) 985-6322. CDSS lists four steps: attend orientation, return the SOC 426 enrollment form, sign the SOC 846 agreement and pass DOJ fingerprinting. Nursing tasks need a CDPH-issued CNA certificate. Paid elder care makes you a mandated reporter; San Bernardino APS takes those calls at (877) 565-2020, day or night. The requirements guide sets out the statewide rules.
Training and career resources near Needles
Offices and programs in and around Needles that a caregiver can use.
- IHSS Public Authority district officeThe Public Authority lists six district offices, and one is on East Broadway in Needles, (760) 326-9328. Enrollment questions can also be emailed to IHSSPAEnrollment@hss.sbcounty.gov.
- Palo Verde College Needles CenterServes Needles and nearby Mohave County, Arizona, with a two-semester phlebotomy program, RN and LVN prerequisites and GED preparation.
- Palo Verde College CNA certificateEstimated total $726.50 for California residents, $864.50 for Arizona or Nevada residents, plus a $120 state test; BLS/CPR is required first, and students arrange their own transport to clinical sites. Nursing Office (760) 921-5504 can say where the next class runs.
- Needles Area TransitWeekdays 7:00 am to 6:55 pm, Saturdays 10:00 am to 4:55 pm, with stops at the senior center, the hospital, Tri-State Healthcare and the county offices; call (760) 326-4348 for a pickup off the route.
- Colorado River Medical CenterOn Bailey Avenue, (760) 326-7162. The city describes it as a 25-bed rural hospital with critical access designation and physicians in its emergency room around the clock; name it in your profile if you have worked there.
Needles in numbers
The state's January 2026 estimate is 4,796 people. Census survey data for 2020–2024 show a median age of 49.5, with 22.6% of the population 65 or older and a third of the city's 2,218 households with someone that age. Hispanic or Latino residents are 35.0% of the population and 11.1% speak Spanish at home; the city's own history page notes that the Fort Mojave Indian Tribe's homeland lies along this stretch of river. Housing is cheap (median rent $745, median home value $157,200), and nearly one home in five is a mobile home. The mean commute is 18.9 minutes and 9.4% of households have no vehicle.
The city names the casinos in Laughlin, the BNSF railroad, the hospitals in Bullhead City, Fort Mohave and Needles, and local governments and school districts among the area's largest employers. Health care in town is Colorado River Medical Center, the Tri-State Community Healthcare Center at 820 W. Broadway and a licensed hospice at 813 W. Broadway; CDSS lists no elder care home and no licensed home care organization for ZIP 92363. County-wide figures are on the San Bernardino County page.
How to find private caregiver jobs in Needles (no agency)
CaregiverConnect is a marketplace, not an agency. Families post what they need, caregivers apply, and the two of you work out the arrangement directly.
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Applying to open postings and starting a new conversation are part of Caregiver Premium ($7.99/month, cancel anytime). Replying to a family who contacts you is always free. CaregiverConnect takes no cut of what you earn.
Caregiver jobs near Needles
Families often post from neighbouring towns. Set your travel radius in your profile and you will appear in their searches too.
Needles is part of San Bernardino County; the hub pages list every town and area they cover.
- Caregiver jobs in Apple Valley, CA150 mi
- Caregiver jobs in Victorville, CA158 mi
- Caregiver jobs in Hesperia, CA159 mi
Elsewhere in San Bernardino County: San Bernardino · Fontana · Ontario · Rancho Cucamonga · Redlands · Rialto · Upland · Chino · Chino Hills
Useful reading
How to become a caregiver in California: requirements, HCA registry, IHSS and CNA explained · How much do caregivers make in California and Arizona? BLS, IHSS and minimum wage (2026) · Private caregiver jobs near you: how to find them without an agency · Caregiver interview preparation: questions families ask and how to answer them
- California EDD, Local Area Unemployment Statistics (LAUS), sub-county places, 12-month average August 2025 to August 2026
- California Department of Finance, E-1 2026
- U.S. Census Bureau, ACS 2020–2024 profiles DP02–DP05, Needles city (GEOID 0650734)
- City of Needles, About Needles
- City of Needles, Neighboring Cities
- City of Needles, Medical Services
- Needles Area Transit, deviated fixed route
- San Bernardino County IHSS Public Authority, contact and district offices
- San Bernardino County IHSS Public Authority, about us
- San Bernardino County Department of Aging and Adult Services
- Palo Verde College, Needles Center
- Palo Verde College, CNA estimated program cost (July 2025)
- CDPH, Licensed and Certified Healthcare Facility Listing (data date 16 Sep 2026)
- CDSS Community Care Licensing facility files (RCFE, Home Care Organization; May 2025)
- CDSS, IHSS provider orientation process
- CDSS, IHSS wages by county
- BLS OEWS May 2025, Riverside-San Bernardino-Ontario, CA (31-1120)
- CDSS, In-Home Supportive Services eligibility
- California EDD, April 2026 (2023–2033 projections, Riverside-San Bernardino-Ontario MSA)
- OSRM routing on OpenStreetMap (road distances)
Caregiver jobs in Needles: frequently asked questions
Do I have to travel to San Bernardino to enroll in IHSS?
Ask first. The Public Authority lists a district office at 1090 E. Broadway Street in Needles, (760) 326-9328, and takes enrollment questions by email. The San Bernardino office is about 219 road miles away.
Can I care for a client in Bullhead City or Fort Mohave?
Privately, yes. CDSS requires IHSS recipients to be California residents, so a client in Arizona would pay you directly.
Is there CNA training for Needles residents?
Palo Verde College offers a CNA certificate and runs a Needles Center; call the Nursing Office, (760) 921-5504, to confirm where classroom and clinical hours take place before you enroll.
Is there a bus I can use to reach clients in Needles?
Needles Area Transit runs a loop through town six days a week and will deviate to pick you up if you call (760) 326-4348.
What is the pay for caregivers in Needles?
IHSS pays $19.00 an hour here, above the $16.90 minimum and $16.50 metro median. Private rates are agreed family by family, and with low local incomes many will sit near the IHSS figure.
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