Caregiver Jobs in Sacramento County
One page for the whole county: the capital, Elk Grove, Folsom, Rancho Cordova, Citrus Heights and Galt, plus the large unincorporated suburbs such as Arden-Arcade, Carmichael and Fair Oaks. IHSS here pays $19.15 an hour, and the postings above change as families in the county publish them.
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Finding in-home caregiver jobs in Sacramento County
Sacramento County is unusual in how many of its people live outside any city. The Department of Finance counted 1,628,349 residents on January 1, 2026, and 602,889 of them, a little over a third, live in unincorporated territory. That means a large share of care requests come from places with a Sacramento or Carmichael mailing address but no city government of their own: Arden-Arcade, Carmichael, Fair Oaks, Orangevale and the river communities of the Delta. Seven incorporated cities make up the rest, led by the City of Sacramento (539,765) and Elk Grove (188,319).
For a caregiver, the practical question is which side of the county you want to cover. The northeast suburbs along the American River have the oldest populations. The south county, from Elk Grove down Highway 99 to Galt, is younger and growing. Put the ZIP code you leave from in your profile and a radius that matches how you travel; a client in Orangevale is a long ride from south Sacramento. Name every language you speak, since a third of residents five and over have a home language other than English.
Families looking for private caregivers in Sacramento County
Real postings from families on CaregiverConnect, matched to Sacramento County by distance. 2 caregivers within 60 miles already have profiles here.
No open postings in Sacramento County right now
No family within 60 miles has an open posting today. Nearest current postings: California, CA, about 80 miles away. A profile created now is visible to Sacramento County families as soon as they join, and they can send you a direct request.
This list is generated from live postings on CaregiverConnect. We never show sample, demo or expired jobs here.
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Caregiver jobs by city and town
Each page below has its own local research and shows live postings near that place. Towns without a page yet are covered by this hub.
- Caregiver jobs in Sacramentopop. 539,765
- Caregiver jobs in Elk Grovepop. 188,319
- Caregiver jobs in Citrus Heightspop. 86,487
- Caregiver jobs in Folsompop. 95,680
- Caregiver jobs in Rancho Cordovapop. 87,312
The communities of Sacramento County
Where caregiving work sits across the county. Sacramento, Elk Grove, Folsom, Rancho Cordova and Citrus Heights each get a separate page (see the links above); other places use this one with a local ZIP code.
- City of SacramentoState capital and county seat, 539,765 residents; UC Davis Medical Center, Sutter and Mercy General are inside the city.
- Elk GroveThe second-largest city at 188,319, south of Sacramento on Highway 99, with SacRT running its local buses.
- Folsom95,680 residents at the eastern edge of the county; Mercy Hospital of Folsom on Creekside Drive.
- Rancho Cordova87,312 residents along US 50 east of the city, served by SacRT light rail and the Rancho CordoVan.
- Citrus Heights86,487 residents in the northeast; Del Oro Caregiver Resource Center is on Auburn Boulevard here.
- Arden-Arcade and CarmichaelUnincorporated suburbs of about 95,000 and 77,000 people (ACS); Mercy San Juan Medical Center is in Carmichael.
- Fair Oaks and OrangevaleUnincorporated communities along the American River with the county's oldest age profiles.
- GaltIncorporated city of 27,133 at the southern end of the county on Highway 99.
- The DeltaIsleton (764 residents) and the river towns of Courtland, Walnut Grove and Locke; few caregivers live nearby, so expect long drives.
- Neighbors outside the countyRoseville and Rocklin are in Placer County and West Sacramento is in Yolo County; you can work there, but those families are not Sacramento County IHSS clients.
Types of caregiver jobs in Sacramento County
Typical requests: weekday help with bathing, meals and medicines for an older parent living alone; company and supervision for someone with dementia; short stints after a discharge from one of the Sacramento or Carmichael hospitals; and weekend or evening breaks for a husband or wife who handles the daily care. Without formal training, start with companionship, errands, light housekeeping and meal preparation, then add a nursing assistant course if you want hands-on personal care or facility work.
- Senior caregiving: day-to-day help so an older adult can stay at home.
- Personal care: bathing, dressing, grooming, transfers.
- Companion care: company, errands, appointments, light help.
- Dementia care: routine-based support for memory loss.
- Respite care: cover so a family caregiver can rest or work.
- Live-in: room and board as part of the arrangement.
- Overnight: supervision through the night.
- Part-time and full-time: set by day and time block on your profile.
Caregiver pay in Sacramento County: how much caregivers make
Public figures first, then what they mean for private work. Statistics describe employed aides across the Sacramento–Roseville–Folsom, CA metro (Sacramento, Placer, El Dorado and Yolo counties); 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, Sacramento–Roseville–Folsom, CA metro (Sacramento, Placer, El Dorado and Yolo counties) | $16.50 median ($17.20 mean) | BLS OEWS, May 2025; 60,350 jobs; concentration 2.02× national |
| IHSS provider wage, Sacramento County | $19.15 | CDSS; effective January 1, 2026 |
| California minimum wage | $16.90 | effective January 1, 2026 |
| Nursing assistants, Sacramento–Roseville–Folsom, CA metro (Sacramento, Placer, El Dorado and Yolo counties) | $22.84 median | BLS OEWS, May 2025 (certified roles, for comparison) |
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.
Sacramento–Roseville–Folsom MSA (El Dorado, Placer, Sacramento and Yolo counties) projection: 55,230 aide jobs in 2023 to 73,060 in 2033 (+32.3%), about 111,260 openings over the decade including replacements (California EDD, 2023–2033 projections published April 2026). Openings are not the same as net new jobs.
The federal wage survey treats four counties as one labor market, so its $16.50 median aide wage (May 2025) mixes Sacramento County with Placer, El Dorado and Yolo, and was measured before the state minimum reached $16.90. The figure that belongs to this county alone is the IHSS rate: the Public Authority lists $19.15 an hour for 2026. No jurisdiction in this region shows up among the local wage ordinances the UC Berkeley Labor Center tracked in July 2026, which leaves agency work from Citrus Heights to Galt at the statewide $16.90. EDD expects metro aide employment to grow 32.3% from 2023 to 2033 against 8.8% for the whole workforce, producing 111,260 openings once turnover is counted.
How to enroll as a provider in Sacramento County, with the office phone lines and orientation steps, is in the IHSS Sacramento 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 Sacramento County
Families who pay you directly for non-medical help need no license from you. Any licensed home care agency must register its staff with CDSS's Home Care Aide Registry; independents can sign up as well for $35, good for two years. For IHSS pay in this county you enroll through the Sacramento County IHSS Public Authority at 9300 Tech Center Drive, Suite 100: register in the BOUNDS portal, watch the IHSS videos, sign the provider application online, book an appointment and bring an unexpired photo ID and your Social Security card. You also complete a DOJ Live Scan on the Public Authority's own form; results take two to six weeks. Nursing tasks or skilled nursing jobs require CDPH certification. You are a mandated reporter: county APS answers (916) 874-9377 around the clock. Read our IHSS guide for Sacramento County for the enrollment steps and the statewide rules page for everything else.
Training and career resources near Sacramento County
Training and support across the county, each checked on the organization's own site.
- American River College, Nurse Assistant and Home Health Aide4700 College Oak Drive, Sacramento. NURSE 100 is a CDPH-approved, 15-week, 7-unit CNA course with $322 tuition; Live Scan runs $57 to $70. Spring 2027 classes start January 20; the application window is October 18 to November 30. A follow-on Home Health Aide course is open to CNAs.
- Charles A. Jones Career and Education Center (adult school)5451 Lemon Hill Avenue, Sacramento, (916) 395-5800. Five-week CDPH-approved nurse assistant program, 192 hours, $1,600 plus fees with scholarships available; new sessions begin November 16, 2026 and January 19, 2027.
- IHSS Public Authority classes and Care AcademyFree classes for providers and recipients, plus online Care Academy courses (more than 400 topics including dementia, mobility and first aid) with certificates.
- IHSS Provider RegistryOnce enrolled, you can apply to the registry that refers caregivers to IHSS recipients: three professional references, a DOJ check, an interview, online training and a registry orientation. Call (916) 874-2888, option 2.
- Del Oro Caregiver Resource Center8421 Auburn Blvd., Suite 265, Citrus Heights, (916) 728-9333. Free public education on dementia and family caregiving across a 13-county region; useful background for memory-care clients.
- SacRT buses, light rail and local servicesBasic single ride $2.50. SacRT also runs the Elk Grove and Folsom bus services and the Rancho CordoVan, which matters if you work in the suburbs without a car.
Sacramento County in numbers
ACS 2020–2024 puts the county's 65-and-over share at 15.3% with a median age of 37.5, but the averages hide a sharp split. Fair Oaks has the oldest profile of the large unincorporated communities, with 25.1% of residents 65 or older and a median age of 45.9; Carmichael is at 20.7% and Orangevale at 19.6%. Median household income is $92,175, 41.0% of homes are rented, and the median gross rent is $1,790. Languages other than English are spoken at home by 33.7% of residents five and older: Spanish by 13.2%, Asian and Pacific Island languages by 10.2%, and other Indo-European languages by 9.2%.
Many short assignments start with someone leaving a hospital. The largest on HCAI's profiles is UC Davis Medical Center (653 licensed beds), followed by Sutter Medical Center Sacramento (523), Mercy San Juan Medical Center in Carmichael (384), Mercy General (313), the two Kaiser hospitals on Morse Avenue (287) and Bruceville Road (275), Methodist Hospital (158) and Mercy Hospital of Folsom (106). To the south, San Joaquin County has its own page.
How to find private caregiver jobs in Sacramento County (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.
Tell us about your experience
Years of experience, the care types you provide, any certifications. No licence is needed for non-medical care.
Set your availability and rate
Full-time, part-time or live-in; days and time blocks; hourly rate; travel radius; vehicle.
Create your account
Name, email, ZIP code, password. Your profile is live immediately for families in your radius.
Browse, apply or respond
Open postings plus a matched list. Apply, or answer a family's direct request; the family chooses who to hire. 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.
Agree on the details
Message to settle schedule, duties and pay. CaregiverConnect takes no cut of what you earn.
Caregiver jobs near Sacramento County
Families often post from neighbouring towns. Set your travel radius in your profile and you will appear in their searches too.
Useful reading before you apply
How to become a caregiver in California: requirements, HCA registry, IHSS and CNA explained
Which rules apply to a caregiver in California depends on who pays them. A plain-language map of the Home Care Aide Registry, IHSS provider enrolment and CNA/HHA certification, with the official sources.
How much do caregivers make in California and Arizona? BLS, IHSS and minimum wage (2026)
Median hourly pay for home health and personal care aides by metro area from the May 2025 BLS survey, county IHSS wages, state minimum wages, and how private rates relate to them.
Private caregiver jobs near you: how to find them without an agency
Where families who hire directly actually look, how to be found, what to put in writing, and the legal basics of being a household employee.
Caregiver interview preparation: questions families ask and how to answer them
What a family interview for private caregiving work really covers, the questions to expect, the questions you should ask, and what to bring.
- California Department of Finance, E-1 city and county population estimates, January 1, 2026
- U.S. Census Bureau, ACS 2020–2024 5-year (S0101, DP02, DP03, DP04, DP05), Sacramento County and CDPs
- BLS OEWS May 2025, Sacramento-Roseville-Folsom, CA (31-1120, 31-1131) via BLS public API
- California EDD, 2023–2033 occupational projections, Sacramento-Roseville-Folsom MSA (April 2026)
- CDSS, IHSS wages by county
- Sacramento County IHSS Public Authority, FAQs (2026 pay rate, Live Scan timing)
- Sacramento County IHSS Public Authority, provider enrollment
- Sacramento County IHSS Public Authority, provider registry
- Sacramento County IHSS Public Authority, education opportunities
- Sacramento County DCFAS, Adult Protective Services
- California DIR, minimum wage FAQ
- UC Berkeley Labor Center, inventory of local minimum wage ordinances (July 2026)
- CDSS, Home Care Services application fees
- American River College, Nurse Assistant and Home Health Aide
- Charles A. Jones Career and Education Center, Nurse Assistant Training
- Del Oro Caregiver Resource Center
- SacRT fares
- HCAI hospital profiles (UC Davis Medical Center, Sutter, Mercy, Kaiser, Methodist)
Caregiver jobs in Sacramento County: frequently asked questions
Which Sacramento County cities have their own caregiver job page?
Sacramento, Elk Grove, Folsom, Rancho Cordova and Citrus Heights. Galt, Isleton and the unincorporated communities such as Carmichael and Fair Oaks use this county page with a local ZIP code.
How much does IHSS pay in Sacramento County in 2026?
$19.15 an hour, effective January 1, 2026, according to the CDSS county table and the county Public Authority.
How long does IHSS provider enrollment take here?
The Live Scan alone can take two to six weeks to reach the Public Authority, and appointments are released in BOUNDS each Tuesday after 10 am. Once you finish, the county mails you a nine-digit provider number.
Do IHSS providers in Sacramento County get health insurance?
Providers paid for at least 85 hours a month for three months in a row can qualify for Kaiser medical and United Healthcare dental through a union trust, at $51.65 a month. Enrollment is currently full, so eligible providers go on a waitlist.
Where is the closest CNA course?
American River College runs a 15-week course on College Oak Drive, and the Charles A. Jones adult school on Lemon Hill Avenue runs five-week sessions. Both are CDPH-approved.
I live in Roseville. Can I use this page?
You can apply for Sacramento County jobs, but Roseville and Rocklin are in Placer County, so an IHSS client there enrolls through Placer, not Sacramento.
Where do families in the county post?
They use the county family page or the one for their city, and any post inside your radius reaches you.
Ready to find caregiver work in Sacramento County?
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