Career LaddersHealthcare Aide
HHA → CNA → LPN → RN → NP
The full ladder
5 steps from entry to ownership
- 1Step 1 of 5
Home Health Aide / Personal Care Aide
Help seniors and people with disabilities live at home — paid, no license required.
Learn more → - 2Step 2 of 5
Certified Nursing Assistant (CNA)
Pass a 75–100 hour MA-approved CNA program — work in nursing homes, hospitals, and rehabs.
Learn more → - 3Step 3 of 5
Licensed Practical Nurse (LPN)
1 year of MA-approved practical nursing school + NCLEX-PN — your first nursing license.
Learn more → - 4Step 4 of 5
Registered Nurse (RN)
ADN or BSN + NCLEX-RN — the credential that opens every hospital, ICU, and specialty in MA.
Learn more → - 5Step 5 of 5
Charge Nurse / Nurse Manager / NP
Lead a unit, specialize as an NP, or run hospital operations — the top of the ladder.
Learn more →
Next actions
What to do this week
- Apply to 3 home care agencies (BAYADA, Right at Home, Visiting Angels, or local nonprofits)
- Look up the MassHealth PCA program — many people start there directly
- Sign up for a Red Cross CPR/First Aid class (~$80)
- Ask a current HHA or PCA what surprised them in their first month