2026 How to Become a Caregiver: Certification Requirements in North Dakota

by Imed Bouchrika, Phd

Co-Founder and Chief Data Scientist

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North Dakota's caregiver workforce is expected to grow by over 15% in the next decade, reflecting rising demand from an aging population. Pursuing certification as a caregiver in this state offers not only job stability but also a meaningful career path in healthcare support. Certification requirements include completing approved training and passing relevant assessments, which ensure caregivers meet essential competency standards.

This article, prepared by career planning experts, critically examines these certification steps and explores the sector's opportunities and challenges. It aims to equip readers with clear, accurate guidance to navigate North Dakota’s caregiver certification landscape effectively.

Key Things to Know About Becoming a Caregiver in North Dakota

• Caregivers in North Dakota must complete a state-approved training program of at least 75 hours, which includes both classroom instruction and supervised practical experience. This ensures foundational skills and knowledge.
• Certification requires passing a competency evaluation, often a written and skills test, to demonstrate proficiency in patient care, safety, and ethical standards, aligning with federal and state guidelines.
• The demand for certified caregivers is rising, but workforce shortages persist. Alternative routes like on-the-job training may exist, though certification remains the preferred credential for better job prospects and pay.

Table of Contents

1. What education is required to become a certified caregiver in North Dakota?
2. How many training hours are required for caregiver certification in North Dakota?
3. What topics are covered in caregiver training programs in North Dakota?
4. Is there a state exam for caregiver certification in North Dakota?
5. How do you apply for caregiver certification in North Dakota?
6. How much does it cost to get caregiver certification in North Dakota?
7. How often do you need to renew caregiver certification in North Dakota?
8. How Can Caregiver Certification Serve as a Stepping Stone to Advanced Healthcare Careers?
9. What continuing education is required for caregivers in North Dakota?
10. What is the salary for certified caregivers in North Dakota?
11. What jobs can you get with caregiver certification in North Dakota?

What education is required to become a certified caregiver in North Dakota?

Meeting defined education requirements is central to maintaining quality among North Dakota caregivers, particularly those pursuing ESL teaching roles. These prerequisites ensure that candidates possess foundational academic training aligned with educational standards in the state. The education requirements for certified caregiver candidates in North Dakota reflect a structured pathway emphasizing formal qualifications and program completion:

• Bachelor’s Degree Requirement: Candidates must have at least a bachelor’s degree from an accredited institution, generally related to education or a similar discipline.
• State-Approved Teacher Preparation Program: Completion of a program recognized by the North Dakota Education Standards and Practices Board (ESPB) is necessary to ensure candidate readiness.
• ESL Endorsement Coursework: Specialized coursework totaling a minimum of 16 semester hours or its equivalent is mandated to address the linguistic and instructional demands of English language learners.
• Field Experience: Direct supervised experience in bilingual or ESL classrooms is required to provide a practical understanding of learner needs and instructional strategies.
• Application and Documentation: Submission through the ND Teach system with official transcripts and payment of a review fee solidifies the administrative component of certification.
• Language Proficiency: Although not universally required, proficiency in non-English languages or coursework in such languages may be necessary for certain bilingual endorsements.

These standards reflect the balancing act between rigorous qualification expectations and the pragmatic needs of an evolving educational workforce. Aspiring caregivers must navigate these education requirements carefully, mindful that they serve as a gatekeeper to certification, yet also might limit access for candidates with alternative but relevant experiences. Considering the growing demand for qualified ESL educators in North Dakota, individuals might also explore connections between educational certification and related career prospects, such as understanding the certified risk adjustment coder salary to appreciate parallel professional credentialing pathways.

How many training hours are required for caregiver certification in North Dakota?

In North Dakota, there is no state-mandated minimum number of training hours required for initial certification of general caregivers. However, specific caregiving roles, particularly Certified Nursing Assistants (CNAs), have defined annual training hour requirements, emphasizing continuous education rather than initial classroom hours.

• Annual In-Service Training: CNAs must complete 12 hours of in-service training annually. These hours are intended to keep caregivers updated on evolving healthcare practices and regulatory standards, emphasizing ongoing competency.
• Abuse and Neglect Prevention: Of the 12 hours, at least 2 must focus on abuse and neglect prevention. This requirement aims to cultivate caregivers' ability to detect and address mistreatment, which is crucial for client safety and ethical caregiving.
• Infection Control: One hour annually is dedicated to infection control training. This component is critical to reducing the risk of disease transmission and maintaining a safe care environment for clients and staff alike.
• Supplementary Topics: The remaining 9 hours cover various care-related subjects, allowing agencies flexibility to address specific needs such as emergency procedures or specialized dementia care. This adaptability helps tailor education to real-world caregiving demands.

While initial training requirements are minimal at the state level, many agencies implement their own more rigorous standards, commonly including basic training courses around eight hours to ensure caregivers are sufficiently prepared from the outset.

What topics are covered in caregiver training programs in North Dakota?

Caregiver training in North Dakota is designed to ensure caregivers have the essential skills and knowledge to provide safe, respectful, and effective support. This training not only enhances the quality of care but also helps caregivers build confidence and manage the complex demands of caregiving, especially amid the state’s increasing need for qualified professionals. Topics covered in family caregiver training programs in North Dakota reflect a comprehensive approach to meet diverse client needs.

• Personal Care Skills: Training includes assisting clients with daily activities like bathing, grooming, dressing, and mobility, emphasizing safe transfer techniques to protect both caregiver and client.
• Infection Control: Caregivers learn methods for proper hand hygiene, use of personal protective equipment, and cleaning protocols that prevent infection spread, aligned with CDC recommendations.
• Nutrition and Meal Preparation: Programs cover planning balanced meals tailored to client health conditions, safe food handling, and hydration, which are vital for overall wellness.
• Communication and Interpersonal Skills: Emphasis is placed on verbal and nonverbal communication, active listening, and cultural sensitivity to foster positive relationships with clients and families.
• Safety Procedures and Home Safety Evaluation: Caregivers are trained to identify hazards, implement fall prevention strategies, and suggest home modifications to enhance client safety.
• Emergency Response: Preparation includes responding to falls, choking, fires, and medical emergencies, with instruction in basic first aid, CPR, and appropriate escalation of care.
• Managing Challenging Behaviors: Special focus addresses caring for clients with Alzheimer’s and dementia, including techniques to handle agitation, confusion, and wandering respectfully.
• Legal and Ethical Guidelines: Training covers maintaining confidentiality, respecting autonomy, understanding reporting responsibilities, and familiarizing caregivers with legal documents like powers of attorney.
• Self-Care and Caregiver Stress Management: Recognizing caregiver strain, programs teach stress reduction techniques and provide resources, such as the “Powerful Tools for Caregivers” initiative available in North Dakota.
• Use of Technology and Telehealth: Caregivers are introduced to telemedicine tools, client monitoring technologies, and electronic documentation to support modern caregiving practices.

Those interested in broader healthcare career options might also explore fields related to healthcare administration, such as medical biller and coder jobs, which require different but complementary skill sets. Understanding the core topics in North Dakota caregiver training provides a foundation for those pursuing caregiver certification requirements and enhances readiness for the demands of this vital caregiving role.

Is there a state exam for caregiver certification in North Dakota?

States often require formal exams for caregiver certification to ensure that individuals possess the necessary skills and knowledge to provide safe and competent care. These exams help maintain consistent standards across the profession and protect vulnerable populations by verifying caregiver qualifications. They typically include both written and practical components to assess various caregiving competencies.

In North Dakota, there is no universal statewide exam required for general caregiver certification. However, individuals seeking to become Certified Nursing Assistants (CNAs) must complete a state-approved training program of at least 75 hours and pass a state competency exam. This exam includes both a written or oral test and a skills demonstration covering nursing basics, safety protocols, infection control, and patient communication. Passing this exam qualifies CNAs to work in regulated healthcare environments.

For personal care aides or home caregivers, North Dakota does not mandate a certification exam. Instead, certification often involves completing a state-approved training program, undergoing background checks, and meeting health requirements. Some caregivers may pursue voluntary certification through national organizations to enhance their credentials. Child care providers must complete specific orientation and training courses but are not required to take a formal state exam. This approach reflects North Dakota’s emphasis on varied pathways depending on caregiving roles and settings.

How do you apply for caregiver certification in North Dakota?

Following the correct steps to apply for caregiver certification in North Dakota is critical for meeting state standards and ensuring a smooth process. Proper adherence minimizes delays and supports recognition of your professional qualifications within the state’s evolving healthcare landscape.

• Verify eligibility: Applicants must be at least 18 years old, hold a high school diploma or GED, and be authorized to work in the U.S.
• Understand certification requirements: While North Dakota does not require caregiver certification by law for all roles, many agencies—especially those receiving Medicaid funding—strongly prefer or require it.
• Complete approved training: Enroll in a state-approved program offering a minimum of 75 hours covering personal care, infection control, communication, and safety, available in-person or online.
• Gather documentation: Collect proof of completed training, academic credentials, a government-issued photo ID, and any requested immunization or CPR records.
• Background checks: Submit to criminal history and abuse registry checks as mandated for client safety, typically coordinated through the state or employer.
• Pass certification exam: Successfully complete a competency exam that tests theoretical knowledge and practical skills learned during training.
• Submit application: Apply to the North Dakota Department of Human Services or an authorized certifying organization with all supporting documents and exam results; some programs may allow online submissions.
• Maintain certification: Engage in annual continuing education as required by employers or certifying bodies to keep credentials current.

A caregiver from North Dakota who graduated from a local training school shared her firsthand experience: “Navigating the application felt overwhelming at times, especially aligning the different paperwork and scheduling the background checks. The training was intensive, but knowing it all was state-approved gave me confidence. The exam tested what I’d learned practically, which helped me feel ready for the job.” She appreciated the availability of online options during training, noting it eased balancing work and study. Ultimately, she viewed the process as demanding but rewarding, remarking that clear guidance and persistence were key to successfully becoming certified in the state.

How much does it cost to get caregiver certification in North Dakota?

Knowing the caregiver certification cost in North Dakota helps prospective caregivers plan for both their educational expenses and future career investments. Costs can vary significantly based on training providers and the specific certification pursued, making it important to understand the typical fees involved to choose the best path.

• Training Program Tuition: Tuition fees differ depending on the provider and course format, ranging from around $40 for association member courses to $2,790 for comprehensive university programs such as the University of North Dakota's online personal care aide course.
• Textbooks or Course Materials: While some programs include materials in tuition, additional costs for textbooks or supplies can range from $30 to $100, depending on the course and provider.
• Application or Registration Fees: Many programs or exam centers charge a non-refundable fee between $25 and $75, though not all require this separate charge.
• Background Checks: Essential for employment or certification approval, background checks typically cost between $30 and $60 in North Dakota.
• Certification Exam Fees: For caregivers pursuing CNA certification, which is distinct from general caregiver certification, exam fees usually fall between $120 and $160 for both written and skills tests.
• Ongoing Training or Renewal: Some employers require annual continuing education, with costs ranging from $40 to $100 per year, depending on the provider.

Factors affecting North Dakota caregiver training program fees include the type of training provider, with universities generally charging more than associations or online platforms. Additionally, delivery mode impacts costs, as online programs may reduce expenses related to travel and materials. Also, while North Dakota does not require formal certification for private-pay caregivers, stricter requirements apply for those working with agencies receiving Medicaid funding.

Individuals exploring their options may also consider federally funded support programs, such as the North Dakota Family Caregiver Support Program, which offers free training and resources for family caregivers, though not for professional certification. Finally, comparing multiple providers and checking current regulations is advisable, as fees and requirements may change over time. For those interested in related online courses, exploring a 4 week online course for medical coding and billing Texas might also be valuable depending on career goals.

How often do you need to renew caregiver certification in North Dakota?

Certification renewal plays a crucial role in ensuring caregivers keep their skills current and comply with state regulations, which helps maintain public trust in the quality of care. In North Dakota, these renewal processes serve as checkpoints to verify that caregivers continue to meet professional standards and remain legally authorized to practice. Without regular renewal, there is a risk that caregivers might lapse in competency or fail to follow updated protocols that affect patient care and safety.

In North Dakota, Certified Nurse Aides (CNAs) must renew their certification every 24 months, with no fee required for this process. Renewal eligibility hinges on having worked at least eight hours in a nursing or nursing-related role under supervision within that period. Failure to meet this work requirement necessitates passing a new competency evaluation. Other caregiver certifications, such as those governed by the American Caregiver Association, require annual renewal and include fees ranging from $59 to $149, reflecting differences in certification types and maintaining registry status.

How Can Caregiver Certification Serve as a Stepping Stone to Advanced Healthcare Careers?

Certified caregiver credentials not only secure immediate placement but also offer a foundation for progression into specialized healthcare roles. Professionals frequently leverage their certification as a stepping stone to advanced positions by pursuing further education, specialized certifications, or degree programs that expand clinical expertise and leadership opportunities. Transitioning into roles such as occupational therapy can provide a broader scope of practice and enhanced earning potential. For those considering a shift into a more clinical focus, learning how to become an occupational therapist in North Dakota can provide clear guidance on the necessary steps, complementing the practical experience gained as a caregiver. This strategic pathway integrates hands-on care with targeted professional development, ensuring a robust career trajectory in North Dakota’s evolving healthcare landscape.

What continuing education is required for caregivers in North Dakota?

Continuing education plays a crucial role in helping caregivers maintain essential skills, deliver high-quality care, and comply with evolving state regulations in North Dakota. It ensures that caregivers remain informed about best practices, safety protocols, and legal responsibilities in a dynamic healthcare environment.

• Certified Nurse Aides (CNAs) and Home Health Aides: Required to complete at least 12 hours of in-service training annually, covering topics such as infection control, patient rights, communication, and safety procedures.
• Personal Care Assistants (PCAs) and Non-Medical Caregivers: No state-mandated continuing education, but many employers encourage or require ongoing training modeled after CNA standards.
• Licensed Nurses (LPNs and RNs): Must complete 12 contact hours of approved continuing education every two years for license renewal, focusing on nursing practice, ethics, and quality assurance.
• Optional Training: Voluntary certification and professional development are strongly recommended to stay current and enhance job prospects.

A caregiver from North Dakota, who graduated from a local training program, shared that while meeting the continuing education requirements can feel overwhelming at times, it ultimately reinforces confidence and competence. He reflected, “Keeping up with the 12 hours each year means juggling work and study, but the training sessions always bring fresh insights that improve how I care for clients.” He also noted that the personalized support from his employer made the process manageable, emphasizing that continuous learning is not only a regulatory necessity but also a meaningful commitment to professional growth.

What is the salary for certified caregivers in North Dakota?

Certified caregiver pay rates in North Dakota are shaped by multiple variables, including the geographic location, the employer type—ranging from private households to healthcare agencies—and the caregiver's certification level. Experience and job responsibilities also play crucial roles in determining wages, with live-in positions typically offering higher compensation compared to hourly roles.

• Average Hourly Wage: For private caregivers in North Dakota, the average hourly wage is approximately $16.44, whereas live-in caregivers earn significantly more, averaging $23.78 per hour.
• Annual Salary Ranges: Private caregivers usually make between $30,200 (25th percentile) and $38,100 (75th percentile) annually, with top earners reaching about $41,794. In contrast, live-in caregivers have a wider range, earning from $33,300 to $57,100, with an average of $49,457 and top salaries as high as $79,356 each year.
• Comparison to National Averages: Despite these figures, North Dakota ranks 50th out of all states for live-in caregiver salaries, indicating that certified caregiver salaries in North Dakota tend to be lower than the national average for this category.
• City and Employer Variations: Wages fluctuate depending on urban versus rural settings and the employer's nature. Larger urban centers or specialized health agencies might provide higher pay, while rural or daycare-related roles often offer lower compensation levels.
• Additional Considerations: Job seekers should monitor recent postings reporting annual salaries near $36,400 to $43,774, which reflect distinct employer demands and caregiver responsibilities. For those interested in healthcare certification pathways, exploring accredited medical coding classes online can enhance career prospects.

What jobs can you get with caregiver certification in North Dakota?

Caregiver certification in North Dakota unlocks diverse career paths across healthcare and social support services, reflecting the state’s increasing care needs. Achieving certification equips individuals with recognized skills, qualifying them for a range of roles that offer varying work environments, responsibilities, and opportunities. Common caregiver jobs in North Dakota include:

• Home Health Aide: They assist with daily living tasks like bathing, dressing, and medication reminders, mainly in clients’ private homes, supporting elderly or disabled individuals aiming to maintain independence.
• Personal Care Attendant: Focused on mobility, hygiene, meal prep, and light housekeeping, this role often involves working with one or more clients in residential settings throughout the day.
• Residential Care Aide: Working in group homes or assisted living facilities, these aides help residents with personal care, health monitoring, and recreational activities.
• Hospice Aide: Providing emotional support and comfort care for terminally ill patients, hospice aides operate within homes, hospice centers, or long-term care facilities.
• Qualified Service Provider (QSP): Certified caregivers contracted to deliver personal care, housekeeping, and respite services to Medicaid-eligible clients, mainly in home settings.
• Direct Support Professional (DSP): Assisting individuals with intellectual or developmental disabilities, DSPs aid daily living, community involvement, and personal care across various supported environments.
• Behavioral Health Technician: Supporting clients with mental health challenges, these technicians assist with therapeutic tasks and behavior monitoring in treatment centers, clinics, or homes.
• In-Home Caregiver: This role blends companionship, personal care, and household help, often on flexible or live-in terms, either independently or through agencies statewide.
• Parent and Caregiver Peer Support Specialist: Leveraging personal caregiving experience to support families navigating healthcare systems, these specialists work within community health organizations and state programs.

Exploring how to become a certified medical coder and biller fast can offer additional perspectives on certification pathways, reflecting the broader landscape of health-related careers. Understanding caregiver employment opportunities North Dakota offers can help candidates align their skills with suitable roles amid evolving care demands.

What Do Caregivers in North Dakota Say About Their Career

• Completing the caregiver certification program at Bismarck State College was a challenging yet rewarding journey. Starting my career in a local school has allowed me to connect deeply with students and their families, understanding the unique needs shaped by North Dakota’s rural environment. The job stability and support for caregivers here make it easier to focus on what truly matters — supporting children’s growth and well-being. Being part of a close-knit community where everyone looks out for each other gives my work an incredible sense of purpose. Penny
• After finishing my caregiver training at Minot State University, I began working at a local academic institution, where the diversity of student needs has truly broadened my skills. The experience has been a professional growth platform, offering me chances to advance and take on leadership roles in student well-being. North Dakota’s seasonal changes and strong community values add layers of complexity and fulfillment to my daily work. I’m proud to contribute to shaping a supportive school environment that fosters resilience and care. Chloe
• Training through the University of Jamestown opened doors for me to a career that balances professional development with meaningful community impact. Working as a caregiver in a local school, I witness firsthand the crucial role we play in students’ academic and emotional lives. The unique challenges brought by North Dakota’s vast landscapes and rural character have taught me adaptability and creativity in caregiving. This career has been an emotional journey that deepened my passion for nurturing young people and helping them reach their potential. Raymond

References:

• North Dakota Caregiver Training Course - Free Certification https://caredemy.us/product/north-dakota-caregiver-training/
• North Dakota Caregiver Training & Certification for Home Care - CaregiverList.com https://www.caregiverlist.com/north-dakota/caregiver-training-certification
• How to Become a Caregiver in North Dakota | Dreambound https://dreambound.com/blog/how-to-become-a-caregiver-in-north-dakota
• Online Personal Care Aide Training from North Dakota State University https://careertraining.ndsu.edu/training-programs/personal-care-aide-training/
• Certified Nurse Aide Information | Health and Human Services North Dakota https://www.hhs.nd.gov/certified-nurse-aide-information
• North Dakota CEU Requirements | CEUfast https://ceufast.com/staterequirements/northdakota
• Continuing Education for Renewal – ND Board of Nursing https://www.ndbon.org/licensing/renewal/ce/
• Online Personal Care Aide Training from University of North Dakota https://careertraining.und.edu/training-programs/personal-care-aide-training/
• North Dakota Home Caregiver - Initial Training https://www.care-courses.com/collections/north-dakota-home-caregiver-initial-training
• Education - North Dakota Long Term Care Association https://ndltca.org/education/

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