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Advice / Career Paths / Exploring Careers

Beyond Nursing: Unexpected Careers in Senior Care and Support

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The baby boomer generation—one of the largest in history—is aging rapidly, and that’s creating a surge in senior care jobs.

“The senior care workforce is under intense pressure, facing shortages in both medical and non-medical roles,” says Cheryl Field, MSN, RN, CRRN, author of Prepared! A Healthcare Guide for Aging Adults. “These gaps intensified post-COVID as many professionals left the industry due to burnout.”

This shift is creating unprecedented job opportunities. While many people immediately think of nursing and assisted living facilities when they consider careers caring for seniors, there’s a growing need for a wide range of jobs in senior care that don’t require a medical degree. New career paths are emerging to support the growing number of seniors who want to age independently.

This article will cover some of these lesser-known senior care careers, including what they involve, how much they pay, and what it takes to get started—whether you have experience in the field or are looking for senior care jobs with no experience.

The evolving landscape of senior care jobs

When people think about senior care careers, they often picture traditional bedside roles in hospitals or nursing homes. But, with more seniors choosing to age in place, the demand for jobs in senior care has expanded beyond medical care. In-home and community-based services are growing, creating opportunities in wellness, technology, and home modification.

Moti Gamburd, CEO of CARE Homecare, an in-home senior care provider, explains the need for a new type of specialist: care traffic controllers. “These are people who coordinate three to five rotating caregivers for clients who require round-the-clock support,” Gamburd says. “They manage personalities, track medication updates, and prepare handoff notes. The role suits people with high emotional intelligence and strong attention to nuance, not just schedules.”

The industry is also seeing growth in non-emergency medical transportation. “This field continues to expand in direct care roles, but additionally, it has created opportunities for administrative, logistical, and technological personnel—for instance, in areas like data management and route optimization,” says Alexander Desoto, CEO of CallTheCare, a senior transport service.

As aging-in-place solutions and digital health innovations gain traction, senior care jobs now include everything from fitness coaching to smart-home adaptation—making this a growing and diverse field for job seekers with a wide range of skills.

9 alternative senior care jobs to consider

Whether you're interested in wellness, housing, technology, or advocacy, there are many unexpected paths to consider in this expanding field.

At-home and community-based senior care careers

As more older adults choose to remain in their homes, there’s a growing need for professionals who can support their daily lives, health, and mobility. From companion care to fitness coaching, these roles offer meaningful work for those who want to help seniors while building a stable career.

1. Companion caregivers (non-medical support)

One of the most accessible ways to enter the field is through companion caregiving, which focuses on providing emotional support and assisting seniors with daily activities like meal preparation, running errands, and social engagement.

Unlike medical caregivers, companion caregivers don’t need extensive training or certifications, making it one of the best senior care jobs with no experience required. The demand for these roles is rising, especially as more families look for alternatives to assisted living.

However, while formal certification isn’t always required, specialized skills can make a candidate more desirable to agencies. “Skip the idea of a broad certificate and start with a short course on how to help someone with advanced dementia eat without choking,” Gamburd says. “Practical, focused training like that carries more weight with agencies like ours.”

Mean annual wage: $34,990, according to the U.S. Bureau of Labor Statistics (BLS).

2. Elderly fitness coach

For those with a passion for fitness, becoming an elderly fitness coach or senior wellness trainer is another unexpected career path in senior care. Unlike traditional personal trainers, these professionals specialize in low-impact exercises designed to improve mobility, prevent falls, and maintain the overall physical health of an older person.

With more seniors prioritizing independence and longevity, the demand for fitness professionals who understand the aging body is only growing. Certifications like the Senior Fitness Specialist credential from NASM or the Functional Aging Specialist program from FAI can help establish credibility in this field.

Mean annual wage: $51,360, as reported by the BLS.

3. Senior transportation specialist

A senior transportation specialist ensures older adults can safely get to medical appointments, grocery stores, and social gatherings. This job requires more than just a driver’s license—it demands patience, strong communication skills, and the ability to provide physical assistance when needed.

“Individuals must also have a deep sense of responsibility in ensuring the safety and comfort of passengers, especially seniors who are mobility-challenged, have specific medical needs, or both,” Desoto says, adding that certifications in non-emergency medical transportation (NEMT) or patient transport safety can make applicants more competitive in this field.

Beyond direct care roles, senior transportation is also creating administrative and logistical jobs. “Specific roles are developing in the NEMT area, such as the transport coordinator, who works with scheduling, routing, and compliance with all rules and regulations that govern healthcare,” Desoto says.

Mean annual wage: There isn’t specific data for these professionals, but they can be associated with the broader category of “Transportation Workers, All Other,” which earns a mean annual wage of $45,040.

Senior home and living specialists

As more older adults choose to age in place rather than move into assisted living facilities, there's a growing demand for professionals who can help create safer, more accessible living environments. From modifying homes for mobility to helping seniors navigate new technology, these careers support older adults behind the scenes—but make just as big of an impact.

4. Home modification specialist

Aging in place is a priority for many seniors, and home modification specialists play a key role in making that possible. These professionals assess and adapt homes to improve safety, accessibility, and overall comfort for older adults. Their work can include installing grab bars, widening doorways for wheelchairs, improving lighting, and integrating smart home technology that allows seniors to control their environment with ease.

Many home modification specialists come from backgrounds in construction, interior design, or occupational therapy. In fact, some occupational therapists transition into this field to focus on creating practical solutions that help seniors maintain their independence.

Training options for home modification specialists include the Certified Aging-in-Place Specialist (CAPS) certification from the National Association of Home Builders, which teaches professionals how to design and modify homes for aging adults. Another option is the Executive Certificate in Home Modification (ECHM) from the University of Southern California, which provides in-depth training on accessible home design and senior safety.

Mean annual wage: Home modification specialists earn an average annual salary of around $76,430, according to BLS data on construction and building inspectors, a field with overlapping skills in home safety assessments and accessibility modifications.

5. Geriatric technology consultant

As technology becomes more integrated into healthcare and daily life, seniors need guidance on using smartphones, telehealth platforms, and assistive devices. “These consultants help seniors stay connected and safe using telehealth, wearable devices, and smart home technologies,” Field says.

From fall-detection wearables to voice-activated home assistants, the right technology can improve a senior’s quality of life—but only if they know how to use it. You don’t need any certification to work as a geriatric technology consultant, but being tech-savvy is definitely a plus. A background in IT support, customer service, or healthcare technology can also help.

Mean annual wage: Geriatric technology consultants don’t have a specific BLS category, but roles related to computer user support specialists, who provide tech assistance to individuals and earn a median annual wage of $64,990, according to the BLS.

6. Rehabilitation transition coordinator

Returning home after a hospital stay can be overwhelming for older adults, especially if they have ongoing health needs. That’s where rehabilitation transition coordinators come in. They help bridge that gap, assisting seniors as they move from hospitals or rehab facilities back to their homes or long-term care settings. These specialists develop personalized transition plans, coordinate home healthcare services, and provide guidance on lifestyle adjustments to ensure a smooth recovery.

“These new roles blend healthcare, technology, and lifestyle services to better support the unique needs of today’s aging population,” Cheryl says. With hospitals focused on reducing readmissions, this role is becoming more essential—especially as the senior population grows.

Mean annual wage: Based on similar roles in patient coordination and healthcare support, their salary would likely align with social and human service assistants, who earn a median annual wage of $47,090, according to the BLS.

Administrative and specialized support roles

Not all careers in senior care require direct patient interaction. Many roles focus on providing essential services behind the scenes, ensuring seniors and their families receive the support and resources they need.

7. Senior care placement advisor

Senior care placement advisors assist families in finding appropriate assisted living facilities or home care services for their elderly loved ones. This role combines elements of sales, social work, and consulting, as advisors evaluate the needs of seniors and match them with suitable care options.

While there's no strict educational path, a background in nursing, geriatric care, social work, or a related field is beneficial. Some advisors pursue certifications like the Certified Senior Advisor (CSA) credential to enhance their credibility.

Mean annual wage: According to the BLS, social and human service assistants, a category that includes roles similar to senior care placement advisors, have a median annual wage of $47,090.

8. Elder law attorney

Elder law attorneys specialize in legal matters affecting older adults, including estate planning, guardianship, long-term care arrangements, Medicaid planning, and elder rights advocacy. As seniors navigate complex healthcare and financial decisions, these legal professionals play a critical role in ensuring their rights and assets are protected.

Becoming an elder law attorney requires earning a Juris Doctor (JD) degree, passing the bar exam, and obtaining a license to practice law. Many lawyers further specialize by taking courses in elder law, Medicaid planning, and disability rights. While not mandatory, certification from the National Elder Law Foundation (NELF) as a Certified Elder Law Attorney (CELA) can enhance credibility in this field.

Mean annual wage: According to the BLS, lawyers have a median annual wage of $182,760. However, earnings can vary significantly based on experience, location, and the complexity of cases handled.

9. Long-term care insurance specialist

Long-term care insurance specialists guide seniors and their families through the process of selecting and purchasing insurance policies that cover extended care services, such as nursing home stays or in-home care. They assess clients' financial situations and care needs to recommend suitable insurance options.

A background in finance, insurance, or a related field is advantageous. Obtaining relevant licenses to sell insurance products is typically required, and additional certifications in long-term care insurance can enhance credibility.​

Mean annual wage: According to the BLS, insurance sales agents have a median annual wage of $81,510. Compensation often includes a base salary plus commissions, and earnings can vary based on performance and location.​

Why consider a career in senior care

Senior care encompasses a wide range of careers that support older adults in different ways with a growing demand.

Beyond job security, working in senior care offers deep emotional rewards. Helping older adults maintain their independence, stay connected, or overcome complex life transitions can be incredibly fulfilling. Many roles also provide competitive salaries and opportunities for career growth, especially as the aging population continues to expand.

If you're looking for a meaningful career with strong job prospects, senior care could be the perfect fit.

Check open jobs on The Muse and start exploring your options today »