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Medical and Health Services Managers: apprenticeship hours and pay
O*NET-SOC 11-9111.00
Approved apprenticeship titles
3 apprenticeship titles on the Department of Labor's approved list fall under Medical and Health Services Managers, trained competency-based, hybrid, time-based. The shortest approved term is 2,000 hours, for HOME HEALTH DIRECTOR (competency-based).
| Title | RAPIDS code | Approach and term |
|---|---|---|
| HOME HEALTH DIRECTOR | 1108 | Competency-Based: 2,000 hours Competency-Based (V2): 2,000 hours Hybrid: 2,000 to 2,500 hours Time-Based: 2,000 hours |
| LONG TERM CARE NURSE MANAGEMENT | 1105 | Competency-Based: 2,000 hours Competency-Based (V2): 2,000 hours Hybrid: 2,000 to 2,500 hours Time-Based: 2,000 hours |
| Senior Housing Manager (CB) | 1109 | Competency-Based: 2,000 hours Hybrid: 2,000 to 2,500 hours Time-Based: 2,000 hours |
Time-based programs count hours on the job; competency-based programs move on when the apprentice shows the skills; hybrid programs use both, within a range of hours (29 CFR 29.5(b)(2)). Each registered program sets its own term inside what the approved title allows.
What medical and health services managers earn, by state
New York has the highest state median for medical and health services managers ($164,120) and Puerto Rico the lowest ($82,580), across the 54 states with a published figure.
| State | Median pay | Hourly | Jobs |
|---|---|---|---|
| New York | $164,120 | $78.90 | 33,200 |
| District of Columbia | $155,140 | $74.59 | 2,010 |
| Hawaii | $147,630 | $70.98 | 2,650 |
| New Jersey | $145,650 | $70.02 | 16,900 |
| Washington | $145,290 | $69.85 | 7,490 |
| Oregon | $141,690 | $68.12 | 5,550 |
| California | $141,480 | $68.02 | 75,090 |
| Colorado | $134,910 | $64.86 | 8,400 |
| Delaware | $134,820 | $64.82 | 1,560 |
| Massachusetts | $134,360 | $64.59 | 17,600 |
| Alaska | $132,240 | $63.58 | 1,640 |
| Georgia | $131,910 | $63.42 | 11,130 |
| Maryland | $131,810 | $63.37 | 17,030 |
| Connecticut | $130,790 | $62.88 | 8,020 |
| New Hampshire | $130,410 | $62.70 | 2,460 |
| Virginia | $129,270 | $62.15 | 10,210 |
| Arizona | $128,850 | $61.95 | 11,840 |
| Vermont | $128,690 | $61.87 | 860 |
| Wisconsin | $128,320 | $61.69 | 7,230 |
| New Mexico | $124,300 | $59.76 | 3,150 |
| Minnesota | $122,700 | $58.99 | 11,350 |
| South Dakota | $122,050 | $58.68 | 1,140 |
| Florida | $120,360 | $57.86 | 42,700 |
| Maine | $120,320 | $57.85 | 2,450 |
| Nevada | $119,990 | $57.69 | 5,360 |
| Rhode Island | $119,260 | $57.34 | 3,370 |
| Illinois | $117,850 | $56.66 | 22,460 |
| Idaho | $117,770 | $56.62 | 3,920 |
| Utah | $114,980 | $55.28 | 4,860 |
| North Carolina | $114,410 | $55.01 | 14,820 |
| Texas | $114,150 | $54.88 | 58,420 |
| West Virginia | $112,010 | $53.85 | 2,080 |
| Kansas | $111,030 | $53.38 | 5,120 |
| Wyoming | $108,030 | $51.94 | 1,180 |
| Nebraska | $107,700 | $51.78 | 3,770 |
| Michigan | $107,570 | $51.72 | 16,060 |
| Tennessee | $107,120 | $51.50 | 14,160 |
| Ohio | $106,140 | $51.03 | 24,390 |
| Montana | $105,840 | $50.89 | 1,870 |
| South Carolina | $105,620 | $50.78 | 9,350 |
| North Dakota | $105,170 | $50.56 | 1,220 |
| Louisiana | $104,550 | $50.26 | 7,470 |
| Missouri | $104,370 | $50.18 | 10,800 |
| Indiana | $104,140 | $50.07 | 12,340 |
| Pennsylvania | $103,670 | $49.84 | 30,480 |
| Kentucky | $103,450 | $49.74 | 8,600 |
| Iowa | $101,940 | $49.01 | 6,200 |
| Oklahoma | $101,270 | $48.69 | 6,030 |
| Guam | $100,420 | $48.28 | 140 |
| Mississippi | $98,160 | $47.19 | 4,280 |
| Alabama | $97,790 | $47.02 | 10,360 |
| U.S. Virgin Islands | $96,950 | $46.61 | 80 |
| Arkansas | $94,340 | $45.35 | 6,440 |
| Puerto Rico | $82,580 | $39.70 | 1,180 |
Finding a program
The public sponsor file names the organizations that run registered apprenticeships but not the occupations each one trains, so this guide names no sponsor. Search apprenticeship.gov's Apprenticeship Finder for this title, or ask your American Job Center which local programs train it.
Apprenticeship sponsors by state (25,633) · All approved occupations
Sources: apprenticeship.gov approved occupations list (Last-Modified October 8, 2026); BLS Occupational Employment and Wage Statistics, May 2025 (all industries; blanks are figures BLS does not publish).