A Certified Nursing Assistant (CNA) provides direct, hands-on care to patients in various medical settings, serving as the primary link between the patient and the nursing staff. This role offers an accessible entry point into the rapidly expanding healthcare field, providing meaningful work and stable employment opportunities. For those looking to enter this profession in the Chicago metropolitan area, becoming certified requires navigating a specific set of state-mandated educational, testing, and registration requirements.
Prerequisites for CNA Training
Before applying to any training program, prospective CNAs must satisfy several foundational requirements set by the state of Illinois. Applicants must be a minimum of 16 years old to enroll. Proof of educational attainment is also required, typically satisfied by presenting a high school diploma, a General Educational Development (GED) certificate, or an equivalent recognized credential.
The most significant prerequisite involves successfully passing a mandatory criminal background check. Illinois law requires this screening for all health care workers to ensure patient safety. Failing to pass this check will prevent a person from being admitted to a state-approved training program.
Finding and Completing Approved Training Programs
Once the prerequisites are met, the next step involves enrolling in a state-approved training program. Illinois mandates a minimum of 120 total hours of instruction, which exceeds the federal minimum standard for CNA education. These programs provide both theoretical knowledge and practical clinical experience.
The curriculum is typically divided into at least 80 hours of classroom instruction covering topics like patient rights, infection control, and communication techniques. The remaining time consists of at least 40 hours dedicated to supervised clinical training in a long-term care facility, allowing students to practice skills directly on patients under the guidance of a licensed nurse.
Programs must be formally approved by the Illinois Department of Public Health (IDPH). Individuals in the Chicago area have numerous options, including major community colleges like City Colleges of Chicago, various vocational schools, and some large skilled nursing facilities. Successful completion of both the classroom and clinical components is necessary to become eligible to sit for the state certification exam.
Passing the Illinois Nurse Aide Competency Exam
After completing the state-mandated training, candidates must pass the Illinois Nurse Aide Competency Exam to achieve certification. This examination is administered by a state-contracted entity, and prospective CNAs should consult the IDPH website to confirm the testing vendor and registration process. The exam is divided into two mandatory components.
The first component is a written knowledge test, which may be taken orally if requested, covering the theoretical aspects learned in the classroom. This test evaluates understanding of topics such as patient safety, basic nursing procedures, and legal guidelines. The second part is the clinical skills evaluation, where candidates must successfully demonstrate five randomly selected patient care skills in front of an evaluator.
Candidates are allowed a limited number of attempts to pass both sections of the exam, often three attempts within one year of completing the training program. Failing to pass within the allowed attempts usually requires the student to retake the entire 120-hour training course before being permitted to retest.
Official Registration on the Health Care Worker Registry
Simply passing the competency exam does not authorize a person to work as a CNA in Illinois. The final administrative step is achieving official listing on the Illinois Health Care Worker Registry (IHCWR). This public registry serves as the official state record of all certified CNAs, confirming their eligibility to be employed in state-regulated facilities.
Employers are legally required to verify a candidate’s status on the IHCWR before hiring them for a CNA position. Candidates who have successfully passed the exam are then officially listed as “Active” or “Certified,” which grants legal permission to practice. Individuals should check the registry website shortly after passing the exam to ensure their certification status has been correctly updated.
Career Outlook and Job Search in Chicago
The career outlook for CNAs in the Chicago metropolitan area is strong, driven by the region’s large population and extensive healthcare infrastructure. Chicago is home to major hospital systems and numerous specialized medical centers, creating high demand for entry-level patient care providers. Working in this large market translates to increased job stability and a variety of workplace environments.
CNAs in the Chicago area find employment across various settings, including large teaching hospitals like Northwestern Memorial and Rush University Medical Center. Other major employers include the Advocate Aurora Health system, long-term acute care facilities, and specialized rehabilitation centers. The high concentration of skilled nursing facilities and home health agencies also offers abundant opportunities for flexible or part-time work.
The salary for Certified Nursing Assistants in the Chicago metro area is usually higher than the state or national average, reflecting the higher cost of living and competitive job market. Entry-level wages for CNAs often fall within the range of $37,000 to $45,000 annually, though this figure can vary based on the employer, shift differential, and years of experience. Securing employment with one of the larger hospital networks often provides enhanced benefits and greater potential for career advancement.
Maintaining Your CNA Certification
Maintaining CNA certification requires adherence to state renewal requirements after securing employment. In Illinois, the certification must be renewed every two years to remain active on the Health Care Worker Registry. The requirement for renewal is proving that the CNA has worked for compensation in the role for a minimum of eight hours during the 24-month period preceding the expiration date.
This compensated work requirement ensures that certified individuals maintain their clinical competence and remain current with patient care standards. The required hours must be logged in a facility regulated by the state, such as a nursing home, hospital, or home health agency. It is the responsibility of the CNA to track this employment and submit the necessary documentation for timely renewal.
A certification that is allowed to lapse because the work requirement was not met will be moved to an “Inactive” status on the registry. If the certification remains inactive for too long, the individual may be required to undergo a full retraining course and retest to regain their certified status.

