Nursing Jobs in the USA with Visa Sponsorship: A Complete Guide

Read on to learn about the best visa pathways, job search strategies, and the steps to kick-start your nursing career in the U.S.

Why Work as a Nurse in the USA?

The United States offers excellent career opportunities for foreign nurses, with competitive salaries, career growth, and access to world-class healthcare facilities. Due to the high demand for nurses, many hospitals and healthcare institutions sponsor international nurses for work visas and green cards.

Visa Options for Foreign Nurses

To work as a nurse in the U.S., securing the right visa is crucial. Several visa options are available for international nurses, depending on their qualifications, country of origin, and employment arrangements. Below are the most common visa options:

1. H-1B Visa (Specialty Occupations)

The H-1B visa is a temporary work visa designed for skilled professionals in specialty occupations. While this visa is available for some foreign nurses, it has specific eligibility requirements:

• Education Requirement: Applicants must have a minimum of a Bachelor of Science in Nursing (BSN). Nurses with only an associate degree or diploma may not qualify for this visa.
• Employer Sponsorship: A U.S. healthcare facility or hospital must sponsor the applicant and submit a petition to the U.S. Citizenship and Immigration Services (USCIS).
• Labor Condition Application (LCA): The employer must file an LCA with the Department of Labor (DOL), proving that hiring a foreign nurse will not negatively impact wages or working conditions for U.S. nurses.
• Specialized Roles: Most registered nurses (RNs) do not qualify for H-1B visas unless they hold advanced or specialized roles, such as:
  • Critical Care Nurses
  • Nurse Practitioners
  • Clinical Nurse Specialists
  • Nurse Educators

This visa is valid for up to three years and can be extended to a maximum of six years. However, it does not provide a direct pathway to permanent residency (Green Card), requiring a separate application process.

2. TN Visa (For Canadian & Mexican Nurses)

The TN visa is an employment-based visa available to Canadian and Mexican citizens under the United States-Mexico-Canada Agreement (USMCA) (formerly NAFTA). This visa is an excellent option for qualified nurses from these countries because it has a more straightforward application process compared to the H-1B visa.

Key Requirements:

• Citizenship: Applicants must be citizens of Canada or Mexico.
• Job Offer: A confirmed nursing job offer from a U.S. employer is required.
• Licensure: Proof of nursing certification and compliance with U.S. state nursing board requirements is necessary.
• Nonimmigrant Intent: TN visas are temporary work visas and do not lead directly to permanent residency. Applicants must prove they intend to return to their home country after employment.

TN Visa Application Process:

• Canadian Nurses:
  • Can apply for TN status at a U.S. port of entry (airport or land border).
  • Must present a letter from their U.S. employer outlining their job role, salary, and duration of employment.
  • Must provide proof of licensure and qualifications.
  • No visa stamping required before entry.
• Mexican Nurses:
  • Must apply for a TN visa at a U.S. embassy or consulate before entering the U.S.
  • Must attend a visa interview and present the required documents.

The TN visa is initially granted for up to three years and can be renewed indefinitely. However, it does not provide a direct pathway to a Green Card.

3. EB-3 Visa (Green Card for Nurses)

The EB-3 visa is a permanent residency (Green Card) option specifically designed for foreign skilled workers, including nurses. This visa is the most common and preferred route for foreign nurses who want to live and work permanently in the U.S.

Key Benefits:

• Provides lawful permanent residence (Green Card) for the nurse and their immediate family (spouse and children under 21).
• No annual cap for registered nurses, making it a more accessible visa option.
• Allows nurses to work in the U.S. indefinitely without needing frequent visa renewals.

Eligibility Requirements:

• Job Offer: Applicants must secure a full-time nursing job from a U.S. employer who is willing to sponsor them.
• Prevailing Wage Requirement: The employer must prove that they will pay the nurse at least the prevailing wage for their job and location.
• VisaScreen Certificate: Foreign nurses must complete the VisaScreen certification, which verifies their education, English proficiency, and professional credentials.
• State Licensure: Applicants must obtain a state nursing license in the U.S. state where they plan to work.
• NCLEX-RN Exam: Nurses must pass the NCLEX-RN (National Council Licensure Examination) to be eligible for U.S. nursing positions.

EB-3 Visa Application Process:

1. Employer Petition: The U.S. employer files an I-140 Immigrant Petition for Alien Worker with USCIS.
2. VisaScreen Certification: The nurse obtains the required VisaScreen certificate.
3. Priority Date: The applicant receives a priority date, which determines their place in the visa queue.
4. Adjustment of Status or Consular Processing:
   • If the nurse is already in the U.S., they file for Adjustment of Status (Form I-485).
   • If the nurse is outside the U.S., they go through Consular Processing at a U.S. embassy.
5. Visa Approval and Entry: Once approved, the nurse and their family members receive Green Cards and can move to the U.S.

The EB-3 visa process can take 12-24 months, depending on visa backlogs and processing times.

Which Visa Option Is Best for You?

• If you want temporary employment and have a BSN, the H-1B visa is an option (but limited to specialized nursing roles).
• If you are from Canada or Mexico, the TN visa provides a fast and renewable work option.
• If you want permanent residency and a direct pathway to a Green Card, the EB-3 visa is the best option.

Each visa category has its advantages and limitations. It is essential to assess your qualifications, career goals, and sponsorship availability before applying. For the best outcome, consider working with a healthcare recruitment agency that specializes in international nurse placements.

Eligibility Requirements for Nursing Jobs in the USA

To secure a nursing job in the U.S. with visa sponsorship, international nurses must meet several critical requirements. These requirements ensure that foreign-trained nurses meet the educational, professional, and regulatory standards necessary to work in the American healthcare system. Below is a detailed breakdown of the key eligibility criteria:

1. Nursing Degree (Educational Qualification)

The foundation of a nursing career in the U.S. is a recognized nursing degree. International nurses must have completed one of the following educational programs:

• Diploma in Nursing – A basic nursing program that provides essential clinical training but may not be sufficient for all visa categories.
• Associate Degree in Nursing (ADN) – A two-year degree covering fundamental nursing skills and patient care.
• Bachelor of Science in Nursing (BSN) – A four-year degree that offers a more comprehensive understanding of nursing, including leadership and advanced clinical training.

Most U.S. employers prefer nurses with a BSN, especially for visa sponsorship. Some states and healthcare facilities may also require nurses to hold at least a BSN for career advancement.

2. NCLEX-RN Exam (Licensure Examination)

The National Council Licensure Examination for Registered Nurses (NCLEX-RN) is a mandatory exam for all nurses who wish to practice in the U.S. This computer-based test assesses a nurse’s ability to apply medical knowledge and make sound clinical decisions.

NCLEX-RN Registration Process:

• Apply to a U.S. State Board of Nursing – Nurses must first apply for licensure through a specific State Board of Nursing (each U.S. state has its own nursing regulatory board).
• Receive Authorization to Test (ATT) – After application approval, candidates receive an ATT letter from the National Council of State Boards of Nursing (NCSBN).
• Schedule and Take the Exam – The NCLEX-RN is administered by Pearson VUE at authorized testing centers worldwide.
• Pass the NCLEX-RN – A passing score is required to proceed with licensure and employment in the U.S.

The NCLEX-RN exam covers:

• Safe and Effective Care Environment
• Health Promotion and Maintenance
• Psychosocial Integrity
• Physiological Integrity

Passing the NCLEX-RN is one of the most crucial steps in securing a U.S. nursing job with visa sponsorship.

3. English Language Proficiency (For Non-English-Speaking Countries)

If you are from a non-English-speaking country, you must demonstrate English language proficiency to qualify for U.S. nursing jobs. This requirement ensures that nurses can communicate effectively with patients and healthcare professionals.

Accepted English proficiency tests include:

• Test of English as a Foreign Language (TOEFL) – Measures listening, reading, writing, and speaking skills.
• International English Language Testing System (IELTS) – Requires a minimum band score, typically 6.5 or 7.0 overall.
• Occupational English Test (OET) – A healthcare-specific English proficiency exam.

Certain exemptions apply:

• Nurses from English-speaking countries (e.g., Canada, UK, Australia, New Zealand) may be exempt from this requirement.
• Nurses educated in English-speaking institutions may also qualify for exemptions, depending on U.S. nursing board regulations.

4. U.S. State Licensure (Board of Nursing Registration)

Each U.S. state has a Nursing Board that regulates nursing licensure. Nurses must obtain a license from the state where they intend to work before starting their job.

Steps to Obtain a U.S. Nursing License:

1. Choose a State Nursing Board – Research the specific requirements for the state you want to work in.
2. Submit Application & Documents – Required documents typically include:
   • Educational transcripts
   • NCLEX-RN results
   • Proof of English proficiency (if applicable)
3. Complete Background Checks – Some states require fingerprinting and background screening.
4. Receive Your License – Once approved, you will be issued a Registered Nurse (RN) license for that state.

Many nurses opt for licensure in compact nursing states, which allow them to work in multiple U.S. states without needing additional licenses. These states are part of the Nurse Licensure Compact (NLC).

5. U.S. Employer Sponsorship (Visa Sponsoring Employers)

To work legally in the U.S. as a foreign nurse, you must secure employment from a U.S. healthcare facility, hospital, or nursing home that is willing to sponsor your visa.

Types of Employers Offering Sponsorship:

• Hospitals and Medical Centers – Large hospitals often sponsor nurses for EB-3 visas (Green Cards) or H-1B visas.
• Nursing Homes & Long-Term Care Facilities – Facilities facing nursing shortages frequently offer sponsorship.
• Healthcare Staffing Agencies – Some agencies specialize in recruiting foreign nurses and managing their immigration process.
• Private Clinics & Specialty Practices – Some private healthcare providers also sponsor foreign nurses, particularly for specialized roles.

Employers usually assist with:

• Filing visa petitions (such as the I-140 Immigrant Petition for EB-3 visas).
• Covering legal and processing fees.
• Providing employment contracts that meet visa requirements.

Securing a job offer from a U.S. employer is one of the most crucial steps for international nurses seeking work in America.

Additional Considerations for Foreign Nurses

VisaScreen Certification

Before obtaining a U.S. work visa, most foreign nurses must complete VisaScreen, a certification process that verifies:

• Education equivalency to U.S. nursing standards.
• English language proficiency.
• NCLEX-RN passage and nursing licensure eligibility.

The Commission on Graduates of Foreign Nursing Schools (CGFNS) administers this certification.

Adaptation Period & Training

Some hospitals and healthcare facilities require international nurses to undergo a short adaptation period or additional training before beginning full-time employment.

Cultural & Ethical Considerations

Working as a nurse in the U.S. requires familiarity with:

• U.S. healthcare laws and regulations.
• Patient rights and ethical standards.
• Electronic Health Records (EHR) systems used in hospitals and clinics.

Where to Find Nursing Jobs with Visa Sponsorship in the USA

Securing a nursing job in the United States with visa sponsorship requires targeted job searching through reliable platforms, agencies, and direct employer connections. Many healthcare institutions actively seek international nurses due to ongoing nursing shortages, making visa sponsorship a viable pathway for foreign nurses. Here’s how and where you can find opportunities.

1. Online Job Portals

Numerous job portals specialize in healthcare roles and offer listings specifically for international nurses seeking sponsorship. These platforms allow you to filter jobs by visa sponsorship, location, and employer preferences.

• Indeed – This popular job portal has a dedicated section for nursing jobs with visa sponsorship. You can refine searches by job title, location, and employer type.
• Glassdoor – Apart from job postings, Glassdoor provides insights into salaries, employer reviews, and workplace culture, helping you make informed decisions.
• LinkedIn – Beyond job listings, LinkedIn allows networking with healthcare recruiters and hiring managers. Many hospitals and healthcare agencies post sponsorship opportunities directly on their LinkedIn pages.
• SimplyHired – This job search engine aggregates nursing job postings from multiple sources, making it easier to find positions with sponsorship options.

2. International Nurse Recruitment Agencies

Many U.S. employers collaborate with recruitment agencies to source skilled foreign nurses. These agencies not only connect you with sponsoring hospitals but also assist in handling visa applications, licensing, and relocation processes.

Some well-known agencies include:

• Avant Healthcare Professionals – Specializes in recruiting international nurses and provides full assistance with the NCLEX exam, immigration, and U.S. nursing licensure.
• O’Grady Peyton International – A leading recruitment agency helping nurses find jobs across the U.S. with complete visa sponsorship support.
• Conexus MedStaff – Offers direct job placement for international nurses and provides guidance on visa processing, credentialing, and assimilation into the U.S. healthcare system.
• Health Carousel International – Focuses on placing international nurses in long-term positions with visa sponsorship and career development programs.

Recruitment agencies typically assist with:

• Matching nurses with hospitals and healthcare employers.
• Handling visa petitions and legal documentation.
• Providing preparatory support for exams such as the NCLEX-RN.
• Helping with relocation, housing, and onboarding processes.

3. Direct Applications to U.S. Hospitals and Healthcare Institutions

Several major hospitals and healthcare networks in the U.S. directly recruit foreign nurses, especially those experiencing shortages in their workforce. Applying directly to these institutions increases your chances of securing a role with visa sponsorship.

Some well-known hospitals that offer visa sponsorship include:

• Mayo Clinic – A top-ranked medical institution with international recruitment programs for nurses, offering competitive salaries and visa sponsorship.
• Cleveland Clinic – Actively hires foreign nurses and provides extensive support with immigration paperwork.
• Johns Hopkins Medicine – One of the premier healthcare institutions in the U.S., offering sponsorship opportunities for qualified international nurses.
• Mount Sinai Health System – A leading healthcare network that regularly recruits international nursing professionals and sponsors work visas.

When applying directly to hospitals, it is essential to:

• Visit the hospital’s career page to check for international nursing opportunities.
• Connect with their HR or recruitment team to inquire about sponsorship policies.
• Tailor your resume and cover letter to highlight your qualifications, experience, and readiness to work in the U.S. healthcare system.

Steps to Secure a Nursing Job in the USA with Visa Sponsorship

If you’re ready to apply for nursing jobs in the U.S., follow these steps:

Step 1: Obtain Your Nursing Credentials

• Complete your nursing degree.
• Register with your country’s nursing board.

Step 2: Pass the NCLEX-RN Exam

• The NCLEX-RN is a standardized test for nurses in the U.S.
• Some recruitment agencies provide NCLEX sponsorship.

Step 3: Meet English Language Requirements

• Take the TOEFL, IELTS, or OET exam.

Step 4: Apply for U.S. Nursing Licensure

• Contact the Board of Nursing for your target state.
• Submit required documents and fees.

Step 5: Apply for Jobs with Sponsorship

• Search on job portals, apply directly to hospitals, or work with a recruitment agency.

Step 6: Secure a Visa Sponsoring Employer

• Once hired, your employer will initiate the visa process.

Step 7: Move to the U.S. and Begin Work

• After receiving your visa and work authorization, you can start your nursing career in the U.S.

Salaries and Benefits for Nurses in the USA

Salaries for nurses in the U.S. vary by location, experience, and specialty.

Average Salaries:

• Registered Nurse (RN): $75,000 – $120,000 per year
• Nurse Practitioner (NP): $100,000 – $150,000 per year
• Specialized Nurses (ICU, OR, etc.): $85,000 – $130,000 per year

Additional Benefits:

• Health Insurance
• Retirement Plans (401K)
• Paid Time Off (PTO)
• Relocation Assistance
• Continuing Education Opportunities

Final Thoughts on Nursing Jobs in the USA with Visa Sponsorship

The demand for nurses in the USA continues to grow, making it an excellent opportunity for qualified international nurses to secure jobs with visa sponsorship.

By following the right steps—getting licensed, passing the NCLEX-RN, and applying through reputable job portals and agencies—you can successfully begin your nursing career in the U.S.

Start your journey today and take the first step towards a rewarding nursing career in the United States!