E-3 Visa Charge Nurse Jobs
Charge Nurse roles qualify for E-3 visa sponsorship when the position requires a Bachelor of Science in Nursing and active U.S. RN licensure. The E-3 has no lottery and renews every two years, making it a stable path for Australian nurses moving into supervisory clinical roles in U.S. hospitals and health systems.
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PURPOSE AND SCOPE:
Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory requirements and programs. As the Charge Nurse, manages the daily decisions to ensure continuity of care to maintain patient and staff safety and oversees the delivery of safe effective quality outcomes.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
-
Provide day to day guidance, support and direction to direct patient care staff, providing informal feedback on an ongoing basis and formal feedback input for the annual performance evaluation. Participate in the department staffing and the appropriate hiring, firing and disciplinary actions. Recommend disciplinary action to Facility Administrator and initiate as appropriate.
-
Ensure compliance with all company and facility approved procedures and policies as well as regulations set forth by state and federal agencies.
-
Approve or disapprove time or personnel schedule changes in the absence on the Facility Administrator ensuring compliance with applicable regulations, policies and procedures for documenting time of work hours for staff members on assigned shift.
-
Participate in patient care plan meetings.
-
Maintain knowledge in the current practices related to the principles and techniques of dialysis by participating in all scheduled in-services.
-
Train and orient staff as necessary.
-
Routinely observe and guide direct patient care staff for appropriate technique and adherence to facility policies and procedures.
-
Promote and assist with compliance to OSHA programs in order to maintain a safe and clean working environment.
-
Maintain overall shift operation in a safe, efficient, and effective matter.
-
With Facility Administrator conduct staff meetings at least monthly or as needed to keep patient care staff informed of changes in patient care needs or operations to improve delivery of care.
-
Meet routinely with the Facility Administrator to discuss personnel and patient care status, issues, and information.
-
Supervise all documentation of patient information.
-
Coordinate Charge Nurse duties with Staff RNs acting in the relief charge capacity.
-
Assess daily patient care needs and develop and distribute patient care assignments appropriately.
-
Assume primary responsibility in an emergency situation.
-
Assess patient needs, respond to dialysis treatments, and communicate concerns to rounding physician. Implement changes in patient care/treatment as directed.
-
Monitor and supervise all patient care activity during dialysis and assist as necessary.
-
Collaborate with direct patient care team in making decisions to benefit patient care.
-
Continuously monitor patient’s condition with regards to problems and potential complications associated with dialysis.
-
Administer medications to patients per physician’s orders.
-
Act as the subject matter expert and as a resource for staff members.
-
Supervise and participate in completion of short and long term care plans.
-
Admit new patients according to facility procedure.
-
Ensure educational needs of patients are met and educate the patient and family about End Stage Renal Disease, dialysis therapy, diet and medication.
-
Supervise the safe and effective use of all equipment involved in direct patient care.
-
Operate all dialysis related and emergency equipment safely and efficiently when needed.
-
Perform required testing and verification and initial the checklist for start-up and shut-down procedures as outlined in the Technical Services Manual.
-
Complete Nurse’s Technical Training Program/Water Quality Facility.
-
Assist with special projects or other duties as assigned by the Facility Administrator.
-
Assist with the interviewing of potential direct patient care staff.
-
Promote efficient use of medical supplies.
-
Attend and participate in monthly Quality Assurance meetings.
Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions.
PHYSICAL DEMANDS AND WORKING CONDITIONS:
The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
-
Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. The position requires travel between assigned facilities and various locations within the community.
-
The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials.
Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made.
- Travel to regional, Business Unit and Corporate meetings may be required.
SUPERVISION:
Direct Patient Care Staff, Ward Clerk as assigned.
Education:
Graduate of an accredited school of Nursing (R.N.). Must be registered and licensed to practice in the applicable State.
EXPERIENCE AND REQUIRED SKILLS:
-
Minimum of 12 months of nursing experience, plus 6 months of specialized experience providing clinical nursing care to dialysis patients, in either a chronic or acute setting.
-
Medical/surgical nursing preferred.
-
Supervisory or management experience preferred.
-
Certified in CPR or successfully complete course in CPR certification.
-
Good communication skills – verbal and written.
Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.
EOE, disability/veterans

PURPOSE AND SCOPE:
Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory requirements and programs. As the Charge Nurse, manages the daily decisions to ensure continuity of care to maintain patient and staff safety and oversees the delivery of safe effective quality outcomes.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
-
Provide day to day guidance, support and direction to direct patient care staff, providing informal feedback on an ongoing basis and formal feedback input for the annual performance evaluation. Participate in the department staffing and the appropriate hiring, firing and disciplinary actions. Recommend disciplinary action to Facility Administrator and initiate as appropriate.
-
Ensure compliance with all company and facility approved procedures and policies as well as regulations set forth by state and federal agencies.
-
Approve or disapprove time or personnel schedule changes in the absence on the Facility Administrator ensuring compliance with applicable regulations, policies and procedures for documenting time of work hours for staff members on assigned shift.
-
Participate in patient care plan meetings.
-
Maintain knowledge in the current practices related to the principles and techniques of dialysis by participating in all scheduled in-services.
-
Train and orient staff as necessary.
-
Routinely observe and guide direct patient care staff for appropriate technique and adherence to facility policies and procedures.
-
Promote and assist with compliance to OSHA programs in order to maintain a safe and clean working environment.
-
Maintain overall shift operation in a safe, efficient, and effective matter.
-
With Facility Administrator conduct staff meetings at least monthly or as needed to keep patient care staff informed of changes in patient care needs or operations to improve delivery of care.
-
Meet routinely with the Facility Administrator to discuss personnel and patient care status, issues, and information.
-
Supervise all documentation of patient information.
-
Coordinate Charge Nurse duties with Staff RNs acting in the relief charge capacity.
-
Assess daily patient care needs and develop and distribute patient care assignments appropriately.
-
Assume primary responsibility in an emergency situation.
-
Assess patient needs, respond to dialysis treatments, and communicate concerns to rounding physician. Implement changes in patient care/treatment as directed.
-
Monitor and supervise all patient care activity during dialysis and assist as necessary.
-
Collaborate with direct patient care team in making decisions to benefit patient care.
-
Continuously monitor patient’s condition with regards to problems and potential complications associated with dialysis.
-
Administer medications to patients per physician’s orders.
-
Act as the subject matter expert and as a resource for staff members.
-
Supervise and participate in completion of short and long term care plans.
-
Admit new patients according to facility procedure.
-
Ensure educational needs of patients are met and educate the patient and family about End Stage Renal Disease, dialysis therapy, diet and medication.
-
Supervise the safe and effective use of all equipment involved in direct patient care.
-
Operate all dialysis related and emergency equipment safely and efficiently when needed.
-
Perform required testing and verification and initial the checklist for start-up and shut-down procedures as outlined in the Technical Services Manual.
-
Complete Nurse’s Technical Training Program/Water Quality Facility.
-
Assist with special projects or other duties as assigned by the Facility Administrator.
-
Assist with the interviewing of potential direct patient care staff.
-
Promote efficient use of medical supplies.
-
Attend and participate in monthly Quality Assurance meetings.
Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions.
PHYSICAL DEMANDS AND WORKING CONDITIONS:
The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
-
Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. The position requires travel between assigned facilities and various locations within the community.
-
The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials.
Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made.
- Travel to regional, Business Unit and Corporate meetings may be required.
SUPERVISION:
Direct Patient Care Staff, Ward Clerk as assigned.
Education:
Graduate of an accredited school of Nursing (R.N.). Must be registered and licensed to practice in the applicable State.
EXPERIENCE AND REQUIRED SKILLS:
-
Minimum of 12 months of nursing experience, plus 6 months of specialized experience providing clinical nursing care to dialysis patients, in either a chronic or acute setting.
-
Medical/surgical nursing preferred.
-
Supervisory or management experience preferred.
-
Certified in CPR or successfully complete course in CPR certification.
-
Good communication skills – verbal and written.
Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.
EOE, disability/veterans
See all 57+ Charge Nurse jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new Charge Nurse roles.
Get Access To All JobsTips for Finding E-3 Visa Sponsorship as a Charge Nurse
Verify your NCLEX and state license first
E-3 sponsorship for Charge Nurse roles requires active U.S. RN licensure before the visa interview. Start your NCLEX-RN registration and CGFNS credential evaluation early, both take longer than most applicants expect.
Target hospitals with dedicated international hiring programs
Health systems that operate their own international recruitment pipelines understand LCA filing and DOL prevailing wage requirements. Magnet-designated hospitals and large academic medical centers are more likely to have in-house processes for E-3 candidates.
Search E-3 sponsorship roles on Migrate Mate
Use Migrate Mate to find Charge Nurse positions at employers with active E-3 sponsorship history. Filtering by role and visa type saves you from applying to hospitals that have never filed an LCA for nursing staff.
Clarify supervisory scope before the offer stage
Charge Nurse duties vary significantly between facilities. Confirm the role requires a BSN and involves clinical oversight responsibilities, a purely administrative position without direct patient care supervision may not satisfy the E-3 specialty occupation requirement.
Have your employer file the LCA before your consulate date
The LCA must be DOL-certified before your E-3 visa interview. Use Migrate Mate's E-3 filing service to handle your LCA and visa paperwork so the timeline aligns with your proposed start date and consulate appointment.
Bring credential equivalency documentation to your interview
Australian three-year nursing degrees are generally accepted as equivalent to a U.S. BSN, but consular officers may request written evidence. Carry your academic transcripts and a credential evaluation letter to your visa appointment.
Charge Nurse jobs are hiring across the US. Find yours.
Find Charge Nurse JobsCharge Nurse E-3 Visa: Frequently Asked Questions
How do I find Charge Nurse jobs that offer E-3 visa sponsorship?
Use Migrate Mate to search Charge Nurse roles filtered by E-3 sponsorship. Not every hospital that hires RNs has filed an LCA for international nursing staff before, so searching by sponsorship history narrows the field to employers who already understand the process and are set up to support it.
How much does it cost to get an E-3 visa?
Migrate Mate's E-3 filing service covers the entire process for $499, including the Labor Condition Application, visa document preparation, and consulate appointment guidance. Traditional immigration lawyers charge $2,000–$5,000+ for the same work. The E-3 has less paperwork than most work visas, so paying thousands for legal help is usually unnecessary.
Does a Charge Nurse role qualify as a specialty occupation for the E-3?
Yes, when the position requires a Bachelor of Science in Nursing as a minimum entry requirement and involves clinical supervision responsibilities. Roles where an associate degree or diploma is accepted in practice can raise questions at the consulate. Confirm the job description explicitly states BSN as required, not preferred, before accepting an offer.
How does the E-3 compare to the H-1B for Australian Charge Nurses?
The E-3 is available exclusively to Australian citizens and has no lottery, so you can apply at any time of year once you have a job offer and a certified LCA. The H-1B uses an annual lottery with a March registration window and limited available slots. For Australian nurses, the E-3 is the more direct and predictable path to U.S. employment.
Can I transfer my E-3 to a new hospital if I change Charge Nurse positions?
Yes, but you need a new LCA certified by the DOL and a new visa stamp if you change employers. You can begin working for the new employer once the new LCA is certified and a new E-3 petition has been approved, but you cannot carry over your existing visa to a different hospital. Plan the transition with enough lead time to avoid a gap in work authorization.
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