Green Card CNS Jobs
CNS roles in clinical research, neuroscience, and specialty pharma regularly qualify for EB-2 and EB-3 green card sponsorship through the PERM labor certification process. Employers file on your behalf, certifying no qualified U.S. workers are available. Sponsorship timelines vary by country of birth, but the path leads to permanent residency.
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Nationally certified Advanced Practice Provider who provides primary and/or specialty care in a variety of healthcare settings. Functions in collaboration with the health care team in accordance with certification and licensure. Practice emphasizes health promotion, disease prevention and the diagnosis and treatment of acute and chronic health problems. Responsible for dissemination of knowledge through instructing, leading and developing educational programs.
Responsibilities
- Conducts thorough medical histories, performs complete physical examinations (where indicated), initiates appropriate lab, radiology tests or other special tests required for evaluation of illness, and scrutinizes lab data to establish a record of the patient's current health status and to develop a working diagnosis and treatment plan. Works in collaboration with the health care team.
- Performs and interprets common laboratory, radiologic, cardiographic and other routine diagnostic procedures used to identify pathophysiologic processes as credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals.
- Performs routine and specialized procedures as credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals.
- May prescribe and monitor medications as allowed by license through applicable state board and Cleveland Clinic policies.
- Educates patients and answers questions regarding their disease, treatments, related drug and treatment side effects and hazards.
- Participates in medical team rounds; collaborates with nursing, medical and other healthcare team members regularly to ensure quality patient care.
- Refers patients to specialists as appropriate for consultation or for specialized health resources and treatment.
- Ensures continuity of care by serving as a liaison between patient and other members of the multi-disciplinary care team or with other specialty areas as necessary.
- Participates in quality monitoring thru the review of records and treatment plans for patient outcomes on a periodic basis to assure quality care.
- Facilitates appropriate length of stay, discharge planning and compliance with regulatory standards for inpatient management.
- Supports professional development of the health care team.
- Promotes translation of evidence-based practices, guidelines, and research.
- May conduct research studies. May assist in data collection and analysis.
- May serve as clinical preceptor for students. May onboard new caregivers.
- Other duties as assigned.
LANGUAGES
Oral and written communication in English
Education
APRN
- Effective 05/01/2014: MSN required upon hire or within 3 years of hire for external hires and internal hires moving from a non-APRN licensed role to an APRN licensed role.
- Graduate of an accredited APRN program.
- If in neonatal care service area Master’s Degree is required upon hire.
PA
- Graduate of an A.R.C. approved Physician Assistant Program.
- Master’s degree in Physician Assistant Studies and/or higher degree obtained from a program recognized by their practicing states Licensing Board.
CERTIFICATIONS
NP
- Currently licensed as a Nurse Practitioner in applicable state(s).
- Must be licensed as an RN in applicable state(s).
- National certification as a Nurse Practitioner by nationally accredited organization recognized by state Board of Nursing.
- Basic Life Support (BLS) through the American Heart Association (AHA) required.
- Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) through the American Heart Association (AHA); or Neonatal Resuscitation Program (NRP) through the American Academy of Pediatrics (AAP) may be required based upon work setting.
- Must have arrangements with at least one physician in accordance with requirements set forth by the State Board of Nursing in applicable states.
- Must be credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals.
PA
- Certification as a Physician Assistant through the NCCPA or successor organization recognized by their practicing states Licensing Board.
- License to practice and prescribe issued by their practicing states Licensing Board.
- Current DEA License or DEA designee as required by NCQA.
- Basic Life Support (BLS) through the American Heart Association (AHA) required.
- Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) through the American Heart Association (AHA); or Neonatal Resuscitation Program (NRP) through the American Academy of Pediatrics (AAP); or Advanced Trauma Life Support (ATLS) American Heart Association may be required based upon work setting.
- If a candidate has held a license to prescribe within another jurisdiction and needs to obtain a master's degree in order to apply for prescribing privileges the candidate will be subject for review for eligibility for hiring within our system.
- Must have a Physician Supervision Agreement and signed addendum to Physician Supervision Agreement.
- Must be credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals.
CNS
- Currently licensed as a Clinical Nurse Specialist in applicable state(s).
- Must be licensed as an RN in applicable state(s).
- National certification as a Clinical Nurse Specialist by nationally accredited organization recognized by state Board of Nursing.
- Basic Life Support (BLS) through the American Heart Association (AHA) required.
- Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) through the American Heart Association (AHA); or Neonatal Resuscitation Program (NRP) through the American Academy of Pediatrics (AAP) may be required based upon work setting.
- Must have arrangements with at least one physician in accordance with requirements set forth by the State Board of Nursing in applicable states.
- Must be credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals.
COMPLEXITY OF WORK
- Excellent analytical and decision-making skills are required.
- Strong written and verbal communication skills.
- Ability to work as a member of a multi-disciplinary team.
- Demonstrated competency and the ability to perform advanced assessment and diagnosis.
- Demonstrated ability to utilize the electronic medical record.
- Demonstrates a high standard of moral and ethical behavior.
- Demonstrates compassion and professionalism and a commitment to excellent patient care.
- Requires critical thinking skills, decisive judgement, and the ability to work independently.
- Must be able to work in a stressful environment and take appropriate action.
WORK EXPERIENCE
Related clinical experience preferred.
Physical Requirements
Typical physical demands include the ability to walk and stand for long periods of time.
Manual and finger dexterity and eye/hand coordination to perform physical examinations.
Requires corrected vision and hearing to a normal range.
Occasionally lifts and carries items weighing up to 50 pounds.
May require exposure to communicable diseases and/or body fluids.
PERSONAL PROTECTIVE EQUIPMENT
Follows standard precautions using personal protective equipment as required.
PAY RANGE
Minimum hourly: $70.00
Maximum hourly: $70.00
The pay range displayed on this job posting reflects the anticipated range for new hires. Actual compensation may be higher or lower than the standard range, depending on factors such as job responsibilities, relevant experience, skills, scheduling requirements, education, and area of licensure. Please note, the displayed pay range does not include additional pay practices or the value of Cleveland Clinic's comprehensive benefits package (including healthcare, dental and vision coverage, retirement savings contributions, and more). The listed range is based on a full-time (1.0 FTE) with the exception of PRN positions, which have an hourly rate based on the position type.
INTRODUCTION
Nationally certified Advanced Practice Provider who provides primary and/or specialty care in a variety of healthcare settings. Functions in collaboration with the health care team in accordance with certification and licensure. Practice emphasizes health promotion, disease prevention and the diagnosis and treatment of acute and chronic health problems. Responsible for dissemination of knowledge through instructing, leading and developing educational programs.
Responsibilities
- Conducts thorough medical histories, performs complete physical examinations (where indicated), initiates appropriate lab, radiology tests or other special tests required for evaluation of illness, and scrutinizes lab data to establish a record of the patient's current health status and to develop a working diagnosis and treatment plan. Works in collaboration with the health care team.
- Performs and interprets common laboratory, radiologic, cardiographic and other routine diagnostic procedures used to identify pathophysiologic processes as credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals.
- Performs routine and specialized procedures as credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals.
- May prescribe and monitor medications as allowed by license through applicable state board and Cleveland Clinic policies.
- Educates patients and answers questions regarding their disease, treatments, related drug and treatment side effects and hazards.
- Participates in medical team rounds; collaborates with nursing, medical and other healthcare team members regularly to ensure quality patient care.
- Refers patients to specialists as appropriate for consultation or for specialized health resources and treatment.
- Ensures continuity of care by serving as a liaison between patient and other members of the multi-disciplinary care team or with other specialty areas as necessary.
- Participates in quality monitoring thru the review of records and treatment plans for patient outcomes on a periodic basis to assure quality care.
- Facilitates appropriate length of stay, discharge planning and compliance with regulatory standards for inpatient management.
- Supports professional development of the health care team.
- Promotes translation of evidence-based practices, guidelines, and research.
- May conduct research studies. May assist in data collection and analysis.
- May serve as clinical preceptor for students. May onboard new caregivers.
- Other duties as assigned.
LANGUAGES
Oral and written communication in English
Education
APRN
- Effective 05/01/2014: MSN required upon hire or within 3 years of hire for external hires and internal hires moving from a non-APRN licensed role to an APRN licensed role.
- Graduate of an accredited APRN program.
- If in neonatal care service area Master’s Degree is required upon hire.
PA
- Graduate of an A.R.C. approved Physician Assistant Program.
- Master’s degree in Physician Assistant Studies and/or higher degree obtained from a program recognized by their practicing states Licensing Board.
CERTIFICATIONS
NP
- Currently licensed as a Nurse Practitioner in applicable state(s).
- Must be licensed as an RN in applicable state(s).
- National certification as a Nurse Practitioner by nationally accredited organization recognized by state Board of Nursing.
- Basic Life Support (BLS) through the American Heart Association (AHA) required.
- Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) through the American Heart Association (AHA); or Neonatal Resuscitation Program (NRP) through the American Academy of Pediatrics (AAP) may be required based upon work setting.
- Must have arrangements with at least one physician in accordance with requirements set forth by the State Board of Nursing in applicable states.
- Must be credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals.
PA
- Certification as a Physician Assistant through the NCCPA or successor organization recognized by their practicing states Licensing Board.
- License to practice and prescribe issued by their practicing states Licensing Board.
- Current DEA License or DEA designee as required by NCQA.
- Basic Life Support (BLS) through the American Heart Association (AHA) required.
- Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) through the American Heart Association (AHA); or Neonatal Resuscitation Program (NRP) through the American Academy of Pediatrics (AAP); or Advanced Trauma Life Support (ATLS) American Heart Association may be required based upon work setting.
- If a candidate has held a license to prescribe within another jurisdiction and needs to obtain a master's degree in order to apply for prescribing privileges the candidate will be subject for review for eligibility for hiring within our system.
- Must have a Physician Supervision Agreement and signed addendum to Physician Supervision Agreement.
- Must be credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals.
CNS
- Currently licensed as a Clinical Nurse Specialist in applicable state(s).
- Must be licensed as an RN in applicable state(s).
- National certification as a Clinical Nurse Specialist by nationally accredited organization recognized by state Board of Nursing.
- Basic Life Support (BLS) through the American Heart Association (AHA) required.
- Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) through the American Heart Association (AHA); or Neonatal Resuscitation Program (NRP) through the American Academy of Pediatrics (AAP) may be required based upon work setting.
- Must have arrangements with at least one physician in accordance with requirements set forth by the State Board of Nursing in applicable states.
- Must be credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals.
COMPLEXITY OF WORK
- Excellent analytical and decision-making skills are required.
- Strong written and verbal communication skills.
- Ability to work as a member of a multi-disciplinary team.
- Demonstrated competency and the ability to perform advanced assessment and diagnosis.
- Demonstrated ability to utilize the electronic medical record.
- Demonstrates a high standard of moral and ethical behavior.
- Demonstrates compassion and professionalism and a commitment to excellent patient care.
- Requires critical thinking skills, decisive judgement, and the ability to work independently.
- Must be able to work in a stressful environment and take appropriate action.
WORK EXPERIENCE
Related clinical experience preferred.
Physical Requirements
Typical physical demands include the ability to walk and stand for long periods of time.
Manual and finger dexterity and eye/hand coordination to perform physical examinations.
Requires corrected vision and hearing to a normal range.
Occasionally lifts and carries items weighing up to 50 pounds.
May require exposure to communicable diseases and/or body fluids.
PERSONAL PROTECTIVE EQUIPMENT
Follows standard precautions using personal protective equipment as required.
PAY RANGE
Minimum hourly: $70.00
Maximum hourly: $70.00
The pay range displayed on this job posting reflects the anticipated range for new hires. Actual compensation may be higher or lower than the standard range, depending on factors such as job responsibilities, relevant experience, skills, scheduling requirements, education, and area of licensure. Please note, the displayed pay range does not include additional pay practices or the value of Cleveland Clinic's comprehensive benefits package (including healthcare, dental and vision coverage, retirement savings contributions, and more). The listed range is based on a full-time (1.0 FTE) with the exception of PRN positions, which have an hourly rate based on the position type.
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Get Access To All JobsTips for Finding Green Card Sponsorship in CNS
Align your credentials to EB-2 requirements
CNS roles in clinical development and medical affairs often qualify under EB-2 for advanced-degree professionals. Confirm your master's or doctoral degree maps directly to the offered position before targeting sponsors, since PERM requires a tight degree-to-role match.
Target employers with active PERM filings
Search Migrate Mate to filter CNS-related roles by employers who have filed green card sponsorships. Biotech firms, CROs, and large pharma companies in neurology and psychiatry therapeutic areas file PERM regularly and are familiar with the process.
Verify the prevailing wage before accepting an offer
Your employer must pay at least the DOL prevailing wage for your SOC code and work location. Use the OFLC Wage Search to look up the Level II or III wage for your CNS role before negotiating, so you can flag discrepancies early.
Ask about priority date strategy during offer talks
For applicants born in India or China, EB-3 backlogs can run years longer than EB-2. Ask prospective employers whether they'll file at EB-2 or EB-3, and whether concurrent I-485 filing is possible once your priority date becomes current.
Document specialized CNS experience for the I-140
After PERM certification, your employer files an I-140 petition. Gather publications, clinical trial contributions, IRB documentation, and performance reviews that demonstrate specialized CNS expertise. USCIS scrutinizes whether your background genuinely supports the specialty occupation classification.
Confirm the employer's E-Verify enrollment before signing
PERM-sponsoring employers must comply with E-Verify for employment eligibility confirmation. Confirming enrollment upfront signals the employer runs compliant hiring processes and reduces the risk of administrative complications during your green card filing.
Green Card CNS: Frequently Asked Questions
Which green card category applies to CNS jobs?
Most CNS roles in clinical research, medical science, and specialty pharma qualify under EB-2, which covers advanced-degree professionals, or EB-3, which covers professionals with a U.S. bachelor's degree equivalent. The right category depends on the specific position requirements your employer defines in the PERM job description and your own credentials.
How does green card sponsorship differ from H-1B for CNS professionals?
Green card sponsorship through PERM leads to permanent residency rather than a temporary status that must be renewed. There's no annual lottery at the EB-3 level, so your petition isn't subject to random selection the way H-1B visa registrations are. The tradeoff is timeline: PERM and I-140 approval can take 12 to 24 months before you even reach the visa queue, which runs longer for certain countries of birth.
What does the PERM labor certification process require from a CNS employer?
Your employer must conduct a DOL-supervised recruitment campaign to demonstrate that no qualified U.S. workers are available for the role. This includes posting the position through specific channels, documenting applicant reviews, and submitting a certified application to DOL. The job duties and minimum requirements used in PERM must match what you'll actually be hired to do.
How can I find CNS employers who sponsor green cards?
Use Migrate Mate to search CNS roles filtered by employers with active or prior green card sponsorship history. Biotech companies, contract research organizations, and large pharmaceutical firms in neurology and psychiatry therapeutic areas are among the most consistent PERM filers for CNS-specific positions like clinical scientists, medical science liaisons, and neuropharmacology researchers.
Can a CNS employer sponsor me if I'm currently on OPT or H-1B?
Yes. Employers can initiate PERM while you hold OPT, H-1B, or another nonimmigrant status. The green card process runs parallel to your current authorization. If you're on H-1B, your employer can extend your status in three-year increments under AC21 once your I-140 is approved and your priority date is pending, protecting your work authorization while you wait.