Green Card Director of Surgical Services Jobs
Director of Surgical Services jobs with green card sponsorship require employers to complete PERM labor certification with the Department of Labor before filing an I-140 petition with USCIS. EB-2 and EB-3 pathways both apply depending on your degree and experience level, and per-country priority date backlogs mean early action on sponsorship matters.
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Get Access To All JobsLocation: Milwaukee, WI
Facility: Columbia St. Mary's Hospital
Department: Surgical Services
Schedule: Full-time
Eligible for an annual bonus incentive
COMPENSATION
- Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options
- Financial security & retirement: employer-matched 403(b), planning and hardship resources, disability and life insurance
- Time to recharge: pro-rated paid time off (PTO) and holidays
- Career growth: Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning
- Emotional well-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources
- Family support: parental leave, adoption assistance and family benefits
- Other benefits: optional legal and pet insurance, transportation savings and more
YOUR ROLE AND RESPONSIBILITIES
- Directs all clinical activities, patient care planning, and service delivery while resolving obstacles to uphold high standards of patient care and satisfaction.
- Establishes departmental goals aligned with medical, administrative, ethical, and legal healthcare standards.
- Oversees nursing area budgets and resource allocation to ensure continuous financial efficiency and accountability.
- Coordinates and executes internal and external clinical and operational audits to ensure regulatory compliance.
- Leads end-to-end talent lifecycle—hiring, training, and evaluating staff—while partnering with physicians and leadership to optimize operational workflows.
LICENSURE / CERTIFICATION / REGISTRATION
- Required Credential(s):
- BLS Provider obtained prior to hire date or job transfer date. American Heart Association or American Red Cross accepted.
- Registered Nurse obtained prior to hire date or job transfer date.
Education
- Bachelor's degree in nursing or diploma from an accredited school/college of nursing required. Master's degree or combination of Bachelor's degree and experience preferred.
WORK EXPERIENCE
- 5 years of experience required. 10 years of experience preferred. 2 years of leadership or management experience required. 5 years of leadership or management experience preferred.
Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 99,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you'll find an inclusive and supportive environment where your contributions truly matter.
Equal employment opportunity employer
Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.
Fraud prevention notice
Prospective applicants should be vigilant against fraudulent job offers and interview requests. Scammers may use sophisticated tactics to impersonate Ascension employees. To ensure your safety, please remember: Ascension will never ask for payment or to provide banking or financial information as part of the job application or hiring process, our legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system.
E-Verify statement
Employer participates in the Electronic Employment Verification Program. Please click here for more information.
Location: Milwaukee, WI
Facility: Columbia St. Mary's Hospital
Department: Surgical Services
Schedule: Full-time
Eligible for an annual bonus incentive
COMPENSATION
- Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options
- Financial security & retirement: employer-matched 403(b), planning and hardship resources, disability and life insurance
- Time to recharge: pro-rated paid time off (PTO) and holidays
- Career growth: Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning
- Emotional well-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources
- Family support: parental leave, adoption assistance and family benefits
- Other benefits: optional legal and pet insurance, transportation savings and more
YOUR ROLE AND RESPONSIBILITIES
- Directs all clinical activities, patient care planning, and service delivery while resolving obstacles to uphold high standards of patient care and satisfaction.
- Establishes departmental goals aligned with medical, administrative, ethical, and legal healthcare standards.
- Oversees nursing area budgets and resource allocation to ensure continuous financial efficiency and accountability.
- Coordinates and executes internal and external clinical and operational audits to ensure regulatory compliance.
- Leads end-to-end talent lifecycle—hiring, training, and evaluating staff—while partnering with physicians and leadership to optimize operational workflows.
LICENSURE / CERTIFICATION / REGISTRATION
- Required Credential(s):
- BLS Provider obtained prior to hire date or job transfer date. American Heart Association or American Red Cross accepted.
- Registered Nurse obtained prior to hire date or job transfer date.
Education
- Bachelor's degree in nursing or diploma from an accredited school/college of nursing required. Master's degree or combination of Bachelor's degree and experience preferred.
WORK EXPERIENCE
- 5 years of experience required. 10 years of experience preferred. 2 years of leadership or management experience required. 5 years of leadership or management experience preferred.
Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 99,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you'll find an inclusive and supportive environment where your contributions truly matter.
Equal employment opportunity employer
Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.
Fraud prevention notice
Prospective applicants should be vigilant against fraudulent job offers and interview requests. Scammers may use sophisticated tactics to impersonate Ascension employees. To ensure your safety, please remember: Ascension will never ask for payment or to provide banking or financial information as part of the job application or hiring process, our legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system.
E-Verify statement
Employer participates in the Electronic Employment Verification Program. Please click here for more information.
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Get Access To All JobsTips for Finding Green Card Sponsorship in Director of Surgical Services
Align your credentials to EB-2 or EB-3
Pull your transcripts and licensure records before you apply. EB-2 requires a master's degree or a bachelor's plus five years of progressive experience in surgical or clinical operations leadership. EB-3 covers a bachelor's degree with two or more years of relevant experience.
Search verified sponsors on Migrate Mate
Target health systems with a documented history of employment-based green card filings for surgical leadership roles. Migrate Mate lists employers with verified PERM and I-140 sponsorship history, searchable by role and location, so you're not cold-applying to organizations that have never sponsored.
Prioritize systems with existing PERM infrastructure
Large health systems and academic medical centers typically have in-house immigration counsel and established PERM workflows. Ask during early interviews whether the organization has sponsored EB-2 or EB-3 cases for other perioperative or administrative leaders in the past three years.
Request a prevailing wage determination early
Before your employer files PERM, DOL must issue a prevailing wage determination for your SOC code and work location. Use the OFLC Wage Search to look up the Level II or III wage for Surgical Services directors in your target metro, so you can verify the offer meets the threshold before signing.
Understand the PERM recruitment test requirements
Your employer must conduct and document a mandatory recruitment campaign before DOL approves PERM. This includes specific posting types and a 30-day job order. Any gap in documentation can trigger an audit, which delays your I-140 filing by months.
Protect your priority date if you change employers
Once your original I-140 is approved, your priority date can carry over to a new employer's petition. If your I-485 has been pending 180 days or more, AC21 portability also lets you move to a same or similar occupation without restarting the green card process from scratch.
Green Card Director of Surgical Services: Frequently Asked Questions
Can a Director of Surgical Services role qualify for EB-2 green card sponsorship?
Yes. Director of Surgical Services positions typically require a master's degree in nursing, healthcare administration, or a clinical field, which satisfies EB-2's advanced-degree requirement. If you hold a bachelor's degree plus at least five years of progressive perioperative or surgical leadership experience, that combination also qualifies. Your employer confirms the minimum requirements in the PERM application.
How does green card sponsorship differ from H-1B for this role?
H-1B visa is a temporary nonimmigrant status requiring an employer petition and, for most cases, a lottery. Green card sponsorship through EB-2 or EB-3 leads to lawful permanent residence with no renewal cycle. The PERM process requires your employer to file a prevailing wage determination with DOL, complete a formal recruitment test, and then file an I-140 petition with USCIS. Per-country priority date backlogs mean the timeline varies by nationality.
How do I find hospitals and health systems that sponsor green cards for surgical services leadership?
Search Migrate Mate to identify employers with verified PERM and I-140 filing history for perioperative and surgical leadership roles. Filtering by location and role type shows which health systems have an established sponsorship track record, which matters because PERM requires organizational infrastructure and experienced immigration counsel to execute correctly.
What does the PERM labor certification process involve for a Director of Surgical Services position?
PERM requires your employer to obtain a prevailing wage determination from DOL for the Director of Surgical Services SOC code and work location, then conduct a documented recruitment campaign showing no qualified U.S. workers were available. DOL reviews and certifies the application before the employer can file the I-140 immigrant petition with USCIS. An audit can extend the process significantly.
What happens to my green card case if I change employers mid-process?
If your I-140 has been approved, your priority date can transfer to a new employer's I-140 petition so you don't lose your place in the queue. If your I-485 adjustment of status application has been pending for 180 days or more, AC21 portability lets you move to a same or similar occupation without restarting PERM. These are two separate rules that apply at different stages.