Green Card Emergency Medicine Nurse Practitioner Jobs
Emergency Medicine Nurse Practitioner roles qualify for EB-2 and EB-3 green card sponsorship through the PERM labor certification process, which permanently authorizes you to work in the U.S. Hospitals and emergency groups filing I-140 petitions must demonstrate no qualified U.S. workers are available, making your specialized clinical credentials central to the sponsorship case.
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Employment Status:
Full time
Shift:
Any Day, Any Shift (United States of America)
Facility:
2900 Lamb Cir - Christiansburg
Requisition Number:
R162159 APP - Emergency Medicine (Open)
How You’ll Help Transform Healthcare:
Advanced Care Provider – Emergency Department
Carilion Clinic | Roanoke, Virginia
Build your Emergency Medicine career. Carilion Clinic is seeking an Advanced Practice Provider (APP) – Physician Assistant or Nurse Practitioner to join our Emergency Medicine team. This is an excellent opportunity for an APP who enjoys variety, high-acuity medicine, and working as part of a collaborative Emergency Medicine team. APPs are integral members of our department and have the opportunity to practice across all areas of the Emergency Department, gaining broad clinical experience while caring for a diverse patient population. With more than 88,000 patient visits each year, you will encounter a wide range of illnesses and injuries—from lower-acuity concerns to complex medical emergencies and trauma.
Responsibilities include evaluating, diagnosing, and treating patients; ordering and interpreting diagnostic studies; performing procedures within scope of practice; developing treatment and disposition plans; and collaborating closely with Emergency Medicine physicians, nurses, specialists, and other members of the care team.
Scheduling & Flexibility
Emergency Medicine requires 24/7 coverage, and shifts include days, mids, overnights, weekends, and holidays. We are committed to providing a fair and equitable scheduling process across the APP team. Team members also have opportunities to work at other Emergency Departments throughout the Carilion Clinic system including community and critical access sites, providing additional variety and exposure to different practice environments and patient populations and to increase professional development as well as to enhance work:life balance.
Who We're Looking For
Our ideal candidate will have completed a postgraduate Emergency Medicine fellowship. We will also consider candidates with:
- At least one year of Emergency Medicine experience
- Family Medicine or Internal Medicine experience combined with Urgent Care experience
- Strong new graduates who have completed robust Emergency Medicine clinical rotations and demonstrate excellent clinical skills, judgment, and readiness for a fast-paced environment
We are looking for APPs who are adaptable, team-oriented, confident communicators, and committed to providing exceptional care to patients and families.
Why Carilion Clinic?
At Carilion, you'll join a physician-led, not-for-profit health system committed to clinical excellence, education, and improving the health of the communities we serve. Our collaborative environment allows APPs to develop their skills, take on meaningful clinical responsibilities, and continue growing throughout their careers. Carilion offers a comprehensive benefits package that includes:
- Competitive compensation
- Employer-funded pension plan
- Comprehensive medical, dental, and vision benefits
- Paid time off
- CME support and professional development opportunities
- Retirement savings options
- Collaborative practice with experienced Emergency Medicine physicians and ACP colleagues
Live and Work in Virginia's Blue Ridge
Located in Roanoke, Virginia, Carilion Roanoke Memorial Hospital offers the opportunity to advance your Emergency Medicine career while enjoying an exceptional quality of life. The Roanoke Valley combines the amenities of a growing city with easy access to the Blue Ridge Mountains and outstanding hiking, mountain biking, kayaking, and outdoor recreation.
If you're looking for high-acuity Emergency Medicine, diverse clinical experiences, and a team that values the contributions of its ACPs, we invite you to explore a career with Carilion Clinic. Apply today at CarilionClinic.org/careers. Carilion Clinic – Moving Forward Together
What We Require:
Education: Graduate of an accredited School of Nursing and Nurse Practitioner program or an accredited Physician Assistant program required.
Experience: 1 year of clinical experience preferred. Additional experience may be required based on specialty.
Licensure, Certification, and/or Registration: Licensed or eligible for licensure as an Advanced Practice Provider (Nurse Practitioner or Physician Assistant) in the Commonwealth of Virginia. Nurse Practitioners must also hold a current Registered Nurse (RN) license in Virginia. Must be eligible for prescriptive authority in accordance with state regulations and as authorized by the Virginia Boards of Nursing and Medicine.
Life Support: Current Basic Life Support (BLS) certification required. Pediatric Advanced Life Support (PALS) or Neonatal Resuscitation Program (NRP), and Advanced Cardiac Life Support (ACLS) certifications required as appropriate to the position.
Other Minimum Qualifications: Must maintain all credentialing and licensing requirements of Carilion Clinic, the Virginia Board of Medicine or Nursing, and applicable certifying bodies. Ability to work collaboratively with physicians and other healthcare providers. Strong written and verbal communication skills required. Proficiency with electronic medical records and standard computer systems required.
This job description is intended to be a representative summary of the major responsibilities and accountabilities performed by incumbents in this role. Incumbents may be required to perform job-related tasks other than those specifically presented in this description.
Compensation Range:
$107,993.60 - $172,785.60
Employee pay is based on a variety of factors, including qualifications, credentials, education, and prior work experience. The compensation range does not include benefits or pension plan.
Recruiter:
KARYN FARRELL
Recruiter Email:
kbfarrell@carilionclinic.org
Recruiter Phone Number:
+1 (540) 4004081
For more information, contact the HR Service Center at 1-800-599-2537.
Carilion Clinic is an Equal Opportunity Employer: We provide equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, national origin, age (40 or older), disability, genetic information, or veterans status. Carilion is a Drug-Free Workplace. For more information or for individuals with disabilities needing special assistance with our online application process contact Carilion HR Service Center at 800-599-2537, 8:00 a.m. to 4:30 p.m., Monday through Friday.
For more information on E-Verify: https://www.carilionclinic.org/eoe-e-verify-and-right-work-policies
Benefits, Pay and Well-being at Carilion Clinic
Carilion understands the importance of prioritizing your well-being to help you develop and thrive. That’s why we offer a well-rounded benefits package, and many perks and well-being resources to help you live a happy, healthy life – at work and when you’re away.
When you make your tomorrow with us, we’ll enhance your potential to realize the best in yourself. Below are benefits available to you when you join Carilion:
- Comprehensive Medical, Dental, & Vision Benefits
- Employer Funded Pension Plan, vested after five years (Voluntary 403B)
- Paid Time Off (accrued from day one)
- Onsite fitness studios and discounts to our Carilion Wellness centers
- Access to our health and wellness app, Personify Health
- Discounts on childcare
- Continued education and training
See all Green Card Emergency Medicine Nurse Practitioner Jobs
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Get Access To All JobsTips for Finding Green Card Sponsorship in Emergency Medicine Nurse Practitioner
Verify your CGFNS credentials before applying
Foreign-trained NPs often stall during PERM because credential evaluations arrive after the employer has already started the labor certification. Submit your CGFNS evaluation and state licensure application at least six months before you expect a job offer.
Target hospitals with active PERM filing history
Large health systems and trauma centers file PERM applications far more frequently than urgent care chains or staffing agencies. Filter your search to employers with documented EB-3 sponsorship history in emergency or acute-care settings to avoid wasting time on employers who won't sponsor.
Search EB-3 sponsoring employers on Migrate Mate
Migrate Mate lets you filter specifically for Emergency Medicine Nurse Practitioner roles at employers with active green card sponsorship history, so you're not guessing which facilities will actually file PERM on your behalf.
Understand how the DOL prevailing wage shapes your offer
Your PERM-sponsored offer must meet the DOL prevailing wage for your SOC code and geographic area. Use the OFLC Wage Search to confirm your offered salary meets at least Wage Level II before accepting, since a below-threshold offer can invalidate the entire labor certification.
Ask your prospective employer about PERM audit risk
Emergency medicine NP roles can attract DOL audits if the employer's recruitment documentation is weak. Ask hiring managers directly whether their legal team has handled PERM audits before, and whether they use outside immigration counsel rather than managing filings in-house.
File concurrent I-485 if your priority date is current
If you're from a country without a significant EB-3 visa backlog, USCIS may allow you to file your I-140 and I-485 simultaneously, cutting months off your path to a green card. Confirm your country's priority date against the USCIS Visa Bulletin before your employer initiates the I-140.
Green Card Emergency Medicine Nurse Practitioner: Frequently Asked Questions
Do Emergency Medicine Nurse Practitioner roles qualify for EB-2 or EB-3 green card sponsorship?
Both categories apply depending on your credentials. EB-3 covers the role at the bachelor's or master's degree level under the skilled worker classification, which is the most common path for NPs. EB-2 applies if you hold an advanced degree and the employer's position requires it, or if you qualify for a National Interest Waiver, which lets you self-petition without an employer sponsor.
How does green card sponsorship through PERM differ from H-1B for this role?
PERM-based green card sponsorship leads to permanent residency rather than a temporary status you have to renew. There is no annual lottery for EB-3 at the skills worker level, and most countries outside India and China face relatively short or no priority date backlogs. The tradeoff is that PERM typically takes 12 to 24 months from labor certification through I-485 approval, compared to an H-1B visa which USCIS can approve in weeks with premium processing.
What clinical credentials do I need for a U.S. employer to file PERM on my behalf?
You need active NP licensure in the state where you'll work, a master's or doctoral degree in nursing, and national certification through ANCC or AANPCB in a relevant specialty. Foreign-educated NPs also need a CGFNS credential evaluation confirming U.S. equivalency. Most employers won't initiate PERM until you have all three documents in hand, since DOL requires evidence you meet the minimum requirements at the time of filing.
How can I find Emergency Medicine Nurse Practitioner jobs where the employer will sponsor a green card?
Most job postings don't specify PERM sponsorship, so you can't rely on standard listings alone. Migrate Mate lets you search specifically for Emergency Medicine Nurse Practitioner roles at employers with documented green card sponsorship history, filtering out positions at facilities that have never filed PERM, which saves you weeks of back-and-forth with recruiters who can't actually sponsor.
What happens to my green card case if I change employers during the PERM process?
Leaving your sponsoring employer before your I-485 has been pending for 180 days restarts the process entirely. After 180 days of I-485 pendency, AC21 portability lets you transfer your approved I-140 to a new employer in the same or a similar occupational classification, which includes most emergency medicine NP roles at different facilities. Confirm the new role qualifies before resigning.