Green Card Nursing Assistant Jobs
Nursing Assistant roles are among the most consistently sponsored positions in U.S. healthcare, with many hospitals and long-term care facilities filing PERM labor certifications under EB-3 to permanently hire foreign-trained CNAs. Sponsorship typically requires proof of state certification, and employers in high-vacancy regions move fastest through the process.
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Get Access To All JobsJoin the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage.
Functional Title: Psychiatric Nursing Asst ll /FT
Job Title: Psychiatric Nursing Asst II
Agency: Health & Human Services Comm
Department: PsychSecurity Direct Care
Posting Number: 19485
Closing Date: 10/29/2026
Posting Audience: Internal and External
Occupational Category: Healthcare Support
Salary Range: $3,047.58 - $4,149.83
Pay Frequency: Monthly
Salary Group: TEXAS-A-12
Shift: Regular Night
Telework: Not Eligible for Telework
Travel: Up to 5%
Regular/Temporary: Regular
Full Time/Part Time: Full time
FLSA Exempt/Non-Exempt: Nonexempt
Facility Location: El Paso Psychiatric Center
Job Location City: EL PASO
Job Location Address: 4615 ALAMEDA AVE
Other Locations:
MOS Codes: 4C0X1,68X,HM
Would you thrive in an environment where you learn and grow personally and professionally all while helping make a positive impact on people’s lives? Do you appreciate being around others like yourself who are dependable, trustworthy, hard workers who believe in the value of teamwork? HSCS is dedicated to building an atmosphere where employees feel valued and supported while providing specialized care for Texans in need. HSCS is comprised of ten psychiatric hospitals, two youth residential treatment facilities, and thirteen state supported living centers. Psychiatric hospitals are a hub of excellence for forensic mental health and complex psychiatric care, with all facilities accredited by The Joint Commission. They provide state-of-the-art treatment that is recovery-oriented and science-based. If providing hope and healing through compassionate, innovative, and individualized care interests you, we welcome your application for the position below.
The Psychiatric Nursing Assistant II (PNA II) performs moderately complex (journey-level) rehabilitative patient care services work. Provides patient care services under the clinical supervision of a Registered Nurse (RN) to provide quality psychiatric nursing care in an inpatient setting. Work involves providing emergency, health, and personal care services to patients; interacting with patients therapeutically; observing, reporting, and documenting, in an electronic record, patient conditions and behaviors; and participating in individualized and unit-based programming. The PNA II has a primary responsibility to maintain direct and ongoing therapeutic interactions with patients to promote living and social skills, thus encouraging progress towards a less restrictive environment than the hospital. As an integral member of the recovery team, provides verbal and supportive documentation concerning individual patient behaviors, progress towards individualized goals of the recovery plan. Participates in shift reports and recovery team meetings. Performs delegated nursing duties commensurate with competency. May provide guidance to the PNA Is. Works under general supervision, with limited latitude for the use of initiative and independent judgment. Completion of work requires the performance of moderately complex duties, while decision making is based on well-defined guidelines. The PNA II has no financial responsibility but is accountable for assigned property. Must understand that duties, location of work, and shift patterns are subject to change as determined by the administration to meet the needs of the hospital. Must understand that duties may include exposure to blood or other potentially infectious materials. This employee has full access to a limited set of records in accordance with HIPPA regulations.
Performs other duties as assigned by the supervisor to ensure efficient operation of the patient care unit. Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location.
This position may be eligible to earn additional pay for work performed on evenings, nights and/or weekends.
Essential Job Functions (EJFs):
Attends work on a regular basis and may be asked to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned.
Takes an active role in the implementation of the individualized recovery plans and offers consistent, ongoing support in assisting patients with reaching their goals. Uses therapeutic, person-centered communication skills in promptly and effectively engaging patients. Assists with activities of daily living, hygiene, and eating to promote independence and self-care. Accompanies patient to appointments as required.
Communicates effectively with other team members to promote a positive workplace.
Serves as a participant in the recovery team or admissions team. Provides ongoing collaborative verbal and written communication concerning patients.
Uses basic computer skills, documentation skills, and reporting procedures to communicate patient care information clearly and concisely in a timely manner.
Assists the licensed nurse in monitoring patients for medication administration or treatment. Includes taking and monitoring vital signs and performing other assigned tasks within competency level.
Proactively promotes safety through continuous environmental awareness and positive engagement of patients to minimize unsafe situations and injuries.
Promotes classes and programs offered and encourages patient participation. Co-facilitates groups as assigned or requested.
Responds in crisis or psychiatric emergency situations using the least restrictive intervention necessary by applying Treatment Intervention Protection Strategies (TIPS) including verbal de-escalation under the direct supervision of a RN to ensure the health and safety of all people.
Performs CPR/Heimlich techniques and use of an Automatic External Defibrillator (AED) correctly and safely according to the specifications of the American Heart Association.
Provides RN with timely, clinically relevant patient information (such as possible side effects of medication, disease/injury, behavioral escalation) gained by direct observation/interaction with patients to promote safety.
In the absence of the PNA III and IV, provides guidance and preceptorship, as requested, to the PNAs in the performance of duties assigned by an RN to maintain smooth, efficient provision of patient care.
Serves in both unit-based and hospital-wide committees as appointed, contributing to interdisciplinary efforts focused on quality improvement, patient safety, and strategic planning. Responsibilities include attending regular meetings, collaborating with team members, and offering insights to enhance patient care and support departmental goals.
Performs other duties as assigned by the supervisor to ensure efficient operation of the patient care unit. Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation.
Knowledge, Skills and Abilities (KSAs):
Knowledge of patient care techniques and of treatment, therapy, developmental, and patient centered recovery programs.
Knowledge of basic computer skills.
Knowledge of effective interpersonal and leadership skills and ability to interact with other team members utilizing effective interpersonal skills.
Skills in taking vital signs.
Ability to read, write and understand English to effectively communicate and carry out verbal and written instructions.
Ability to provide patient care, administer first aid or cardiopulmonary resuscitation, and to conduct TIPS.
Ability to work with others and accept supervision.
Ability to train and provide guidance to others.
Registrations, Licensure Requirements or Certifications:
If transporting patients, must possess a valid Texas driver license or obtain it no later than 90 days after hire date to drive a state vehicle. Applicants with an out-of-state driver license must provide an original certified driving record from the state of driving licensure. Eligible driving record required based on HHSC Fleet Management policy.
CPR certification or the ability to obtain certification for CPR within the first 60 days of employment.
Initial Screening Criteria:
Twelve (12) months’ work experience.
Twelve (12) months of direct care experience is preferred.
Additional Information:
Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aid, Medication Aide and Employee Misconduct, List of Excluded Individuals/Entities (LEIE). Males between the ages of 18-25 must be registered with the Selective Service.
All applicants must be at least 18 years of age to be considered for employment at a state-operated facility. Waco and Terrell Center for Youth applicants must be 21 years of age.
Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours.
Compliance with HHSC immunization policy and state hospital operating procedures related to immunizations is required. According to the Centers for Disease Control and Prevention, healthcare workers are considered to be at significant risk for acquiring or transmitting hepatitis B, measles, mumps, rubella, varicella (chicken pox), tetanus, diphtheria, pertussis (whooping cough), and influenza. All these diseases are vaccine preventable. As a result, state hospital policy requires employees be vaccinated according to their level of contact with individuals. In the event you choose to.
Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC.
Active Duty, Military, Reservists, Guardsmen, and Veterans:
Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor’s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions.
ADA Accommodations:
In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the online application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.
Pre-Employment Checks and Work Eligibility:
Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks.
HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form.
Telework Disclaimer:
This position may be eligible for telework. Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.
Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage.
Functional Title: Psychiatric Nursing Asst ll /FT
Job Title: Psychiatric Nursing Asst II
Agency: Health & Human Services Comm
Department: PsychSecurity Direct Care
Posting Number: 19485
Closing Date: 10/29/2026
Posting Audience: Internal and External
Occupational Category: Healthcare Support
Salary Range: $3,047.58 - $4,149.83
Pay Frequency: Monthly
Salary Group: TEXAS-A-12
Shift: Regular Night
Telework: Not Eligible for Telework
Travel: Up to 5%
Regular/Temporary: Regular
Full Time/Part Time: Full time
FLSA Exempt/Non-Exempt: Nonexempt
Facility Location: El Paso Psychiatric Center
Job Location City: EL PASO
Job Location Address: 4615 ALAMEDA AVE
Other Locations:
MOS Codes: 4C0X1,68X,HM
Would you thrive in an environment where you learn and grow personally and professionally all while helping make a positive impact on people’s lives? Do you appreciate being around others like yourself who are dependable, trustworthy, hard workers who believe in the value of teamwork? HSCS is dedicated to building an atmosphere where employees feel valued and supported while providing specialized care for Texans in need. HSCS is comprised of ten psychiatric hospitals, two youth residential treatment facilities, and thirteen state supported living centers. Psychiatric hospitals are a hub of excellence for forensic mental health and complex psychiatric care, with all facilities accredited by The Joint Commission. They provide state-of-the-art treatment that is recovery-oriented and science-based. If providing hope and healing through compassionate, innovative, and individualized care interests you, we welcome your application for the position below.
The Psychiatric Nursing Assistant II (PNA II) performs moderately complex (journey-level) rehabilitative patient care services work. Provides patient care services under the clinical supervision of a Registered Nurse (RN) to provide quality psychiatric nursing care in an inpatient setting. Work involves providing emergency, health, and personal care services to patients; interacting with patients therapeutically; observing, reporting, and documenting, in an electronic record, patient conditions and behaviors; and participating in individualized and unit-based programming. The PNA II has a primary responsibility to maintain direct and ongoing therapeutic interactions with patients to promote living and social skills, thus encouraging progress towards a less restrictive environment than the hospital. As an integral member of the recovery team, provides verbal and supportive documentation concerning individual patient behaviors, progress towards individualized goals of the recovery plan. Participates in shift reports and recovery team meetings. Performs delegated nursing duties commensurate with competency. May provide guidance to the PNA Is. Works under general supervision, with limited latitude for the use of initiative and independent judgment. Completion of work requires the performance of moderately complex duties, while decision making is based on well-defined guidelines. The PNA II has no financial responsibility but is accountable for assigned property. Must understand that duties, location of work, and shift patterns are subject to change as determined by the administration to meet the needs of the hospital. Must understand that duties may include exposure to blood or other potentially infectious materials. This employee has full access to a limited set of records in accordance with HIPPA regulations.
Performs other duties as assigned by the supervisor to ensure efficient operation of the patient care unit. Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location.
This position may be eligible to earn additional pay for work performed on evenings, nights and/or weekends.
Essential Job Functions (EJFs):
Attends work on a regular basis and may be asked to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned.
Takes an active role in the implementation of the individualized recovery plans and offers consistent, ongoing support in assisting patients with reaching their goals. Uses therapeutic, person-centered communication skills in promptly and effectively engaging patients. Assists with activities of daily living, hygiene, and eating to promote independence and self-care. Accompanies patient to appointments as required.
Communicates effectively with other team members to promote a positive workplace.
Serves as a participant in the recovery team or admissions team. Provides ongoing collaborative verbal and written communication concerning patients.
Uses basic computer skills, documentation skills, and reporting procedures to communicate patient care information clearly and concisely in a timely manner.
Assists the licensed nurse in monitoring patients for medication administration or treatment. Includes taking and monitoring vital signs and performing other assigned tasks within competency level.
Proactively promotes safety through continuous environmental awareness and positive engagement of patients to minimize unsafe situations and injuries.
Promotes classes and programs offered and encourages patient participation. Co-facilitates groups as assigned or requested.
Responds in crisis or psychiatric emergency situations using the least restrictive intervention necessary by applying Treatment Intervention Protection Strategies (TIPS) including verbal de-escalation under the direct supervision of a RN to ensure the health and safety of all people.
Performs CPR/Heimlich techniques and use of an Automatic External Defibrillator (AED) correctly and safely according to the specifications of the American Heart Association.
Provides RN with timely, clinically relevant patient information (such as possible side effects of medication, disease/injury, behavioral escalation) gained by direct observation/interaction with patients to promote safety.
In the absence of the PNA III and IV, provides guidance and preceptorship, as requested, to the PNAs in the performance of duties assigned by an RN to maintain smooth, efficient provision of patient care.
Serves in both unit-based and hospital-wide committees as appointed, contributing to interdisciplinary efforts focused on quality improvement, patient safety, and strategic planning. Responsibilities include attending regular meetings, collaborating with team members, and offering insights to enhance patient care and support departmental goals.
Performs other duties as assigned by the supervisor to ensure efficient operation of the patient care unit. Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation.
Knowledge, Skills and Abilities (KSAs):
Knowledge of patient care techniques and of treatment, therapy, developmental, and patient centered recovery programs.
Knowledge of basic computer skills.
Knowledge of effective interpersonal and leadership skills and ability to interact with other team members utilizing effective interpersonal skills.
Skills in taking vital signs.
Ability to read, write and understand English to effectively communicate and carry out verbal and written instructions.
Ability to provide patient care, administer first aid or cardiopulmonary resuscitation, and to conduct TIPS.
Ability to work with others and accept supervision.
Ability to train and provide guidance to others.
Registrations, Licensure Requirements or Certifications:
If transporting patients, must possess a valid Texas driver license or obtain it no later than 90 days after hire date to drive a state vehicle. Applicants with an out-of-state driver license must provide an original certified driving record from the state of driving licensure. Eligible driving record required based on HHSC Fleet Management policy.
CPR certification or the ability to obtain certification for CPR within the first 60 days of employment.
Initial Screening Criteria:
Twelve (12) months’ work experience.
Twelve (12) months of direct care experience is preferred.
Additional Information:
Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aid, Medication Aide and Employee Misconduct, List of Excluded Individuals/Entities (LEIE). Males between the ages of 18-25 must be registered with the Selective Service.
All applicants must be at least 18 years of age to be considered for employment at a state-operated facility. Waco and Terrell Center for Youth applicants must be 21 years of age.
Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours.
Compliance with HHSC immunization policy and state hospital operating procedures related to immunizations is required. According to the Centers for Disease Control and Prevention, healthcare workers are considered to be at significant risk for acquiring or transmitting hepatitis B, measles, mumps, rubella, varicella (chicken pox), tetanus, diphtheria, pertussis (whooping cough), and influenza. All these diseases are vaccine preventable. As a result, state hospital policy requires employees be vaccinated according to their level of contact with individuals. In the event you choose to.
Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC.
Active Duty, Military, Reservists, Guardsmen, and Veterans:
Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor’s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions.
ADA Accommodations:
In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the online application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.
Pre-Employment Checks and Work Eligibility:
Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks.
HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form.
Telework Disclaimer:
This position may be eligible for telework. Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.
See all 2,381+ Green Card Nursing Assistant Jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new Green Card Nursing Assistant Jobs.
Get Access To All JobsTips for Finding Green Card Sponsorship as a Nursing Assistant
Verify your CNA certification transfers
State CNA certifications are not automatically reciprocal across U.S. states. Before targeting employers, confirm your home-country credentials map to the state registry where the sponsoring facility operates, since PERM documentation requires proof of qualification for that specific role.
Target long-term care over acute care
Skilled nursing facilities and long-term care chains have historically filed more EB-3 PERM applications for Nursing Assistants than acute-care hospitals. Focus your search on multi-facility operators in states with persistent CNA shortages, such as Texas, Florida, and the Midwest.
Search green card sponsors using Migrate Mate
Use Migrate Mate to filter Nursing Assistant roles by employers with active EB-3 sponsorship history. This cuts out facilities that say they're open to sponsorship but have no PERM filing record behind that claim.
Ask employers about their PERM recruitment timeline
PERM requires employers to run mandatory recruitment steps before DOL filing. Ask prospective sponsors how long their internal process takes from offer to PERM submission, since some facilities queue applications and delays can stretch your wait by six months or more.
Understand the EB-3 prevailing wage before negotiating
DOL requires your offered wage to meet the prevailing wage for your job zone and location. Look up the wage level for Standard Occupational Classification 31-1131 using the OFLC Wage Search before your offer discussion so you understand the minimum the employer must legally certify.
Confirm the employer uses E-Verify before signing
PERM-sponsoring employers must maintain legal hiring compliance. Asking whether the facility is enrolled in E-Verify signals you understand the process and screens out employers who are unfamiliar with the federal requirements attached to employment-based sponsorship.
Green Card Nursing Assistant: Frequently Asked Questions
Does a Nursing Assistant role qualify for EB-3 green card sponsorship?
Yes. Nursing Assistant positions typically qualify under EB-3 as skilled workers when the employer can demonstrate the role requires a minimum of two years of training or experience, or under the unskilled worker subcategory for entry-level CNA roles. The employer files a PERM labor certification with DOL, then an I-140 immigrant petition with USCIS. Most sponsor cases for CNAs proceed under EB-3, not EB-2.
How is EB-3 green card sponsorship different from H-1B for this role?
H-1B visa requires the position to qualify as a specialty occupation, which most Nursing Assistant roles do not meet. EB-3 sponsorship leads directly to lawful permanent residency rather than a temporary work status, and there is no lottery involved. The tradeoff is timeline: PERM, I-140, and adjustment of status can take two to four years for many countries, longer for applicants from India or China due to visa backlogs.
Which types of employers sponsor Nursing Assistants for green cards?
Long-term care facilities, skilled nursing facilities, and large hospital systems in high-vacancy regions are the most active PERM filers for CNA roles. Multi-facility operators are more likely to have in-house immigration processes. Smaller independent clinics rarely sponsor because the legal and administrative cost of PERM is the same regardless of facility size.
How can I find Nursing Assistant jobs with green card sponsorship?
Use Migrate Mate to search Nursing Assistant roles filtered by employers who have a verified EB-3 PERM filing history. This removes facilities that list sponsorship as possible without any documented record of doing it. Cross-referencing DOL PERM disclosure data on your own is possible but time-consuming given the volume of filings across healthcare subsectors.
What credentials do I need before a U.S. employer can start the PERM process for me?
You generally need an active CNA certification in the state where you will work, proof of completion of a state-approved training program, and clear background and abuse registry checks. Some employers also require Basic Life Support certification. USCIS and DOL will both review whether you met the job requirements at the time of the PERM filing, not just at the time of your green card approval.