Green Card Ophthalmic Assistant Jobs
Ophthalmic assistant jobs with green card sponsorship follow the EB-2 or EB-3 pathway, requiring your employer to complete PERM labor certification with the Department of Labor before filing an I-140 petition with USCIS. Per-country limits mean priority-date backlogs vary by nationality, so starting the process early matters.
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Location
ST. LOUIS, MO 63108
Scheduled Hours
40
Position Summary
Provides advanced administrative and technical support to an ophthalmologist in a clinical setting. Gathers important medical information and performs visual screening prior to Ophthalmologist’s visit with patient.
Job Description
Primary Duties & Responsibilities:
Must be able to perform all duties of the ophthalmic assistant in addition to the duties listed below.
- Performs kinetic and static visual fields test (Goldman & Humphrey).
- Assists with the clinical work up of patients including a detailed patient history.
- Helps patients understand general office evaluation and physician instructions.
- Performs gross refractions, keratometry, tonography and tonometry.
- Inserts and removes patient contact lenses when necessary; also provides contact lens instruction to patients.
- Performs BAT (Brightness acuity test) glare testing and PAM (Potential acuity meter) testing.
- Performs A-Scan ultrasound testing.
- Assists physicians with minor surgical procedures.
- All other duties as assigned.
Working Conditions:
Job Location/Working Conditions
- Patient care environment.
- Normal office environment.
Physical Effort
- Typically sitting at desk or table.
Equipment
- Office equipment.
The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time.
Required Qualifications
Education:
High school diploma or equivalent high school certification or combination of education and/or experience.
Certifications /Professional Licenses:
The list below may include all acceptable certifications, professional licenses and issuers. More than one credential, certification or professional license may be required depending on the role.
Basic Life Support - American Heart Association, Basic Life Support - American Red Cross, Certified Ophthalmic Assistant (COA) - International Joint Commission of Allied Health Personnel in Ophthamology, Certified Ophthalmic Assistant (COA) - Joint Commission of Allied Health Personnel in Ophthamology
Work Experience:
Supervised Ophthalmologic Office (1 Year)
Skills:
Not Applicable
Driver's License:
A driver's license is not required for this position.
More About This Job
Required Qualifications:
- Basic Life Support certification (Online BLS certifications, those without a skills assessment component, are not sufficient to meet the BLS requirements).
Preferred Qualifications
Education:
No additional education unless stated elsewhere in the job posting.
Certifications /Professional Licenses:
No additional certification/professional licenses unless stated elsewhere in the job posting.
Work Experience:
No additional work experience unless stated elsewhere in the job posting.
Skills:
Confidentiality, Detail-Oriented, Interactive Communication, Medical Abbreviations, Medical Screening, Medical Terminology, Medical Ultrasound, Operational Efficiency, Patient Care Services, Patient Management, Perform Testing
Grade
C07-H
Salary Range
$19.93 - $29.93 / Hourly
The salary range reflects base salaries paid for positions in a given job grade across the University. Individual rates within the range will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions within the same grade and department budget.
Questions
For frequently asked questions about the application process, please refer to our External Applicant FAQ.
Accommodation
If you are unable to use our online application system and would like an accommodation, please email CandidateQuestions@wustl.edu or call the dedicated accommodation inquiry number at 314-935-1149 and leave a voicemail with the nature of your request.
All qualified individuals must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship.
Pre-Employment Screening
All external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position. The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. All offers are contingent upon successful completion of required screening.
Benefits Statement
Personal
- Up to 22 days of vacation, 10 recognized holidays, and sick time.
- Competitive health insurance packages with priority appointments and lower copays/coinsurance.
- Take advantage of our free Metro transit U-Pass for eligible employees.
- WashU provides eligible employees with a defined contribution (403(b)) Retirement Savings Plan, which combines employee contributions and university contributions starting at 7%.
Wellness
- Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more!
Family
- We offer 4 weeks of caregiver leave to bond with your new child. Family care resources are also available for your continued childcare needs. Need adult care? We’ve got you covered.
- WashU covers the cost of tuition for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years with us.
For policies, detailed benefits, and eligibility, please visit: https://hr.wustl.edu/benefits/
EEO Statement
Washington University in St. Louis is committed to the principles and practices of equal employment opportunity. It is the University’s policy to provide equal opportunity and access to persons in all job titles without regard to race, ethnicity or shared ancestry, color, national origin, citizenship (where prohibited by federal law), age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information. As a federal contractor, the university maintains affirmative action programs to implement its equal employment opportunity policy for individuals with disabilities and protected veterans, in accordance with Section 503 of the Rehabilitation Act of 1973, as amended, and the Vietnam Era Veterans’ Readjustment Assistance Act of 1974 (VEVRAA), as amended.
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Get Access To All JobsTips for Finding Green Card Sponsorship as an Ophthalmic Assistant
Get your credentials evaluated before applying
Foreign ophthalmic training credentials must be translated and evaluated by a NACES-recognized service before PERM recruitment begins. Gaps between your home-country certification and U.S. COA standards can delay your employer's prevailing wage determination, so resolve them upfront.
Search Migrate Mate for verified sponsoring employers
Target employers with a documented history of EB-2 or EB-3 green card sponsorship for ophthalmic roles. Migrate Mate lists employers by verified green card filing history, so you can focus outreach on practices and health systems that have already navigated PERM for this occupation.
Prioritize multi-location ophthalmology groups and hospital systems
Large ophthalmology groups and hospital-affiliated eye centers file PERM more routinely than solo practices and have dedicated HR staff familiar with the DOL recruitment and prevailing wage steps. Your sponsorship timeline is significantly more predictable with these employers.
Confirm the prevailing wage tier before accepting an offer
Use the OFLC Wage Search to look up the prevailing wage for your SOC code and work location before negotiations finalize. If your offered wage falls below the DOL-determined level, your employer must increase it before PERM can be filed successfully.
Understand how EB-2 and EB-3 requirements apply to your profile
EB-3 skilled worker covers ophthalmic assistants with at least two years of documented experience, while EB-2 applies if you hold an advanced degree or a bachelor's degree plus five years of progressive experience. Your employer's attorney will determine which category your credentials support.
Check your priority date against the Visa Bulletin monthly
Once your I-140 is approved, your priority date determines when you can file for adjustment of status or enter consular processing. Nationals of India and China often face extended backlogs, so tracking the DOS Visa Bulletin each month helps you plan your timeline accurately.
Green Card Ophthalmic Assistant: Frequently Asked Questions
Which green card category typically applies to ophthalmic assistant roles?
Most ophthalmic assistants qualify under EB-3 as skilled workers, which requires at least two years of experience or training. If you hold an advanced degree or a bachelor's degree combined with five years of progressive ophthalmic experience, your employer may be able to file under EB-2 instead. The sponsoring employer's immigration attorney makes the final classification determination based on your credentials and the job description.
How does green card sponsorship differ from H-1B sponsorship for this role?
Green card sponsorship leads to lawful permanent residence rather than a temporary status tied to a single employer. The process involves PERM labor certification filed with the Department of Labor, followed by an I-140 immigrant petition with USCIS, and then adjustment of status or consular processing. There is no lottery, but per-country annual limits mean nationals of high-demand countries may wait years before a visa number becomes available. H-1B visa, by contrast, is temporary and subject to an annual lottery.
What does the PERM process require from an employer sponsoring an ophthalmic assistant?
PERM requires the employer to obtain a prevailing wage determination from the DOL, conduct a documented good-faith recruitment campaign showing no qualified U.S. workers were available, and certify the results. For ophthalmic assistant roles, this typically includes job postings, internal notices, and a recruitment report. DOL then reviews the application and, if approved, the employer proceeds to file the I-140 petition with USCIS.
How do I find employers who sponsor green cards for ophthalmic assistant positions?
Migrate Mate lists U.S. employers with verified employment-based green card sponsorship history, searchable by role and location. Focus your search on hospital-affiliated eye centers and large ophthalmology group practices, as they file PERM more consistently than independent clinics. Reviewing an employer's prior PERM activity helps you assess whether they have the HR infrastructure to manage the multi-step sponsorship process.
Can I change employers after my green card process has started?
AC21 job portability allows you to change to a same or similar occupation once your I-485 adjustment of status application has been pending for 180 days or more. If you change employers before that threshold, your pending case may be jeopardized. A previously approved I-140 can support priority date retention with a new employer's separate I-140 filing, but you should consult an immigration attorney before making any employer change.