Green Card Social Worker Jobs
Social Worker roles in healthcare, child welfare, and community services qualify for EB-2 and EB-3 green card sponsorship through PERM labor certification. Employers in hospitals, nonprofits, and government agencies regularly sponsor foreign professionals in this field, offering a path to permanent U.S. residency rather than a temporary visa.
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At Lucile Packard Children’s Hospital Stanford, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time.
Job ID: LP_00026334-2656941
Job Description
JOB SUMMARY
This paragraph summarizes the general nature, level and purpose of the job. As a member of a multidisciplinary health care team, medical social workers provide psychosocial interventions to patients as well as their families receiving services within any department of the LPCHS. Work typically addresses a variety of biopsychosocial issues and includes an assessment of the social needs as related to the patient's health status and the collaborative development of a treatment plan, including advocacy within the organization and community, counseling, referrals and practical assistance necessary to accomplish desired objectives. Provides consultation, orientation, and training to health care staff on the effects of biopsychosocial, cultural, and economic issues on the management of patient/client health needs. Advocates for social work core values and ethics within Stanford Medicine and the larger community.
Licensed Clinical Social Worker:
Licensed Clinical Social Worker is the second and fully-qualified, fully-proficient level of professional social work for employees who are licensed by the State of California as Licensed Clinical Social Workers (LCSW). Positions at this level are characterized by substantial professional responsibility and independence of action for providing social work services.
Social Work Clinician:
Social Work Clinician is the entry, developmental, and first working level of professional social work for employees who are recent graduates as well as those who have professional social work experience, but are not yet licensed as Licensed Clinical Social Workers (LCSW) by the State of California.
ESSENTIAL FUNCTIONS
The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings. Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct.
Licensed Clinical Social Worker:
- May provide individual/group clinical supervision to MSWs and student interns, as assigned.
- Prepares and maintains electronic medical records in accordance with department and/or health system policies.
- Provides written and oral reports and hand-offs.
- Conducts psychosocial assessment of patients/families upon admission, annually, and/or as clinically indicated to evaluate social, emotional, and physical needs by applying social work theories and techniques. Identifies and addresses barriers to care.
- Collaborates with interdisciplinary health care teams to devise, develop, and implement patient/family psychosocial treatment plans, coordinating referrals to specialty and social services including entitlement programs and other care delivery systems, and recording progress notes and the provision of continuity of care.
- Helps patients/families cope with environmental and psychological issues of illness.
- Manages independently assigned caseload of varying clinical acuity.
- Engages in case finding for patients/families with potential psychosocial needs. Attends team conferences and participates in interdisciplinary rounds as needed.
- Provides supportive counseling, grief counseling, crisis intervention, and other therapeutic services to assist patients and families to face challenges such as coping with illness, processing medical information, and changes in the level of functioning and care needs.
- Provides psychoeducation to patients and families regarding adaptation to the patient's diagnosis, illness, treatment, and/or prognosis. Assist patients and families in the transition from youth to adult services.
- Participates in quality assurance and community improvement as they relate to social work services or needs of patients and families and contributes to the review and development of written policies, procedures, or guidelines related to social work services.
Social Work Clinician:
- Prepares and maintains electronic medical records in accordance with department and/or health system policies.
- Provides written and oral reports and hand-offs.
- Conducts psychosocial assessment of patients/families upon admission, annually, and/or as clinically indicated to evaluate social, emotional and physical needs by applying social work theories and techniques. Identifies and addresses barriers to care.
- Collaborates with interdisciplinary health care teams to devise, develop, and implement patient/family psychosocial treatment plans, coordinating referrals to specialty and social services including entitlement programs and other care delivery systems, and recording progress notes and the provision of continuity of care.
- Helps patients/families cope with environmental and psychological issues of illness.
- Manages assigned caseload, including case finding for patients/families with potential psychosocial needs. Attends team conferences and participates in interdisciplinary rounds as needed.
- Provides supportive counseling, grief counseling, crisis intervention, and other therapeutic services to assist patients and families to face challenges such as coping with illness, processing medical information and changes in the level of functioning and care needs.
- Provides psychoeducation to patients and families regarding adaptation to the patient's diagnosis, illness, treatment and/or prognosis. Assist patients and families in the transition from youth to adult services.
- Participates in quality assurance and community improvement as they relate to social work services or needs of patients and families and contributes to the review and development of written policies, procedures, or guidelines related to social work services.
MINIMUM QUALIFICATIONS
Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying.
Licensed Clinical Social Worker:
- Education: Master's degree in Social Work from a CSWE-accredited college or university program or equivalent (as demonstrated by licensure)
- Experience: Two (2) years of progressively responsible and directly related work experience.
- License/Certification: SW (Licensed Clinical Social Worker) - Valid license as a Licensed Clinical Social Worker (LCSW) issued by the California Board of Behavioral Sciences.
Social Work Clinician:
- Education: Master's degree in Social Work (MSW) from a CSWE-accredited college or university program; Successful completion of Master's program prior to start date. If MSW is not from a CSWE-accredited program, must have a certificate from the California Board of Behavioral Sciences verifying registration as an Associate Clinical Social Worker, as evidence that the BBS has accepted the program as equivalent.
KNOWLEDGE
These are the observable and measurable attributes and skills required to perform successfully the essential functions of the job and are generally demonstrated through qualifying experience, education or licensure/certification.
Licensed Clinical Social Worker:
- Ability to apply theories, principles and practices of medical social work and of social services delivery systems in a hospital or medical center setting.
- Ability to assess needs of patients and families utilizing data-based approach.
- Ability to manage a caseload, recall case details; maintain confidentiality of information; determine the appropriate course of action in emergencies and other stressful situations.
- Ability to provide written case narratives and reports.
- Knowledge of and ability to apply effective assessment, interviewing, and counseling techniques.
- Knowledge of and ability to apply social work theories, principles and techniques.
- Knowledge of hospital and medical center resources to access and provide for patient care needs, and act on behalf of client to obtain necessary services.
- Knowledge of child development and the impact of injury and illness.
- Knowledge of family dynamics and the impact of injury, illness and loss.
- Knowledge of and sensitivity to the significance of cultural considerations of LPCH's patient population.
Social Work Clinician:
- Ability to apply theories, principles and practices of medical social work and of social services delivery systems in a hospital or medical center setting.
- Ability to assess needs of patients and families utilizing data-based approach.
- Ability to manage a caseload, recall case details; maintain confidentiality of information; determine the appropriate course of action in emergencies and other stressful situations.
- Ability to provide written case narratives and reports.
- Knowledge of and ability to apply effective assessment, interviewing, and counseling techniques.
- Knowledge of and ability to apply social work theories, principles and techniques.
- Knowledge of medical center resources to access and provide for patient care needs, and act on behalf of client to obtain necessary services.
- Knowledge of and sensitivity to the significance of cultural considerations of LPCH's patient population.
- Knowledge of child development and the impact of injury and illness.
- Knowledge of family dynamics and the impact of injury, illness and loss.
Physical Requirements
The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job.
ADDITIONAL INFORMATION
Licensed Clinical Social Worker:
Positions in this job family are flexibly staffed from Social Work Clinician to Licensed Clinical Social Worker, which means that vacant positions may be filled at either of the two class/grade levels depending on qualifications. A Social Work Clinician may be promoted to a Licensed Clinical Social Worker when they meet the minimum qualifications and are recommended for promotion by management.
Social Work Clinician:
- Social work settings across the hospital system may require a social worker to be assigned to a California Children's Services (CCS) clinic.
- If a social work clinician is assigned to a CCS clinic, they must meet the following criteria for CCS Paneling:
1. Social Worker (EPSDT Only) must:
- Be licensed as a clinical social worker by the California Board of Behavioral Sciences; or
- Have a master's degree in social work from a school accredited by the Council on Social Work Education and five years of full-time social work experience that shall include providing social work services to children with CCS-eligible medical conditions and their families.
2. Individuals who have less than the required five years of experience specified in 1b of this section shall submit the following:
- A certificate from the California Board of Behavioral Sciences verifying registration as an Associate Clinical Social Worker; and
- A written letter on the letterhead of the individual's employer, signed by the individual's supervisor or social work department director and contain the following requirements:
- That you will receive weekly supervision if you have less than two years post-master's degree experience providing social work services.
- That you will receive at least monthly supervision if you have at least two years of post-master's degree experience but less that the required five years of experience providing social work services.
Positions in this job family are flexibly staffed from Social Work Clinician to Licensed Clinical Social Worker, which means that vacant positions may be filled at either of the two class/grade levels depending on qualifications. A Social Work Clinician may be promoted to a Licensed Clinical Social Worker when they meet the minimum qualifications and are recommended for promotion by management.
Additional Information
Pay Range
Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range.
SWC: Minimum to Midpoint Range (Hourly): $52.32 to $58.67
LCSW: Minimum to Midpoint Range (Hourly) $54.94 to $61.60
Stanford Medicine Children's Health (SMCH) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.
Company Description
At Lucile Packard Children’s Hospital Stanford, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time.
Job ID: LP_00026334-2656941
Job Description
JOB SUMMARY
This paragraph summarizes the general nature, level and purpose of the job. As a member of a multidisciplinary health care team, medical social workers provide psychosocial interventions to patients as well as their families receiving services within any department of the LPCHS. Work typically addresses a variety of biopsychosocial issues and includes an assessment of the social needs as related to the patient's health status and the collaborative development of a treatment plan, including advocacy within the organization and community, counseling, referrals and practical assistance necessary to accomplish desired objectives. Provides consultation, orientation, and training to health care staff on the effects of biopsychosocial, cultural, and economic issues on the management of patient/client health needs. Advocates for social work core values and ethics within Stanford Medicine and the larger community.
Licensed Clinical Social Worker:
Licensed Clinical Social Worker is the second and fully-qualified, fully-proficient level of professional social work for employees who are licensed by the State of California as Licensed Clinical Social Workers (LCSW). Positions at this level are characterized by substantial professional responsibility and independence of action for providing social work services.
Social Work Clinician:
Social Work Clinician is the entry, developmental, and first working level of professional social work for employees who are recent graduates as well as those who have professional social work experience, but are not yet licensed as Licensed Clinical Social Workers (LCSW) by the State of California.
ESSENTIAL FUNCTIONS
The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings. Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct.
Licensed Clinical Social Worker:
- May provide individual/group clinical supervision to MSWs and student interns, as assigned.
- Prepares and maintains electronic medical records in accordance with department and/or health system policies.
- Provides written and oral reports and hand-offs.
- Conducts psychosocial assessment of patients/families upon admission, annually, and/or as clinically indicated to evaluate social, emotional, and physical needs by applying social work theories and techniques. Identifies and addresses barriers to care.
- Collaborates with interdisciplinary health care teams to devise, develop, and implement patient/family psychosocial treatment plans, coordinating referrals to specialty and social services including entitlement programs and other care delivery systems, and recording progress notes and the provision of continuity of care.
- Helps patients/families cope with environmental and psychological issues of illness.
- Manages independently assigned caseload of varying clinical acuity.
- Engages in case finding for patients/families with potential psychosocial needs. Attends team conferences and participates in interdisciplinary rounds as needed.
- Provides supportive counseling, grief counseling, crisis intervention, and other therapeutic services to assist patients and families to face challenges such as coping with illness, processing medical information, and changes in the level of functioning and care needs.
- Provides psychoeducation to patients and families regarding adaptation to the patient's diagnosis, illness, treatment, and/or prognosis. Assist patients and families in the transition from youth to adult services.
- Participates in quality assurance and community improvement as they relate to social work services or needs of patients and families and contributes to the review and development of written policies, procedures, or guidelines related to social work services.
Social Work Clinician:
- Prepares and maintains electronic medical records in accordance with department and/or health system policies.
- Provides written and oral reports and hand-offs.
- Conducts psychosocial assessment of patients/families upon admission, annually, and/or as clinically indicated to evaluate social, emotional and physical needs by applying social work theories and techniques. Identifies and addresses barriers to care.
- Collaborates with interdisciplinary health care teams to devise, develop, and implement patient/family psychosocial treatment plans, coordinating referrals to specialty and social services including entitlement programs and other care delivery systems, and recording progress notes and the provision of continuity of care.
- Helps patients/families cope with environmental and psychological issues of illness.
- Manages assigned caseload, including case finding for patients/families with potential psychosocial needs. Attends team conferences and participates in interdisciplinary rounds as needed.
- Provides supportive counseling, grief counseling, crisis intervention, and other therapeutic services to assist patients and families to face challenges such as coping with illness, processing medical information and changes in the level of functioning and care needs.
- Provides psychoeducation to patients and families regarding adaptation to the patient's diagnosis, illness, treatment and/or prognosis. Assist patients and families in the transition from youth to adult services.
- Participates in quality assurance and community improvement as they relate to social work services or needs of patients and families and contributes to the review and development of written policies, procedures, or guidelines related to social work services.
MINIMUM QUALIFICATIONS
Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying.
Licensed Clinical Social Worker:
- Education: Master's degree in Social Work from a CSWE-accredited college or university program or equivalent (as demonstrated by licensure)
- Experience: Two (2) years of progressively responsible and directly related work experience.
- License/Certification: SW (Licensed Clinical Social Worker) - Valid license as a Licensed Clinical Social Worker (LCSW) issued by the California Board of Behavioral Sciences.
Social Work Clinician:
- Education: Master's degree in Social Work (MSW) from a CSWE-accredited college or university program; Successful completion of Master's program prior to start date. If MSW is not from a CSWE-accredited program, must have a certificate from the California Board of Behavioral Sciences verifying registration as an Associate Clinical Social Worker, as evidence that the BBS has accepted the program as equivalent.
KNOWLEDGE
These are the observable and measurable attributes and skills required to perform successfully the essential functions of the job and are generally demonstrated through qualifying experience, education or licensure/certification.
Licensed Clinical Social Worker:
- Ability to apply theories, principles and practices of medical social work and of social services delivery systems in a hospital or medical center setting.
- Ability to assess needs of patients and families utilizing data-based approach.
- Ability to manage a caseload, recall case details; maintain confidentiality of information; determine the appropriate course of action in emergencies and other stressful situations.
- Ability to provide written case narratives and reports.
- Knowledge of and ability to apply effective assessment, interviewing, and counseling techniques.
- Knowledge of and ability to apply social work theories, principles and techniques.
- Knowledge of hospital and medical center resources to access and provide for patient care needs, and act on behalf of client to obtain necessary services.
- Knowledge of child development and the impact of injury and illness.
- Knowledge of family dynamics and the impact of injury, illness and loss.
- Knowledge of and sensitivity to the significance of cultural considerations of LPCH's patient population.
Social Work Clinician:
- Ability to apply theories, principles and practices of medical social work and of social services delivery systems in a hospital or medical center setting.
- Ability to assess needs of patients and families utilizing data-based approach.
- Ability to manage a caseload, recall case details; maintain confidentiality of information; determine the appropriate course of action in emergencies and other stressful situations.
- Ability to provide written case narratives and reports.
- Knowledge of and ability to apply effective assessment, interviewing, and counseling techniques.
- Knowledge of and ability to apply social work theories, principles and techniques.
- Knowledge of medical center resources to access and provide for patient care needs, and act on behalf of client to obtain necessary services.
- Knowledge of and sensitivity to the significance of cultural considerations of LPCH's patient population.
- Knowledge of child development and the impact of injury and illness.
- Knowledge of family dynamics and the impact of injury, illness and loss.
Physical Requirements
The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job.
ADDITIONAL INFORMATION
Licensed Clinical Social Worker:
Positions in this job family are flexibly staffed from Social Work Clinician to Licensed Clinical Social Worker, which means that vacant positions may be filled at either of the two class/grade levels depending on qualifications. A Social Work Clinician may be promoted to a Licensed Clinical Social Worker when they meet the minimum qualifications and are recommended for promotion by management.
Social Work Clinician:
- Social work settings across the hospital system may require a social worker to be assigned to a California Children's Services (CCS) clinic.
- If a social work clinician is assigned to a CCS clinic, they must meet the following criteria for CCS Paneling:
1. Social Worker (EPSDT Only) must:
- Be licensed as a clinical social worker by the California Board of Behavioral Sciences; or
- Have a master's degree in social work from a school accredited by the Council on Social Work Education and five years of full-time social work experience that shall include providing social work services to children with CCS-eligible medical conditions and their families.
2. Individuals who have less than the required five years of experience specified in 1b of this section shall submit the following:
- A certificate from the California Board of Behavioral Sciences verifying registration as an Associate Clinical Social Worker; and
- A written letter on the letterhead of the individual's employer, signed by the individual's supervisor or social work department director and contain the following requirements:
- That you will receive weekly supervision if you have less than two years post-master's degree experience providing social work services.
- That you will receive at least monthly supervision if you have at least two years of post-master's degree experience but less that the required five years of experience providing social work services.
Positions in this job family are flexibly staffed from Social Work Clinician to Licensed Clinical Social Worker, which means that vacant positions may be filled at either of the two class/grade levels depending on qualifications. A Social Work Clinician may be promoted to a Licensed Clinical Social Worker when they meet the minimum qualifications and are recommended for promotion by management.
Additional Information
Pay Range
Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range.
SWC: Minimum to Midpoint Range (Hourly): $52.32 to $58.67
LCSW: Minimum to Midpoint Range (Hourly) $54.94 to $61.60
Stanford Medicine Children's Health (SMCH) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.
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Get Access To All JobsTips for Finding Green Card Sponsorship in Social Worker
Verify your MSW meets PERM requirements
PERM labor certification for social worker roles almost always requires a Master of Social Work. Confirm your foreign degree is evaluated as equivalent by a NACES-accredited credential evaluation agency before applying, since DOL audits frequently scrutinize educational equivalencies for this occupation.
Check your state license before applying
Most hospital and clinical social worker PERM filings list state licensure as a minimum requirement. Securing your LCSW or LMSW early strengthens your candidacy and prevents your employer from hitting a filing delay after the job offer is made.
Target employers with PERM filing history
Hospitals, federally qualified health centers, and large nonprofit agencies have established immigration infrastructure and are far more likely to sponsor green cards than small private practices. Use Migrate Mate to filter Social Worker jobs by employers with active EB-2 and EB-3 sponsorship history.
Ask about concurrent I-140 and I-485 filing
If a current visa priority date is available for your country, your employer can file the I-140 immigrant petition and your I-485 adjustment of status application at the same time, cutting months off your wait. Confirm this option with your employer's immigration counsel before accepting the offer.
Understand the PERM prevailing wage for your specialty
DOL sets four wage levels for PERM, and clinical or supervisory social worker roles often qualify at Level II or III. Use the OFLC Wage Search to look up the wage level your employer intends to file at, since a mismatch can draw an audit or require refiling.
Clarify EB-2 versus EB-3 before your offer letter
Employers can sponsor social workers under EB-2 if the role genuinely requires an advanced degree, or under EB-3 for roles where a bachelor's with experience suffices. The distinction affects your priority date and wait time, so confirm which category the employer's attorney will file under before you sign.
Green Card Social Worker: Frequently Asked Questions
Do social worker jobs commonly qualify for EB-2 or EB-3 green card sponsorship?
Social worker roles qualify for both categories depending on the position's requirements. Clinical and supervisory roles that require a Master of Social Work typically fall under EB-2, since the position genuinely requires an advanced degree. Direct-service roles where a bachelor's degree with experience is sufficient are usually filed under EB-3. Your employer's immigration attorney determines the correct classification during PERM preparation.
How does green card sponsorship differ from H-1B sponsorship for social workers?
Green card sponsorship through PERM and I-140 leads to permanent residency, not a temporary status. Unlike the H-1B visa, there is no annual lottery for EB-3 filings, and the process isn't capped in the same way for most nationalities. The trade-off is timeline: PERM labor certification alone takes six to twelve months before the I-140 is even filed, making it a longer but more permanent path than an H-1B approval.
What does the PERM labor certification process require from a social work employer?
The employer must run a formal recruitment campaign documented by DOL standards, proving no qualified U.S. workers were available for the role. For social worker positions, job postings must list the actual minimum requirements, including degree and licensure, exactly as they'll appear in the PERM application. Any deviation between the recruitment ads and the filed application is grounds for an audit or denial.
How can I find social worker jobs where the employer is already set up to sponsor green cards?
The fastest way is to search specifically for employers with documented PERM and I-140 filing history in social work. Migrate Mate lets you filter Social Worker jobs by employers who have sponsored green cards before, so you're not spending time applying to organizations that have never navigated PERM. This matters especially in social services, where smaller nonprofits may be willing but lack the immigration infrastructure to execute.
Does holding a foreign social work degree affect my green card sponsorship eligibility?
A foreign MSW or equivalent degree is acceptable for EB-2 PERM filings, but it must be evaluated as equivalent to a U.S. degree by a NACES-accredited credential evaluation service. DOL audits for social worker PERM applications frequently examine educational credentials, so having your evaluation completed before your employer files reduces the risk of a request for further evidence or an audit response delay.