H-1B Visa Acute Care Nurse Practitioner Jobs
Acute Care Nurse Practitioners work in high-acuity settings where H-1B visa sponsorship is common among large hospital systems and academic medical centers. Your advanced practice license, DEA registration, and specialty certification all factor into how employers structure your petition and prevailing wage level.
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INTRODUCTION
Offering recently increased compensation, Sign-on Bonus and Relocation!!
The Nemours Cardiac Center of the Children’s Hospital in Wilmington, Delaware is looking for a qualified Pediatric Acute Care Nurse Practitioner or Physician Assistant - Inpatient Telemetry Cardiac Center! This role is a full-time nocturnist role, including weekend, and holiday availability.
The Advanced Practice Provider (APP) in the Cardiac Inpatient Telemetry Unit plays a vital role in delivering high-quality, patient-centered care in a dynamic environment. In collaboration with physicians, APPs, consultants, nurses, and other healthcare professionals, the APP will provide specialized care to critically ill cardiac patients.
This role requires comprehensive care for cardiac surgical patients during both the pre-operative and post-operative periods as well as providing care for non-surgical patients. The APP is required to perform medical histories and physical exams as well as interpret laboratory and diagnostic testing data to inform clinical decisions. Additionally, the APP will be required to develop and implement patient care management plans, including prescribing medications and other medical therapies.
This role is a full-time nocturnist role, including weekend, and holiday availability. Applicants should be highly motivated to join a high-functioning multidisciplinary team. Excellent written and verbal communication skills are required.
ESSENTIAL RESPONSIBILITIES
- Practices collaboratively with physicians and other health care providers to provide high quality health care to children.
- Performs appropriate assessment of patient/family upon referral/admission and appropriately documents history and physical exam data.
- Performs ongoing assessment and evaluation of patient progress and revision of interdisciplinary plan of care.
- Collaborates inter-professionally as needed. Identifies patient/family need for further resources and initiates appropriate referrals.
- Documents patient care and progress on patient's chart.
- Provides patient/family teaching based on identification of learning needs.
- Acts as a patient's advocate.
- Acts as a role model to other members of the Patient Care Services Department to foster professional development.
- Acts as a liaison between families and members of the health care team.
- Promotes standards of care for the specialty area.
WHAT WE OFFER
- Recently increased compensation and generous sign on bonus!
- Extensive benefits package that includes quality-based bonus incentives, relocation allowance, life insurance, comprehensive health, dental and vision coverage
- CME and board maintenance allowances
- Retirement plan with employer matching and an additional 457B retirement savings plan
- Educational allowance, paid licensure and malpractice fees, and professional membership dues allowance
QUALIFICATIONS
- APRN: Compact State RN license, DE APRN License, Delaware CSR, Delaware DEA; Pediatric Acute Care Nurse Practitioner Certification; AHA BLS and ACLS Certification upon hire
- PA-C: Current: DE State Licensure, Delaware CSR, Delaware DEA, National Certification from the National Commission on Certification of Physician Assistants, AHA BLS and ACLS certification upon hire
- One to three years of experience required
FOR CONFIDENTIAL CONSIDERATION
Apply online today! Or send your resume via email to Megan.Roberts@nemours.org.
LI-MR1
CNOC2026
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Get Access To All JobsTips for Finding H-1B Visa Sponsorship in Acute Care Nurse Practitioner
Verify your APRN license transfers across states
H-1B approval depends on maintaining an active, unrestricted APRN license in the state where you'll practice. Confirm your credentials are accepted by that state board before your employer files the LCA with DOL.
Match your specialty certification to the SOC code
USCIS adjudicators scrutinize whether your ACNPC-AG or AGACNP-BC certification aligns with the employer's stated SOC code. A mismatch between your acute care specialty and the job description is a common RFE trigger.
Search LCA filings on Migrate Mate by hospital system
Filter by Acute Care Nurse Practitioner roles to see which hospital systems have active LCA filings. This surfaces employers already set up to sponsor H-1B petitions, saving you from cold-targeting systems with no filing history.
Target teaching hospitals and Level I trauma centers
Academic medical centers and Level I trauma centers hire ACNPs at higher volumes and typically have in-house immigration counsel, making them far more experienced at navigating H-1B paperwork for advanced practice roles.
Confirm the employer's H-1B filing window for your start date
USCIS caps H-1B petitions are subject to an April 1 filing window for October 1 start dates. If your offer comes late in the cycle, ask whether premium processing is available to meet your contract's start date.
Request the prevailing wage tier before signing your offer
Use the OFLC Wage Search to look up the Level I through Level IV prevailing wage for your SOC code and metro area. Employers must pay at or above the applicable level, and understanding this protects you in offer negotiations.
H-1B Visa Acute Care Nurse Practitioner: Frequently Asked Questions
Does an Acute Care Nurse Practitioner role qualify as a specialty occupation for H-1B purposes?
Yes. USCIS classifies ACNP positions as specialty occupations because they require at minimum a Master of Science in Nursing with a clinical concentration, plus national certification and state APRN licensure. The role's theoretical and practical complexity satisfies the degree-requirement standard USCIS applies when evaluating H-1B petitions.
Which employers sponsor H-1B visas for Acute Care Nurse Practitioners?
Large hospital systems, academic medical centers, and Veterans Affairs facilities are the most consistent H-1B sponsors for ACNP roles. Smaller community hospitals sponsor less frequently because they lack dedicated immigration counsel. Migrate Mate lets you search verified LCA filings by employer so you can prioritize outreach to systems with an active sponsorship track record.
Does my DEA registration affect my H-1B petition as an ACNP?
Your DEA registration doesn't directly affect the H-1B petition itself, but it affects your ability to start work on day one. Employers in prescribing-heavy ACNP roles often delay onboarding until your DEA number is active in the new state, which can complicate your employment start date relative to your H-1B approval notice.
Can I switch ACNP employers after my H-1B is approved?
Yes, under H-1B portability rules you can start working for a new employer once they file an H-1B transfer petition, without waiting for approval. The new employer must be in a specialty occupation role consistent with your ACNP credentials, and you must have been maintaining valid H-1B status with your prior employer.
What happens to my H-1B status if my APRN license lapses or is under review?
Your H-1B status requires that you maintain the qualifications underlying your specialty occupation classification. If your APRN license lapses, is suspended, or comes under board review, you may no longer be authorized to perform the duties your petition describes. Notify your employer's immigration counsel immediately, as USCIS can revoke an approved petition if the license requirement is no longer met.