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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At Houston Methodist, the Nurse Practitioner Acute Care (NP-AC) is responsible for functioning as a licensed registered nurse and care provider to provide all aspects of patient care, including diagnosis, treatment and consultation while maintaining and promoting the health of the patient. This position may work in both inpatient and outpatient situations and performs according to the nurse practice act of the State of Texas and as part of a treatment team. The NP-AC position role models compassionate communication with patients, physicians and the interprofessional health care team and provides education to patients about preventative care and prescribed treatments. This position may also conduct physicals, order tests and serve as a patient's healthcare provider, prescribing medications as appropriate. The NP-AC position affects direct patient care according to the Houston Methodist Professional Practice Model Nursing Practice and Professional Performance policies and procedures.
FLSA STATUS
Exempt
QUALIFICATIONS
Education
Master’s degree or higher from an accredited school of Nursing and graduate from an accredited Nurse Practitioners program
Experience
Two years of registered nurse, advanced practice or nurse practitioner clinical experience
LICENSES AND CERTIFICATIONS
Required
- RN - Registered Nurse - Texas State Licensure - Texas Board of Nursing_PSV Compact Licensure – Must obtain permanent Texas license within 60 days (if establishing Texas residency)
- APRN Acute Care state license
- Magnet ANCC-recognized Acute-Care practitioner certification
- BLS - Basic Life Support or Instructor (AHA) - American Heart Association
- ACLS - Advanced Cardiac Life Support or Instructor (AHA) - American Heart Association
- AP - Prescriptive Authority - Texas Board of Nursing - Texas Department of Licensing and Regulation_PSV
- DEA - Narcotics License (DEA) - Drug Enforcement Administration_PSV within 6 months
KNOWLEDGE AND ABILITIES
Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through ongoing skills, competency assessments, and performance evaluations
- Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
- Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
- Demonstrates highly developed assessment, clinical, documentation, leadership, and analytical skills
- Uses therapeutic communication to establish a relationship with patients, families and interprofessional team to collaborate on the plan of care
- Strong organizational and problem-solving skill as evidenced by capacity to prioritize multiple tasks and role components
- Ability to function independently and exercise judgment in interactions with physicians, interprofessional care team and patients and their families
- Demonstrates proficient time management skills
- Uses critical thinking skills and clinical judgment to work autonomously as defined by the Nurse Practice Act
ESSENTIAL FUNCTIONS
PEOPLE ESSENTIAL FUNCTIONS
Demonstrates leadership as a clinical resource, interprofessional consultant, and patient advocate. Identifies staff development opportunities for professional growth of colleagues, provides coaching to meet identified goals.
- Communicates organizational information and aspects of administrative and clinical practice in a respectful and positive manner when interacting with staff. Advocates for a balanced workload, promotes positive behaviors, and peer-to-peer accountability. Facilitates the promotion of teamwork.
- Collaborates with the interprofessional healthcare team members to manage/coordinate patient care. Advocates on patient/family’s behalf to identify and resolve clinical and ethical concerns.
- Collaborates to foster healthy relationships in the work environment. Acts as a role model and coaches staff in effective verbal, non-verbal and written communication. Serves as preceptor for Nurse Practitioner students and medical resident(s), as applicable. Uses peer-to-peer accountability towards improvement of department score for employee engagement.
SERVICE ESSENTIAL FUNCTIONS
Coordinates appropriate, timely patient care under physician supervision, for a defined patient population(s), focusing on identified expected unit/optimal outcomes, individualized to the patient.
- Prioritizes care based on the patient’s needs, abilities, and preferences.
- Coordinates patient care between healthcare providers. Attends and participates in interprofessional rounds, as appropriate.
- Helps drive improvement of department score for patient satisfaction, through peer-to-peer accountability to service standards.
QUALITY/SAFETY ESSENTIAL FUNCTIONS
Functions as a quality care provider, coordinating, maintaining, and promoting the health of the patient. Assists the interprofessional healthcare team in the development and implementation of protocols to ensure patient safety. Affects direct patient care according to the Nurse Practice Act of the State of Texas and the Houston Methodist Professional Practice Model Nursing Practice and Professional Performance.
- Conducts health assessments (initial, ongoing, discharge, as appropriate). Identifies normal/abnormal health characteristics, develops plan of care, initiates appropriate interventions, and evaluates care outcomes on defined patient populations(s).
- Performs invasive, diagnostic, or therapeutic procedures necessary for defined patient population(s) based on licensure and credentialed privileges.
- Provides safe and effective care by leading and initiating outcome, quality, and safety improvement activities in alignment with organizational goals. Integrates and contributes to professional practice standards, policies, procedures, protocols and leads improvements in patient safety-related processes.
FINANCE ESSENTIAL FUNCTIONS
Implements department strategies to achieve financial targets and mentors others to do the same through timely documentation of care, decreasing length of stay, optimizing efficiency, and other areas according to departmental specifications.
- Projects awareness and understanding of resource allocation based on patient needs and staff experience, knowledge, and skills.
GROWTH/INNOVATION ESSENTIAL FUNCTIONS
Promotes quality health care through integration of current research into practice and participation in research/evidence-based activities. Identifies opportunities for practice changes and performance improvement.
- Provides education of information/knowledge in professional activities such as research, presentations, and publications. Expands individual nursing knowledge and coaches staff to grow in knowledge, abilities, skills, and attitudes. Serves as clinical resource. Ensures own career discussions occur with appropriate management. Completes and updates the My Development Plan on an ongoing basis.
SUPPLEMENTAL REQUIREMENTS
WORK ATTIRE
- Uniform: No
- Scrubs: Yes
- Business professional: Yes
- Other (department approved): Yes
ON-CALL
- Note that employees may be required to be on-call during emergencies (ie. Disaster, Severe Weather Events, etc) regardless of selection below.
- On Call Yes
TRAVEL
Travel specifications may vary by department
- May require travel within the Houston Metropolitan area Yes
- May require travel outside Houston Metropolitan area No
Company Profile:
Houston Methodist Specialty Physician Group is an integral part of Houston Methodist’s overall strategy to become one of the nation’s leading academic medical centers. Established as a nonprofit corporation certified by the Texas State Board of Medical Examiners, the Specialty Physician Group enables physicians to maintain autonomy with respect to clinical practice while growing their practice within an academic environment.
Houston Methodist is an Equal Opportunity Employer.
See all 122+ H-1B Visa Acute Care Nurse Practitioner Jobs
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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.