H-1B Visa Advanced Practice Provider Jobs
Advanced Practice Provider roles, including nurse practitioners, physician assistants, and certified registered nurse anesthetists, qualify as H-1B specialty occupations when the position requires at least a bachelor's-level degree in a specific clinical field. Large health systems, academic medical centers, and multispecialty groups are active H-1B sponsors for APPs.
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Job Summary and Responsibilities
Virginia Mason Franciscan Health is seeking a Hospital Medicine Nocturnist APP in the beautiful Puget Sound Region of Washington State.
We invite experienced Advanced Practice Providers, particularly those with expertise in admissions and overnight shifts, to join our established hospitalist team. This team is recognized for its commitment to quality, excellence, and innovation within the picturesque Pacific Northwest. The role offers diverse work environments, encompassing in-person night coverage at a tertiary regional referral center, telemedicine-assisted overnight cross-coverage and patient evaluation, and in-person night coverage at a critical access hospital.
Compensation range of $154,186 - $186,900 is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law.
Job Requirements
Requirements of Advanced Practitioners:
- Extremely flexible and adaptable
- Perform evaluation and management services to patients requiring hospitalist services with the hospitalist practice
- Develop treatment plans
- Complete admissions from ED
- Perform dictation of H&P examinations
- Cross cover for the hospitalist team
- Perform such other responsibilities as reasonably assigned by the lead hospitalist and within NP/PA scope of practice
- Current, unrestricted license in Washington State
Where You'll Work
Virginia Mason Franciscan Health has a rich history of providing exceptional healthcare, dating back to 1891. Building upon a legacy of compassionate care and innovation, our organization has evolved over the years through strategic partnerships and integrations to expand our reach and services across the Puget Sound area.
Today, as Virginia Mason Franciscan Health, we remain deeply committed to healing the whole person – body, mind, and spirit – in the communities we serve. This commitment is strengthened by the diverse expertise and shared values brought together through our growth.
Our dedicated providers offer a full spectrum of health care services, from routine wellness to complex disease management, all grounded in rigorous research and education. Our comprehensive network of 10 hospitals and nearly 300 care sites strategically located across the greater Puget Sound region reflects our ongoing commitment to accessibility and comprehensive care.
We are proud of our pioneering medical advances and numerous awards and accreditations that reflect our dedication to excellence. When you join Virginia Mason Franciscan Health, you become part of a team that delivers top-quality, professional healthcare in modern, well-equipped facilities, and contributes to a legacy of service built on collaboration and shared purpose.
Pay Range
$154,000 - $186,900 /year
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Get Access To All JobsTips for Finding H-1B Visa Sponsorship in Advanced Practice Provider
Target academic medical centers first
Teaching hospitals and university health systems file cap-exempt H-1B petitions year-round, bypassing the annual lottery. If you're early in your job search, prioritizing these employers removes the lottery risk entirely.
Search verified sponsors on Migrate Mate
Use Migrate Mate to filter APP jobs by employers with confirmed H-1B LCA filing history for clinical roles. This narrows your list to organizations that have already navigated the process for positions like yours.
Benchmark your wage against DOL prevailing levels
Your offer must meet or exceed the DOL prevailing wage for your occupation and work location. Run your job title and zip code through the OFLC Wage Search before accepting an offer to flag any gap that could complicate LCA certification.
Confirm state licensure before the I-129 is filed
USCIS requires APPs to hold an active state license in the intended work state at the time of filing. Delays in state board processing can stall the entire petition, so start the licensure application as soon as you receive a verbal offer.
Clarify who covers petition and attorney fees
Employers are legally required to pay the I-129 filing fee, but premium processing and legal fees are sometimes negotiated. Ask HR specifically which costs are employer-paid before signing your offer letter to avoid surprises at filing.
Advanced Practice Provider jobs are hiring across the US. Find yours.
Find Advanced Practice Provider JobsAdvanced Practice Provider H-1B Visa: Frequently Asked Questions
Do Advanced Practice Provider roles qualify as H-1B specialty occupations?
Yes, most APP titles qualify when the position requires at least a bachelor's degree in a specific clinical field. Nurse practitioners, physician assistants, and certified registered nurse anesthetists typically meet the specialty occupation standard. USCIS evaluates the actual job requirements, not just the job title, so your offer letter and job description need to reflect the degree requirement explicitly.
Can I get an H-1B for an APP role without going through the lottery?
If your employer is a qualifying nonprofit research organization, university, or affiliated teaching hospital, they can file a cap-exempt H-1B petition at any time of year without lottery selection. Many large academic medical systems qualify. For cap-subject employers, you'd need to be selected in the annual lottery, which opens registration each March. Use Migrate Mate to identify cap-exempt employers actively hiring APPs.
What happens to my H-1B if I switch from one APP role to another employer?
Your new employer must file an H-1B transfer petition before your start date. Under AC21 portability rules, you can begin working for the new employer once the transfer petition is filed, as long as your prior H-1B was approved and you've been in valid status. The new role must still qualify as a specialty occupation, and your license must be active in the new state if you're relocating.
Does my foreign nursing or clinical degree meet H-1B requirements?
USCIS accepts foreign degrees that are equivalent to a U.S. bachelor's degree or higher in the relevant clinical field. A credential evaluation from a recognized agency is typically required to establish equivalency. For APPs from countries with three-year degree programs, work experience may be used to supplement the academic credential under USCIS equivalency guidelines. Your employer's immigration attorney will coordinate the evaluation.
How do I find health systems that actively sponsor H-1B visas for APP roles?
Look for employers with a documented history of filing Labor Condition Applications for clinical APP titles. DOL LCA disclosure data shows which health systems have filed for roles matching your occupation code. Migrate Mate surfaces this data filtered by job title and location, so you can focus your applications on employers who have already sponsored APPs rather than educating a reluctant HR team from scratch.
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