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 visa 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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Description
Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina.
Summary:
A Nurse Practitioner functions as part of the interdisciplinary healthcare team in accordance with privileges approved by the credentialing committee to provide high quality, cost effective care to patients within the APPs scope of practice in collaboration with a supervising physician. The APP reflects the mission, vision, and values of the organization, and complies with all relevant policies, procedures, guidelines and other regulatory and accreditation standards.
Responsibilities:
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Clinical - Obtains relevant health and medical history, performs thorough physical assessment, reviews and interprets pertinent diagnostic tests/results. Develops appropriate differential diagnoses. Develops and implements treatment plans including prescribing/ordering of appropriate evidence-based pharmacological agents consistent with departmental guidelines and privileging, and schedules appropriate follow-up management. Actively incorporates evidence-based hospital initiatives to improve patient care. Conducts preventive health screening based on age, history and patient needs. Maintains clear comprehensive yet concise records of all aspects of patient care. Maintains essential knowledge of general disease and pathologic processes. Maintains extensive knowledge of their specialty literature including awareness of developing areas. Consistently derives correct diagnoses through synthesis of clinical data and proper selection and interpretation of diagnostic studies. Develops comprehensive differential diagnoses for patients. Revises the plan of care to meet the changing needs of the patient. Prioritizes work and assists staff to provide prompt and efficient client flow. Consistently maintains high productivity according to identified standards. Leads/participates in projects to improve productivity. Appropriately performs medical procedures consistent with departmental guidelines, privileging, and clinical roles/responsibilities.
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Education - Appropriately and professionally educates clients and/or families regarding medical condition, treatment, and follow-up. Collaborates with clinicians, staff, and students to promote continuity and patient/family centered care. Develops educational materials based on learning needs of clinicians, staff, and students. Provide education/instruction to physicians, housestaff, nursing, ancillaries and/or students. Actively recognizes and participates in identification and achievement of self-learning needs. Attends education programs based on identified learning needs.
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Leadership - Provides instruction to physicians, housestaff, nursing, ancillaries and/or students including but not limited to precepting, shadowing, lectures, training classes, CE, rounds, morning report, and or staff meetings. Participates in community/network outreach programs. Develops/leads community/network outreach programs. Demonstrates both an understanding of the contexts and system in which healthcare is provided and the ability to apply this knowledge to improve and optimize health care delivery. Leads/participates in systems improvements.
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Professional - Interacts with patients and families in a respectful, courteous and timely fashion using appropriate communication for the patient and situation. Interacts collaboratively with coworkers, other team members and staff in a respectful, courteous, and timely fashion appropriate to patient care needs and situations. Responds quickly to meet customer needs and resolve problems. Accepts responsibility for outcomes of one’s work. Shares responsibility for overall workload with team members.
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Quality/Research - Engages in daily continuous quality improvement by identifying and implementing processes for improvement. Consults with management in assessment, problem-solving, decision-making, and evaluating clinical/system issues and models of care. Leads interdisciplinary teams to provide integrated delivery of patient care services. Initiates and revises protocol(s) or guideline(s) to reflect evidence-based changes in care management. Works to influence policy-making bodies to improve patient care. Develops new clinical programs or services within the department/unit/clinic to improve patient care.
Education Requirements:
- Completion of an accredited graduate-level Advanced Practice Provider (APRN or PA) program.
Licensure/Certification Requirements:
- Licensed as an Advanced Practice Provider (i.e., Nurse Practitioner, Physician Assistant, Clinical Pharmacist Practitioner, Certified Nurse Midwife, Certified Registered Nurse Anesthetist) in the state of North Carolina.
- Board certification if required by the Department. DEA.
Professional Experience Requirements:
- No prior experience required.
Knowledge/Skills/and Abilities Requirements:
- Demonstrated clinical competency.
- Effective leadership skills. Strong interpersonal skills.
- Ability to work independently and collaboratively.
- Demonstrated written and verbal communication and strong analytical skills.
- Effective interaction to ensure the successful care of patients in the clinical setting.
- Documentation in the medical record to substantiate accurate billing.
Job Details
Legal Employer: STATE
Entity: UNC Faculty Physicians
Organization Unit: Pediatrics
Work Type: Full Time
Standard Hours Per Week: 40.00
Work Assignment Type: Onsite
Work Schedule: Day Job
Location of Job: US:NC: Chapel Hill
Exempt From Overtime: Exempt: Yes
This is a State position employed by UNC Health Care System with UNC Health benefits. If, however, you are presently an employee of another North Carolina agency and currently participate in TSERS or the ORP, you will be eligible to continue participating in those plans at UNC Health.
Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.
UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.
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Get Access To All JobsTips for Finding H-1B Visa Sponsorship in Advanced Practice Provider
Verify your credentials meet specialty occupation
USCIS requires your APP role to demand a specific degree, not just any bachelor's. Pull the O*NET profile for your exact title to confirm the education requirement language before applying to H-1B-sponsoring employers.
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.
H-1B Visa Advanced Practice Provider: 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.