H-1B Visa Advanced Practice Registered Nurse Aprn Jobs
Advanced Practice Registered Nurses hold H-1B visa-qualifying specialty occupation status, but employers must file a Labor Condition Application with DOL before USCIS can approve your petition. Health systems, hospital networks, and outpatient groups regularly sponsor H-1B visas for NPs, CRNAs, CNMs, and CNSs across primary care, acute care, and specialty settings.
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INTRODUCTION
The University of Texas MD Anderson Cancer Center Department of Urology is nationally recognized for excellence in patient care, surgical innovation, and clinical outcomes, ranking #5 in the nation in US News & World Report for 2025-2026. As part of a nationally ranked Urology team, the APP will contribute to cutting-edge care and surgical innovation. Join a collaborative team known for surgical excellence, patient-centered care, and continuous professional development. The Advanced Practice Provider (APP) will join a collaborative team where advanced practice providers are integrated into every aspect of patient care across inpatient and surgical settings.
The Advanced Practice Provider (APP) will provide direct patient care, assist with surgical procedures, and contribute to research and education initiatives and will primarily support patients at the Texas Medical Center campus. This position will function in the outpatient clinic setting as well as the operating room. UT MD Anderson is a leading institution focused on cancer care, research, education, and prevention. Through an integrated approach to patient care, research, prevention, and education, UT MD Anderson is committed to eliminating cancer in Texas, the nation, and the world.
The ideal candidate will have preferred experience as an Advanced Practice Provider in Urology, including at least two years of APP experience. Candidates should be committed to delivering patient-centered care, collaborating within multidisciplinary teams, and supporting both outpatient and surgical patient populations.
ROLE AND RESPONSIBILITIES
Advanced Practice Provider - Advanced Practice Registered Nurse (APRN) or Physician Assistant (PA) - Urology Inpatient
Salary
- Minimum $117,500.00
- Midpoint $146,500.00
- Maximum $176,500.00
Work Location: Main Campus at the Texas Medical Center
Why Us?
At UT MD Anderson, this role directly supports the mission of delivering exceptional cancer care through specialized urology services. Team members have the opportunity to work alongside leading clinicians, contribute to meaningful patient outcomes, and grow professionally in a collaborative academic healthcare environment while benefiting from programs that support well-being and work-life balance.
- Employer-paid medical coverage starting day one for employees working 30+ hours/week, plus optional group dental, vision, life, AD&D, and disability insurance.
- Accruals for PTO and Extended Illness Bank, plus paid holidays, wellness, childcare, and other leave options.
- Tuition Assistance Program after six months of service and access to extensive wellness, fitness, and employee resource groups.
- Defined-benefit pension through the Teachers Retirement System, voluntary retirement plans, and employer-paid life and reduced salary protection programs.
Key Responsibilities
- Obtains medical history and performs physical exam on patients. Interprets diagnostic tests and radiographic results and comes up with a management plan for patients in concert with fellow and faculty physicians. Takes responsibility for patient assessment, triage, and therapeutic management of patient needs as an integral part of an interdisciplinary team. Documents in chart for all patients seen.
- Reviews/orders diagnostic tests and radiographic results. Formulates and manages patient treatment plans and outcomes.
- Performs procedures, prescribes treatment, and signs prescriptions in accordance with institution and state requirements. Screens physician calls to educate patient/family on care and resources.
- Performs as first or second assist on operative cases using fine motor skills and manual dexterity.
- Manage pre-operative and post-operative patients in coordination with the attending physician and Fellows. An in-depth understanding of the pathophysiology of both cancer as well as surgical process and wound healing is necessary.
- Provide patient education which requires good interpersonal skills and a working knowledge of urologic oncology.
- Coordinate patient care with multidisciplinary team to include but not limited to Physician, Advanced Practice Providers, providers from other hospital services, in-patient and outpatient nurses, Case Managers, Social Workers, Physical Therapist, Pharmacists, Respiratory Therapists and other Allied Health team members.
- Other duties as assigned.
Education
- Required: Degree requirements as defined by the Texas Board of Nursing (BON) or Texas State Board of Physician Assistant Examiners (TSBPAE) as required for clinical licensure as an Advanced Practice Registered Nurse or Physician Assistant.
- Master's Degree Accredited Physician Assistant (PA) program by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA), except for Physician Assistants who graduated from a PA program prior to 2013.
LICENSES AND CERTIFICATIONS
- Required: PAC - Physician Assistant Certification by the National Commission of Certification of Physician Assistants. Upon Hire
- Required: PA - Physician Assistant Licensed by the Texas State Board of Physician Assistant Examiners Upon Hire
- Required: BLS - Basic Life Support American Heart Association (AHA). Upon Hire
- Required: ACLS - Advanced Cardiac Life Support American Heart Association (AHA). Upon Hire or
- Required: PALS - Pediatric Advanced Life Support American Heart Association (AHA). If working in one of following department: Pediatrics - Patient Care (113100). Upon Hire
- Required: MAY BE REQUIRED: Eligible to be granted limited prescriptive authority by the State of Texas. Upon Hire
- Required: Clinical Privileges Must obtain and maintain relevant clinical privileges. Continued employment in this position at MD Anderson is contingent upon maintaining these privileges.
PREFERRED
American Heart Association Basic Life Support (BLS), ACLS (Advanced Cardiac Life Support) or PALS (Pediatric Advanced Life Support) certification as required by patient care area.
Experience
Required: None.
Preferred: Inpatient experience. 2 years APP level experience; ACNP-BC or AGACNP for APRNs.
The University of Texas MD Anderson Cancer Center offers excellent benefits, including medical, dental, paid time off, retirement, tuition benefits, educational opportunities, and individual and team recognition.
This position may be responsible for maintaining the security and integrity of critical infrastructure, as defined in Section 113.001(2) of the Texas Business and Commerce Code and therefore may require routine reviews and screening. The ability to satisfy and maintain all requirements necessary to ensure the continued security and integrity of such infrastructure is a condition of hire and continued employment.
It is the policy of The University of Texas MD Anderson Cancer Center to provide equal employment opportunity without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, disability, protected veteran status, genetic information, or any other basis protected by institutional policy or by federal, state, or local laws unless such distinction is required by law.
ADDITIONAL INFORMATION
- Requisition ID: 182927
- Employment Status: Full-Time
- Employee Status: Regular
- Work Week: Day/Evening, Days
- Minimum Salary: US Dollar (USD) 117,500
- Midpoint Salary: US Dollar (USD) 146,500
- Maximum Salary: US Dollar (USD) 176,500
- FLSA: exempt and not eligible for overtime pay
- Fund Type: Hard
- Work Location: Onsite
- Pivotal Position: Yes
- Referral Bonus Available?: Yes
- Relocation Assistance Available?: Yes
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Get Access To All JobsTips for Finding H-1B Visa Sponsorship in Advanced Practice Registered Nurse Aprn
Verify your APRN credentials meet H-1B requirements
Your state APRN license, national certification from ANCC or AANPCP, and graduate degree must all be current before an employer files your LCA. A lapsed certification or pending licensure transfer can stall the USCIS petition for months.
Target health systems enrolled in E-Verify
Federal contractors and health systems that accept Medicare and Medicaid reimbursement are often required to use E-Verify, which signals institutional readiness to hire H-1B workers. Filter your search by these employer types to avoid organizations without sponsorship infrastructure.
Search APRN roles using Migrate Mate
Migrate Mate lets you filter APRN job listings by employers with active H-1B LCA filing history, so you're targeting positions where sponsorship is already established practice rather than negotiating from scratch.
Confirm the LCA wage level matches your specialty
APRN prevailing wages vary significantly by specialty and location. Use the OFLC Wage Search to look up the DOL wage level for your specific SOC code before accepting an offer, since a Level I wage on an NP role in a high-cost metro can complicate petition approval.
Negotiate H-1B filing costs before signing an offer
Employers are legally required to pay mandatory USCIS filing fees, but premium processing is often negotiable. Clarify in writing whether your employer will cover premium processing, especially if your OPT or prior status has a narrow runway before your start date.
Understand how cap-exempt employers affect your timeline
Nonprofit hospitals, federally qualified health centers, and university-affiliated clinics can file H-1B petitions outside the annual lottery. If you're on OPT with a short extension window, targeting cap-exempt employers gives you a filing path year-round without waiting for April registration.
H-1B Visa Advanced Practice Registered Nurse Aprn: Frequently Asked Questions
Does an APRN role qualify as a specialty occupation for H-1B purposes?
Yes. APRN positions require at minimum a master's degree in nursing or a related clinical field, which satisfies the H-1B specialty occupation standard requiring at least a bachelor's degree in a directly related discipline. USCIS evaluates the specific role and employer requirements, so job postings must specify the graduate degree as a genuine requirement, not just a preference.
How do I find employers who have sponsored H-1B visas for APRN roles before?
Migrate Mate shows verified LCA filing history by employer and occupation, so you can identify health systems and outpatient groups that have actively sponsored APRN positions. This matters because organizations with no prior H-1B filings often lack the HR and legal infrastructure to process a petition efficiently, adding months to your timeline.
Can a hospital sponsor my H-1B if I'm already working there on OPT?
Yes, and this is one of the more straightforward sponsorship paths for APRNs. Your employer files the H-1B petition while you're authorized on OPT, and if you're in a STEM-designated role, your STEM OPT extension may bridge the gap until October 1 of the cap year. Nursing and most APRN SOC codes are not STEM-designated, so confirm your specific classification before relying on a STEM bridge.
What is an LCA and why does it matter for APRN H-1B sponsorship?
The Labor Condition Application is a DOL-certified document your employer files before USCIS can process your H-1B petition. It certifies that your offered wage meets the prevailing wage for your APRN specialty and location, that working conditions won't harm similarly employed workers, and that no strike or lockout is ongoing. DOL must certify the LCA before the I-129 petition can be submitted.
Does working for a nonprofit hospital or federally qualified health center affect my H-1B options?
Significantly. Nonprofit hospitals and federally qualified health centers are cap-exempt employers, meaning they can file H-1B petitions at any time of year without entering the annual lottery. For APRNs on OPT with limited time remaining, these employers offer a direct path to H-1B status without waiting for the April registration window or risking lottery non-selection.