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 UT MD Anderson is a leading institution focused on cancer care, research, education, and prevention. Within the West Houston Houston Area location, the Advanced Practice Provider or Physician Assistant - Breast Oncology plays a vital role in delivering comprehensive, patient-centered care across the breast oncology service line. The Advanced Practice Provider or Physician Assistant - Breast Oncology supports both acute and ambulatory care settings while contributing to clinical excellence, patient safety, and continuity of care.
UT MD Anderson's multidisciplinary approach empowers the Advanced Practice Provider or Physician Assistant - Breast Oncology to collaborate closely with physicians and care teams, ensuring high-quality outcomes through coordinated treatment planning, symptom management, and survivorship support. This role integrates clinical practice, education, and research initiatives to advance patient care and institutional goals.
The ideal candidate will have a strong clinical foundation with experience in oncology care, particularly breast cancer, along with demonstrated ability to collaborate across interdisciplinary teams.
WORK SCHEDULE
The work schedule is Monday - Friday, 8AM-5PM
WORK LOCATION
Work Location: West Houston
WHY US?
At UT MD Anderson, the Advanced Practice Provider - Breast Oncology contributes directly to a mission-driven environment focused on eliminating cancer through exceptional clinical care, research advancement, and education. This role offers opportunities to build specialized expertise in breast oncology, collaborate with leading clinicians, and participate in research initiatives, all while maintaining a structured weekday schedule that supports work-life balance and professional development.
- 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.
Responsibilities
Clinical Patient Care
- Conduct preliminary assessments for new and follow-up clinic patients
- Document clinic progress notes, evaluations, and consultation notes
- Write outpatient orders including chemotherapy, IV fluids, transfusions, and growth factors
- Assist with clinic paperwork such as imaging, scheduling, prescriptions, and chemotherapy orders
- Evaluate clinic and Emergency Center "drop-in" patients
- Assume responsibility for clinic patients in physician absence
- Manage patients within the ambulatory treatment center
- Screen patient calls and escalate to physician as appropriate
- Attend patient care-related department meetings
- Support physician clinic activities including retrieving labs, imaging, and contacting consulting providers
Research & Clinical Trials Support
- Screen patients for eligibility in clinical trials
- Obtain charts and imaging for trial analysis
- Assist in preparing chemotherapy orders for clinical trial protocols
- Perform administrative and patient care activities related to clinical trials
Patient Evaluation & Education
- Perform physical examinations and evaluate patient conditions
- Document findings and present patient cases to attending physicians
- Review patient histories and clinical data
- Collaborate with research nursing staff to identify eligible patients
- Educate patients on protocol treatment options and care plans
Administrative & Records Management
- File, sort, and distribute clinical documentation
- Handle technical and confidential patient information
- Prepare reports and assist with presentations
- Dictate correspondence to referring physicians
- Retrieve charts from medical records
Care Coordination & Tumor Board Support
- Coordinate services across departments to support clinical and project goals
- Organize and communicate clinical information clearly and effectively
- Compile case study data for tumor board conferences
- Review patient charts to ensure adherence to multidisciplinary recommendations
- Document tumor board discussions in EPIC within 48 hours
- Communicate with fellows regarding missing documentation or orders
- Provide tumor board coverage in the absence of the MDC manager
Education
Advanced Practice Registered Nurse
Master's Degree in Nursing or Doctor of Nursing Practice. May be waived for applicants who obtained recognition as an Advanced Practice Registered Nurse from the Texas State Board of Nursing prior to 1/1/2003. Graduate education and related Texas Board of Nursing authorization must be consistent with clinical practice area and patient population.
Experience: At least 1-2 years particularly breast cancer experience as an Advanced Practice Provider or Physician Assistant.
Physician Assistant
Master's degree from an 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.
Experience
Preferred: At least 1-2 years particularly breast cancer experience as an Advanced Practice Provider or Physician Assistant.
LICENSURE / CERTIFICATION
Advanced Practice Registered Nurse
All of the following:
- Written authorization from the Texas Board of Nursing to function as an Advanced Practice Registered Nurse (APRN or ACNP or ACNPC or ACAGNP or AGACNP or ACNPC-AG or AGACNP or AGNP or ACPNP or ANP or AGNP or AGPCNP or FNP or GNP or PNP or PMHNP or WHNP or APNP). Related authorization must be consistent with clinical practice area and patient population.
- Basic Life Support (BLS). Pediatric Advanced Life Support (PALS) If working in the following departments: Pediatric - Patient Care (113100).
- MAY BE REQUIRED: Authorization for limited prescriptive authority by the Texas Board of Nursing.
Physician Assistant
All of the following:
- PA certification by the National Commission of Certification of Physician Assistants.
- Licensed by the Texas State Board of Physician Assistant Examiners.
- MAY BE REQUIRED: Eligible to be granted limited prescriptive authority by the State of Texas.
- Must meet the American Heart Association Basic Life Support (BLS), ACLS (Advanced Cardiac Life Support) or PALS (Pediatric Advanced Life Support) if working in one of following department: Pediatrics - Patient Care (113100).
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: 181257
- Employment Status: Full-Time
- Employee Status: Regular
- Work Week: 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: Hybrid Onsite/Remote
- 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.