H-1B Visa Charge RN Jobs
Charge RN roles qualify as H-1B visa specialty occupations because the position requires a BSN or higher and an active RN license. Hospitals and health systems sponsor H-1B visas for Charge RNs across ICU, med-surg, and ED units. Cap-subject petitions compete in the annual lottery, but cap-exempt employers, including nonprofit hospitals affiliated with universities, can file year-round.
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Job Summary:
Provides nursing leadership while ensuring implementation of clinical objectives and quality patient care. Provides direct nursing care in accordance with established policies, procedures, and protocols of the healthcare organization.
Job Responsibilities:
- Provides leadership, orientation, training, coaching, and mentoring to staff.
- Ensures staff compliance with department and organization policies, procedures, and protocols.
- Responds to complaints about patient care and manages through established channels.
- Implements and monitors patient care plans.
- Monitors, records, and communicates patient condition as appropriate.
- Serves as a primary coordinator of all disciplines for well-coordinated patient care.
- Assesses and coordinates patients' discharge planning needs with members of the healthcare team.
- Assesses learning needs of patient and family and provides education based on age, culture, and willingness to learn.
- Notes and carries out physician and nursing orders.
- Performs job duties in accordance with the Nurse Practice Act.
- Coordinates daily flow of patients entering the department.
- Provides assistance with creating and managing the 6 week staff schedule.
Skills and Attributes:
- Requires critical thinking skills and decisive judgment.
- Works under general supervision.
- Must be able to work in a stressful environment and take appropriate action.
- Applies more advanced skills and knowledge in the area of specialization.
Position Requirements:
Work Experience
- A minimum of 2 years' relevant experience required
Education
- Associate's degree or higher in Nursing required upon hire AND
- Bachelor's degree or higher in Nursing required within 5 years of employment in this position
Licensure/Certification/Registration
- RN - Licensed as a Registered Nurse. Eligible to practice nursing in the State of Kentucky required upon hire AND
- BLS - Certified as a Basic Life Support Healthcare Provider required within 45 days of employment in this position
Organizational Responsibilities:
Supports Owensboro Health’s Mission, Vision, Core Commitments, and business interests. Adheres to all organizational policies and procedures. Executes all tasks and behaves in a manner consistent with a culture of compliance, safety and a high reliability organization.
Additional Job Information:
This job description describes the general nature and level of work required by the position. It is not intended to be an all-inclusive list of qualifications, skills, duties, responsibilities or working conditions of the job. Specific duties and responsibilities consistent with the general nature and level of work described may vary by department and additional related duties may be assigned as needed. Some duties listed may not apply to all employees with this job description.
The job description is subject to change with or without notice, and Management reserves the right to add, modify or remove any qualification or duty. Nothing in this job description changes the existing at-will employment relationship between the Organization and the employee occupying the position.
Standard ADA Settings:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Physical Demands: (Clinical - Hospital)
Standing: Frequently
Walking: Frequently
Sitting: Occasionally
Lifting 0-25 lbs.: Frequently
Lifting 25-75 lbs.: Rarely
Lifting over 75 lbs.: Rarely
Carrying 0-25 lbs.: Frequently
Carrying 25-75 lbs.: Rarely
Carrying over 75 lbs.: Rarely
Pushing/Pulling 0-25 lbs.: Frequently
Pushing/Pulling 25-75 lbs.: Frequently
Pushing/Pulling over 75 lbs.: Frequently
Climbing: Occasionally
Bending/Stooping: Frequently
Kneeling: Occasionally
Crouching/Crawling: Occasionally
Reaching: Frequently
Talking: Frequently
Hearing: Frequently
Repetitive Foot/Leg Movements: Rarely
Repetitive Hand/Arm Movements: Frequently
Keyboard Data Entry: Frequently
Running: Occasionally
Vision: Depth Perception: Frequently
Vision: Distinguish Color: Frequently
Vision: Seeing Far: Frequently
Vision: Seeing Near: Frequently
Hazardous Drug Risk Exposure: High risk
Owensboro Health Core Commitments
INTEGRITY - We conduct ourselves with a high level of responsibility, reliability and honesty because we take seriously the trust of our patients and coworkers.
RESPECT - We value and accept the unique talents and contributions of every patient, customer and team member in the Owensboro Health community.
TEAMWORK - We build a spirit of connectivity and fellowship by striving together to overcome obstacles, surpass goals, celebrate accomplishments and plan the future.
INNOVATION - We foster original ideas and creative solutions that improve our daily work and promote the mission of Owensboro Health.
SERVICE - We focus on service to patients, customers and team members by anticipating their needs, thoughtfully meeting those needs and continually improving the quality of everything we do.
EXCELLENCE - We reach beyond basic expectations to expand our knowledge and awareness, produce exceptional work and provide outstanding service.
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Get Access To All JobsTips for Finding H-1B Visa Sponsorship in Charge RN
Verify your NCLEX credential before applying
USCIS requires an active, unrestricted U.S. RN license for H-1B specialty occupation status. If your CGFNS evaluation or state board endorsement is still pending, resolve it before employers start your H-1B petition to avoid a Request for Evidence.
Target cap-exempt hospitals for faster filing
Nonprofit hospitals directly affiliated with universities can file H-1B petitions year-round, bypassing the lottery. Look for academic medical centers and teaching hospitals in your job search. They're the fastest path to H-1B status without waiting for April registration.
Use Migrate Mate to find LCA-verified Charge RN employers
Search Charge RN roles on Migrate Mate to see which employers have active DOL Labor Condition Application filings for nursing positions. That filing history confirms the employer has already navigated prevailing-wage certification and is set up to sponsor.
Confirm the prevailing wage for your unit and location
The DOL OFLC Wage Search lets you look up Level II and Level III prevailing wages for RN roles by metropolitan area. Charge RN responsibilities typically place the role at Level III. Confirm your offer meets that threshold before your employer files the LCA.
Ask whether premium processing is included in the offer
Standard H-1B adjudication can run several months. Requesting USCIS premium processing cuts that to 15 business days. Clarify upfront whether your employer covers the premium processing fee, since nursing unit staffing timelines often can't absorb a multi-month wait.
Document charge duties separately from bedside nursing duties
USCIS scrutinizes Charge RN petitions where job descriptions blend supervisory and direct-care tasks. Your employer's I-129 support letter should clearly state that the Charge RN role requires a BSN and that staff coordination, quality oversight, and clinical decision-making are the primary functions.
H-1B Visa Charge RN: Frequently Asked Questions
Does a Charge RN role qualify as an H-1B specialty occupation?
Yes, provided the employer requires a BSN or higher as a minimum qualification for the position. USCIS applies a four-part test for specialty occupation status. Charge RN roles typically qualify because the role requires a specific degree in nursing and involves clinical judgment and supervisory responsibility that a general bachelor's degree can't substitute for.
How do I find hospitals that sponsor H-1B visas for Charge RN positions?
Search for Charge RN roles on Migrate Mate, which filters listings by employers with verified DOL Labor Condition Application filing history. Academic medical centers, large nonprofit hospital systems, and VA facilities are the most consistent sponsors. Hospitals already enrolled in E-Verify are further along in the compliance infrastructure required to support H-1B sponsorship.
Can a hospital sponsor my H-1B if I'm currently on OPT or STEM OPT?
Yes. If you're working as a Charge RN on OPT and your employer wants to retain you, they can file an H-1B petition during the April cap registration window. If your STEM OPT extension is active, the cap-gap rule extends your work authorization through September 30 if your petition is selected and pending. Your employer must be E-Verify enrolled for STEM OPT.
What wage level applies to Charge RN roles for H-1B LCA purposes?
DOL typically places Charge RN roles at Level III on the prevailing-wage scale, reflecting the supervisory and clinical coordination responsibilities beyond standard bedside nursing. Your employer must certify the offered wage meets or exceeds the Level III prevailing wage for the relevant metropolitan area using the OFLC Wage Search before filing the LCA.
Will USCIS issue an RFE for a Charge RN H-1B petition?
Requests for Evidence are common for nursing H-1B petitions when the job description doesn't clearly establish that a BSN is required rather than preferred, or when duties mix direct patient care with charge responsibilities. A strong petition includes a detailed duties breakdown, an organizational chart showing the Charge RN's supervisory scope, and documentation that the employer's internal policy mandates a BSN for the role.