H-1B Visa CNS Jobs
CNS roles in acute and critical care settings qualify as H-1B specialty occupations under the nursing practice and advanced clinical expertise standard. Employers filing H-1B petitions for CNS positions must certify a prevailing wage through a DOL Labor Condition Application, and petitions are subject to the annual 85,000-cap lottery unless filed through a cap-exempt institution.
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Get Access To All JobsINTRODUCTION
Nationally certified Advanced Practice Provider who provides primary and/or specialty care in a variety of healthcare settings. Functions in collaboration with the health care team in accordance with certification and licensure. Practice emphasizes health promotion, disease prevention and the diagnosis and treatment of acute and chronic health problems. Responsible for dissemination of knowledge through instructing, leading and developing educational programs.
Cleveland Clinic Mercy Hospital is seeking qualified APRN, PA or CNS for the General Surgery department. The Provider will help manage the pre-operative, including history and physicals. In addition, managing patients on the floor post-operatively by writing progress notations, removing drains, and attending to any wound or healing issues. Provider will also have opportunities to first or second assist in the operating room.
SCHEDULE:
Monday-Friday, rotating weekends/holidays
4 10-hr shifts, shifts will vary between hours of 6:30am and 4:30pm.
No call requirements
Responsibilities:
- Conducts thorough medical histories, performs complete physical examinations (where indicated), initiates appropriate lab, radiology tests or other special tests required for evaluation of illness, and scrutinizes lab data to establish a record of the patient's current health status and to develop a working diagnosis and treatment plan. Works in collaboration with the health care team.
- Performs and interprets common laboratory, radiologic, cardiographic and other routine diagnostic procedures used to identify pathophysiologic processes as credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals.
- Performs routine and specialized procedures as credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals.
- May prescribe and monitor medications as allowed by license through applicable state board and Cleveland Clinic policies.
- Educates patients and answers questions regarding their disease, treatments, related drug and treatment side effects and hazards.
- Participates in medical team rounds; collaborates with nursing, medical and other healthcare team members regularly to ensure quality patient care.
- Refers patients to specialists as appropriate for consultation or for specialized health resources and treatment.
- Ensures continuity of care by serving as a liaison between patient and other members of the multi-disciplinary care team or with other specialty areas as necessary.
- Participates in quality monitoring thru the review of records and treatment plans for patient outcomes on a periodic basis to assure quality care.
- Facilitates appropriate length of stay, discharge planning and compliance with regulatory standards for inpatient management.
- Supports professional development of the health care team.
- Promotes translation of evidence-based practices, guidelines, and research.
- May conduct research studies. May assists in data collection and analysis.
- May serve as clinical preceptor for students. May onboard new caregivers.
- Other duties as assigned.
Education:
APRN
- Effective 05/01/2014: MSN required upon hire or within 3 years of hire for external hires and internal hires moving from a non-APRN licensed role to an APRN licensed role.
- Graduate of an accredited APRN program.
- If in neonatal care service area Master’s Degree is required upon hire.
PA
- Graduate of an A.R.C. approved Physician Assistant Program.
- Master’s degree in Physician Assistant Studies and/or higher degree obtained from a program recognized by their practicing states Licensing Board.
CERTIFICATIONS:
NP
- Currently licensed as a Nurse Practitioner in applicable state(s).
- Must be licensed as an RN in applicable state(s).
- National certification as a Nurse Practitioner by nationally accredited organization recognized by state Board of Nursing.
- Basic Life Support (BLS) through the American Heart Association (AHA) required.
- Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) through the American Heart Association (AHA); or Neonatal Resuscitation Program (NRP) through the American Academy of Pediatrics (AAP) may be required based upon work setting.
- Must have arrangements with at least one physician in accordance with requirements set forth by the State Board of Nursing in applicable states.
- Must be credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals.
PA
- Certification as a Physician Assistant through the NCCPA or successor organization recognized by their practicing states Licensing Board.
- License to practice and prescribe issued by their practicing states Licensing Board.
- Current DEA License or DEA designee as required by NCQA.
- Basic Life Support (BLS) through the American Heart Association (AHA) required.
- Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) through the American Heart Association (AHA); or Neonatal Resuscitation Program (NRP) through the American Academy of Pediatrics (AAP); or Advanced Trauma Life Support (ATLS) American Heart Association may be required based upon work setting.
- If a candidate has held a license to prescribe within another jurisdiction and needs to obtain a master's degree in order to apply for prescribing privileges the candidate will be subject for review for eligibility for hiring within our system.
- Must have a Physician Supervision Agreement and signed addendum to Physician Supervision Agreement.
- Must be credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals.
CNS
- Currently licensed as a Clinical Nurse Specialist in applicable state(s).
- Must be licensed as an RN in applicable state(s).
- National certification as a Clinical Nurse Specialist by nationally accredited organization recognized by state Board of Nursing.
- Basic Life Support (BLS) through the American Heart Association (AHA) required.
- Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) through the American Heart Association (AHA); or Neonatal Resuscitation Program (NRP) through the American Academy of Pediatrics (AAP) may be required based upon work setting.
- Must have arrangements with at least one physician in accordance with requirements set forth by the State Board of Nursing in applicable states.
- Must be credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals.
LANGUAGES:
Oral and written communication in English
CERTIFICATIONS:
- Certification as a Physician Assistant through the NCCPA or successor organization recognized by their practicing states Licensing Board.
- License to practice and prescribe issued by their practicing states Licensing Board.
- Current DEA License or DEA designee as required by NCQA.
- Basic Life Support (BLS) through the American Heart Association (AHA) required.
- Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) through the American Heart Association (AHA); or Neonatal Resuscitation Program (NRP) through the American Academy of Pediatrics (AAP); or Advanced Trauma Life Support (ATLS) American Heart Association may be required based upon work setting.
- If candidate has held a license to prescribe within another jurisdiction and needs to obtain a master's degree in order to apply for prescribing privileges the candidate will be subject for review for eligibility for hiring within our system.
- Must have arrangements with at least one physician in accordance with requirements set forth by the State Board of Nursing in applicable states.
- Must be credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals.
COMPLEXITY OF WORK:
- Excellent analytical and decision-making skills are required.
- Strong written and verbal communication skills.
- Ability to work as a member of a multi-disciplinary team.
- Demonstrated competency and the ability to perform advanced assessment and diagnosis.
- Demonstrated ability to utilize the electronic medical record.
- Demonstrates a high standard of moral and ethical behavior.
- Demonstrates compassion and professionalism and a commitment to excellent patient care.
- Requires critical thinking skills, decisive judgement, and the ability to work independently.
- Must be able to work in a stressful environment and take appropriate action.
WORK EXPERIENCE:
Related clinical experience preferred.
Physical Requirements:
- Typical physical demands include the ability to walk and stand for long periods of time.
- Manual and finger dexterity and eye/hand coordination to perform physical examinations.
- Requires corrected vision and hearing to a normal range.
- Occasionally lifts and carries items weighing up to 50 pounds.
- May require exposure to communicable diseases and/or body fluids.
PERSONAL PROTECTIVE EQUIPMENT:
Follows standard precautions using personal protective equipment as required.
PAY RANGE
Minimum Annual Salary: $101,900.00
Maximum Annual Salary: $173,220.00
The pay range displayed on this job posting reflects the anticipated range for new hires. Actual compensation may be higher or lower than the standard range, depending on factors such as job responsibilities, relevant experience, skills, scheduling requirements, education, and area of licensure. Please note, the displayed pay range does not include additional pay practices or the value of Cleveland Clinic's comprehensive benefits package (including healthcare, dental and vision coverage, retirement savings contributions, and more). The listed range is based on a full-time (1.0 FTE) with the exception of PRN positions, which have an hourly rate based on the position type.
INTRODUCTION
Nationally certified Advanced Practice Provider who provides primary and/or specialty care in a variety of healthcare settings. Functions in collaboration with the health care team in accordance with certification and licensure. Practice emphasizes health promotion, disease prevention and the diagnosis and treatment of acute and chronic health problems. Responsible for dissemination of knowledge through instructing, leading and developing educational programs.
Cleveland Clinic Mercy Hospital is seeking qualified APRN, PA or CNS for the General Surgery department. The Provider will help manage the pre-operative, including history and physicals. In addition, managing patients on the floor post-operatively by writing progress notations, removing drains, and attending to any wound or healing issues. Provider will also have opportunities to first or second assist in the operating room.
SCHEDULE:
Monday-Friday, rotating weekends/holidays
4 10-hr shifts, shifts will vary between hours of 6:30am and 4:30pm.
No call requirements
Responsibilities:
- Conducts thorough medical histories, performs complete physical examinations (where indicated), initiates appropriate lab, radiology tests or other special tests required for evaluation of illness, and scrutinizes lab data to establish a record of the patient's current health status and to develop a working diagnosis and treatment plan. Works in collaboration with the health care team.
- Performs and interprets common laboratory, radiologic, cardiographic and other routine diagnostic procedures used to identify pathophysiologic processes as credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals.
- Performs routine and specialized procedures as credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals.
- May prescribe and monitor medications as allowed by license through applicable state board and Cleveland Clinic policies.
- Educates patients and answers questions regarding their disease, treatments, related drug and treatment side effects and hazards.
- Participates in medical team rounds; collaborates with nursing, medical and other healthcare team members regularly to ensure quality patient care.
- Refers patients to specialists as appropriate for consultation or for specialized health resources and treatment.
- Ensures continuity of care by serving as a liaison between patient and other members of the multi-disciplinary care team or with other specialty areas as necessary.
- Participates in quality monitoring thru the review of records and treatment plans for patient outcomes on a periodic basis to assure quality care.
- Facilitates appropriate length of stay, discharge planning and compliance with regulatory standards for inpatient management.
- Supports professional development of the health care team.
- Promotes translation of evidence-based practices, guidelines, and research.
- May conduct research studies. May assists in data collection and analysis.
- May serve as clinical preceptor for students. May onboard new caregivers.
- Other duties as assigned.
Education:
APRN
- Effective 05/01/2014: MSN required upon hire or within 3 years of hire for external hires and internal hires moving from a non-APRN licensed role to an APRN licensed role.
- Graduate of an accredited APRN program.
- If in neonatal care service area Master’s Degree is required upon hire.
PA
- Graduate of an A.R.C. approved Physician Assistant Program.
- Master’s degree in Physician Assistant Studies and/or higher degree obtained from a program recognized by their practicing states Licensing Board.
CERTIFICATIONS:
NP
- Currently licensed as a Nurse Practitioner in applicable state(s).
- Must be licensed as an RN in applicable state(s).
- National certification as a Nurse Practitioner by nationally accredited organization recognized by state Board of Nursing.
- Basic Life Support (BLS) through the American Heart Association (AHA) required.
- Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) through the American Heart Association (AHA); or Neonatal Resuscitation Program (NRP) through the American Academy of Pediatrics (AAP) may be required based upon work setting.
- Must have arrangements with at least one physician in accordance with requirements set forth by the State Board of Nursing in applicable states.
- Must be credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals.
PA
- Certification as a Physician Assistant through the NCCPA or successor organization recognized by their practicing states Licensing Board.
- License to practice and prescribe issued by their practicing states Licensing Board.
- Current DEA License or DEA designee as required by NCQA.
- Basic Life Support (BLS) through the American Heart Association (AHA) required.
- Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) through the American Heart Association (AHA); or Neonatal Resuscitation Program (NRP) through the American Academy of Pediatrics (AAP); or Advanced Trauma Life Support (ATLS) American Heart Association may be required based upon work setting.
- If a candidate has held a license to prescribe within another jurisdiction and needs to obtain a master's degree in order to apply for prescribing privileges the candidate will be subject for review for eligibility for hiring within our system.
- Must have a Physician Supervision Agreement and signed addendum to Physician Supervision Agreement.
- Must be credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals.
CNS
- Currently licensed as a Clinical Nurse Specialist in applicable state(s).
- Must be licensed as an RN in applicable state(s).
- National certification as a Clinical Nurse Specialist by nationally accredited organization recognized by state Board of Nursing.
- Basic Life Support (BLS) through the American Heart Association (AHA) required.
- Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) through the American Heart Association (AHA); or Neonatal Resuscitation Program (NRP) through the American Academy of Pediatrics (AAP) may be required based upon work setting.
- Must have arrangements with at least one physician in accordance with requirements set forth by the State Board of Nursing in applicable states.
- Must be credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals.
LANGUAGES:
Oral and written communication in English
CERTIFICATIONS:
- Certification as a Physician Assistant through the NCCPA or successor organization recognized by their practicing states Licensing Board.
- License to practice and prescribe issued by their practicing states Licensing Board.
- Current DEA License or DEA designee as required by NCQA.
- Basic Life Support (BLS) through the American Heart Association (AHA) required.
- Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) through the American Heart Association (AHA); or Neonatal Resuscitation Program (NRP) through the American Academy of Pediatrics (AAP); or Advanced Trauma Life Support (ATLS) American Heart Association may be required based upon work setting.
- If candidate has held a license to prescribe within another jurisdiction and needs to obtain a master's degree in order to apply for prescribing privileges the candidate will be subject for review for eligibility for hiring within our system.
- Must have arrangements with at least one physician in accordance with requirements set forth by the State Board of Nursing in applicable states.
- Must be credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals.
COMPLEXITY OF WORK:
- Excellent analytical and decision-making skills are required.
- Strong written and verbal communication skills.
- Ability to work as a member of a multi-disciplinary team.
- Demonstrated competency and the ability to perform advanced assessment and diagnosis.
- Demonstrated ability to utilize the electronic medical record.
- Demonstrates a high standard of moral and ethical behavior.
- Demonstrates compassion and professionalism and a commitment to excellent patient care.
- Requires critical thinking skills, decisive judgement, and the ability to work independently.
- Must be able to work in a stressful environment and take appropriate action.
WORK EXPERIENCE:
Related clinical experience preferred.
Physical Requirements:
- Typical physical demands include the ability to walk and stand for long periods of time.
- Manual and finger dexterity and eye/hand coordination to perform physical examinations.
- Requires corrected vision and hearing to a normal range.
- Occasionally lifts and carries items weighing up to 50 pounds.
- May require exposure to communicable diseases and/or body fluids.
PERSONAL PROTECTIVE EQUIPMENT:
Follows standard precautions using personal protective equipment as required.
PAY RANGE
Minimum Annual Salary: $101,900.00
Maximum Annual Salary: $173,220.00
The pay range displayed on this job posting reflects the anticipated range for new hires. Actual compensation may be higher or lower than the standard range, depending on factors such as job responsibilities, relevant experience, skills, scheduling requirements, education, and area of licensure. Please note, the displayed pay range does not include additional pay practices or the value of Cleveland Clinic's comprehensive benefits package (including healthcare, dental and vision coverage, retirement savings contributions, and more). The listed range is based on a full-time (1.0 FTE) with the exception of PRN positions, which have an hourly rate based on the position type.
See all 31+ CNS jobs
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Get Access To All JobsTips for Finding H-1B Visa Sponsorship in CNS
Verify your CNS credentials meet H-1B standards
Your master's or doctoral degree in nursing with a CNS specialty concentration is what anchors the specialty occupation claim. Confirm your transcripts clearly show a defined CNS focus, not a general advanced practice degree, before employers file.
Target cap-exempt hospitals and academic medical centers
Nonprofits affiliated with universities and federally funded research institutions are cap-exempt, meaning your H-1B petition bypasses the lottery entirely. CNS roles at teaching hospitals and VA facilities are common paths that sidestep the annual cap wait.
Search CNS openings on Migrate Mate by sponsorship history
Use Migrate Mate to filter CNS positions by employers with verified H-1B LCA filing records. This surfaces hiring managers who have navigated CNS specialty occupation documentation before, reducing the risk of an employer backing out mid-process.
Request the LCA before accepting an offer
Ask the employer to confirm the LCA wage level assigned to your CNS role before you sign. DOL certifies LCAs typically within seven business days, and the certified wage level directly determines your offer floor and shapes the petition USCIS adjudicates.
Check your CNS SOC code classification upfront
CNS positions can be classified under multiple SOC codes depending on the clinical specialty. Pull the O*NET profile for your specific population focus, because mismatched SOC codes between the LCA and petition are a common RFE trigger for advanced practice nursing roles.
Account for state licensure timing in your filing schedule
USCIS requires CNS applicants to hold or be eligible for the license required in the state of employment. If you're transitioning states, start the endorsement process early since some state boards take two to three months to process advanced practice licenses.
CNS jobs are hiring across the US. Find yours.
Find CNS JobsCNS H-1B Visa: Frequently Asked Questions
Does a CNS role qualify as a specialty occupation for H-1B purposes?
Yes. A Clinical Nurse Specialist position qualifies as a specialty occupation because the role requires at minimum a master's degree in nursing with a defined CNS specialty concentration. USCIS evaluates whether the specific position description aligns with that degree requirement, so your employer's job duties and your transcripts need to reflect the same clinical focus area.
Which employers are most likely to sponsor H-1B visas for CNS positions?
Academic medical centers, nonprofit health systems affiliated with universities, and VA hospitals are the most active CNS H-1B sponsors because many are cap-exempt, bypassing the lottery entirely. You can identify employers with verified H-1B LCA filing history for advanced practice nursing roles by browsing CNS listings on Migrate Mate, which filters by sponsorship track record.
Can I transfer my H-1B to a new CNS employer mid-visa period?
Yes. Under AC21 portability rules, you can transfer your H-1B to a new CNS employer once your original petition has been approved and you've maintained valid status. Your new employer files an H-1B transfer petition before your current job ends. Because CNS roles vary by specialty and setting, confirm the new employer classifies the position under the same SOC code to avoid adjudication delays.
How does the prevailing wage apply to H-1B CNS positions?
Your employer must certify through a DOL Labor Condition Application that your offered wage meets or exceeds the prevailing wage for the CNS role in that geographic area. DOL assigns a wage level from one through four based on experience and complexity. You can check expected wage levels for your specialty and location using the OFLC Wage Search before negotiating your offer.
Does my CNS clinical specialty affect H-1B approval odds?
Your specialty concentration matters because USCIS scrutinizes whether the job duties require that specific area of advanced practice nursing expertise. A petition for a critical care CNS role supported by an oncology-focused transcript, for example, creates a degree-to-position mismatch that can generate an RFE. Align your CV, transcripts, and the employer's job description to the same population or setting before the petition is filed.
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