H-1B Visa CNS Jobs
CNS roles in acute and critical care settings qualify as H-1B visa 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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INTRODUCTION
We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways.
At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today!
ROLE AND RESPONSIBILITIES
This job works in a collaborative model including but not limited to: residents, fellows, attendings, and staff who care for outpatient clinic patients of the organization. This job works under the supervision of the Medical Director or approved staff physician and in association with the PCCs, staff nurses, and discharge coordinator in the planning, implementation and evaluation of medical and nursing care; and assumes responsibility for primary and urgent medical management, emergency stabilization of all critically ill patients, teaching of residents and medical students, staff development and education, patient education and discharge planning.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties.
This job description is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company's discretion.
Education
Required (NP) - Master’s degree in Nursing
Required (PA) - Bachelor’s degree in Physician Assistant medicine or Health Sciences, or graduate of an approved Physician Assistant Training Program.
WORK EXPERIENCE
Required - None.
Preferred - 3 years of related working experience.
CERTIFICATIONS
Required (NP) - Current License as an Advanced Practice Registered Nurse (APRN) in the state of practice
Family Nurse Practitioner or Adult/Geriatric Nurse Practitioner ANCC or AANPCP Certified for Family Nurse Practitioner or Pediatric Nurse Practitioner ANCC or AANPCP Certified
Basic Cardiac Life Support (BCLS) / Advanced Cardiovascular Life Support (ACLS) Certification from the American Heart Association
Eligible for Prescriptive Authority in the state of practice as outlined by the State Board of Nursing
Required (PA) - License as a Physician Assistant in the state of practice, NCCPA Certified, Basic Cardiac Life Support (BCLS) / Advanced Cardiovascular Life Support (ACLS) Certification from the American Heart Association.
Eligible for Prescriptive Authority in the state of practice as outlined by the State Board of Medical Examiners.
KNOWLEDGE SKILLS AND ABILITIES (KSAs)
- Must have computer skills and dexterity required for data entry and retrieval of required job information.
- Effective verbal and written communication skills and the ability to present information clearly and professionally.
- Must be proficient with Windows-style applications, various software packages specific to role and keyboard.
- Strong interpersonal skills.
- Working knowledge of Advanced Practice Provider policies and protocols at a department and campus/system level.
- Reliable transportation as must be able to travel throughout and between facilities.
- Must be able to work a flexible work schedule (e.g. 24/7, weekend, holiday, on call availability).
JOB DUTIES
- Utilizes the approved medical practices process in the delivery of all patient care.
- Provides care based on physical, psycho/social, educational, safety and related criteria, appropriate to the ages of patients served in assigned areas.
- Maintains an attitude of inquiry towards medical practices and patient care outcomes, and may develop research methodology.
- Provides education experiences to patient families, staff, other health professionals, and to the community.
- Adapts behavior to the specific patient population, including but not limited to: respect for privacy, method of introduction to the patient, adapting explanation of services or procedures to be performed, requesting permissions and communication style.
- Performs other related duties as required.
The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time.
Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards.
This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns.
The employer is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status.
PHYSICAL AND ENVIRONMENTAL DEMANDS
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.
Medium Work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. (Constantly: activity or condition exists 2/3 or more of the time) to move objects. Physical demand requirements are in excess of those for Sedentary Work. Even though the weight lifted may be only a negligible amount, a job should be rated Light Work: (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or (3) when the job requires working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is negligible.
NOTE: The constant stress and strain of maintaining a production rate pace, especially in an industrial setting, can be and is physically demanding of a worker even though the amount of force exerted is negligible.
Must be able to stand for prolonged periods of time.
Must be able to stoop, bend, reach and grab with arms and hands, manual dexterity.
Duties performed routinely require exposure to blood, body fluid and tissue.
The incumbent works in a patient care area; works in an area where patients enter; works directly with patients; and/or works with specimens that could contain communicable diseases. There may be an occupational risk for exposure to communicable diseases.
Because the incumbent works within a healthcare setting, there may be occupational risk for exposure to hazardous medications or hazardous waste within the environment through receipt, transport, storage, preparation, dispensing, administration, cleaning and/or disposal of contaminated waste. The risk level of exposure may increase depending on the essential job duties of the role.
Are you ready to make a difference? Apply Today!
Ochsner Health does not consider an individual an applicant until they have formally applied to the open position on this careers website.
Please refer to the job description to determine whether the position you are interested in is remote or on-site. Individuals who reside in and will work from the following areas are not eligible for remote work position: Colorado, California, Hawaii, Illinois, Maryland, Massachusetts, Minnesota, New Jersey, New York, Vermont, Washington, and Washington D.C.
Ochsner Health endeavors to make our site accessible to all users. If you would like to contact us regarding the accessibility of our website, or if you need an accommodation to complete the application process, please contact our HR Employee Solution Center at 504-842-4748 (select option 1) or careers@ochsner.org. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.
Ochsner is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to any legally protected class, including protected veterans and individuals with disabilities.
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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.
H-1B Visa CNS: 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.