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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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Get Access To All JobsCentral Nervous System Advanced Practice Provider
The University of Texas MD Anderson Cancer Center is a leading institution focused on cancer care, research, education, and prevention. The Central Nervous System Advanced Practice Provider role supports the care of adult patients with central nervous system malignancies receiving radiation therapy. This Central Nervous System Advanced Practice Provider position is embedded within a specialized clinical team dedicated to delivering coordinated, patient-centered oncology care.
At UT MD Anderson, the Central Nervous System Advanced Practice Provider collaborates with physicians, nurses, and multidisciplinary specialists to optimize outcomes for patients with brain and spine tumors. The department focuses on comprehensive care before, during, and after radiation therapy at the Texas Medical Center Main Campus.
The ideal candidate for this role is a compassionate, team-oriented clinician with education and licensure appropriate for advanced practice provider practice. Preferred experience includes at least one year as an inpatient advanced practice provider or two years in an outpatient clinical setting. Candidates should demonstrate strong written and verbal communication skills, emotional intelligence, adaptability, and the ability to work effectively in a multidisciplinary environment. Oncology experience is preferred but not required.
Minimum $56.49/hour - Midpoint $70.43/hour - Maximum $84.86/hour
The typical work schedule is Monday-Friday, 8:00am-5:00pm.
Work Location: Texas Medical Center (Main Campus)
Why Us?
At UT MD Anderson, this role offers the opportunity to directly impact the lives of patients with complex central nervous system cancers while contributing to a mission-driven organization focused on excellence in cancer care. Team members benefit from professional growth opportunities, multidisciplinary collaboration, and a work schedule that supports 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.
Responsibilities
Clinical Care
- Assess adult patients with brain and spine tumors before, during, and after radiation therapy.
- Diagnose and manage conditions associated with central nervous system malignancies.
- Evaluate and manage radiation therapy-related side effects.
- Participate in emergency patient care activities as needed.
- Deliver comprehensive, patient-centered clinical care across the treatment continuum.
Treatment Planning & Implementation
- Develop radiation treatment plans in collaboration with the interdisciplinary team.
- Monitor patient progress throughout treatment and follow-up care.
- Order diagnostic studies and clinical procedures as appropriate.
- Coordinate care across multiple specialties and clinical services.
- Adjust management plans based on patient response and clinical findings.
Procedural Support
- Participate in radiation treatment simulation activities.
- Assist with volume contouring processes.
- Support stereotactic body radiation therapy procedures.
- Participate in brachytherapy and other specialized radiation procedures.
- Collaborate with radiation oncology teams to ensure treatment accuracy and quality.
Documentation & Compliance
- Maintain accurate, detailed, and timely medical records.
- Complete clinical documentation in accordance with institutional requirements.
- Manage prescriptions and medication-related documentation.
- Prepare and maintain radiation prescriptions.
- Adhere to institutional, regulatory, and state guidelines.
Education & Communication
- Educate patients and families regarding treatment plans and ongoing care needs.
- Serve as a clinical resource for patients and healthcare team members.
- Participate in professional development and continuing education activities.
- Precept and support newly hired advanced practice providers.
- Communicate effectively with multidisciplinary teams to facilitate coordinated care.
Education
Required:
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.
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: One year of experience in Advanced Practice Provider role.
LICENSURE / CERTIFICATION
Required:
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: 182197
- 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: Onsite
- Pivotal Position: Yes
- Referral Bonus Available?: Yes
- Relocation Assistance Available?: Yes
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Central Nervous System Advanced Practice Provider
The University of Texas MD Anderson Cancer Center is a leading institution focused on cancer care, research, education, and prevention. The Central Nervous System Advanced Practice Provider role supports the care of adult patients with central nervous system malignancies receiving radiation therapy. This Central Nervous System Advanced Practice Provider position is embedded within a specialized clinical team dedicated to delivering coordinated, patient-centered oncology care.
At UT MD Anderson, the Central Nervous System Advanced Practice Provider collaborates with physicians, nurses, and multidisciplinary specialists to optimize outcomes for patients with brain and spine tumors. The department focuses on comprehensive care before, during, and after radiation therapy at the Texas Medical Center Main Campus.
The ideal candidate for this role is a compassionate, team-oriented clinician with education and licensure appropriate for advanced practice provider practice. Preferred experience includes at least one year as an inpatient advanced practice provider or two years in an outpatient clinical setting. Candidates should demonstrate strong written and verbal communication skills, emotional intelligence, adaptability, and the ability to work effectively in a multidisciplinary environment. Oncology experience is preferred but not required.
Minimum $56.49/hour - Midpoint $70.43/hour - Maximum $84.86/hour
The typical work schedule is Monday-Friday, 8:00am-5:00pm.
Work Location: Texas Medical Center (Main Campus)
Why Us?
At UT MD Anderson, this role offers the opportunity to directly impact the lives of patients with complex central nervous system cancers while contributing to a mission-driven organization focused on excellence in cancer care. Team members benefit from professional growth opportunities, multidisciplinary collaboration, and a work schedule that supports 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.
Responsibilities
Clinical Care
- Assess adult patients with brain and spine tumors before, during, and after radiation therapy.
- Diagnose and manage conditions associated with central nervous system malignancies.
- Evaluate and manage radiation therapy-related side effects.
- Participate in emergency patient care activities as needed.
- Deliver comprehensive, patient-centered clinical care across the treatment continuum.
Treatment Planning & Implementation
- Develop radiation treatment plans in collaboration with the interdisciplinary team.
- Monitor patient progress throughout treatment and follow-up care.
- Order diagnostic studies and clinical procedures as appropriate.
- Coordinate care across multiple specialties and clinical services.
- Adjust management plans based on patient response and clinical findings.
Procedural Support
- Participate in radiation treatment simulation activities.
- Assist with volume contouring processes.
- Support stereotactic body radiation therapy procedures.
- Participate in brachytherapy and other specialized radiation procedures.
- Collaborate with radiation oncology teams to ensure treatment accuracy and quality.
Documentation & Compliance
- Maintain accurate, detailed, and timely medical records.
- Complete clinical documentation in accordance with institutional requirements.
- Manage prescriptions and medication-related documentation.
- Prepare and maintain radiation prescriptions.
- Adhere to institutional, regulatory, and state guidelines.
Education & Communication
- Educate patients and families regarding treatment plans and ongoing care needs.
- Serve as a clinical resource for patients and healthcare team members.
- Participate in professional development and continuing education activities.
- Precept and support newly hired advanced practice providers.
- Communicate effectively with multidisciplinary teams to facilitate coordinated care.
Education
Required:
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.
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: One year of experience in Advanced Practice Provider role.
LICENSURE / CERTIFICATION
Required:
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: 182197
- 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: 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 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.