H-1B Visa Director of Nursing Jobs
Director of Nursing jobs at H-1B visa sponsoring employers require a nursing degree, active RN licensure, and significant clinical leadership experience. Employers file a Labor Condition Application with DOL and an I-129 petition with USCIS, covering your first three-year status period with extension eligibility to six years.
See Director of Nursing jobs across every visa typeFind H-1B Visa Director of Nursing JobsOverview
Showing 5 of 152+ Director of Nursing jobs
See all 152+ Director of Nursing Jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new Director of Nursing roles.
Get Access To All JobsINTRODUCTION
The Senior Director of Nursing provides clinical and operational leadership for nursing and medical support services across Heartshare’s OPWDD-regulated residential programs. This position ensures safe, coordinated, person-centered healthcare that supports the health, dignity, independence, and changing needs of individuals with intellectual and developmental disabilities. Reporting to the Vice President of Clinical Services, the Senior Director directly supervises Clinical Nurse Specialists (CNSs) and the Director of Medical Support Professionals. CNSs supervise their assigned nursing staff, while the Director of Medical Support Professionals supervises MSPs. In partnership with Residential leadership and interdisciplinary teams, the Senior Director establishes consistent standards, strengthens staff accountability, ensures regulatory compliance, and manages resources effectively.
ESSENTIAL FUNCTIONS AND PRIMARY RESPONSIBILITIES
Leadership and Workforce Management:
- Supervise, coach, and evaluate CNSs and the Director of Medical Support Professionals, holding them accountable for staff performance, quality of services, communication, and timely resolution of concerns.
- Establish clear responsibilities and workflows across nursing, MSP, and Residential/Article 16 teams, including handoffs, follow-up, and escalation procedures.
- Oversee recruitment, onboarding, staff development, and performance management through the respective supervisors and in collaboration with Human Resources.
- Review biweekly payroll submissions from all nursing staff to ensure timesheets are accurate, complete, and approved within established deadlines. Coordinate with HR and Payroll to complete and process any necessary personnel action forms.
- Evaluate assignments and coverage based on individual acuity, workload, geographic distribution, and regulatory requirements. Maintain an effective nursing on-call structure and conduct regular program visits.
- Monitor and oversee temporary staffing utilization and nursing overtime to ensure coverage needs are met efficiently, staffing resources are used appropriately, and overtime is managed in accordance with organizational expectations and budgetary goals.
Clinical Oversight and Care Coordination:
- Ensure timely completion and implementation of nursing assessments, individualized Plans of Nursing Services, and health-related protocols, including supports for individuals with complex medical needs.
- Establish consistent processes for recognizing changes in health status, obtaining medical evaluation, implementing practitioner orders, and completing follow-up.
- Partner with Residential leadership to ensure completion of preventive care, screenings, specialty services, testing, and recommended treatment. Support approaches that promote independence and aging in place.
- Oversee nursing coordination of hospital discharges and emergency department follow-up, including medication reconciliation and staff instruction. Participate in admission and transition reviews to assess healthcare needs, staffing capacity, equipment, and competencies.
Medication Safety, Compliance, and Quality:
- Oversee medication management, including administration practices, documentation, storage, reconciliation, pharmacy coordination, and controlled substance accountability.
- Ensure appropriate nursing training and supervision of staff performing permitted health-related tasks. Oversee medication administration certification, recertification, and individual-specific competency processes.
- Maintain compliance with applicable OPWDD requirements, New York State nursing practice standards, and agency policies through audits, site reviews, and corrective action monitoring.
- Partner with Quality Assurance and Residential leadership to address clinical incidents, medication errors, and complaints; implement immediate protections; and reduce recurring risks. Develop and recommend policies and procedures through established approval processes.
Operational Management and Performance Improvement:
- Assist in developing nursing and medical support budgets and manage approved resources. Monitor vacancies, overtime, agency utilization, and workload to maintain appropriate coverage and reduce avoidable expenditures.
- Ensure timely clinical assessments and documentation supporting Higher Needs Funding requests in collaboration with Clinical Services, Residential Services, and Finance.
- Partner with Residential leadership on hospital accompaniment plans, clarifying clinical needs, staff responsibilities, competencies, and escalation procedures.
- Monitor clinical outcomes, healthcare follow-up, staff competency, compliance, and workforce utilization. Implement improvement plans with clear ownership and deadlines, evaluate appropriate technology, and promptly report significant risks to the Vice President of Clinical Services.
- Performs other job-related duties as assigned, consistent with the scope, responsibilities, and level of the position, and in compliance with applicable laws, regulations, and organizational policies.
REQUIRED QUALIFICATIONS:
- Bachelor of Science in Nursing (BSN), or equivalent experience.
- Current New York State Registered Professional Nurse license and registration in good standing.
- At least seven years of progressively responsible nursing experience, including three years in nursing leadership or management.
- Experience serving individuals with intellectual and developmental disabilities in OPWDD-regulated residential programs.
- Knowledge of OPWDD nursing requirements, Plans of Nursing Services, medication administration oversight, and supervision of unlicensed staff performing permitted nursing tasks.
- Experience supervising leaders and coordinating services across multiple locations.
- Demonstrated ability to manage clinical risk, strengthen healthcare coordination, address performance concerns, and implement quality improvements.
- Strong clinical judgment, communication, organizational, and problem-solving skills; proficiency with electronic health records and performance reporting.
PREFERRED QUALIFICATIONS:
- Master of Science in Nursing (MSN) strongly preferred.
- Experience supporting medically complex individuals and people experiencing age-related changes.
- Experience overseeing medical support staff or healthcare appointment coordination.
- Experience with budgets, workforce planning, OPWDD surveys, and medication administration training.
BENEFITS
At HeartShare we offer a comprehensive benefit package based on full-time/part-time status. You can expect:
- Rewarding Work in a team environment.
- Paid vacation, sick, personal days, and holidays.
- 403(B) retirement plans with employer contribution.
- Health, dental, vision and life insurance.
- Employee Assistance Program (EAP).
- Flexible spending account (Dependent Care, Medical, Parking, and Transit).
- Employee Appreciation Programs and Events.
- Tuition Assistance Program.
- Professional Development opportunities.
- Wellhub Discount.
- Verizon Wireless Discount.
- BJs Membership discount.
- Discounts on Broadway tickets, movie tickets, theme parks, sporting events, gift certificates & more.
HeartShare is an Equal Opportunity Employer (EOE). If you need to request accommodation during the recruiting process, please reach out to Leaves@heartshare.org.
ABOUT HEARTSHARE
Who WE ARE:
For over 150 years, Heartshare has been dedicated to championing and empowering New Yorkers society has too often overlooked and underestimated.
HeartShare Human Services of New York nurtures and empowers children and adults with intellectual and developmental disabilities.
INTRODUCTION
The Senior Director of Nursing provides clinical and operational leadership for nursing and medical support services across Heartshare’s OPWDD-regulated residential programs. This position ensures safe, coordinated, person-centered healthcare that supports the health, dignity, independence, and changing needs of individuals with intellectual and developmental disabilities. Reporting to the Vice President of Clinical Services, the Senior Director directly supervises Clinical Nurse Specialists (CNSs) and the Director of Medical Support Professionals. CNSs supervise their assigned nursing staff, while the Director of Medical Support Professionals supervises MSPs. In partnership with Residential leadership and interdisciplinary teams, the Senior Director establishes consistent standards, strengthens staff accountability, ensures regulatory compliance, and manages resources effectively.
ESSENTIAL FUNCTIONS AND PRIMARY RESPONSIBILITIES
Leadership and Workforce Management:
- Supervise, coach, and evaluate CNSs and the Director of Medical Support Professionals, holding them accountable for staff performance, quality of services, communication, and timely resolution of concerns.
- Establish clear responsibilities and workflows across nursing, MSP, and Residential/Article 16 teams, including handoffs, follow-up, and escalation procedures.
- Oversee recruitment, onboarding, staff development, and performance management through the respective supervisors and in collaboration with Human Resources.
- Review biweekly payroll submissions from all nursing staff to ensure timesheets are accurate, complete, and approved within established deadlines. Coordinate with HR and Payroll to complete and process any necessary personnel action forms.
- Evaluate assignments and coverage based on individual acuity, workload, geographic distribution, and regulatory requirements. Maintain an effective nursing on-call structure and conduct regular program visits.
- Monitor and oversee temporary staffing utilization and nursing overtime to ensure coverage needs are met efficiently, staffing resources are used appropriately, and overtime is managed in accordance with organizational expectations and budgetary goals.
Clinical Oversight and Care Coordination:
- Ensure timely completion and implementation of nursing assessments, individualized Plans of Nursing Services, and health-related protocols, including supports for individuals with complex medical needs.
- Establish consistent processes for recognizing changes in health status, obtaining medical evaluation, implementing practitioner orders, and completing follow-up.
- Partner with Residential leadership to ensure completion of preventive care, screenings, specialty services, testing, and recommended treatment. Support approaches that promote independence and aging in place.
- Oversee nursing coordination of hospital discharges and emergency department follow-up, including medication reconciliation and staff instruction. Participate in admission and transition reviews to assess healthcare needs, staffing capacity, equipment, and competencies.
Medication Safety, Compliance, and Quality:
- Oversee medication management, including administration practices, documentation, storage, reconciliation, pharmacy coordination, and controlled substance accountability.
- Ensure appropriate nursing training and supervision of staff performing permitted health-related tasks. Oversee medication administration certification, recertification, and individual-specific competency processes.
- Maintain compliance with applicable OPWDD requirements, New York State nursing practice standards, and agency policies through audits, site reviews, and corrective action monitoring.
- Partner with Quality Assurance and Residential leadership to address clinical incidents, medication errors, and complaints; implement immediate protections; and reduce recurring risks. Develop and recommend policies and procedures through established approval processes.
Operational Management and Performance Improvement:
- Assist in developing nursing and medical support budgets and manage approved resources. Monitor vacancies, overtime, agency utilization, and workload to maintain appropriate coverage and reduce avoidable expenditures.
- Ensure timely clinical assessments and documentation supporting Higher Needs Funding requests in collaboration with Clinical Services, Residential Services, and Finance.
- Partner with Residential leadership on hospital accompaniment plans, clarifying clinical needs, staff responsibilities, competencies, and escalation procedures.
- Monitor clinical outcomes, healthcare follow-up, staff competency, compliance, and workforce utilization. Implement improvement plans with clear ownership and deadlines, evaluate appropriate technology, and promptly report significant risks to the Vice President of Clinical Services.
- Performs other job-related duties as assigned, consistent with the scope, responsibilities, and level of the position, and in compliance with applicable laws, regulations, and organizational policies.
REQUIRED QUALIFICATIONS:
- Bachelor of Science in Nursing (BSN), or equivalent experience.
- Current New York State Registered Professional Nurse license and registration in good standing.
- At least seven years of progressively responsible nursing experience, including three years in nursing leadership or management.
- Experience serving individuals with intellectual and developmental disabilities in OPWDD-regulated residential programs.
- Knowledge of OPWDD nursing requirements, Plans of Nursing Services, medication administration oversight, and supervision of unlicensed staff performing permitted nursing tasks.
- Experience supervising leaders and coordinating services across multiple locations.
- Demonstrated ability to manage clinical risk, strengthen healthcare coordination, address performance concerns, and implement quality improvements.
- Strong clinical judgment, communication, organizational, and problem-solving skills; proficiency with electronic health records and performance reporting.
PREFERRED QUALIFICATIONS:
- Master of Science in Nursing (MSN) strongly preferred.
- Experience supporting medically complex individuals and people experiencing age-related changes.
- Experience overseeing medical support staff or healthcare appointment coordination.
- Experience with budgets, workforce planning, OPWDD surveys, and medication administration training.
BENEFITS
At HeartShare we offer a comprehensive benefit package based on full-time/part-time status. You can expect:
- Rewarding Work in a team environment.
- Paid vacation, sick, personal days, and holidays.
- 403(B) retirement plans with employer contribution.
- Health, dental, vision and life insurance.
- Employee Assistance Program (EAP).
- Flexible spending account (Dependent Care, Medical, Parking, and Transit).
- Employee Appreciation Programs and Events.
- Tuition Assistance Program.
- Professional Development opportunities.
- Wellhub Discount.
- Verizon Wireless Discount.
- BJs Membership discount.
- Discounts on Broadway tickets, movie tickets, theme parks, sporting events, gift certificates & more.
HeartShare is an Equal Opportunity Employer (EOE). If you need to request accommodation during the recruiting process, please reach out to Leaves@heartshare.org.
ABOUT HEARTSHARE
Who WE ARE:
For over 150 years, Heartshare has been dedicated to championing and empowering New Yorkers society has too often overlooked and underestimated.
HeartShare Human Services of New York nurtures and empowers children and adults with intellectual and developmental disabilities.
See all 152+ H-1B Visa Director of Nursing Jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new H-1B Visa Director of Nursing Jobs.
Get Access To All JobsTips for Finding H-1B Visa Sponsorship in Director of Nursing
Verify your nursing credentials transfer cleanly
Foreign nursing degrees must be evaluated for U.S. equivalency before USCIS will accept them as meeting specialty occupation requirements. Get a credential evaluation from a NACES-member organization and confirm your degree maps to a U.S. BSN or higher before applying.
Get your RN license before employer outreach
No hospital or health system will file an H-1B petition for a Director of Nursing without a valid, unrestricted state RN license. Pass NCLEX and secure licensure in your target state before approaching sponsoring employers, since the LCA must list a certified worksite.
Target health systems with existing H-1B LCA history
Use Migrate Mate to identify health systems and hospital networks that have certified LCAs for nursing leadership roles. Employers with active H-1B filing history for clinical directors are far more likely to have internal HR processes ready to move your petition forward.
Confirm each worksite gets its own certified LCA
If a health system wants you overseeing nursing operations across multiple facilities, each worksite location requires a separately certified LCA filed with DOL. Confirm this with the employer's immigration counsel before accepting any offer covering more than one site.
Use OFLC Wage Search to anchor your salary negotiation
Your employer must pay at least the DOL prevailing wage for your SOC code and work location, as certified on the LCA. Pull the wage level from OFLC Wage Search before negotiations so you know the floor and can evaluate offers against the actual DOL-required minimum for your role.
Plan your petition timeline around USCIS processing stages
The full H-1B filing sequence, from LCA certification through USCIS adjudication, can take several months under standard processing. If your employer needs you to start sooner, ask about premium processing, which moves USCIS to a 15-business-day adjudication window for an additional fee.
H-1B Visa Director of Nursing: Frequently Asked Questions
Does a Director of Nursing role qualify as an H-1B specialty occupation?
Yes. Director of Nursing is a licensed clinical leadership role that typically requires at least a bachelor's degree in nursing or a directly related field, meeting the specialty occupation standard. USCIS expects the position to involve degree-level clinical and administrative judgment, not just supervisory hours. Employers document this through the job description and LCA filing.
Can I transfer my H-1B to a new hospital without losing my status?
Yes, through H-1B portability. Once USCIS receives and receipts your new employer's I-129 petition, you can begin working for them without waiting for final approval, provided you've maintained valid H-1B status throughout. The new employer must file a fresh LCA certified for each worksite before submitting the transfer petition to USCIS.
How do I find hospitals and health systems that sponsor H-1B visas for nursing leadership roles?
Migrate Mate lists employers with verified H-1B LCA filing history, searchable by role and location. This lets you focus your applications on health systems that have already navigated the H-1B process for clinical leadership positions, rather than spending time approaching employers with no sponsorship infrastructure in place.
What happens to my H-1B status if my hospital is acquired or merged with another system?
A corporate restructuring, merger, or acquisition can affect your H-1B status depending on whether the successor entity qualifies as a universal successor. If it does, your petition may carry over automatically. If not, the new employer must file a fresh H-1B petition before you continue working. Confirm the status of any pending petition with your employer's immigration counsel immediately after any ownership change.
Do I need a separate LCA if I oversee nursing staff at multiple hospital locations?
Yes. DOL requires a certified LCA for each physical worksite where you perform H-1B work. If your Director of Nursing role covers multiple campuses or outpatient facilities, your employer must obtain a certified LCA for each location before you can work there. A single LCA covering only the primary facility does not extend to unlisted worksites.