H-1B Visa Hospice Director Jobs
Hospice Director roles qualify as H-1B visa specialty occupations when the position requires a bachelor's degree or higher in healthcare administration, nursing, or a related clinical field. Large hospice networks and hospital systems file LCAs regularly, making this a viable path for experienced professionals seeking employer-sponsored status.
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Get Access To All JobsHiring Range
$33.00 - $66.00/Hourly Actual pay is determined by program, work commitment and business needs
Overview
Works under the supervision of the Nurse manager and the Director and is responsible for the assessment, planning, implementing, and evaluating the total nursing care of assigned patients. The RN may work in a variety of settings in the Medical/Surgical Complex and roles within Riverside Health System. The RN utilizes communication, critical thinking, problem solving, and decision making to create a care plan for each patient based on physiological, psychosocial and cultural diversity. Responsible for supervising and delegating non-professional personnel working directly with him/her to ensure optimum patient care. Must demonstrate competence in dealing with age related needs of the specific patient populations served in the Medical/Surgical units/departments. Works under the direction of leadership and a multi-disciplinary team to provide a comprehensive range of services or clinical care associated with and in accordance with standards of excellence established by Riverside Health system and facility goals and strategic plans.
What you will do
- Assesses, plans, implements, and evaluates the total nursing care of assigned patients on caseload on an intermittent visiting basis. Develops an initial and ongoing comprehensive assessment of client needs, including the impact of the terminal diagnosis on the patients physical, functional, psychological, and environmental needs and activities of daily living.
- Assesses the patient's risk for pathological grief, cultural and spiritual implications, and verbal/non-verbal communication patterns. Assesses the ability of the caregiver to meet the patient's immediate needs upon admission and throughout care. Determines scope and frequency of services needed based on acuity and patient/family needs.
- Accurately completes all required clinical documentation consistently per RHS standards which includes completing and "locking" patient notes and verbal orders, as well as completing certifications and recertifications after the department's multi-disciplinary team meetings. Required documentation is to be completed no later than the last day of the month in order to provide timely billing. Applies specific criteria for admission and re-certification to hospice care to establish appropriate levels of care and the patient's eligibility.
- Implements/initiates an individualized plan of care and recommends revisions to the plan when necessary. Manages patient's discomfort and provides symptom relief. Provides services and/or treatments requiring specialized nursing skill related to palliative and end-of-life care. Consults with, councils and educates the patient and family in meeting nursing needs, the disease process, self-care techniques, end of life care and the processes for dealing with issues of ethical concerns.
- Uses case management approach and refers patient to other services as needed. Coordinates all patient/family services and prioritization of needs with the members of the interdisciplinary teams. Provides on-going evaluation of patient/family response to care. Informs the physician and the IDT of changes in the patients needs, and the patient's plan of care. Initiates appropriate preventive and rehabilitative nursing procedures and provides treatments and procedures that contribute to the physiological and psychosocial outcomes and stability of the patient. Prepares clinical and progress notes that demonstrate progress toward established goal(s). Referral of patients to other services as needed.
- Supervises LPN/LVN's, and Home Health Aides in providing services to the patient according to regulatory guidelines. Provides specialized hospice training to other staff, family members and informal caregivers to ensure adequate care. Participates positively in training and support of all team members, volunteers and students as needed. Delegates and prioritizes tasks appropriately to facilitate quality patient care and ensure patient care needs are met. Recognizes and responds to emergency situations. Evaluates own needs for support and uses identified systems and resources to meet need.
Qualifications
Education
- Registered Nurse (Required)
- Bachelors Degree, Nursing (Preferred)
Experience
- Hospice experience (Preferred)
Licenses and Certifications
- Registered Nurse (RN) - Virginia Department of Health Professions (VDHP) (Required)
- CPR/BLS Certification - American Heart Association/American Red Cross/American Safety and Health Institute (AHA/ARC) (Required)
Hiring Range
$33.00 - $66.00/Hourly Actual pay is determined by program, work commitment and business needs
Overview
Works under the supervision of the Nurse manager and the Director and is responsible for the assessment, planning, implementing, and evaluating the total nursing care of assigned patients. The RN may work in a variety of settings in the Medical/Surgical Complex and roles within Riverside Health System. The RN utilizes communication, critical thinking, problem solving, and decision making to create a care plan for each patient based on physiological, psychosocial and cultural diversity. Responsible for supervising and delegating non-professional personnel working directly with him/her to ensure optimum patient care. Must demonstrate competence in dealing with age related needs of the specific patient populations served in the Medical/Surgical units/departments. Works under the direction of leadership and a multi-disciplinary team to provide a comprehensive range of services or clinical care associated with and in accordance with standards of excellence established by Riverside Health system and facility goals and strategic plans.
What you will do
- Assesses, plans, implements, and evaluates the total nursing care of assigned patients on caseload on an intermittent visiting basis. Develops an initial and ongoing comprehensive assessment of client needs, including the impact of the terminal diagnosis on the patients physical, functional, psychological, and environmental needs and activities of daily living.
- Assesses the patient's risk for pathological grief, cultural and spiritual implications, and verbal/non-verbal communication patterns. Assesses the ability of the caregiver to meet the patient's immediate needs upon admission and throughout care. Determines scope and frequency of services needed based on acuity and patient/family needs.
- Accurately completes all required clinical documentation consistently per RHS standards which includes completing and "locking" patient notes and verbal orders, as well as completing certifications and recertifications after the department's multi-disciplinary team meetings. Required documentation is to be completed no later than the last day of the month in order to provide timely billing. Applies specific criteria for admission and re-certification to hospice care to establish appropriate levels of care and the patient's eligibility.
- Implements/initiates an individualized plan of care and recommends revisions to the plan when necessary. Manages patient's discomfort and provides symptom relief. Provides services and/or treatments requiring specialized nursing skill related to palliative and end-of-life care. Consults with, councils and educates the patient and family in meeting nursing needs, the disease process, self-care techniques, end of life care and the processes for dealing with issues of ethical concerns.
- Uses case management approach and refers patient to other services as needed. Coordinates all patient/family services and prioritization of needs with the members of the interdisciplinary teams. Provides on-going evaluation of patient/family response to care. Informs the physician and the IDT of changes in the patients needs, and the patient's plan of care. Initiates appropriate preventive and rehabilitative nursing procedures and provides treatments and procedures that contribute to the physiological and psychosocial outcomes and stability of the patient. Prepares clinical and progress notes that demonstrate progress toward established goal(s). Referral of patients to other services as needed.
- Supervises LPN/LVN's, and Home Health Aides in providing services to the patient according to regulatory guidelines. Provides specialized hospice training to other staff, family members and informal caregivers to ensure adequate care. Participates positively in training and support of all team members, volunteers and students as needed. Delegates and prioritizes tasks appropriately to facilitate quality patient care and ensure patient care needs are met. Recognizes and responds to emergency situations. Evaluates own needs for support and uses identified systems and resources to meet need.
Qualifications
Education
- Registered Nurse (Required)
- Bachelors Degree, Nursing (Preferred)
Experience
- Hospice experience (Preferred)
Licenses and Certifications
- Registered Nurse (RN) - Virginia Department of Health Professions (VDHP) (Required)
- CPR/BLS Certification - American Heart Association/American Red Cross/American Safety and Health Institute (AHA/ARC) (Required)
See all 364+ H-1B Visa Hospice Director Jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new H-1B Visa Hospice Director Jobs.
Get Access To All JobsTips for Finding H-1B Visa Sponsorship in Hospice Director
Verify your degree meets specialty occupation
H-1B approval depends on your degree directly relating to hospice administration or clinical management. A general business degree without healthcare coursework can trigger an RFE, so pull your transcripts and map your coursework to the role before applying.
Search LCA filings for hospice employers
Use the OFLC Wage Search to filter Labor Condition Applications by SOC code 11-9111 (Medical and Health Services Managers). Employers with recent certified LCAs for that code have already navigated the DOL filing process for this role type.
Target hospital systems over standalone agencies
Hospital-owned hospice programs sit inside larger health systems with established HR immigration teams, making H-1B sponsorship far more common than at independent hospice agencies, which often lack the infrastructure to file.
Confirm prevailing wage tier before negotiating
Use Migrate Mate to check what LCA wage levels employers have filed for Hospice Director roles in your target metro. Your offered salary must meet the DOL prevailing wage, and knowing the local Level II or Level III threshold prevents offer-stage surprises.
Clarify supervisory scope in your job description
USCIS scrutinizes Hospice Director petitions where the duties skew toward hands-on patient care rather than administrative oversight. Work with your employer to ensure the job description emphasizes staff supervision, budget authority, and program compliance over direct clinical tasks.
Ask about cap-exempt filing status early
Hospice programs affiliated with nonprofit hospitals or academic medical centers may qualify as cap-exempt H-1B employers, bypassing the annual lottery entirely. Confirm the organization's IRS status and any affiliated research or teaching activities before your first interview.
H-1B Visa Hospice Director: Frequently Asked Questions
Does a Hospice Director role qualify as an H-1B specialty occupation?
Yes, provided the employer requires at least a bachelor's degree in a directly related field such as healthcare administration, nursing, or social work. USCIS evaluates both the job description and your credentials, so the position must consistently require that degree across comparable organizations, not just prefer it.
Which employers sponsor H-1B visas for Hospice Director positions?
Hospital-owned hospice programs and large regional hospice networks are the most active H-1B sponsors for this role. You can browse verified H-1B sponsoring employers with Hospice Director or Medical and Health Services Manager LCA filings on Migrate Mate, filtered by location and filing history.
How does the H-1B lottery affect my chances as a Hospice Director candidate?
If your prospective employer is a for-profit organization without academic or nonprofit affiliations, your petition enters the annual H-1B cap lottery each April. Cap-exempt employers, such as those affiliated with nonprofit hospitals or teaching institutions, can file year-round without a lottery slot, which is a material advantage worth clarifying before accepting an offer.
What happens to my H-1B status if my hospice employer closes or loses Medicare certification?
Losing your position triggers a 60-day grace period during which you can transfer your H-1B to a new sponsoring employer through an H-1B portability filing. The new employer must file a new I-129 petition before your grace period expires. Starting your job search immediately after notice is essential to preserve status.
Can a Hospice Director petition be denied due to supervisory versus clinical duties?
Yes. USCIS has issued RFEs on Hospice Director petitions where duties appeared primarily clinical rather than managerial. To strengthen the petition, the job description should emphasize staff oversight, regulatory compliance, budget management, and program development. O*NET's occupational profile for Medical and Health Services Managers supports the specialty occupation classification when referenced in the petition.