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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WHAT YOU’LL DO
As a home care registered nurse (RN), you will ensure hospice patients are comfortable during their end-of-life journeys and forge compassionate, meaningful connections with the people in their lives.
You will:
- Provide comfort-focused in-home nursing care for patients with prognoses of six months or less
- Work on a team of interdisciplinary hospice clinicians, including LPNs, aides, chaplains, social workers and physicians
- Serve as an advocate for each patient and family in your care, ensuring their goals of care are communicated and prioritized by each member of the care team
- Deliver basic hospice education and training to patients, families and caregivers
Working alongside your team, you will give your best each day in service of our core commitment: Delivering compassionate, personalized care with heartfelt empathy, honoring the wishes of each patient who entrusts VITAS with their end-of-life journey.
WHERE YOU’LL WORK
You will spend most of your time caring for hospice patients wherever they call home, whether that means a private residence or an assisted living/skilled nursing facility.
You will typically make 4-6 visits each day.
Once a week, you’ll visit the local program office to meet with an interdisciplinary team, including social workers, physicians, chaplains, and aides, who collaborate to provide holistic support for the patients and families we serve.
REQUIREMENTS
- Associate or bachelor's degree in nursing
- A valid RN license
- At least one year of hospital nursing experience
- Reliable transportation
WHO WE ARE
We are VITAS Healthcare, the nation’s leading end-of-life care provider since 1978.
Our hospice organization:
- Kickstarts careers in caring
- Promotes from within
- Provides an award-winning, nationally recognized best-in-class employee experience
Supported by industry-leading experts and a growing network of programs in 15+ states, VITAS empowers team members to grow toward their goals while transforming patients’ lives.
VITAS® Healthcare is the nation’s leading provider of end-of-life care, and has the resources and expertise to support your personal and professional growth. As a member of the VITAS team, you’ll find fulfillment working for a people-focused organization dedicated to making a difference in the lives of others. You will be more than just an employee: You will be counted on as an expert in your field, and as a valued team member whose efforts are respected and vital to our hospice mission.
All VITAS employees commit to fulfilling their duties and responsibilities with the highest regard for professionalism, collaboration and teamwork, and an eye focused constantly on growth and improvement. We serve with commitment and compassion, and position ourselves for the future by embracing, innovating, and leading change. If you are that person, make your voice heard—find your purpose at VITAS today.
Benefits Include:
- Competitive compensation
- Health, dental, vision, life and disability insurance
- Pre-tax healthcare and dependent care flexible spending accounts
- Life insurance
- 401(k) plan with numerous investment options and generous company match
- Cancer and/or critical illness benefit
- Tuition Reimbursement
- Paid Time Off
- Employee Assistance Program
- Legal Insurance
- Roadside Assistance
- Affinity Program
Many of our positions offer the opportunity to work day or night shifts, weekdays or weekends.
Choose a Career with VITAS
See all 312+ H-1B Visa Hospice Director Jobs
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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.