H-1B Visa Mental Health Nurse Practitioner Jobs
Mental Health Nurse Practitioners qualify for H-1B visa sponsorship as specialty occupation roles requiring a graduate-level nursing degree. Demand is high across hospital systems, community mental health centers, and telehealth employers. H-1B cap-subject filings open each April, with a 60-day grace period if your position ends.
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About this Job
MHSD is seeking a full-time Addiction-Certified Psychiatric-Mental Health Nurse Practitioner (PMHNP) to provide psychiatric evaluation and medication management to persons with co-occurring disorders in the Office Based Opioid Treatment (OBOT) and Addiction Treatment Programs. The primary purpose of this position is to provide psychiatric evaluations including the assessment and diagnosis of substance use disorders, medication management/monitoring, and coordination of care with other mental health, addiction and primary care providers. MHSD is a government-agency that provides care to Medicaid eligible and uninsured persons with behavioral health or addictive disorders or intellectual/development disabilities in Orleans, St Bernard or Plaquemines parishes. Our PMHNPs work collaboratively with supervising physicians and a multidisciplinary treatment team consisting of counselors, nurses, peer support workers, and resource staff. Eligible candidates should have unrestricted Louisiana licensure as a PMHNP. An ideal candidate will be flexible, independent, compassionate, patient-centered, and committed to community mental health care. Addiction-Certified PMNHPs with previous direct experience treating patients with substance use disorders will be given preference in hiring.
Minimum Qualifications
APRNs shall have a valid, current and unrestricted APRN license, as a nurse practitioner (NP) or clinical nurse specialist (CNS), issued by the Louisiana State Board of Nursing. APRNs must be NP specialists in adult psychiatric and mental health, and family psychiatric and mental health, or certified nurse specialists in psychosocial, gerontological psychiatric mental health, adult psychiatric and mental health and child-adolescent mental health and may practice to the extent that services are within the APRN’s scope of practice.
Active DEA and Louisiana prescriptive authority
Job Duties and Other Information
A. Behavioral Health and Addiction Services Roles and Responsibilities.
- Completes comprehensive psychiatric evaluations for new persons-served with addiction and/or psychiatric disorders, providing DSM V diagnoses based on history, diagnostic testing, outside record review, and mental status and physical examination.
- Provides pharmacological and basic psychotherapeutic treatment for psychiatric and addictive disorders, including but not limited to prescribing medications for opioid and alcohol use disorders (MOUD, MAUD), in alignment with evidence-based practice and national guidelines.
- Triages and assesses medical risk for patients presenting with acute intoxication and withdrawal.
- Orders, reviews and interprets both toxicology testing (breathalyzers, rapid and confirmatory drug testing) and annual screening bloodwork.
- Coordinates care with other team members to fulfill treatment needs, such as nurse evaluations, vitals, psychosocial and addiction assessments and referrals for employment counseling and other resources.
- Reviews outside primary care records and coordinates care with primary care physicians and other specialists.
- Develops and recommends practice standards and suggests strategies to improve overall program delivery.
- Screens and treats specific sexually and IV transmitted diseases, including syphilis and Hepatitis C, with support of LDH and community partners.
- Provides consultations to general mental health prescribers and other staff on management of patients with co-occurring disorders.
- Writes and delivers lectures on addiction related topics as needed.
- Provides back-up coverage and clinical support for other professionals on the Mental Health and Addiction Teams. May act as sole provider, if supervising physician physically absent.
- Represents the agency at addiction-related meetings on the local and state levels as needed.
B. Administrative Responsibilities:
- Provides timely entry of all clinical information into the EHR, completing all documentation within agency defined time limits. Late Tickets per quarter not>5% for continuity of billing by the agency.
- Satisfies overall productivity goals per quarter of 60% or greater.
- Obtains 80% or better patient/PS satisfaction of individual performance, reviewed quarterly.
- Attends required regular staffing meetings including monthly prescriber meetings and weekly multidisciplinary meetings.
- Adheres to the terms of the collaborative agreement through consultation with physician collaborator in the clinical management of behavioral and addictive health care to assure alignment with delivery of best practice standards of care, meeting at minimum monthly with consulting psychiatrist to discuss co-occurring cases.
- Maintains advanced training and continuing education in the fields of advanced practice psychiatric nursing.
- Complies with all required trainings, including maintenance of nursing and PMHNP licensing, state required trainings (LEO, Relias), MHSD mandatory staff training and CPR requirements.
C. Other Responsibilities:
- Acts in a professional manner at all times and treats all staff and business associates, within and outside of MHSD, with dignity and respect.
- Meets all relevant deliverables of the MHSD Strategic Plan according to established timelines.
- Reaches decisions based on highest ethical standards; fosters a culture of trust and respect for others by treating others fairly and ethically.
- Adheres to MHSD policies and procedures and performs job duties in accordance with said procedures.
- Maintains appropriate office hours; keeps tardiness and unplanned absences to a minimum.
- Complies with all agency requirements for use of technology and equipment.
- Exhibits willingness to share knowledge, experience, time and talent with others.
- Supports MHSD initiatives aimed at improving the health and wellness of Louisiana citizens.
- Promotes efforts to develop the clinical core of the agency and to expand partnerships with other healthcare agencies.
- Provides exceptional and responsive customer service to internal and external clients.
Position-Specific Details:
Appointment Type: Unclassified
Compensation: The salary offered will be determined based on qualifications and experience.
How To Apply:
No Civil Service test score is required in order to be considered for this vacancy. To apply for this vacancy, click on the “Apply” link above and complete an electronic application, which can be used for this vacancy as well as future job opportunities. Applicants are responsible for checking the status of their application to determine where they are in the recruitment process. Further status message information is located under the Information section of the Current Job Opportunities page.
Information to support your eligibility for this job title must be included in the application (i.e., relevant, detailed experience/education). Resumes will not be accepted in lieu of completed education and experience sections on your application. Applications may be rejected if incomplete.
Contact Information:
For further information about this vacancy, contact:
Tanisha Alexander
MHSD Human Resources Business Partner
tanisha.alexander@mhsdla.org
Louisiana is a State As a Model Employer (SAME) that supports the recruitment, hiring, and retention of individuals with disabilities.
See all 73+ H-1B Visa Mental Health Nurse Practitioner Jobs
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Get Access To All JobsTips for Finding H-1B Visa Sponsorship in Mental Health Nurse Practitioner
Verify your NP credentials meet specialty occupation
H-1B approval requires your role to demand at least a master's degree in a directly related field. Confirm your MSN or DNP with a psychiatric specialty is documented before your employer files. The O*NET profile for Nurse Practitioners lists the required education level.
Target employers with active LCA filing history
Search Migrate Mate to filter Mental Health Nurse Practitioner roles by employers who have filed Labor Condition Applications for this occupation code. LCA history signals that HR and legal teams already understand the H-1B process for NP roles.
Confirm state licensure before the employer files
Your employer's LCA must list the work state, and USCIS expects you to hold or be actively pursuing licensure there. Some states require a separate psychiatric NP endorsement. Delays in licensure transfer can push your start date past the H-1B effective date.
Ask about cap-exempt employer status early
Federally qualified health centers, nonprofit hospitals affiliated with universities, and government-run psychiatric facilities can file H-1B petitions outside the annual cap. Cap-exempt employers can file year-round, so your start date isn't tied to the October 1 fiscal-year deadline.
Use OFLC Wage Search to validate your offered wage
DOL requires your employer to pay at least the prevailing wage for your SOC code and work location. Run the OFLC Wage Search for Nurse Practitioners in your metro area before accepting an offer. A wage below Level I for your county triggers LCA certification issues.
Prepare for premium processing if your start date is tight
USCIS premium processing expedites the I-129 adjudication to 15 business days. If your current OPT or prior visa status expires soon after your intended start date, ask your employer to budget for premium processing at the time of filing.
H-1B Visa Mental Health Nurse Practitioner: Frequently Asked Questions
Does a Mental Health Nurse Practitioner role qualify as an H-1B specialty occupation?
Yes. The role requires at minimum a master's degree in nursing with a psychiatric or mental health specialty, which satisfies USCIS's specialty occupation standard. Your employer will need to document that the position normally requires this level of education, and your credentials must match the field. A DNP or MSN with a PMHNP concentration is the standard qualifying credential.
How do I find employers who will sponsor an H-1B for this role?
Migrate Mate filters Mental Health Nurse Practitioner listings by employers who have filed Labor Condition Applications for this occupation. That filing history is the clearest signal that an employer has sponsored H-1B workers in this role before and has the legal infrastructure to do it again. Searching by LCA history saves time compared to asking each employer individually.
Can I start working before my H-1B is approved if I'm on OPT?
If you're transitioning from F-1 OPT and your employer filed your H-1B petition before your OPT expired, cap-gap protection extends your work authorization through September 30 of that year. If your H-1B is selected and approved, you can continue working through October 1 and beyond. USCIS issues an updated I-797 that serves as proof of this extended authorization.
Does my state nursing license affect the H-1B filing timeline?
Yes. Your employer's LCA names the state where you'll work, and USCIS expects you to have or be in the process of obtaining licensure there. Some states require a separate psychiatric NP certification beyond the RN license. If your license is pending, your employer can still file the H-1B, but you can't begin practicing until the state board issues the license.
Are there H-1B filing options outside the annual lottery for mental health roles?
Cap-exempt H-1B filings are available through certain employers, including federally qualified health centers, nonprofit psychiatric hospitals affiliated with universities, and government-operated mental health facilities. These employers can file year-round without entering the lottery. Mental health workforce shortages have made these settings active H-1B sponsors, and they're worth targeting specifically if you need to start work outside the April registration window.