H-1B Visa NP Jobs
Nurse Practitioners fill a specialty occupation under the H-1B visa, requiring at least a master's degree in nursing and an active APRN license for the hiring state. Many health systems and federally qualified health centers sponsor H-1B petitions for NP roles, particularly in primary care, psychiatry, and acute care settings where demand consistently outpaces supply.
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INTRODUCTION
At University of Maryland Baltimore Washington Medical Center (UM BWMC), we are committed to delivering high-quality, patient-centered care to the communities we serve across Central Maryland. As part of the University of Maryland Medical System, UM BWMC combines academic medicine, innovation, and a strong collaborative culture to support both exceptional patient outcomes and meaningful provider careers.
We are seeking a General Surgery Advanced Practice Provider (Physician Assistant-Certified or Acute Care Certified Registered Nurse Practitioner) to join a dynamic and highly collaborative surgical team that values teamwork, flexibility, and professional growth.
ROLE
This is a full-time, 40-hour position in a fast-paced but highly supportive surgical environment. The practice includes 4 surgeons and 1 APP, offering strong collaboration and a true team-based model of care.
This role is ideal for someone who enjoys a predictable schedule, clinical variety, and a balance of inpatient floor work and procedural involvement.
Your Schedule & Structure
- Full-time, 40 hours per week
- 1 weekend of rounding required (no call during weekend coverage)
- Primarily inpatient floor-based work with consults (~8 per day)
- Flexible and predictable scheduling environment
- Strong team support to promote work-life balance
What Your Day Will Look Like
- Managing post-operative and surgical patients throughout their care journey
- Completing inpatient consults and rounding on surgical patients
- Collaborating closely with surgeons, nurses, and APP colleagues
- Supporting clinical decision-making in a fast-paced surgical setting
- Opportunity for operating room exposure and participation alongside surgeons for interested candidates
- Opportunity to teach and supervise residents in an academic-supported environment
WHY UM BWMC?
Because medicine is demanding—you deserve a workplace that supports you.
At UM BWMC, you’ll find:
- A supportive, tight-knit surgical team that values APP contributions
- A culture of collaboration between surgeons, APPs, and trainees
- Opportunities for teaching, mentorship, and OR exposure
- Access to modern facilities and advanced surgical care resources
- A health system committed to innovation, quality, and patient-centered care
- A convenient location between Baltimore, Annapolis, and Washington, D.C.
BASIC QUALIFICATIONS
- Certified Physician Assistant (PA-C) or Acute Care Certified Registered Nurse Practitioner (ACNP)
- Strong multitasking skills and ability to manage ~8 consults per day
- Passion for surgery and acute inpatient care
- Team-oriented mindset with strong communication skills
- Willingness to learn and grow in a high-acuity environment
THE BOTTOM LINE
You didn’t become an APP to stand on the sidelines.
If you're looking for a role where you can grow your surgical skills, contribute meaningfully to patient care, and be part of a team that values your expertise—we would love to meet you.
Equal Opportunity Employer
University of Maryland Medical System is an equal opportunity employer. We are committed to creating an inclusive environment for all employees and applicants regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other legally protected status.
No Third-Party Solicitation
UMMS does not accept unsolicited resumes or candidate submissions from third-party recruiters or staffing agencies without a prior written agreement.
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Get Access To All JobsTips for Finding H-1B Visa Sponsorship in NP
Verify your APRN license before filing
Your H-1B petition requires a valid APRN license in the state where you'll practice. Get your license transferred or endorsed before your employer files Form I-129, since USCIS treats an unlicensed NP as failing the specialty occupation threshold.
Confirm the prevailing wage for your specialty
NP prevailing wages differ significantly by specialty and metro area. Run your exact SOC code through the OFLC Wage Search before negotiating your offer so you know the DOL wage level your employer must certify on the LCA.
Target cap-exempt employers in your job search
Hospitals affiliated with universities and federally qualified health centers are often cap-exempt, meaning they can file your H-1B year-round without lottery exposure. Use Migrate Mate to filter NP roles at employers with verified H-1B filing history.
Request premium processing for time-sensitive start dates
If your current OPT or other status expires close to your anticipated start date, ask your employer to file with USCIS premium processing. Approval within 15 business days protects you from a gap in work authorization.
Check O*NET to document specialty occupation eligibility
Adjudicators sometimes issue RFEs for NP roles in non-hospital settings. Pull the O*NET occupation profile showing the master's-level education requirement to give your employer's attorney concrete evidence the role qualifies as a specialty occupation.
Align your offer letter scope with the LCA job duties
Discrepancies between your offer letter and the LCA job duties are a common RFE trigger for NPs switching specialties. Make sure the clinical scope, practice setting, and supervision structure in both documents match exactly before your employer certifies the LCA with DOL.
H-1B Visa NP: Frequently Asked Questions
Does an NP role qualify as a specialty occupation for H-1B purposes?
Yes. USCIS recognizes Nurse Practitioner as a specialty occupation because the position normally requires at least a master's degree in nursing or a related clinical field. You'll also need a current, state-specific APRN license for the state in which you'll practice. Without both, the petition will not meet the specialty occupation standard, and USCIS is likely to issue a Request for Evidence.
How do health systems typically handle H-1B sponsorship for NPs?
Most sponsoring health systems treat NP H-1B petitions similarly to physician sponsorships. The employer files the Labor Condition Application with DOL, certifying prevailing wage compliance, then files Form I-129 with USCIS. Larger hospital networks often have in-house immigration counsel and established workflows, while smaller outpatient practices may require more lead time. Searching Migrate Mate lets you identify employers with active H-1B filing history for NP roles specifically.
Can I switch NP specialties or practice settings after my H-1B is approved?
A material change in job duties, clinical setting, or supervising structure typically requires your employer to file an amended H-1B petition with USCIS before the change takes effect. Moving from outpatient primary care to an inpatient acute care unit, for example, is likely a material change. Work with your employer's immigration attorney to assess whether an amendment is needed before you transition roles.
What happens to my H-1B status if my APRN license lapses or is under review by the state board?
A lapsed or suspended APRN license creates a direct legal problem for your H-1B status because licensure is a condition of the specialty occupation classification. USCIS can revoke an approved petition if the underlying license requirement is no longer met. Notify your employer's immigration counsel immediately if your license is under any state board review, and do not allow your license to expire during an active petition period.
Are federally qualified health centers a good option for NPs seeking H-1B sponsorship?
Federally qualified health centers are cap-exempt employers under the H-1B statute, which means they can file petitions at any time of year without competing in the annual lottery. This is a meaningful advantage for NPs who need to start employment on a specific date or who missed the current lottery cycle. Many FQHCs actively recruit NPs for underserved communities and have existing H-1B sponsorship infrastructure.