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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$40,000 Student Loan Repayment Or $20,000 Sign-on Bonus
In this role, you will have the ability to achieve work life balance. Flexible scheduling is offered where providers can flex their time between 8am-8pm over the 7-day work week. No on-call, no weekends and no holidays required.
Flexible provider schedules available between 20-40 hours per week.
Optum Home & Community Care, part of the Optum family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical, mental and social needs - helping patients access and navigate care anytime and anywhere. As a team member of our Optum HouseCalls team, together in an interdisciplinary care environment, we help patients navigate the health care system and connect them to key support services. This preventive care can help patients stay well at home. We're connecting care to create a seamless health journey for patients across settings. Join us in improving healthcare through the power of people and intelligent technologies while Caring. Connecting. Growing together.
HouseCalls is an innovative, performance-driven program that brings care directly to members' homes. As a HouseCalls Advanced Practice Clinician (Nurse Practitioner or Physician Assistant), you will conduct annual in-home health assessments for Medicare Advantage and other plan members. This is a non-prescribing, field-based role focused on improving health outcomes through education, gap closure, and collaboration with primary care providers (PCP).
Primary Responsibilities:
- Conduct comprehensive in-home assessments, including:
- Past medical history review, medication reconciliation, vital signs, and physical exam
- Evidence-based screenings and point-of-care testing (as appropriate)
- Identify and document diagnoses for care management and treatment planning
- Communicate findings to members' PCPs to address gaps in care
- Recognize urgent/emergent situations and intervene appropriately
- Educate members on disease processes, medications, and compliance
- Address social determinants of health and provide referrals as needed
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
- For NPs: Active ANCC or AANP certification in Family, Adult, Geriatric, or Adult-Gerontology Primary Care
- For PAs: Current NCCPA certification and state licensure
- Active, unrestricted licensure in the state you will be practicing in (or ability to obtain by start date) without current disciplinary actions or practice limitations
- Active and unrestricted driver's license
- In addition to a driver's license, access to reliable transportation to complete home visits
- Ability to navigate varied home environments; ability to sit/stand/kneel as needed to perform assessments
- If you're working in a state that allows NPs/PAs to practice independently (without Collaborative Agreement), you must get approval from your licensing board-if required. New hires who are eligible but haven't applied yet must do so within 1 month of starting. If you're not eligible at the time of hire, you must begin working toward eligibility within 1 month and apply for approval within 3 months of becoming eligible
Preferred Qualifications:
- 1+ years of clinical experience (family, geriatric, or home health preferred)
- Proficiency with electronic medical records and technology
- Ability to transport equipment weighing up to 30 pounds and navigate stairs as part of home visits
- Proven communication skills with geriatric or Medicare populations
- Fluent in any languages besides English
Additional compensation may be available for qualified candidates who are fluent in languages other than English and use those language skills during member visits.
Compensation for this specialty generally ranges from $109,500 - $164,000. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives.
At UnitedHealth Group, our mission is to help people live healthier lives and help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.
UnitedHealth Group and its affiliated brands are an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
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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.