H-1B Visa Nurse Manager Jobs
Nurse Manager roles qualify for H-1B visa sponsorship as specialty occupations requiring a Bachelor of Science in Nursing or higher. Hospital systems, health networks, and long-term care operators regularly file LCAs for these positions. The 85,000-slot annual cap applies, but many healthcare employers hold cap-exempt status through teaching hospital affiliations.
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Bayhealth Medical Center is Central and Southern Delaware’s healthcare leader with hospitals in Dover and Milford, as well as stand-alone Emergency Department in Smyrna and a hybrid Emergency Department and Urgent Care in Milton. We offer various practice settings throughout Kent and Sussex Counties. Bayhealth Medical Center Kent Campus is 90 minutes from Philadelphia, Washington, DC and Baltimore. Our Sussex Campus is 30 minutes to the Delaware beaches and relaxation in the sand!
Bayhealth Medical Center offers a competitive salary and comprehensive benefits package (for eligible positions) including:
- Generous Paid Time Off and Paid Holidays
- Matching 401(k)/403(b) Plans
- Excellent Health, Dental, and Vision
- Disability and Life Insurance options
- On Site Child Care
- Educational Reimbursement
- Health Care and Dependent Care Flex Spending Accounts
- Plus, an array of Voluntary Benefits to include Critical Care Coverage and more!
Location: Kent Campus Hospital
Status: Full Time 80 Hours
Shift: Variable
SALARY RANGE: 91,457.60 - 141,752.00 YEARLY
General Summary:
The Assistant Nurse Manager (ANM) is a supervisor-level position that serves as a frontline nursing leader, supporting the operational, clinical, and people-focused functions of the nursing unit. Working in partnership with the Nurse Manager, the ANM helps ensure safe, high-quality patient care, staff engagement, efficient daily operations, and achievement of organizational goals.
The ANM provides supervisory oversight for daily unit activities, including staffing coordination, patient flow, quality and safety initiatives, regulatory compliance, and team development. This role serves as a resource and mentor for nursing staff, promotes collaboration across interdisciplinary teams, and assists with coaching, performance management, and professional development.
The Assistant Nurse Manager plays a key role in supporting a positive work environment, improving patient outcomes, enhancing employee engagement, and advancing strategic initiatives within the organization. The position helps maintain continuity of leadership presence on the unit while fostering accountability, communication, and operational excellence.
Responsibilities:
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Places the care of the patient and their family as the priority. Rounds on patients daily to ensure they are receiving the required care. Collaborate with the healthcare team to ensure the patient's plan of care is appropriate based on the patient's needs.
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Promotes and participates in staff learning and development. In collaboration with unit leadership, NPD, and staff, promote staff learning, competence, and collegial relationships to strengthen patient outcomes.
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Recognizes and identifies patient and departmental needs and initiates appropriate action to support delivery of care. Communicates and supports changes in policy and procedures, and provides new information to staff, effectively addressing concerns.
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Acts as a role model by maintaining clinical and leadership expertise through current practice and participation in learning opportunities.
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Proactively coaches for performance improvement and achievement of unit/department goals.
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Demonstrates active, productive participation in or leadership of unit/department-based or hospital-wide teams to represent nursing and improve patient outcomes.
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Serves as an approachable role model and mentor to the staff.
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Manages the nursing unit activities and executes facilitator responsibilities efficiently to ensure optimal patient care.
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Assists in the scheduling and monitoring of staff educational programming. Assists in staff performance development and evaluation processes, delivering recognition and reinforcement in a timely fashion, and assures accountability for professional nursing practice.
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Promotes positive, open communication among all members of the healthcare team as well as patients, families, and visitors. Promote self-care strategies.
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Participates in ensuring documentation meets standards according to hospital policy and that quality measures are maintained.
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Identifies safety and risk issues within the environment and works to correct them.
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Responsible for assisting the Nurse Manager in assuring appropriate staffing to meet patient care needs of the unit/department. Collaborate with the team to ensure appropriate, balanced staffing to meet patient care needs 24/7. Collaborate with the Nurse Manager to monitor staffing effectiveness and the utilization of materials and resources.
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Assists the Nurse Manager in monitoring payroll and staffing time utilization.
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All other duties as assigned within the scope and range of job responsibilities.
Required Education, Credential(s) and Experience:
- Education: Bachelor Degree Nursing
- Credential(s): Registered Nurse; Basic Life Support
- Experience: Three (3) years of clinical nursing experience.
Preferred: Previous leadership experience.
Preferred Education, Credential(s) and Experience:
- Education:
- Credential(s): Nurse Executive - Board Certified
- Experience:
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Get Access To All JobsTips for Finding H-1B Visa Sponsorship as a Nurse Manager
Verify your BSN meets specialty occupation
USCIS requires a directly related bachelor's degree for H-1B approval. A Nurse Manager role supported only by an ADN plus experience creates RFE risk. Confirm your BSN credential evaluation is on file before applications go out.
Target cap-exempt healthcare employers first
Hospitals affiliated with universities or nonprofit research institutions can file H-1B petitions outside the annual lottery. Search specifically for academic medical centers and teaching hospitals, where cap-exempt filings let you start without waiting for an October 1 start date.
Search LCA filing history on Migrate Mate
Filter employers by DOL Labor Condition Application data to confirm which health systems have actively sponsored Nurse Manager roles. This shows you real filing patterns, not self-reported claims, before you invest time in an application.
Check prevailing wage tier before negotiating
The LCA must certify your offered wage at or above the DOL prevailing wage for your work location. Run the OFLC Wage Search for SOC code 11-9111 in your target metro before negotiating an offer so you know the compliance floor your employer must meet.
Confirm NCLEX licensure transfers across state lines
Your H-1B petition must name a specific work location. If the employer operates across a compact-state system, clarify which state license covers the petition address. A mismatch between your active license state and the LCA work site location can stall filing.
Ask about I-140 portability before signing
If your employer has filed or will file a PERM-based green card petition, an approved I-140 gives you AC21 portability after 180 days, protecting your status during a future employer change. Clarify this with HR during the offer stage, not after onboarding.
H-1B Visa Nurse Manager: Frequently Asked Questions
Does a Nurse Manager role qualify as an H-1B specialty occupation?
Yes. USCIS classifies Nurse Manager positions as specialty occupations when the employer requires a Bachelor of Science in Nursing or higher as a standard hiring criterion. The O*NET profile for SOC code 11-9111 supports this classification. Roles that accept an ADN as the minimum qualification face higher RFE exposure, so degree requirements in the job posting matter significantly.
Which types of healthcare employers are most likely to sponsor H-1B visas for Nurse Managers?
Academic medical centers, large hospital systems, and nonprofit health networks are the most active H-1B sponsors for clinical management roles. Many of these employers hold cap-exempt status through university affiliations, which means they can file petitions year-round without competing in the annual lottery. You can verify active LCA filing history for specific employers on Migrate Mate before targeting your applications.
How does the H-1B lottery affect Nurse Manager job seekers?
The 85,000-slot annual cap applies to most private-sector employers, and unselected registrations mean no petition can be filed that year. However, hospitals affiliated with universities or nonprofit research institutions are cap-exempt, allowing filings at any time. Prioritizing cap-exempt health systems significantly reduces lottery dependency for Nurse Manager candidates.
Can a Nurse Manager on H-1B change employers mid-visa?
Yes, through H-1B portability. Once USCIS receives a new employer's H-1B petition filed on your behalf, you can start the new Nurse Manager role before approval, as long as your current status is valid and the petition is non-frivolous. Your existing visa period carries over, and the new employer's LCA must certify a prevailing wage for the new work location.
What documents should a Nurse Manager prepare before an employer starts the H-1B filing process?
You'll need your BSN degree certificate and official transcripts, a foreign credential evaluation if your degree is from outside the U.S., an active RN license for the state where the role is located, and a current CV detailing clinical management experience. USCIS may also request evidence of the employer's specialty occupation requirements, so retaining documentation showing the BSN is a standard minimum for the specific role strengthens the petition.