H-1B Visa Nurse Practitioner Or Physician Assistant Jobs
Nurse Practitioners and Physician Assistants qualify for H-1B visa sponsorship as specialty occupation roles requiring at least a master's degree and a state license. Demand is high across health systems, federally qualified health centers, and multispecialty groups, many of which have active LCA filing histories and structured onboarding for international clinical hires.
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Job Details
Career area
Nursing - Other
Position Type
Full Time
Date Posted
06/19/2026
Location
Madera, CA 93636, United States
Job ID
JOB_POSTING-3-1953
Madera, California, 93636
About us:
The award-winning Neurology team at Valley Children’s Hospital provides diagnostic services, medical treatment, and follow-up care to infants, children, and adolescents who have suspected or confirmed neurological disorders. Our board-certified neurologists and epileptologists manage and treat a variety of patients, including those with seizures, epilepsy, neuromuscular disorders and other neurologic conditions.
NAEC Level 4 Epilepsy Center Badge - Valley Children's Hospital is also accredited by the NAEC as a level 4 epilepsy center. Level 4 epilepsy centers have the professional expertise and facilities to provide high-level, comprehensive medical evaluation and treatment for patients with complex epilepsy.
Our neurology team specializes in a variety of conditions from seizures and epilepsy, to neuromuscular and movement disorders. Our teams are experts in advanced diagnostic procedures and utilize both the latest technology as well as innovative programs to provide the best treatment plan for each patient.
Job Summary:
The Nurse Practitioner is an Advanced Practice Practitioner who is accountable for a "defined" patient population. Functions in the roles of expert practitioner, consultant, educator, patient advocate, care coordinator and researcher within a specialized area of practice. Possesses and exhibits a high degree of knowledge, skill and competence in the provision of health care directly to the patient, family or community, or indirectly through guidance of care by other professional personnel. Provision of patient care is conducted and performed utilizing the medical model within the scope of licensure and in accordance with applicable law, regulations, and in accordance with VCH policies. Some positions will be responsible for being on call according to a predetermined schedule or as needed, pursuant to hospital needs. Upon acceptance of an offer of employment and prior to providing patient care, candidate must submit Scope of Practice and all information for credentialing, to the Medical Staff office, Hospital Interdisciplinary Professional Practice Council.
Nurse Practitioner
Education
- Masters Degree Nursing (required)
- Program Graduate of a Nurse Practitioner program (required)
Licenses and Certifications
- RN - Registered Nurse License - as issued by the California Board of Registered Nursing (required)
- NP - Nurse Practitioner License as issued by the California Board of Registered Nursing.
- Must successfully complete the credentialing process through the Medical Staff office via CIDP for the appropriate scope of practice, written standardized protocols, and furnishing privileges. (required)
- NP-C - Nurse Practitioner National Certification - NCC - National Certification Corporation National certification from an accredited certifying board within six (6) months of hire or transfer into position (required)
- BLS - Basic Life Support - AHA - American Heart Association within 30 days of hire or transfer into position (required)
Work Experience
- Minimum one (1) year Related experience (required)
- Minimum five (5) years Increasingly responsible experience which demonstrates professional working knowledge of nursing theory and practice, with competence in physical assessment, differential diagnosis, pathophysiology, pharmacology and management of acute and chronic pediatric problems. (preferred)
Skills and Abilities
- Bilingual Skills Preferred.
Physician Assistant
Education
- Associate's degree (required)
- Graduate of a Physician Assistant program (required)
- Bachelor's or Master's Degree (preferred)
Licenses and Certifications
- PA - Physician Assistant License as issued by the Medical Board of California (required)
- Must successfully complete the credentialing process through the Medical Staff office via CIDP for the appropriate scope of practice, written standardized protocols, and furnishing privileges. (required)
- NCCPA - National Commission on Certification of Physician Assistants (required)
- Other certification in applicable area of specialty (preferred)
- BLS - Basic Life Support - AHA - American Heart Association within 30 days of hire or transfer into position (required)
Work Experience
- Minimum one (1) year related experience (required)
- Experience in applicable area of specialty (preferred)
Skills and Abilities
- Bilingual Skills Preferred.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Compensation Range:
$71.40 - $113.75
Workshift:
Day (United States of America)
Position Exempt:
Yes
FTE %:
100
Scheduled Weekly Hours:
40
Daily Hours:
8
Have Questions?
Call Recruitment Services at 559-353-7071 or email us at recruiting@valleychildrens.org
Disclaimer: Final compensation will be dependent upon skills and experience.
ALERT: Valley Children's Healthcare has been made aware of malicious employment scams targeting candidates with false job offers and requests for personal information. Please stay vigilant. If you believe you've encountered a potential hiring scam claiming to be from Valley Children's Healthcare, please report it to Recruiting@valleychildrens.org.
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Get Access To All JobsTips for Finding H-1B Visa Sponsorship as a Nurse Practitioner Or Physician Assistant
Verify your credentials meet H-1B requirements
H-1B eligibility for NP and PA roles hinges on a U.S.-equivalent master's degree and an active, unrestricted state license. If your foreign credentials need evaluation, get a NACES-member credential assessment before applications go out.
Target employers with verified LCA filing history
Use Migrate Mate to filter NP and PA openings by employers who have filed Labor Condition Applications for clinical roles. That filing history signals the employer already knows the H-1B process and isn't learning it on your timeline.
Check prevailing wage before negotiating your offer
Your employer must pay at least the DOL prevailing wage for your role, specialty, and metro area. Run your job title and location through OFLC Wage Search before you counter-offer so you know the floor the LCA must meet.
Understand how your state license affects filing timing
USCIS requires a valid license in the state where you'll practice before approving an H-1B for licensed healthcare roles. If your license is pending, ask whether the employer will file after approval or use premium processing to compress the gap.
Ask about cap-exempt employer status during interviews
Hospitals affiliated with nonprofits or universities may qualify as cap-exempt, meaning your H-1B petition bypasses the annual lottery entirely. Confirm the employer's cap-exempt status directly with their HR or legal team before counting on it.
Request premium processing when your start date is fixed
If a credentialing or employment contract deadline locks your start date, premium processing reduces USCIS adjudication to 15 business days. Clarify in writing whether the employer covers this fee or expects you to.
H-1B Visa Nurse Practitioner Or Physician Assistant: Frequently Asked Questions
Do Nurse Practitioner and Physician Assistant roles qualify as H-1B specialty occupations?
Yes. USCIS consistently classifies NP and PA positions as specialty occupations because they require at minimum a master's degree in a specific clinical field and a state license to practice. You'll need to document both your degree and your active, unrestricted license as part of the I-129 petition. Roles that allow a bachelor's degree alone may face more scrutiny during adjudication.
How do I find NP or PA employers who actively sponsor H-1B visas?
Migrate Mate surfaces NP and PA job listings filtered by employers with documented LCA filing history, so you can focus on health systems and practice groups that have already navigated the H-1B process for clinical hires. Targeting employers with prior filings reduces the risk of stalled sponsorship caused by inexperienced HR teams or reluctant legal counsel.
Does my state license need to be active before my employer files the H-1B petition?
USCIS requires a valid license in the state of intended employment before approving an H-1B for licensed healthcare professionals. If your license is still pending, some employers will wait and file after approval; others use premium processing to shorten the adjudication window to 15 business days and reduce the overlap period. Confirm the employer's approach during the offer stage, not after signing.
Can NP or PA employers skip the H-1B lottery?
Some can. Hospitals and clinics affiliated with nonprofit organizations, universities, or government entities may qualify as cap-exempt employers, which means petitions they file are not subject to the annual H-1B cap or the lottery. Federally qualified health centers and academic medical centers often fall into this category. Always verify cap-exempt status directly with the employer's immigration counsel before factoring it into your timeline.
What is the prevailing wage requirement for H-1B NP and PA roles?
DOL requires your employer to pay at least the prevailing wage for your specific occupation, geographic area, and experience level before the LCA can be certified. You can look up the applicable wage floor using OFLC Wage Search, which breaks down rates by job title and metro area. The LCA your employer files must reflect a salary at or above that figure, so knowing the number before negotiating your offer matters.