H-1B Visa Nurse Resident Jobs
Nurse Resident positions are entry-level RN roles at hospitals that run structured residency programs, and a growing number of those hospitals sponsor H-1B visas for qualified international graduates. Your employer files the H-1B petition, but specialty occupation status, NCLEX licensure, and prevailing wage compliance all shape which programs will realistically move forward with sponsorship.
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PURPOSE AND SCOPE:
This position is for graduates of an accredited school of Nursing working in a state that does not allow graduates to perform nursing duties until licensed. The specific job title used will be determined based on the state where the employee is employed. Functions as part of the hemodialysis health care team providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse while working towards obtaining their nursing license. Employees hired into this position will be required to obtain their nursing license within 90 days of their hire date.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
Patient Care:
- Performs vascular access evaluation pre-treatment.
- Performs and records Pre and Post dialysis evaluation, weight and vital signs with initial identification.
- Performs vascular access cannulation and reports any difficulties in cannulation or unusual findings to nurse supervisor.
- Initiates dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD).
- Evaluates intradialytic problems and provides intervention as prescribed by physician order or as directed.
- Monitors patients’ response to dialysis therapy.
- Obtains vital signs prior to reinfusion; performs all relevant functions necessary for the discontinuation of treatment and documents appropriately.
- Evaluates patients prior to termination of venous access - standing & sitting blood pressure.
- Obtains hemostasis and applies appropriate dressings.
- Evaluates the patient prior to discharge.
- Documents information related to patient treatment including documentation in the patient health record.
- Reports any significant information and/or change in patient condition directly to the nurse supervisor.
- Performs and documents interventions for unusual patient status and documents patients' response to intervention.
- Obtains all prescribed laboratory testing and prepares specimens for collection.
Maintenance / Technical:
- Conducts all tasks necessary for preparation for dialysis treatment and documents where appropriate.
- Maintains environmental integrity and aesthetics - ensures all areas are safe and clean.
- Cleans and disinfects dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.
- Performs all required pretreatment dialysis machine set up and testing.
- Ensures that all blood spills are immediately cleaned with appropriate disinfectants according to facility policy.
- Prepares, organizes, and efficiently utilizes supplies and equipment to prevent waste.
Clerical & Administrative:
- Enters all treatment data into the designated clinical application accurately and in a timely manner.
- Reviews health care record for completeness and ensures omitted entries are completed or corrected where appropriate.
- Prepares lab requisitions for prescribed or stat lab specimens according to laboratory destination.
- Collects, labels, appropriately prepares and stores lab samples according to required laboratory specifications.
- Ensures collection of lab specimens by appropriate lab courier.
Other:
- As a condition of continued employment, you are required to obtain and maintain any required credentials or certifications necessary for your position in an active and valid status (including renewal of such credentials or certifications prior to any expiration date). In the event that your credential or certified status changes, you must notify your supervisor immediately.
- Capable of working in a challenging environment which requires the ability to handle demanding situations, multitasking, and remaining flexible to changing needs.
- Maintains regular and punctual attendance.
- Performs other related duties as assigned.
PHYSICAL DEMANDS AND WORKING CONDITIONS:
The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
- Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made.
- Work includes using a desk and personal computer as well as interaction with patients, facility staff and physicians. The position may require travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required.
- The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials.
- The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs., and on an occasional lift basis up to 40 lbs., as high as 5 feet. There is a two-person assist program and "material assist” devices for the heavier items.
SUPERVISION:
- None.
EDUCATION AND REQUIRED CREDENTIALS:
- Graduated from an accredited nursing program within the past 12 months.
EXPERIENCE AND SKILLS:
- Required to obtain nursing license within 90 days of employment.
EOE, disability/veterans
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Get Access To All JobsTips for Finding H-1B Visa Sponsorship in Nurse Resident
Verify your NCLEX before applying
H-1B sponsorship for nurse residents requires a valid RN license in the state where you'll work. Employers won't initiate an LCA until your NCLEX results are confirmed, so clear licensure before your residency start date is a hard dependency.
Target hospitals with ACGME or ANCC accreditation
Accredited nurse residency programs at large health systems are far more likely to have an immigration counsel on retainer and a repeatable H-1B filing process. Unaccredited programs often lack the infrastructure to sponsor international nurses.
Search H-1B filing history on Migrate Mate
Filter by the nursing SOC code on Migrate Mate to see which hospitals have filed H-1B LCAs for registered nurse roles. Employers with consistent DOL filing history signal an active sponsorship pipeline, not a one-off exception.
Confirm the LCA wage level before accepting an offer
Nurse resident salaries are often set at wage level I, the lowest prevailing wage tier. Use the OFLC Wage Search to verify the DOL-certified wage for your county and confirm your offer meets that floor before signing.
Ask explicitly whether the program files cap-subject or cap-exempt
Hospitals affiliated with a nonprofit research institution or university medical center may qualify as cap-exempt employers. Cap-exempt filing means no lottery and no April 1 deadline, which changes your entire hiring timeline planning.
Request the I-129 timeline before your OPT expires
If you're transitioning from F-1 OPT, your employer must file the H-1B petition before your EAD expires to maintain cap-gap protection. Get a written commitment on the filing date from your employer's immigration attorney at the offer stage.
H-1B Visa Nurse Resident: Frequently Asked Questions
Do nurse resident positions qualify as specialty occupations for H-1B purposes?
Yes, nurse resident roles qualify as H-1B specialty occupations because they require a BSN or higher and a valid RN license. The O*NET classification for registered nurses confirms a bachelor's-level educational requirement. Your employer's immigration attorney will document the specialty occupation requirement in the I-129 petition using your degree, licensure, and the role's job duties.
Which hospitals are most likely to sponsor H-1B visas for nurse residents?
Large academic medical centers, health systems with international nursing recruitment programs, and hospitals in regions with persistent RN shortages are the most consistent H-1B sponsors for nurse residents. You can identify them by reviewing DOL LCA disclosure data filtered by nursing SOC codes. Migrate Mate surfaces this filing history by employer so you can target programs with an established sponsorship track record.
Can I start a nurse residency program on OPT and then transition to H-1B?
Yes, and this is the most common path for internationally educated nurses on F-1 visas. You begin the residency on OPT, and your employer files the H-1B petition during the April registration window. If selected, cap-gap provisions allow you to continue working after your OPT EAD expires until your H-1B status takes effect on October 1. Confirm the filing timeline with your employer before accepting the offer.
Does my nursing degree from outside the U.S. satisfy the H-1B specialty occupation requirement?
A foreign nursing degree must be evaluated by a USCIS-recognized credential evaluation service and found equivalent to a U.S. BSN or higher. The Commission on Graduates of Foreign Nursing Schools, known as CGFNS, is the standard evaluator for international nursing credentials. Without a positive equivalency determination, USCIS may issue a Request for Evidence on the specialty occupation requirement, which can delay your petition.
What happens to my H-1B status if I don't complete the nurse residency program?
Your H-1B status is tied to your employment with the sponsoring hospital. If you leave or are terminated before completing the program, your authorized stay ends, and you typically have a 60-day grace period to find a new H-1B sponsor, transfer status, or depart. USCIS grants this grace period once per authorized validity period. A new employer would need to file a transfer petition before the grace period expires.