H-1B Visa Nursing Officer Jobs
Nursing Officer roles qualify for H-1B visa sponsorship as specialty occupations requiring at least a bachelor's degree in nursing. Employers must file a certified Labor Condition Application with the DOL before petitioning USCIS. Most Nursing Officer positions fall outside the annual cap if the hiring hospital is a nonprofit or academic medical center.
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10000 Carolinas Medical Center - Divisional Administrative Expense
Status:
Full time
Benefits Eligible:
Yes
Hours Per Week:
40
Schedule Details/Additional Information:
Full time
Pay Range:
$174.40 - $279.05
Background
The Greater Charlotte Chief Nursing Officer will lead a team of Chief Nursing Officers responsible for 11,000+ nursing staff at 15 sites of care and 2,800+ total licensed beds. Sites of care vary in size, ranging from community hospitals (33-300+ beds) to a major quaternary care, Level 1 trauma, academic medical at Atrium Health Carolinas Medical Center (CMC) (650+ beds). Consistently rated among the nation’s best hospitals, CMC provides residency training for more than 200 physicians in 15 specialties and serves as a regional campus for the Wake Forest University School of Medicine. The Area also includes the most comprehensive children's hospital between Atlanta and Washington, DC at Levine Children’s Hospital (230+ beds) and a world-class cancer center at Atrium Health Levine Cancer Institute.
Recognized as one of the fastest-growing regions in the country, the Charlotte region population experienced a 10.5% growth rate between 2020-2025 and is expected to grow 53% between 2030-2050.
The Position
Reporting to the Senior Vice President and Chief Nursing Officer for the North Carolina and Georgia Division, the Senior Vice President and President for the Greater Charlotte Area, and the Senior Vice President and President for the Charlotte Area, the Greater Charlotte Area Chief Nursing Officer (CNO) is responsible for organizing, planning, directing, and evaluating all nursing functions and other patient care areas within the Greater Charlotte Area. This position is a key member of the Greater Charlotte leadership team and works closely with the area hospital presidents and service line leaders.
This position has overall accountability for nursing and interdisciplinary leadership, strategic direction, quality, and outcomes of care in the Greater Charlotte Area. The Area CNO establishes and communicates a vision and direction for patient-centered and evidence-based care delivery in an integrated and team-based context. S/he will be responsible for driving a service-oriented culture focused on superior patient experience, employee engagement, quality, patient safety, and operational efficiency.
The Greater Charlotte Area CNO sets and enforces standards for professional nursing including leadership development, educational requirements, and workforce goals and targets. In collaboration with the NC & GA Division CNO, the Greater Charlotte Area CNO is responsible for establishing a culture of accountability/stewardship, leading in removal of unnecessary variation through the area, and enterprise alignment of care delivery/operational where appropriate. The position advocates for strategic patient care priorities with internal and external constituents and stakeholders to ensure optimal operating effectiveness, area positioning, and quality outcomes.
The Greater Charlotte Area CNO will lead the strategy for the Magnet designation and Pathway to Excellence process for the area and serve as senior spokesperson for nursing in the area.
Key Responsibilities
- Direct all operations of Patient Services in the Greater Charlotte Area.
- Identify and articulate the vision and strategic direction for the delivery of patient care and the discipline of Nursing across all patient care settings for assigned area; direct and collaborate on the implementation of strategies to achieve them. This includes the advancement of the profession of Nursing in the area and ensuring the retention of staff, financial planning and control, maintenance of active licensure, and quality assurance throughout the area.
- Lead the strategy for the Magnet designation and Pathway to Excellence process for the area and promote Magnet standards and principles throughout the area. This includes creating an environment where collaboration is valued and excellence in clinical care, education, and research is promoted and achieved.
- Serve as the senior spokesperson for Nursing in the area. Advise the area senior leadership, the medical staff, board and individual clinical facilities and other internal and external groups by providing input about the implications of decisions and change on the quality of patient care, on nursing, and on nursing care providers.
- Establish nursing standards for patient care, treatment/services, and standards of nursing by assuring that all nursing services are provided and in compliance with all applicable standards/requirements of the region, and all other applicable regulatory bodies.
- Collaborate closely with enterprise nursing and other area/regional colleagues, including Chief Medical Officer leadership, to achieve system and area/regional quality outcomes and priority strategic clinical initiatives. This includes partnering with the Advocate Health nursing leadership to ensure nursing integration in the Area.
- Participate in strategic planning, development, implementation, and evaluation of clinical programs and services, assuring appropriate resources for the delivery of care in conjunction with other Atrium/Advocate Health executive leadership.
- Recommend and implement policies and procedures to improve efficiency and delivery of quality patient care.
- Plan, manage, coordinate, and evaluate the clinical and administrative activities for the department of nursing and the administrative activities for other clinical and non-clinical areas.
- Provide enterprise leadership in the establishment and oversight of credentialing/privileging policies for nurses and ensures compliance with such policies for current and potential teammate nurses within the market area.
- Encourage active participation from all staff members and create a working environment that will encourage clinical employee satisfaction.
- Encourage innovation of the staff for the betterment of the welfare of the patients and the organization.
Skills & Attributes
Critical Leadership Capabilities
The Greater Charlotte Area CNO must be a high-impact, results-oriented, inspirational leader with a commitment to excellence and a focus on improving the quality, safety, and value of patient care in this new healthcare environment, demonstrated by:
- Displaying expertise in present and emerging industry trends and best practices in clinical methodologies, performance improvement and nursing strategies.
- Elevating the standards for nursing performance and achieving improved clinical outcomes.
- Surpassing goals and seizing opportunities to improve patient care.
- Setting goals that are ambitious but realistic for self and team, geared to overall area objectives.
- Exceeding performance targets in quality, patient safety, employee and patient experience.
Collaborating and Influencing
The Greater Charlotte Area CNO must be able to engage and build lasting relationships and collaborations with senior leadership team members, physicians, nursing leadership and staff as well as key stakeholders in a complex and highly matrixed organization, with particular emphasis on:
- Negotiating with a genuine give-and-take approach, where all parties act as true peers and decisions are shared.
- Identifying and engaging with all relevant stakeholders to shape consensus.
- Identifying opportunities to build supporting or new relationships.
Leading People
The Greater Charlotte Area CNO will demonstrate personal credibility, executive presence, anticipation of needs and concerns, and rigorous management of personal motivation and sustained performance, and will exhibit a personal interest in mentoring and coaching the nursing leaders of the future by:
- Creating an environment where our people are seen, heard, valued and feel like they belong.
- Collaborating and actively engaging with the team to manage projects, solve problems, discuss challenging issues, or learn more about critical issues as a group.
- Appropriately delegating roles and responsibilities to free self to work at a more strategic level.
- Establishing clear, challenging performance goals and metrics for the year.
- Designing proactive, process-focused performance management processes to monitor projects and deliver sustainable results that exceed expectations.
- Assuming the best in people and creating a culture that rewards collaboration, diversity and teamwork.
Education & Experience
Progressive Nursing Leadership Experience
- 10+ years of increasingly responsible nurse or operational leadership roles with significant operational experience (e.g., CNO, associate CNO, COO, SVP of Operations, or other executive leader).
Academic Credentials and Licensure
- Master of Science in Nursing from an accredited nursing program, or a Bachelor of Science in Nursing from an accredited nursing program and a Master’s degree in a related field.
- A D.N.P. or Ph.D. is preferred.
- If not already licensed in North Carolina, eligible for licensure in the state.
Clinical Excellence Champion
- Experience leading performance improvement and change management initiatives in the areas of clinical quality, patient safety, patient & staff engagement, and resource allocation.
Financial and Business Acumen
- Demonstrated by the successful development and management of annual budgets reflecting staffing, capital and other operating expenses.
Commitment to Diversity, Equity, and Inclusion
- A record of accomplishment in recruitment, development and retention of outstanding leaders and staff, including those traditionally underrepresented.
- Aspiration to be an agent of progress in advancing racial equity and justice.
Our Commitment to You:
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:
Compensation
- Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
- Premium pay such as shift, on call, and more based on a teammate's job
- Incentive pay for select positions
- Opportunity for annual increases based on performance
Benefits and more
- Paid Time Off programs
- Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
- Flexible Spending Accounts for eligible health care and dependent care expenses
- Family benefits such as adoption assistance and paid parental leave
- Defined contribution retirement plans with employer match and other financial wellness programs
- Educational Assistance Program
Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview.
About Advocate Health
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
Department:
10000 Carolinas Medical Center - Divisional Administrative Expense
Status:
Full time
Benefits Eligible:
Yes
Hours Per Week:
40
Schedule Details/Additional Information:
Full time
Pay Range:
$174.40 - $279.05
Background
The Greater Charlotte Chief Nursing Officer will lead a team of Chief Nursing Officers responsible for 11,000+ nursing staff at 15 sites of care and 2,800+ total licensed beds. Sites of care vary in size, ranging from community hospitals (33-300+ beds) to a major quaternary care, Level 1 trauma, academic medical at Atrium Health Carolinas Medical Center (CMC) (650+ beds). Consistently rated among the nation’s best hospitals, CMC provides residency training for more than 200 physicians in 15 specialties and serves as a regional campus for the Wake Forest University School of Medicine. The Area also includes the most comprehensive children's hospital between Atlanta and Washington, DC at Levine Children’s Hospital (230+ beds) and a world-class cancer center at Atrium Health Levine Cancer Institute.
Recognized as one of the fastest-growing regions in the country, the Charlotte region population experienced a 10.5% growth rate between 2020-2025 and is expected to grow 53% between 2030-2050.
The Position
Reporting to the Senior Vice President and Chief Nursing Officer for the North Carolina and Georgia Division, the Senior Vice President and President for the Greater Charlotte Area, and the Senior Vice President and President for the Charlotte Area, the Greater Charlotte Area Chief Nursing Officer (CNO) is responsible for organizing, planning, directing, and evaluating all nursing functions and other patient care areas within the Greater Charlotte Area. This position is a key member of the Greater Charlotte leadership team and works closely with the area hospital presidents and service line leaders.
This position has overall accountability for nursing and interdisciplinary leadership, strategic direction, quality, and outcomes of care in the Greater Charlotte Area. The Area CNO establishes and communicates a vision and direction for patient-centered and evidence-based care delivery in an integrated and team-based context. S/he will be responsible for driving a service-oriented culture focused on superior patient experience, employee engagement, quality, patient safety, and operational efficiency.
The Greater Charlotte Area CNO sets and enforces standards for professional nursing including leadership development, educational requirements, and workforce goals and targets. In collaboration with the NC & GA Division CNO, the Greater Charlotte Area CNO is responsible for establishing a culture of accountability/stewardship, leading in removal of unnecessary variation through the area, and enterprise alignment of care delivery/operational where appropriate. The position advocates for strategic patient care priorities with internal and external constituents and stakeholders to ensure optimal operating effectiveness, area positioning, and quality outcomes.
The Greater Charlotte Area CNO will lead the strategy for the Magnet designation and Pathway to Excellence process for the area and serve as senior spokesperson for nursing in the area.
Key Responsibilities
- Direct all operations of Patient Services in the Greater Charlotte Area.
- Identify and articulate the vision and strategic direction for the delivery of patient care and the discipline of Nursing across all patient care settings for assigned area; direct and collaborate on the implementation of strategies to achieve them. This includes the advancement of the profession of Nursing in the area and ensuring the retention of staff, financial planning and control, maintenance of active licensure, and quality assurance throughout the area.
- Lead the strategy for the Magnet designation and Pathway to Excellence process for the area and promote Magnet standards and principles throughout the area. This includes creating an environment where collaboration is valued and excellence in clinical care, education, and research is promoted and achieved.
- Serve as the senior spokesperson for Nursing in the area. Advise the area senior leadership, the medical staff, board and individual clinical facilities and other internal and external groups by providing input about the implications of decisions and change on the quality of patient care, on nursing, and on nursing care providers.
- Establish nursing standards for patient care, treatment/services, and standards of nursing by assuring that all nursing services are provided and in compliance with all applicable standards/requirements of the region, and all other applicable regulatory bodies.
- Collaborate closely with enterprise nursing and other area/regional colleagues, including Chief Medical Officer leadership, to achieve system and area/regional quality outcomes and priority strategic clinical initiatives. This includes partnering with the Advocate Health nursing leadership to ensure nursing integration in the Area.
- Participate in strategic planning, development, implementation, and evaluation of clinical programs and services, assuring appropriate resources for the delivery of care in conjunction with other Atrium/Advocate Health executive leadership.
- Recommend and implement policies and procedures to improve efficiency and delivery of quality patient care.
- Plan, manage, coordinate, and evaluate the clinical and administrative activities for the department of nursing and the administrative activities for other clinical and non-clinical areas.
- Provide enterprise leadership in the establishment and oversight of credentialing/privileging policies for nurses and ensures compliance with such policies for current and potential teammate nurses within the market area.
- Encourage active participation from all staff members and create a working environment that will encourage clinical employee satisfaction.
- Encourage innovation of the staff for the betterment of the welfare of the patients and the organization.
Skills & Attributes
Critical Leadership Capabilities
The Greater Charlotte Area CNO must be a high-impact, results-oriented, inspirational leader with a commitment to excellence and a focus on improving the quality, safety, and value of patient care in this new healthcare environment, demonstrated by:
- Displaying expertise in present and emerging industry trends and best practices in clinical methodologies, performance improvement and nursing strategies.
- Elevating the standards for nursing performance and achieving improved clinical outcomes.
- Surpassing goals and seizing opportunities to improve patient care.
- Setting goals that are ambitious but realistic for self and team, geared to overall area objectives.
- Exceeding performance targets in quality, patient safety, employee and patient experience.
Collaborating and Influencing
The Greater Charlotte Area CNO must be able to engage and build lasting relationships and collaborations with senior leadership team members, physicians, nursing leadership and staff as well as key stakeholders in a complex and highly matrixed organization, with particular emphasis on:
- Negotiating with a genuine give-and-take approach, where all parties act as true peers and decisions are shared.
- Identifying and engaging with all relevant stakeholders to shape consensus.
- Identifying opportunities to build supporting or new relationships.
Leading People
The Greater Charlotte Area CNO will demonstrate personal credibility, executive presence, anticipation of needs and concerns, and rigorous management of personal motivation and sustained performance, and will exhibit a personal interest in mentoring and coaching the nursing leaders of the future by:
- Creating an environment where our people are seen, heard, valued and feel like they belong.
- Collaborating and actively engaging with the team to manage projects, solve problems, discuss challenging issues, or learn more about critical issues as a group.
- Appropriately delegating roles and responsibilities to free self to work at a more strategic level.
- Establishing clear, challenging performance goals and metrics for the year.
- Designing proactive, process-focused performance management processes to monitor projects and deliver sustainable results that exceed expectations.
- Assuming the best in people and creating a culture that rewards collaboration, diversity and teamwork.
Education & Experience
Progressive Nursing Leadership Experience
- 10+ years of increasingly responsible nurse or operational leadership roles with significant operational experience (e.g., CNO, associate CNO, COO, SVP of Operations, or other executive leader).
Academic Credentials and Licensure
- Master of Science in Nursing from an accredited nursing program, or a Bachelor of Science in Nursing from an accredited nursing program and a Master’s degree in a related field.
- A D.N.P. or Ph.D. is preferred.
- If not already licensed in North Carolina, eligible for licensure in the state.
Clinical Excellence Champion
- Experience leading performance improvement and change management initiatives in the areas of clinical quality, patient safety, patient & staff engagement, and resource allocation.
Financial and Business Acumen
- Demonstrated by the successful development and management of annual budgets reflecting staffing, capital and other operating expenses.
Commitment to Diversity, Equity, and Inclusion
- A record of accomplishment in recruitment, development and retention of outstanding leaders and staff, including those traditionally underrepresented.
- Aspiration to be an agent of progress in advancing racial equity and justice.
Our Commitment to You:
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:
Compensation
- Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
- Premium pay such as shift, on call, and more based on a teammate's job
- Incentive pay for select positions
- Opportunity for annual increases based on performance
Benefits and more
- Paid Time Off programs
- Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
- Flexible Spending Accounts for eligible health care and dependent care expenses
- Family benefits such as adoption assistance and paid parental leave
- Defined contribution retirement plans with employer match and other financial wellness programs
- Educational Assistance Program
Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview.
About Advocate Health
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
See all 392+ H-1B Visa Nursing Officer Jobs
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Get Access To All JobsTips for Finding H-1B Visa Sponsorship in Nursing Officer
Verify your credentials meet specialty occupation standards
USCIS requires your nursing degree to be equivalent to a U.S. bachelor's in nursing. If you trained outside the U.S., get a credential evaluation from a CGFNS-recognized agency before applying to H-1B-sponsoring employers.
Target cap-exempt hospital systems first
Nonprofit hospitals, government health agencies, and academic medical centers are cap-exempt H-1B employers. You can file year-round without waiting for April's lottery window, which dramatically shortens your path to authorization.
Search verified H-1B sponsors on Migrate Mate
Filter Nursing Officer roles by employers with confirmed H-1B LCA filing history on Migrate Mate. This surfaces hospitals and health systems that have actively sponsored the role, not just those open to it in theory.
Confirm the LCA wage level matches your experience
Use the OFLC Wage Search to look up the prevailing wage for Nursing Officer roles in your target metro area. Employers must pay at least the Level I or Level II wage; mismatches during the LCA phase delay filing.
Ask HR explicitly about I-129 petition timing
Cap-subject offers must be filed by April 1 for an October 1 start date. Ask the recruiter whether the employer files premium processing and whether your offer letter accounts for the gap between selection and your start date.
Document clinical licensure before the petition is filed
Your employer's immigration counsel needs your active state RN or nursing license before filing the I-129. Pending licensure is the most common reason USCIS issues an RFE on Nursing Officer petitions, so resolve this before the offer stage.
H-1B Visa Nursing Officer: Frequently Asked Questions
Does a Nursing Officer role qualify as a specialty occupation for H-1B purposes?
Yes. USCIS recognizes Nursing Officer positions as specialty occupations when the role requires at least a bachelor's degree in nursing or a closely related field. The O*NET profile for registered nursing lists the typical entry requirement as a bachelor's degree, which satisfies the specialty occupation threshold. Your employer must document that the specific position routinely requires that degree level.
Which types of employers sponsor H-1B visas for Nursing Officer positions?
Nonprofit hospital systems, government-affiliated health agencies, and academic medical centers are the most active sponsors because they are cap-exempt and can file petitions year-round. For-profit hospitals and private health groups can also sponsor, but those petitions are subject to the annual 85,000-slot cap and the April lottery. Use Migrate Mate to filter Nursing Officer openings by employers with documented H-1B filing history.
How does the H-1B cap affect Nursing Officer job seekers?
If your prospective employer is a nonprofit hospital, university hospital, or government health entity, your petition is cap-exempt and can be filed at any time. If the employer is a for-profit entity, the petition enters the annual lottery held each April for an October 1 start date. Many Nursing Officer candidates specifically target cap-exempt employers to avoid the lottery entirely and start sooner.
What happens to my H-1B status if I transfer between hospital employers?
H-1B portability under AC21 lets you start working for a new cap-exempt or cap-subject employer once a new I-129 petition is filed, without waiting for approval, provided your previous H-1B was approved and you've maintained valid status. Your new employer files a fresh LCA with DOL and a new I-129 with USCIS. The 60-day grace period after your previous employment ends gives you a buffer to arrange the transfer.
Is state nursing licensure required before an employer can file an H-1B petition for a Nursing Officer?
Yes, in most cases. USCIS requires evidence that you meet all requirements to perform the job at the time of filing, which typically includes an active state RN license for the state where you'll work. Some employers file with a pending license application and submit a subsequent RFE response, but this adds risk and delay. Securing licensure before the petition is filed is the standard approach immigration counsel recommends.