H-1B Visa Outpatient Registered Nurse Jobs
Outpatient Registered Nurses work in clinics, physician offices, and ambulatory surgery centers, settings where H-1B visa sponsorship is less common than hospitals but still available from larger health systems and multisite providers. Your NCLEX license, specialty certifications, and state licensure all factor into how employers assess sponsorship feasibility before filing.
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Get Access To All JobsPURPOSE AND SCOPE:
The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations.
- Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses.
- Performs ongoing, systematic collection and analysis of patient data pre – during – post hemodialysis treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed.
- Assesses, collaborates, and documents patient/family’s basic learning needs to provide initial and ongoing education to patients and family.
- Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients.
- Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness.
- Initiates or assists with emergency response measures.
- Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned.
- Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections.
- Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team.
- Ensures patient awareness related to transplant and treatment modality options.
- Required to complete CAP requirements to advance.
- Performs all other duties as assigned by Supervisor.
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 accommodations may be made to enable individuals with disabilities to perform the essential functions.
- The position provides direct patient care that regularly involves heavy lifting, 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 move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet.
- 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.
- Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians.
- The position may require travel to training sites or other facilities.
- May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.
SUPERVISION:
Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following:
- Successful completion of all FKC education and training requirements for new employees.
- Must have a minimum of 9 months experience as a RN.
- Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN.
EDUCATION and LICENSURE:
- Graduate of an accredited School of Nursing.
- Current appropriate state licensure.
- Current or successful completion of CPR BLS Certification.
- Must meet the practice requirements in the state in which he or she is employed.
EXPERIENCE AND REQUIRED SKILLS:
- Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
- Chronic/acute hemodialysis experience (preferred).
Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.
EOE, disability/veterans
PURPOSE AND SCOPE:
The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations.
- Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses.
- Performs ongoing, systematic collection and analysis of patient data pre – during – post hemodialysis treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed.
- Assesses, collaborates, and documents patient/family’s basic learning needs to provide initial and ongoing education to patients and family.
- Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients.
- Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness.
- Initiates or assists with emergency response measures.
- Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned.
- Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections.
- Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team.
- Ensures patient awareness related to transplant and treatment modality options.
- Required to complete CAP requirements to advance.
- Performs all other duties as assigned by Supervisor.
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 accommodations may be made to enable individuals with disabilities to perform the essential functions.
- The position provides direct patient care that regularly involves heavy lifting, 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 move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet.
- 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.
- Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians.
- The position may require travel to training sites or other facilities.
- May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.
SUPERVISION:
Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following:
- Successful completion of all FKC education and training requirements for new employees.
- Must have a minimum of 9 months experience as a RN.
- Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN.
EDUCATION and LICENSURE:
- Graduate of an accredited School of Nursing.
- Current appropriate state licensure.
- Current or successful completion of CPR BLS Certification.
- Must meet the practice requirements in the state in which he or she is employed.
EXPERIENCE AND REQUIRED SKILLS:
- Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
- Chronic/acute hemodialysis experience (preferred).
Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.
EOE, disability/veterans
See all 1,116+ H-1B Visa Outpatient Registered Nurse Jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new H-1B Visa Outpatient Registered Nurse Jobs.
Get Access To All JobsTips for Finding H-1B Visa Sponsorship as an Outpatient Registered Nurse
Verify your NCLEX credential for H-1B eligibility
USCIS requires a bachelor's-level specialty occupation for H-1B approval. An ADN with years of outpatient experience may not satisfy the degree requirement, confirm your BSN or an equivalent credential evaluation covers you before applying to sponsored roles.
Target multisite health systems over standalone clinics
Independent outpatient clinics rarely have the legal infrastructure to sponsor H-1B petitions. Large health systems operating multiple ambulatory or specialty care sites file LCAs regularly and already have immigration counsel on retainer, making the process far smoother.
Check DOL LCA filings before your first interview
Use Migrate Mate to filter outpatient nursing roles by employers with active H-1B LCA filing history. This narrows your search to organizations that have already committed to sponsorship in your specialty, saving time you'd otherwise spend in conversations that go nowhere.
Confirm your specialty aligns with the posted SOC code
DOL prevailing wage determinations for outpatient RN roles are tied to specific SOC codes. Use OFLC Wage Search to verify whether your role is classified under a general RN code or a specialty code like ambulatory care, mismatches can delay LCA certification.
Secure state licensure before the employer files
H-1B petitions for RN roles require proof of state licensure, not just NCLEX passage. If you're relocating across states, apply for licensure by endorsement immediately after accepting an offer so the I-129 filing isn't held up waiting for your new state's license.
Ask HR whether cap-exempt filing is possible
Outpatient roles at nonprofits, federally qualified health centers, or health system affiliates may qualify for cap-exempt H-1B filing. Cap-exempt petitions aren't subject to the annual lottery, so you can start any time of year without waiting for the April registration window.
H-1B Visa Outpatient Registered Nurse: Frequently Asked Questions
Do outpatient RN roles qualify as H-1B specialty occupations?
Yes, but the degree requirement matters. USCIS requires that the position normally requires at least a bachelor's degree in a specific specialty. Most hospital and health system outpatient RN postings require a BSN, which satisfies this standard. Roles where an ADN is acceptable may face scrutiny during adjudication, so confirm the employer's posted minimum education requirement before pursuing sponsorship.
How do I find outpatient nursing employers who actually sponsor H-1B visas?
Search Migrate Mate for outpatient RN roles filtered by employers with verified H-1B LCA filing history. This shows you which health systems and ambulatory care networks have already filed for nursing roles, so you're not wasting applications on clinics that have never sponsored. Standalone private practices and small specialty offices rarely file H-1B petitions.
Does my nursing specialty affect the H-1B prevailing wage determination?
Yes. DOL assigns prevailing wages based on SOC codes, and outpatient nursing roles can fall under different codes depending on the setting and duties. An infusion center RN and a cardiology clinic RN may be classified differently. Use OFLC Wage Search with the specific job title and worksite ZIP code to see what wage level applies before negotiating your offer.
Can I transfer my H-1B to a new outpatient employer mid-status?
Yes, through H-1B portability. Once your initial petition has been approved and you've maintained valid status, a new outpatient employer can file a transfer petition and you can begin work upon filing, without waiting for USCIS approval. Make sure your new employer's role still meets the specialty occupation standard and that your state nursing license is valid for the new work location.
What happens to my H-1B if my outpatient employer reduces my hours?
H-1B status requires you to be employed in the position described in the approved petition. If your employer reduces you to part-time, they must file an amended petition with USCIS reflecting the new terms, including an updated LCA certified at the correct prevailing wage for part-time hours. Unreported material changes to your role or schedule can put your status at risk.