H-1B Visa Palliative Care Nurse Practitioner Jobs
Palliative Care Nurse Practitioners work in a specialty occupation under H-1B visa, requiring a graduate-level nursing degree and active APRN licensure in the state of employment. Large health systems, hospice networks, and academic medical centers regularly file H-1B petitions for this role, and the 60,000-slot cap applies unless your employer qualifies as cap-exempt.
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Posting Date
10/30/2026
The Manager, Palliative Care (IKC) will lead the DaVita IKC Palliative Care IDT team and is accountable for teammate performance, daily clinical operations, quality outcomes, and consistent execution of palliative care workflows. The Manager provides clear direction, coaching, and oversight to ensure the team delivers timely, high-quality, goal-concordant support for adults living with advanced chronic kidney disease, end-stage kidney disease, and serious comorbid illness.
This role partners with IKC leadership, nephrology practices, dialysis clinic teams, providers, health plans, hospice and palliative care partners, and other stakeholders to improve care coordination, strengthen access to supportive services, and ensure safe, therapeutic, ethical, and compliant patient care. The manager ensures confidential patient, teammate, and business information with discretion, sound judgment, and adherence to privacy and compliance requirements in daily palliative care operations and stakeholder communication.
Essential Function:
- Leads the Palliative Care IDT team by setting clear expectations, providing supportive coaching and performance feedback, and promoting accountability for quality, timeliness, documentation, teammate engagement, and patient-centered outcomes. Applies strong knowledge of palliative care and renal palliative care principles. This includes serious illness communication, goals-of-care conversations, advance care planning, and symptom-focused support. The role also supports hospice referral pathways, concurrent hospice and dialysis, conservative kidney management, and compassionate care transitions for patients living with advanced CKD, ESKD, and complex serious illness.
- Owns daily team operations, including referral management, patient prioritization, interdisciplinary case review, escalation pathways, documentation expectations, closed-loop communication, and follow-through with internal and external partners.
- Monitors and improves performance using clinical, operational, and quality data, including trends related to referral completion, advance care planning, hospice and palliative care connections, care transitions, patient and caregiver experience, and avoidable acute care utilization.
- Builds strong cross-functional relationships with IKC leadership, nephrology practices, dialysis clinic teams, providers, health plans, hospice agencies, palliative care partners, and other stakeholders to remove barriers and strengthen care coordination.
- Supports development, refinement, and implementation of palliative care workflows, education, tools, and program improvements, including serious illness communication, goals-of-care conversations, advance care planning, hospice referral pathways, concurrent hospice and dialysis, and conservative kidney management.
- Other duties as assigned.
Education and Experience:
- Active, unrestricted clinical license in good standing, appropriate to discipline and state requirements is required.
- Minimum of 5 years of experience in palliative care, hospice, nephrology, advanced chronic illness, complex care management, or a closely related clinical setting is required.
- Demonstrated experience using quality and clinical/operational data monitoring to lead teammate accountability and overall process improvements that drive outcomes, strengthen practice consistency, and support reliable patient-centered performance is required.
- Intermediate computer skills and proficiency in MS Word, Excel, PowerPoint, Outlook, electronic medical record systems, documentation tools, and reporting or tracking systems is required.
- Bachelor’s degree in nursing, social work, healthcare administration, or related field is preferred.
- Renal, dialysis, CKD, or ESKD care experience is preferred.
- Certification in hospice and palliative care, case management, nephrology nursing, nephrology social work, healthcare quality, or related specialty is preferred.
Travel up to 25% is required.
What We’ll Provide:
More than just pay, our DaVita Rewards package connects teammates to what matters most. Teammates are eligible to begin receiving benefits on the first day of the month following or coinciding with one month of continuous employment. Below are some of our benefit offerings.
- Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash out
- Support for you and your family: Family resources, EAP counseling sessions, access Headspace®, backup child and elder care, maternity/paternity leave and more
- Professional development programs: DaVita offers a variety of programs to help strong performers grow within their career and also offers on-demand virtual leadership and development courses through DaVita’s online training platform StarLearning.
At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic.
This position will be open for a minimum of three days.
The Salary Range for the role is $78,000.00 - $119,000.00/year. If a candidate is hired, they will be paid at least the minimum wage according to their geographical jurisdiction and the exemption status for the position. New York Exempt: New York City and Long Island: $66,300.00/year, Nassau, Suffolk, and Westchester counties: $66,300.00/year, Remainder of New York state: $62,353.20/year. New York Non-exempt: New York City and Long Island: $17.00/hour, Nassau, Suffolk, and Westchester counties: $17.00/hour, Remainder of New York state: $16.00/hour. Washington Exempt: $80,168.40/year. Washington Non-exempt: Bellingham: $19.13/hour, Burien: $21.78/hour, Everett: $20.77/hour, Unincorporated King County: $20.82/hour, Renton: $21.57/hour, Seattle: $21.30/hour, Tukwila: $21.65/hour, Remainder of Washington state: $17.13/hour.
For location-specific minimum wage details, see the following link: DaVita.jobs/WageRates.
Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits.
Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information.
Beware of Recruitment Fraud
DaVita will never ask for payment or personal financial information at any point in the hiring process, nor will we ever communicate with you using email addresses outside of the DaVita secure network. If you receive a request like this, it is not legitimate. Do not share your information.
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See all 130+ H-1B Visa Palliative Care Nurse Practitioner Jobs
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Get Access To All JobsTips for Finding H-1B Visa Sponsorship in Palliative Care Nurse Practitioner
Verify your APRN credentials transfer across states
H-1B approval ties your license to the state on the LCA. Confirm your APRN compact privileges or obtain a state-specific license before your employer files, since USCIS will flag a mismatch between your credential and the petition's work location.
Target cap-exempt hospitals and hospice networks
Nonprofit hospitals affiliated with a university or a 501(c)(3) research mission are cap-exempt H-1B employers. Filing outside the lottery avoids the April registration window entirely, giving you year-round start dates and faster adjudication timelines.
Check prevailing wage before negotiating your offer
Your employer must pay at least the DOL prevailing wage for Palliative Care NP roles in your metro area. Run the OFLC Wage Search using SOC code 29-1171 before accepting an offer so you can spot whether the salary meets Level II or Level III wage requirements.
Search verified H-1B sponsors on Migrate Mate
Use Migrate Mate to filter palliative care and advanced practice nursing employers by LCA filing history, so you're applying only to organizations that have actively petitioned for NP roles, not just ones that claim they sponsor visas.
Confirm specialty occupation documentation early
USCIS scrutinizes NP petitions because nursing has historically received RFEs on specialty occupation grounds. Ask your employer to gather the job description, your MSN or DNP transcripts, and any clinical specialty certifications before the I-129 is drafted.
Align your start date with premium processing timelines
If your offer requires a specific start date, ask whether your employer will file I-129 with premium processing, which USCIS adjudicates within 15 business days. Standard processing for cap-subject petitions can run several months and may miss your hospital's onboarding cycle.
H-1B Visa Palliative Care Nurse Practitioner: Frequently Asked Questions
Does a Palliative Care Nurse Practitioner role qualify as a specialty occupation for H-1B?
Yes, provided the position requires a master's or doctoral degree in nursing or a directly related field as a minimum entry requirement. USCIS has issued RFEs on NP petitions where the job description allowed a bachelor's-level candidate, so your employer's job posting and internal classification must specify a graduate degree. Your MSN or DNP and APRN certification together satisfy the specialty occupation standard.
Which types of employers sponsor H-1B visas for Palliative Care Nurse Practitioners?
Large academic medical centers, nonprofit health systems, and hospice organizations affiliated with universities are the most consistent H-1B sponsors for this role. These employers often qualify as cap-exempt, meaning they can file year-round without entering the lottery. You can identify which organizations have active LCA filings for advanced practice nursing roles by searching Migrate Mate, which surfaces employers by their DOL filing history.
How does state APRN licensure affect my H-1B petition as a Palliative Care NP?
The LCA your employer files with DOL must list the state where you'll practice, and USCIS expects your APRN license to match that jurisdiction at the time of filing. If you're relocating from a compact-privilege state, you'll likely need a full state license before the petition is submitted. A pending licensure application at filing is a common RFE trigger for NP H-1B cases.
Can a Palliative Care Nurse Practitioner change employers on H-1B?
Yes, through H-1B portability under AC21, you can start working for a new employer as soon as they file an H-1B transfer petition on your behalf, provided your current petition has been approved and you've maintained valid status. Your new employer must file a fresh I-129 and a new LCA for the transfer location. Portability does not require USCIS to approve the transfer before you begin.
What documentation does my employer need to file my H-1B petition?
Your employer will need a certified LCA from DOL, your MSN or DNP transcripts, your APRN license in the state of employment, and any specialty certifications such as ACHPN. They'll also need a detailed job description demonstrating the role requires graduate-level nursing expertise. USCIS may request a credential evaluation if your degree was conferred outside the United States, so have that completed in advance.