H-1B Visa Palliative Care Nurse Practitioner Jobs
Palliative Care Nurse Practitioners work in a specialty occupation under H-1B, 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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Get Access To All JobsPalliative Care Nurse Practitioner (Inpatient)
Location: Fort Worth, Texas
Organization: Baylor Scott & White Health Palliative Team
Flexible Schedule: Weekday shifts 4 / 10 hr. shifts or 5 / 8 hr. shifts
About us
Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well.
Our Core Values are:
We serve faithfully by doing what's right with a joyful heart.
We never settle by constantly striving for better.
We are in it together by supporting one another and those we serve.
We make an impact by taking initiative and delivering exceptional experience.
Benefits
Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include:
- Immediate eligibility for health and welfare benefits
- 401(k) savings plan with dollar-for-dollar match up to 5%
- Tuition Reimbursement
- PTO accrual beginning Day 1
Note: Benefits may vary based upon position type and/or level.
Job Summary
The Nurse Practitioner Medical Specialty is a licensed, certified, non-physician healthcare provider. They provide direct patient care and have prescriptive authority. They are credentialed, privileged, and billed as independent providers by Medicare and Medicaid. The Advanced Practice Provider offers medical care based on the supervising physician's scope of practice.
This role focuses on inpatient palliative care, supporting patients with serious, complex, or life-limiting illnesses. The Nurse Practitioner works within hospital settings to provide symptom management, goals-of-care discussions, and care coordination. This position partners closely with physicians, hospitalists, specialists, nursing staff, case management, and hospice teams to ensure patient-centered, goal-concordant care throughout hospitalization.
Essential Functions of the Role
- Assesses the physical and mental condition of patients by performing and obtaining comprehensive or problem-focused physical examinations and medical histories.
- Orders, collects, interprets, and evaluates laboratory and other diagnostic tests to assess patient problems and health care needs.
- Prescribes or recommends medical drug therapies or other therapeutic treatments. Performs procedures following approved protocols, focusing on efficacy, safety, and cost. Recommends interventions to change behavior linked to health risks.
- Formulates and implements patient treatment plans based on assessments, evidence-based medicine, and standards of care. Works with physicians and team members when needed. Evaluates patient's response to care and its effectiveness.
- Counsels patients and families on medical processes, illness management, medication, nutrition, and health promotion. Counsels patients about drug regimens and possible side effects or interactions with food supplements, over-the-counter medications, and herbal remedies.
- Maintains appropriate records detailing the patient's treatment plans and outcomes. Initiates timely consultation and referral when the problem exceeds scope of practice or expertise.
- Provides consultation level services for conditions/problems related to the Provider’s specialty and training.
- Manages patients in a healthcare setting(s) other than primary clinic setting, with a strong focus on inpatient hospital care, including:
- Conducting palliative care consultations for hospitalized patients with serious illness
- Leading goals-of-care discussions, advance care planning, and code status conversations
- Managing complex symptoms such as pain, dyspnea, delirium, nausea, and anxiety
- Collaborating with hospitalists, intensivists, and specialty teams (e.g., oncology, cardiology, ICU)
- Facilitating transitions of care, including discharge planning, hospice referrals, and coordination with post-acute services
- Supporting patients and families through end-of-life decision-making and care
- Participating in interdisciplinary rounds and family meetings
- Addressing ethical considerations and supporting shared decision-making
- Performs invasive procedures specific to scope of practice and proficiency of the provider as delegated by supervising Physician.
- May be required to perform patient care duties beyond regular schedule based on coverage needs of the department.
Key Success Factors
- Knowledge of information and techniques is needed to diagnose and treat human injuries, diseases, and deformities. This includes symptoms, treatment alternatives, drug properties and interactions, and preventive health-care measures.
- Knowledge of palliative care principles, including symptom control, end-of-life care, and goals-of-care alignment.
- Knowledge of values, methods, and procedures for diagnosis, treatment, and rehabilitation of physical and mental dysfunctions.
- Strong verbal and written communication skills, especially in conducting sensitive and complex conversations.
- Interpersonal skills with the ability to support patients and families during emotionally challenging situations.
- Critical thinking and complex problem-solving skills in managing medically complex patients.
- Skill in the use of computers and related software applications.
- Ability to develop and implement comprehensive outcomes-based patient treatment plans.
- Ability to counsel patients concerning medical and psychological/psychiatric conditions, treatment plans, and behavior modification.
- Ability to interpret and evaluate laboratory and other diagnostic tests.
Qualifications
- Texas RN licensure or RN licensure with compact privilege from a state in the Nurse Licensure Compact for RNs and LVNs, and Texas APRN
- Current license to practice as a Nurse Practitioner in the state of Texas open to FNP, AGACNP or AGPCNP
- Basic Life Support (BLS) within 30 days of hire or transfer
- Certification from an accredited board as an APRN for the patient population of focus required
- Graduate of an accredited Nurse Practitioner program
- Experience in palliative care, hospice, oncology, critical care, or hospital medicine preferred
Belonging Statement
We believe that all people should feel welcomed, valued and supported.
QUALIFICATIONS
- EDUCATION - Grad of an Accredited Program
- EXPERIENCE - Less than 1 Year of Experience
CERTIFICATION/LICENSE/REGISTRATION
- Nurse Practitioner (NP)
- Registered Nurse (RN)
- Basic Life Support (BLS): Basic Life Support (BLS) within 30 days of hire or transfer.
Palliative Care Nurse Practitioner (Inpatient)
Location: Fort Worth, Texas
Organization: Baylor Scott & White Health Palliative Team
Flexible Schedule: Weekday shifts 4 / 10 hr. shifts or 5 / 8 hr. shifts
About us
Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well.
Our Core Values are:
We serve faithfully by doing what's right with a joyful heart.
We never settle by constantly striving for better.
We are in it together by supporting one another and those we serve.
We make an impact by taking initiative and delivering exceptional experience.
Benefits
Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include:
- Immediate eligibility for health and welfare benefits
- 401(k) savings plan with dollar-for-dollar match up to 5%
- Tuition Reimbursement
- PTO accrual beginning Day 1
Note: Benefits may vary based upon position type and/or level.
Job Summary
The Nurse Practitioner Medical Specialty is a licensed, certified, non-physician healthcare provider. They provide direct patient care and have prescriptive authority. They are credentialed, privileged, and billed as independent providers by Medicare and Medicaid. The Advanced Practice Provider offers medical care based on the supervising physician's scope of practice.
This role focuses on inpatient palliative care, supporting patients with serious, complex, or life-limiting illnesses. The Nurse Practitioner works within hospital settings to provide symptom management, goals-of-care discussions, and care coordination. This position partners closely with physicians, hospitalists, specialists, nursing staff, case management, and hospice teams to ensure patient-centered, goal-concordant care throughout hospitalization.
Essential Functions of the Role
- Assesses the physical and mental condition of patients by performing and obtaining comprehensive or problem-focused physical examinations and medical histories.
- Orders, collects, interprets, and evaluates laboratory and other diagnostic tests to assess patient problems and health care needs.
- Prescribes or recommends medical drug therapies or other therapeutic treatments. Performs procedures following approved protocols, focusing on efficacy, safety, and cost. Recommends interventions to change behavior linked to health risks.
- Formulates and implements patient treatment plans based on assessments, evidence-based medicine, and standards of care. Works with physicians and team members when needed. Evaluates patient's response to care and its effectiveness.
- Counsels patients and families on medical processes, illness management, medication, nutrition, and health promotion. Counsels patients about drug regimens and possible side effects or interactions with food supplements, over-the-counter medications, and herbal remedies.
- Maintains appropriate records detailing the patient's treatment plans and outcomes. Initiates timely consultation and referral when the problem exceeds scope of practice or expertise.
- Provides consultation level services for conditions/problems related to the Provider’s specialty and training.
- Manages patients in a healthcare setting(s) other than primary clinic setting, with a strong focus on inpatient hospital care, including:
- Conducting palliative care consultations for hospitalized patients with serious illness
- Leading goals-of-care discussions, advance care planning, and code status conversations
- Managing complex symptoms such as pain, dyspnea, delirium, nausea, and anxiety
- Collaborating with hospitalists, intensivists, and specialty teams (e.g., oncology, cardiology, ICU)
- Facilitating transitions of care, including discharge planning, hospice referrals, and coordination with post-acute services
- Supporting patients and families through end-of-life decision-making and care
- Participating in interdisciplinary rounds and family meetings
- Addressing ethical considerations and supporting shared decision-making
- Performs invasive procedures specific to scope of practice and proficiency of the provider as delegated by supervising Physician.
- May be required to perform patient care duties beyond regular schedule based on coverage needs of the department.
Key Success Factors
- Knowledge of information and techniques is needed to diagnose and treat human injuries, diseases, and deformities. This includes symptoms, treatment alternatives, drug properties and interactions, and preventive health-care measures.
- Knowledge of palliative care principles, including symptom control, end-of-life care, and goals-of-care alignment.
- Knowledge of values, methods, and procedures for diagnosis, treatment, and rehabilitation of physical and mental dysfunctions.
- Strong verbal and written communication skills, especially in conducting sensitive and complex conversations.
- Interpersonal skills with the ability to support patients and families during emotionally challenging situations.
- Critical thinking and complex problem-solving skills in managing medically complex patients.
- Skill in the use of computers and related software applications.
- Ability to develop and implement comprehensive outcomes-based patient treatment plans.
- Ability to counsel patients concerning medical and psychological/psychiatric conditions, treatment plans, and behavior modification.
- Ability to interpret and evaluate laboratory and other diagnostic tests.
Qualifications
- Texas RN licensure or RN licensure with compact privilege from a state in the Nurse Licensure Compact for RNs and LVNs, and Texas APRN
- Current license to practice as a Nurse Practitioner in the state of Texas open to FNP, AGACNP or AGPCNP
- Basic Life Support (BLS) within 30 days of hire or transfer
- Certification from an accredited board as an APRN for the patient population of focus required
- Graduate of an accredited Nurse Practitioner program
- Experience in palliative care, hospice, oncology, critical care, or hospital medicine preferred
Belonging Statement
We believe that all people should feel welcomed, valued and supported.
QUALIFICATIONS
- EDUCATION - Grad of an Accredited Program
- EXPERIENCE - Less than 1 Year of Experience
CERTIFICATION/LICENSE/REGISTRATION
- Nurse Practitioner (NP)
- Registered Nurse (RN)
- Basic Life Support (BLS): Basic Life Support (BLS) within 30 days of hire or transfer.
See all Palliative Care Nurse Practitioner jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new Palliative Care Nurse Practitioner roles.
Get Access To All JobsTips for Finding H-1B Visa Sponsorship in Palliative Care Nurse Practitioner
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.
Palliative Care Nurse Practitioner jobs are hiring across the US. Find yours.
Find Palliative Care Nurse Practitioner JobsPalliative Care Nurse Practitioner H-1B Visa: 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.
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