H-1B Visa Pathologist Jobs
Pathologist roles qualify as H-1B visa specialty occupations under USCIS guidelines, requiring a medical degree and state licensure. Academic medical centers, hospital systems, and reference labs actively file H-1B visa petitions for pathologists. Board certification in anatomic or clinical pathology strengthens your petition and supports prevailing wage compliance at Level III or IV.
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The Department of Public Health prioritizes equitable and inclusive access to quality healthcare for its community and values the importance of diversity in its workforce. All employees at the Department of Public Health work to advance equity, inclusion, and diversity with a specific lens and focus on race, ethnicity, gender, sex, sexuality, disability, and immigration status.
This is a Position-Based Test conducted in accordance with CSC Rule 111A. Learn more about the City’s hiring process here: https://careers.sf.gov/knowledge/process/
- Application Opening: Friday, September 18, 2026
- Application Deadline: Application filing will close on or after Friday, October 2, 2026
- Salary: $131,872 - $176,670 Annually
- Appointment Type: Permanent Civil Service
- Recruitment ID: PBT-2542-163880
- Work Arrangement: Onsite
TWO STEP application process:
- ⚠️START HERE with the⚠️REQUIRED Training & Experience Evaluation ✅⚠️ at: https://forms.gle/eqTHLmvGUF4Jjrec7
- ⚠️Then, submit this online application.
Becoming a City employee means being a part of a team that cares about making a difference. Your work will shape both the present and future of San Francisco. When you work for the City, you’re choosing a job with purpose. The Mission of the San Francisco Department of Public Health (SFDPH) is to protect and promote the health of all San Franciscans. Fulfilling this mission requires employees working across our hospitals, clinics, programs, and offices to deliver services and support the communities we serve. Individuals interested in joining SFDPH should expect to work in person across these settings. The San Francisco Health Network, Population Health, Behavioral Health Services, and Administration are the core divisions of SFDPH. The San Francisco Health Network is the City’s only complete system of care and has locations throughout the City, including Zuckerberg San Francisco General Hospital and Trauma Center, Laguna Honda Hospital and Rehabilitation Center, and over 15 primary care health centers. The Population Health Division (PHD) provides core public health services for the City and County of San Francisco: health protection, health promotion, disease and injury prevention, and disaster preparedness and response. Behavioral Health Services operates in conjunction with SFHN and provides a range of mental health and substance use treatment services. The Speech Language Pathologist provides evaluation and treatment across Acute Rehabilitation, Skilled Nursing, Long Term Care, and outpatient settings, offering post acute services for individuals with neurological impairments such as stroke, traumatic brain injury, spinal cord injury, Parkinson’s disease, Huntington’s disease, and Alzheimer’s/dementia.
Job Description
Under general supervision of the Reporting Manager/Supervisor, the 2542/Speech Language Pathologist performs the following duties:
- Conducts assessment and clinical management of swallowing disorders, speech and language disorders, cognitive communicative deficits, traumatic brain injury–related impairments, and voice disorders.
- Administers and interprets instrumental dysphagia assessments, including Modified Barium Swallow Studies (MBSS), natural dye tests, and Fiberoptic Endoscopic Evaluation of Swallowing (FEES).
- Delivers targeted therapy to individual patients and assesses ongoing progress to guide treatment planning.
- Works collaboratively with physicians, nursing staff, social workers, and other members of the care team.
- Generates timely and accurate clinical documentation—including evaluations, treatment plans, progress notes, and outcome reports—and completes all associated billing in accordance with departmental and regulatory requirements.
- Ensures appropriate therapy materials and supplies are prepared and available to support the patient’s plan of care.
- Supervises and mentors' speech-language pathology student interns, providing guidance, feedback, and clinical skill development.
- Performs related duties as assigned and actively contributes to program development, quality improvement activities, and the implementation and evaluation of best clinical and operational practices.
- The 2542 Speech Language Pathologist may perform other duties as assigned/required. Please note that incumbents in this classification may be required to perform duties as listed in the class specification: https://careers.sf.gov/classifications/
Qualifications
- Possession of a Speech Pathologist license issued by the California Department of Consumer Affairs, Speech Language Pathology and Audiology Board; AND
- Possession of an ASHA Certificate of Clinical Competence issued by the American Speech-Language-Hearing Association. Applicants must meet the minimum qualification requirement by the final filing date unless otherwise noted.
- Please provide your Speech Pathologist license number (must show as valid at search.dca.ca.gov) and your ASHA Certificate (must show as valid at https://apps.asha.org/eweb/ashadynamicpage.aspx?site=ashacms&webcode=ccchome). One-year full-time employment is equivalent to 2,000 hours (2,000 hours of qualifying work experience is based on a 40-hour work week).
Cardiopulmonary Resuscitation (CPR) Certificate Requirement/Provision:
Possession of a valid Cardiopulmonary Resuscitation (CPR) Certificate issued by the American Heart Association is required as a provision to employment for all positions. Eligibles who do not possess such a certification may participate in this examination process and be appointed to a position(s), but will be required to obtain the certificate within two (2) weeks of hire date and maintain validity throughout length of employment. A photocopy of the valid Cardiopulmonary Resuscitation (CPR) Certificate must be provided to the appropriate supervisor of the appointment within the allotted time frame. Failure to demonstrate/show proof of possession of valid certification within two (2) weeks of hire date and throughout length of employment may result in dismissal and/or termination of employment.
Verification of Education and Experience:
Every application is reviewed to ensure that you meet the minimum qualifications as listed in the job ad. Review SF Careers Employment Applications for considerations taken when reviewing applications. Applicants may be required to submit verification of qualifying education and experience at any point during the recruitment and selection process. If education or experience verification is required, information on how to verify education and experience requirements, including verifying foreign education credits or degree equivalency, can be found at https://careers.sf.gov/knowledge/experience-education/.
Note:
Falsifying one’s education, training, or work experience or attempted deception on the application may result in disqualification for this and future job opportunities with the City and County of San Francisco.
Selection Procedures:
After application submission, candidates deemed qualified must complete all subsequent steps to advance in this selection process, which includes the following.
Training and Experience (T& E) Evaluation
(Weight: 100%)
The Training and Experience (T&E) Evaluation is designed to measure the knowledge, skills, and abilities in job related areas which may include but not be limited to: Knowledge of diagnostic and treatment methods; Knowledge of speech language pathology disease processes; Ability to assess patients and plan therapy programs; Instruction and communication ability. Candidates must achieve a passing score on the Training and Experience (T&E) Evaluation exam to continue in the selection process and will be placed on the confidential eligible list in rank order according to their final score. Additional selection processes may be conducted by the hiring department prior to making final hiring decisions.
Certification
The certification rule for the eligible list resulting from this examination will be the Rule of the List.
Eligible List/Score Report:
A confidential eligible list of applicant names that have passed the civil service examination process will be created and used for certification purposes only. An examination score report will be established, so applicants can view the ranks, final scores and number of eligible candidates. Applicant information, including names of applicants on the eligible list, shall not be made public unless required by law. However, an eligible list shall be made available for public inspection, upon request, once the eligible list is exhausted or expired and referrals resolved. The eligible list/score report resulting from this civil service examination process is subject to change after adoption (e.g., as a result of appeals), as directed by the Human Resources Director or the Civil Service Commission. The duration of the eligible list resulting from this examination process will be of six (6) months and may be extended with the approval of the Human Resources Director. The eligible list resulting from this recruitment may be utilized to fill future and current vacancies in this class at other locations within the DPH for the duration of the eligible list. To find Departments which use this classification, please see the city’s Position Counts by Job Codes and Departments.
Terms of Announcement and Appeal Rights:
Applicants must be guided solely by the provisions of this announcement, including requirements, time periods and other particulars, except when superseded by federal, state or local laws, rules or regulations. Clerical errors may be corrected by the posting the correction on the Department of Human Resources website at https://careers.sf.gov/. The terms of this announcement may be appealed under Civil Service Rule 111A.35.1. The standard for the review of such appeals is ‘abuse of discretion’ or ‘no rational basis’ for establishing the position description, the minimum qualifications and/or the certification rule. Appeals must include a written statement of the item(s) being contested and the specific reason(s) why the cited item(s) constitute(s) abuse of discretion by the Human Resources Director. Appeals must be submitted directly to the Executive Officer of the Civil Service Commission within five business days of the announcement issuance date.
Additional Information Regarding Employment with the City and County of San Francisco:
- Information About the Hiring Process
- Conviction History
- Employee Benefits Overview
- Equal Employment Opportunity
- Disaster Service Worker
- ADA Accommodation
- Veterans Preference
- Right to Work
- Copies of Application Documents
- Diversity Statement
Where to Apply
All job applications for the City and County of San Francisco must be submitted through our online portal. Please visit https://careers.sf.gov/ to begin your application process. Applicants may be contacted by email about this recruitment. Please consider using a personal email address that you check regularly rather than a work or school account. Computers are available for the public (9:00 a.m. to 4:00 p.m. Monday through Friday) to file online applications in the lobby of the Dept. of Human Resources at 1 South Van Ness Avenue, 4th Floor and at the City Career Center at City Hall, 1 Dr. Carlton B. Goodlett Place, Room 110. Ensure your application information is accurate, as changes may not be possible after submission. Your first and last name must match your legal ID for verification, and preferred names can be included in parentheses. Use your personal email address, not a shared or work email, to avoid unfixable issues. Applicants will receive a confirmation email from notification@smartrecruiters.com that their online application has been received in response to every announcement for which they file. Applicants should retain this confirmation email for their records.
Failure to receive this email means that the online application was not submitted or received. If you have any questions regarding this recruitment or application process, please contact the analyst, Diane Zhou at diane.zhou@sfdph.org or 628-271-6703.
We may use text messaging to communicate with you on the phone number provided in your application. By applying, you accept the Trust and Privacy Policy and you may opt out of text messaging anytime.
POSITION #: 01036979
The City and County of San Francisco encourages women, minorities and persons with disabilities to apply. Applicants will be considered regardless of their sex, race, age, religion, color, national origin, ancestry, physical disability, mental disability, medical condition (associated with cancer, a history of cancer, or genetic characteristics), HIV/AIDS status, genetic information, marital status, sexual orientation, gender, gender identity, gender expression, military and veteran status, or other protected category under the law.
Company Description
The Department of Public Health prioritizes equitable and inclusive access to quality healthcare for its community and values the importance of diversity in its workforce. All employees at the Department of Public Health work to advance equity, inclusion, and diversity with a specific lens and focus on race, ethnicity, gender, sex, sexuality, disability, and immigration status.
This is a Position-Based Test conducted in accordance with CSC Rule 111A. Learn more about the City’s hiring process here: https://careers.sf.gov/knowledge/process/
- Application Opening: Friday, September 18, 2026
- Application Deadline: Application filing will close on or after Friday, October 2, 2026
- Salary: $131,872 - $176,670 Annually
- Appointment Type: Permanent Civil Service
- Recruitment ID: PBT-2542-163880
- Work Arrangement: Onsite
TWO STEP application process:
- ⚠️START HERE with the⚠️REQUIRED Training & Experience Evaluation ✅⚠️ at: https://forms.gle/eqTHLmvGUF4Jjrec7
- ⚠️Then, submit this online application.
Becoming a City employee means being a part of a team that cares about making a difference. Your work will shape both the present and future of San Francisco. When you work for the City, you’re choosing a job with purpose. The Mission of the San Francisco Department of Public Health (SFDPH) is to protect and promote the health of all San Franciscans. Fulfilling this mission requires employees working across our hospitals, clinics, programs, and offices to deliver services and support the communities we serve. Individuals interested in joining SFDPH should expect to work in person across these settings. The San Francisco Health Network, Population Health, Behavioral Health Services, and Administration are the core divisions of SFDPH. The San Francisco Health Network is the City’s only complete system of care and has locations throughout the City, including Zuckerberg San Francisco General Hospital and Trauma Center, Laguna Honda Hospital and Rehabilitation Center, and over 15 primary care health centers. The Population Health Division (PHD) provides core public health services for the City and County of San Francisco: health protection, health promotion, disease and injury prevention, and disaster preparedness and response. Behavioral Health Services operates in conjunction with SFHN and provides a range of mental health and substance use treatment services. The Speech Language Pathologist provides evaluation and treatment across Acute Rehabilitation, Skilled Nursing, Long Term Care, and outpatient settings, offering post acute services for individuals with neurological impairments such as stroke, traumatic brain injury, spinal cord injury, Parkinson’s disease, Huntington’s disease, and Alzheimer’s/dementia.
Job Description
Under general supervision of the Reporting Manager/Supervisor, the 2542/Speech Language Pathologist performs the following duties:
- Conducts assessment and clinical management of swallowing disorders, speech and language disorders, cognitive communicative deficits, traumatic brain injury–related impairments, and voice disorders.
- Administers and interprets instrumental dysphagia assessments, including Modified Barium Swallow Studies (MBSS), natural dye tests, and Fiberoptic Endoscopic Evaluation of Swallowing (FEES).
- Delivers targeted therapy to individual patients and assesses ongoing progress to guide treatment planning.
- Works collaboratively with physicians, nursing staff, social workers, and other members of the care team.
- Generates timely and accurate clinical documentation—including evaluations, treatment plans, progress notes, and outcome reports—and completes all associated billing in accordance with departmental and regulatory requirements.
- Ensures appropriate therapy materials and supplies are prepared and available to support the patient’s plan of care.
- Supervises and mentors' speech-language pathology student interns, providing guidance, feedback, and clinical skill development.
- Performs related duties as assigned and actively contributes to program development, quality improvement activities, and the implementation and evaluation of best clinical and operational practices.
- The 2542 Speech Language Pathologist may perform other duties as assigned/required. Please note that incumbents in this classification may be required to perform duties as listed in the class specification: https://careers.sf.gov/classifications/
Qualifications
- Possession of a Speech Pathologist license issued by the California Department of Consumer Affairs, Speech Language Pathology and Audiology Board; AND
- Possession of an ASHA Certificate of Clinical Competence issued by the American Speech-Language-Hearing Association. Applicants must meet the minimum qualification requirement by the final filing date unless otherwise noted.
- Please provide your Speech Pathologist license number (must show as valid at search.dca.ca.gov) and your ASHA Certificate (must show as valid at https://apps.asha.org/eweb/ashadynamicpage.aspx?site=ashacms&webcode=ccchome). One-year full-time employment is equivalent to 2,000 hours (2,000 hours of qualifying work experience is based on a 40-hour work week).
Cardiopulmonary Resuscitation (CPR) Certificate Requirement/Provision:
Possession of a valid Cardiopulmonary Resuscitation (CPR) Certificate issued by the American Heart Association is required as a provision to employment for all positions. Eligibles who do not possess such a certification may participate in this examination process and be appointed to a position(s), but will be required to obtain the certificate within two (2) weeks of hire date and maintain validity throughout length of employment. A photocopy of the valid Cardiopulmonary Resuscitation (CPR) Certificate must be provided to the appropriate supervisor of the appointment within the allotted time frame. Failure to demonstrate/show proof of possession of valid certification within two (2) weeks of hire date and throughout length of employment may result in dismissal and/or termination of employment.
Verification of Education and Experience:
Every application is reviewed to ensure that you meet the minimum qualifications as listed in the job ad. Review SF Careers Employment Applications for considerations taken when reviewing applications. Applicants may be required to submit verification of qualifying education and experience at any point during the recruitment and selection process. If education or experience verification is required, information on how to verify education and experience requirements, including verifying foreign education credits or degree equivalency, can be found at https://careers.sf.gov/knowledge/experience-education/.
Note:
Falsifying one’s education, training, or work experience or attempted deception on the application may result in disqualification for this and future job opportunities with the City and County of San Francisco.
Selection Procedures:
After application submission, candidates deemed qualified must complete all subsequent steps to advance in this selection process, which includes the following.
Training and Experience (T& E) Evaluation
(Weight: 100%)
The Training and Experience (T&E) Evaluation is designed to measure the knowledge, skills, and abilities in job related areas which may include but not be limited to: Knowledge of diagnostic and treatment methods; Knowledge of speech language pathology disease processes; Ability to assess patients and plan therapy programs; Instruction and communication ability. Candidates must achieve a passing score on the Training and Experience (T&E) Evaluation exam to continue in the selection process and will be placed on the confidential eligible list in rank order according to their final score. Additional selection processes may be conducted by the hiring department prior to making final hiring decisions.
Certification
The certification rule for the eligible list resulting from this examination will be the Rule of the List.
Eligible List/Score Report:
A confidential eligible list of applicant names that have passed the civil service examination process will be created and used for certification purposes only. An examination score report will be established, so applicants can view the ranks, final scores and number of eligible candidates. Applicant information, including names of applicants on the eligible list, shall not be made public unless required by law. However, an eligible list shall be made available for public inspection, upon request, once the eligible list is exhausted or expired and referrals resolved. The eligible list/score report resulting from this civil service examination process is subject to change after adoption (e.g., as a result of appeals), as directed by the Human Resources Director or the Civil Service Commission. The duration of the eligible list resulting from this examination process will be of six (6) months and may be extended with the approval of the Human Resources Director. The eligible list resulting from this recruitment may be utilized to fill future and current vacancies in this class at other locations within the DPH for the duration of the eligible list. To find Departments which use this classification, please see the city’s Position Counts by Job Codes and Departments.
Terms of Announcement and Appeal Rights:
Applicants must be guided solely by the provisions of this announcement, including requirements, time periods and other particulars, except when superseded by federal, state or local laws, rules or regulations. Clerical errors may be corrected by the posting the correction on the Department of Human Resources website at https://careers.sf.gov/. The terms of this announcement may be appealed under Civil Service Rule 111A.35.1. The standard for the review of such appeals is ‘abuse of discretion’ or ‘no rational basis’ for establishing the position description, the minimum qualifications and/or the certification rule. Appeals must include a written statement of the item(s) being contested and the specific reason(s) why the cited item(s) constitute(s) abuse of discretion by the Human Resources Director. Appeals must be submitted directly to the Executive Officer of the Civil Service Commission within five business days of the announcement issuance date.
Additional Information Regarding Employment with the City and County of San Francisco:
- Information About the Hiring Process
- Conviction History
- Employee Benefits Overview
- Equal Employment Opportunity
- Disaster Service Worker
- ADA Accommodation
- Veterans Preference
- Right to Work
- Copies of Application Documents
- Diversity Statement
Where to Apply
All job applications for the City and County of San Francisco must be submitted through our online portal. Please visit https://careers.sf.gov/ to begin your application process. Applicants may be contacted by email about this recruitment. Please consider using a personal email address that you check regularly rather than a work or school account. Computers are available for the public (9:00 a.m. to 4:00 p.m. Monday through Friday) to file online applications in the lobby of the Dept. of Human Resources at 1 South Van Ness Avenue, 4th Floor and at the City Career Center at City Hall, 1 Dr. Carlton B. Goodlett Place, Room 110. Ensure your application information is accurate, as changes may not be possible after submission. Your first and last name must match your legal ID for verification, and preferred names can be included in parentheses. Use your personal email address, not a shared or work email, to avoid unfixable issues. Applicants will receive a confirmation email from notification@smartrecruiters.com that their online application has been received in response to every announcement for which they file. Applicants should retain this confirmation email for their records.
Failure to receive this email means that the online application was not submitted or received. If you have any questions regarding this recruitment or application process, please contact the analyst, Diane Zhou at diane.zhou@sfdph.org or 628-271-6703.
We may use text messaging to communicate with you on the phone number provided in your application. By applying, you accept the Trust and Privacy Policy and you may opt out of text messaging anytime.
POSITION #: 01036979
The City and County of San Francisco encourages women, minorities and persons with disabilities to apply. Applicants will be considered regardless of their sex, race, age, religion, color, national origin, ancestry, physical disability, mental disability, medical condition (associated with cancer, a history of cancer, or genetic characteristics), HIV/AIDS status, genetic information, marital status, sexual orientation, gender, gender identity, gender expression, military and veteran status, or other protected category under the law.
See all 1,171+ H-1B Visa Pathologist Jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new H-1B Visa Pathologist Jobs.
Get Access To All JobsTips for Finding H-1B Visa Sponsorship in Pathologist
Confirm your board certification pathway early
USCIS scrutinizes whether your foreign medical degree and residency training satisfy U.S. specialty occupation standards. Having American Board of Pathology eligibility documented before your employer files removes a common RFE trigger in pathologist petitions.
Target employers with cap-exempt filing authority
Academic medical centers and hospital systems affiliated with universities can file H-1B petitions year-round outside the annual cap lottery. Prioritize faculty-track or research-integrated pathologist roles at these institutions to avoid lottery timing uncertainty.
Search verified H-1B sponsors on Migrate Mate
Filter pathologist openings by employers with documented H-1B LCA filing history using Migrate Mate. This narrows your search to employers who have actively sponsored pathologists, not just those who list sponsorship as theoretically possible.
Request the LCA before signing any offer
Your employer must file a Labor Condition Application with DOL and post it at your work location before USCIS adjudicates your H-1B. Confirm the LCA is in process and that your offered wage meets the prevailing wage for your subspecialty using the OFLC Wage Search.
Document subspecialty training for SOC code alignment
Pathology covers multiple SOC codes depending on subspecialty, and a mismatch between your training and the employer's LCA SOC code invites scrutiny. Pull your O*NET occupation profile and verify it aligns with your fellowship training and the specific role scope.
Use premium processing if your start date is fixed
USCIS offers premium processing for H-1B petitions, returning a decision within 15 business days. If your hospital credentialing timeline or a fellowship end date creates a hard start window, premium processing reduces the risk of a gap in authorized employment.
H-1B Visa Pathologist: Frequently Asked Questions
Does a pathologist role qualify as an H-1B specialty occupation?
Yes. Pathology requires a Doctor of Medicine or Doctor of Osteopathic Medicine degree, followed by residency training and typically fellowship-level subspecialty training. USCIS classifies roles requiring this level of education as specialty occupations. Board certification through the American Board of Pathology further strengthens the classification and reduces the likelihood of a Request for Evidence on the educational requirement.
Which types of employers sponsor H-1B visas for pathologists?
Academic medical centers, large hospital networks, Veterans Affairs facilities, and national reference laboratories are the most active H-1B sponsors for pathologist roles. Academic and government-affiliated hospitals often qualify as cap-exempt employers, meaning they can file outside the annual H-1B lottery. You can identify employers with documented LCA filing history for pathologist roles through Migrate Mate.
How does state medical licensure affect my H-1B petition as a pathologist?
USCIS requires that you hold or be eligible for the state medical license required to practice at your employer's location. Many states allow you to file for H-1B approval while your full license is pending, provided you have a temporary or training license. Your employer should confirm the licensure requirement in the specialty occupation letter included with the I-129 petition to avoid adjudication delays.
Can I switch pathologist employers while on H-1B status?
Yes, under H-1B portability rules established by AC21, you can start working for a new employer once they file a new I-129 petition on your behalf, as long as your prior H-1B was approved and you've been in valid status. Your new employer must file a Labor Condition Application with DOL and submit the I-129 before your current authorized period ends. There's no cap-lottery requirement for transfers.
What prevailing wage level applies to most pathologist H-1B filings?
Most pathologist positions are filed at DOL prevailing wage Level III or Level IV, reflecting the experienced and fully competent nature of independent diagnostic work. The specific wage depends on your SOC code, work location, and subspecialty. You can look up the applicable prevailing wage for your role and location using the OFLC Wage Search before negotiating your offer, so you understand the floor your employer must meet.