H-1B Visa Pediatric Nurse Practitioner Jobs
Pediatric Nurse Practitioners qualify for H-1B visa sponsorship as a specialty occupation requiring at least a master's degree in nursing. Demand is highest at children's hospitals, academic medical centers, and large pediatric group practices that file LCAs with DOL. Most roles include NCLEX licensure and state NP certification as baseline requirements.
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INTRODUCTION
Nemours is seeking a Pediatric Nurse Practitioner or Physician Assistant, Solid Organ Transplant, to join our Nemours Children’s Health team in Wilmington, DE.
The Advance Practice Nurse in the Division of Transplantation will provide comprehensive care to transplant recipients throughout the continuum from evaluation, listing, transplantation, and post-transplantation. The advance practice nurse will coordinate the evaluation process of potential transplant candidates and potential living donors. This individual will provide ongoing medical care for transplant recipients in the in-patient and out-patient settings, with patients being followed until the time of transition to an adult transplant program.
The advance practice nurse will be responsible for providing ongoing education and support surrounding care of the transplant recipient to patients, families, and other health care providers and nursing staff. Compliance with internal and external regulatory standards including UNOS, CMS, and Joint Commission will be required.
ESSENTIAL FUNCTIONS
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Practices collaboratively with physicians and other health care providers to provide high quality health care to children.
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Performs appropriate assessment of patient/family upon referral/admission.
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Performs ongoing assessment and evaluation of patient progress and revision of interdisciplinary plan of care.
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May use prescriptive authority if appropriately credentialed to do so. Collaborates interprofessionally as needed. Identifies patient/family need for further resources and initiates appropriate referrals.
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Assists the Staff Nurse in formulating the Nursing Care Plan and setting priorities based on the needs of patient and family.
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Documents patient care and progress on patient's chart.
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Coordinates Nursing Plan for Discharge in collaboration with the Staff Nurse and other members of the health care team.
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Provides patient/family teaching based on identification of learning needs.
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Evaluates compliance with the prescribed treatment regimen through telephone calls, family/patient assessments and outpatient visits as needed.
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Acts as a patient's advocate.
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Acts as a role model to other members of the Nursing Department to foster professional development.
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Acts as a liaison between families and members of the health care team.
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Utilizes advanced knowledge and specialized skill in nursing practice in accordance with the Nurse Practice Act, hospital policy and protocol.
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Promotes standards of care for the specialty area.
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Identifies educational needs of nursing staff regarding the care of patients in the specialty area. Serves as an educational resource for unit and the Organization.
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Collaborates with nursing management in the monitoring and evaluation of the quality and appropriateness of patient care within the specialty area.
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Fosters a spirit of inquiry, identifies nursing problems, and participates in research endeavors.
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Disseminates nursing research findings and incorporates these findings into nursing practices for patient care within the specialty area.
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Serves as a consultant within specialty area for colleagues both intra and extra departmentally and in the community.
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Maintains a current knowledge base through participation in appropriate professional activities and organizations.
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Assesses own strengths and weaknesses, identifies resources for professional growth and utilizes these resources to promote professional growth.
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Demonstrates effective communication skills with health care team and patient, family, and members of the health care team.
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Responsible for participation in departmental and hospital programs for Quality Assessment and Improvement, identifying opportunities to improve services, making recommendations and implementing actions as appropriate and consistent with the goals of the Nemours Foundation.
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Demonstrates proficiency in the care of all age groups; neonates, infants, toddlers, school aged, adolescents and adults.
REQUIREMENTS
- Advanced/Master’s Degree
- Active DE Registered Nurse Licensure required
- Active Delaware Advanced Practice Nurse Licensure, with prescriptive authority
- OR Active Delaware and Florida Physician Assistant License
- Delaware Controlled Substance Registration (CSR)
- Federal DEA registration with Delaware and Florida Address.
- Current certification as a Pediatric Nurse Practitioner or current certification by the National Commission on Certification of Physician Assistants
- Current AHA Healthcare Provider (HCP) Certification required.
- Three to five years of experience required.
LI-MR1
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Get Access To All JobsTips for Finding H-1B Visa Sponsorship in Pediatric Nurse Practitioner
Verify your NP credentials meet specialty occupation
H-1B approval for PNP roles hinges on proving a master's degree is the minimum entry requirement. Pull the O*NET profile for Nurse Practitioners and confirm your MSN or DNP aligns with the specialty occupation standard USCIS uses.
Target children's hospitals with LCA filing history
Freestanding children's hospitals and pediatric units within large health systems file LCAs routinely and have established immigration workflows. Use Migrate Mate to filter for employers with verified H-1B pediatric nursing filing history before applying.
Confirm state licensure transfers before your start date
Your H-1B is tied to a specific employer and state. If you're licensed in one state but the role is in another, you must hold an active license in that state before USCIS approves the petition. Compact Nurse Licensure doesn't automatically cover all NP practice agreements.
Ask employers about premium processing upfront
Pediatric NP hiring often has credentialing lead times of 60 to 90 days. If your employer won't use premium processing, your H-1B could still be in adjudication when your start date arrives. Clarify the employer's standard timeline during the offer negotiation.
Check prevailing wage before signing an offer
The DOL requires employers to pay the prevailing wage for your specific SOC code and geographic location. Run your role through the OFLC Wage Search to confirm the offered wage meets at least Level I before you accept, so the LCA isn't filed below compliance.
Document clinical subspecialty for RFE prevention
USCIS occasionally issues RFEs questioning whether PNP roles require a degree in a specific specialty. Gather evidence that your position specifies pediatric-focused training, such as job postings requiring a PNP certificate, to preemptively support the employer's H-1B petition.
H-1B Visa Pediatric Nurse Practitioner: Frequently Asked Questions
Do Pediatric Nurse Practitioner roles qualify as H-1B specialty occupations?
Yes. USCIS recognizes Pediatric Nurse Practitioner positions as specialty occupations because they typically require a minimum of a master's degree in nursing with a pediatric focus. You'll need an MSN or DNP, a national NP certification in pediatrics or pediatric acute care, and an active state advanced practice license for the state where you'll work.
Which types of employers sponsor H-1B visas for Pediatric Nurse Practitioners?
Freestanding children's hospitals, academic medical centers with dedicated pediatric programs, and large multi-specialty pediatric group practices are the most consistent H-1B sponsors for PNP roles. These employers file LCAs with DOL regularly and have legal teams experienced with nursing specialty occupation petitions. You can search for employers with verified filing history on Migrate Mate.
Is state NP licensure required before the H-1B is filed?
USCIS requires that you hold or be eligible for the appropriate state NP license before the petition is approved, and you must be fully licensed before you begin practicing. If you're relocating from another state, confirm whether your state's NP compact agreement covers advanced practice or only registered nursing, since the distinction affects your licensing timeline.
How does the H-1B cap lottery affect PNP hiring timelines?
Most Pediatric Nurse Practitioner roles at private hospitals and group practices are subject to the annual H-1B cap and lottery, which runs in March for an October 1 start. However, positions at nonprofit hospitals or hospitals affiliated with universities may qualify for cap-exempt status, allowing filing at any time without lottery selection. Confirm cap-exempt eligibility with your prospective employer before accepting an offer.
Can an H-1B petition be filed if my NP certification is in a related but not identical subspecialty?
It depends on how closely the certification matches the role. USCIS evaluates whether your degree and certification field directly relate to the specific position. A Pediatric Nurse Practitioner job requiring pediatric acute care experience is more defensible with a CPNP-AC than a general FNP certification. Employers should document in the petition why your specific credentials satisfy the role's requirements to reduce RFE risk.