H-1B Visa Primary Care Nurse Practitioner Jobs
Primary Care Nurse Practitioners qualify for H-1B visa sponsorship as a specialty occupation requiring at minimum a Master of Science in Nursing or Doctor of Nursing Practice. Most sponsors are federally qualified health centers, hospital-owned primary care networks, and large multispecialty groups with established H-1B filing history.
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INTRODUCTION
Baylor Scott & White Health is seeking a Nurse Practitioner to join our Primary Care team in Round Rock, Texas.
We are looking for a clinically confident, motivated, and compassionate Nurse Practitioner who enjoys building relationships with patients and working collaboratively with physicians and other members of the care team.
The ideal candidate will have at least one year of Nurse Practitioner experience and be comfortable evaluating and managing common acute and chronic medical conditions in a primary care setting. Candidates should demonstrate strong clinical judgment, excellent communication skills, and a commitment to providing high-quality, evidence-based, patient-centered care.
Location: Round Rock, Texas
Schedule: Full-time, Monday–Friday
Hours:
- 8:00 a.m.–5:00 p.m., Monday–Friday, or Four 10-hour days per week
Weekend Call: Approximately one weekend every 2–3 years
What We’re Looking For
The ideal candidate will:
- Have 1+ year of experience as a Nurse Practitioner, preferably in primary care or a related clinical setting.
- Be clinically confident and comfortable managing common acute and chronic conditions.
- Demonstrate sound clinical judgment and know when to seek additional support or consultation.
- Be self-motivated, dependable, and eager to continue learning.
- Communicate effectively and compassionately with patients, families, and staff.
- Work well as part of a collaborative, team-based care environment.
- Be adaptable and receptive to feedback.
- Demonstrate a strong work ethic and positive attitude.
- Be committed to preventive care, health promotion, and quality patient outcomes.
- Previous nursing experience is a plus, particularly experience in an emergency department or intensive care unit, as it can provide a strong clinical foundation for advanced practice.
Why Round Rock, Texas?
Located just north of Austin, Round Rock is one of the fastest-growing communities in the United States and is known for its exceptional quality of life.
The community offers highly rated schools, well-planned neighborhoods, and a welcoming, family-friendly environment. Residents enjoy extensive parks and recreational opportunities, a strong local economy, and a wide variety of dining and entertainment options.
With easy access to Austin's major employers, cultural attractions, and amenities, Round Rock provides an appealing combination of career opportunity, community, and livability.
Responsibilities
The Primary Care Nurse Practitioner provides comprehensive care to patients, including evaluation and management of acute and chronic conditions, preventive care, and health promotion.
Responsibilities include:
- Obtaining comprehensive and problem-focused medical histories and performing physical examinations.
- Assessing patients' physical and mental health conditions and identifying healthcare needs.
- Ordering, interpreting, and evaluating laboratory and diagnostic testing.
- Diagnosing and managing acute and chronic medical conditions within the Nurse Practitioner's scope of practice.
- Prescribing medications and recommending appropriate treatments and therapies.
- Developing and implementing individualized, evidence-based treatment plans.
- Monitoring patient response to treatment and modifying treatment plans as appropriate.
- Providing preventive care and counseling regarding health risks and lifestyle modifications.
- Educating patients and families about diagnoses, medications, treatment plans, nutrition, and health promotion.
- Maintaining accurate and timely medical records.
- Collaborating with physicians and other members of the healthcare team.
- Initiating consultation and referral when a patient's condition exceeds the Nurse Practitioner's scope of practice or expertise.
- Performing procedures appropriate to the Nurse Practitioner's training, knowledge, and scope of practice.
- Participating in a team-based model focused on acute and chronic illness management and population health.
Belonging at Baylor Scott & White Health
We believe that all people should feel welcomed, valued, and supported. We are committed to fostering an inclusive environment where our team members can do meaningful work, grow professionally, and make a difference in the lives of the patients and communities we serve.
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): BLS or BLS within 30 days of hire or transfer.
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Get Access To All JobsTips for Finding H-1B Visa Sponsorship in Primary Care Nurse Practitioner
Verify your MSN or DNP meets specialty occupation
USCIS requires a directly related degree for specialty occupation classification. Your MSN or DNP in family, adult-gerontology, or primary care NP programs satisfies this. A general nursing BSN alone does not support an H-1B petition for an NP role.
Check state licensure requirements before accepting offers
H-1B approval depends partly on your ability to legally practice. Confirm the state grants NP full practice authority or requires physician collaboration, then verify your APRN license or compact privilege covers the work location before your employer files.
Target federally qualified health centers for sponsorship
FQHCs and rural health clinics frequently sponsor H-1B NPs because federal designation creates workforce incentives. Search Migrate Mate to filter for employers with verified H-1B LCA filing history in primary care NP roles specifically.
Request the LCA wage level before signing your offer
Your employer files a Labor Condition Application with DOL certifying your wage meets the prevailing level for your location and job code. Ask which wage level (I through IV) they're filing at. Wage Level II or III reflects most mid-career NP placements.
Use OFLC Wage Search to benchmark your offer's prevailing wage
Look up SOC code 29-1171 (Nurse Practitioners) in the OFLC Wage Search for your metro area. If your offered salary falls below the Level I prevailing wage, USCIS can issue an RFE or DOL can disallow the LCA certification entirely.
File H-1B before OPT or grace period expires if transitioning
If you're moving from F-1 OPT to H-1B, your employer must file by April 1 for an October 1 start. NP roles often require license verification that takes weeks, so start the credentialing and USCIS petition process at least five months before your OPT end date.
H-1B Visa Primary Care Nurse Practitioner: Frequently Asked Questions
Does a Primary Care Nurse Practitioner role qualify as a specialty occupation for H-1B purposes?
Yes. USCIS classifies Nurse Practitioner positions as specialty occupations because the role requires at minimum a Master of Science in Nursing or Doctor of Nursing Practice in a related clinical specialty. A general RN license or a BSN without an advanced practice degree is not sufficient to support the petition. Your employer's LCA must reflect the NP job code, not a general staff nurse classification.
Which types of employers most commonly sponsor H-1B visas for primary care NPs?
Federally qualified health centers, large hospital-owned primary care networks, and multispecialty physician groups file the most H-1B LCAs for NP roles. Rural health clinics and community health organizations also sponsor regularly because federal designation creates hiring flexibility. You can search Migrate Mate to see employers with verified LCA filing history for Nurse Practitioner positions in your target location.
Does state scope-of-practice law affect my H-1B petition as a primary care NP?
It can. USCIS reviewers examine whether you're licensed to perform the duties described in the petition. In states requiring physician collaboration agreements, your offer letter and petition should reflect that structure accurately. If you hold a compact APRN license, confirm it covers the specific work state before your employer files, as an invalid license can trigger an RFE.
Can my H-1B employer change my clinic location after approval?
Yes, but only within limits. H-1B is location-specific: if you move to a worksite in a different metropolitan statistical area, your employer must file an amended H-1B petition with a new LCA reflecting the new location's prevailing wage. Short-term placements under 60 days may qualify for a short-placement exception, but routine reassignment to a different city requires an amendment before the move.
What happens to my H-1B status if my sponsoring employer loses its federal health center designation or closes a clinic?
Your H-1B status is tied to that specific employer. If the organization terminates your employment or the worksite closes, you enter a 60-day grace period to find a new H-1B sponsor, change status, or depart. A new employer must file an H-1B transfer petition before that window closes. Start identifying backup sponsoring employers with active LCA histories as soon as your employment situation becomes uncertain.