H-1B Visa Registered Practical Nurse Jobs
Registered Practical Nurse jobs with H-1B visa sponsorship require employers to file a Labor Condition Application certifying prevailing wage compliance before your petition reaches USCIS. Because RPN roles sit at a credential threshold, your state nursing license, degree equivalency, and employer's LCA must align before a petition can move forward.
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Location:
Sioux Center-Crown Pointe Estates
Worker Type:
Regular
Work Shift:
Day Shift (United States of America)
Discover a Career of Faith and Healing: For over 70 years, Sioux Center Health has served patients with Jesus’ healing ministry. With eight locations located in Sioux Center, Iowa and surrounding communities, we take great pride in providing superior care in our state-of-the-art facilities.
A Career that You Will Love: There’s no other way to say it: You will love working here. Between our strong mission and our great people, we have nurtured a pretty exceptional culture at Sioux Center Health.
A Chance to Make a Difference: Working with us means making a real difference in the lives of our community members. Your talents and your passions are truly appreciated here. In addition to the service we provide, Sioux Center Health also supports our community with sponsored programs and events, and other volunteer work. If this is your passion, you need to consider joining our team driven to provide quality care and services within a caring Christian culture.
Position Highlights:
At Sioux Center Health, our people are the heart of everything we do. Guided by a strong mission and a commitment to exceptional care, we've built a stable, thriving organization where employees make a meaningful difference. Our dedication to excellence is reflected in the recognition we have earned. Sioux Center Health has been named a Top Workplace in Iowa, received Best of the Northwest honors in 13 categories—including Best Place to Work—and earned a Five-Star Patient Survey Rating from the Centers for Medicare & Medicaid Services (CMS). We have also been recognized as a Chartis Top 100 Critical Access Hospital and Top Hospital in Iowa. Our Care Center has received the LeadingAge Excellence in Workplace Award, reflecting our commitment to creating a positive environment for both residents and employees. Beyond our organization, you'll find an outstanding community to call home. Sioux County was ranked #4 in the nation among the Healthiest Communities by U.S. News & World Report and CVS Health, reflecting the high quality of life and strong community values that make this region a great place to live, work, and grow.
Summary
The Long Term Care RN is responsible for directing and supervising resident care consistent with the Iowa Nursing Practice Code, Federal, State, and Sioux Center Health standards of care while promoting each resident’s highest practicable physical, mental, and psychosocial well-being.
General Hours of Work
8 and 12 hour rotating shift; nights, weekend, call involvement
Education and/or Experience
Graduate of an accredited school of nursing, for registered nurse. Minimum of one year of experience in Long Term Care preferred.
Certificate, Licenses, Registrations
Current Registered Nurse license in the State of Iowa. Must obtain CPR certification within 3 months of hire date.
RN Essential Functions
Utilize the “nursing process” (i.e. ongoing assessment, nursing diagnosis, planning, intervention, and evaluation) in the practice of nursing.
- To assess the health status of each resident.
- To formulate a nursing diagnosis based on the analysis of data from the nursing assessment.
- To plan nursing care which includes determining goals and priorities for activities based on the nursing diagnosis.
- To develop nursing interventions implementing the plan of care.
- To evaluate the individual resident’s status in relation to established goals and the plan of care.
Recognize and understand the legal implications of accountability including, but not limited to the following:
- Performing or supervising those activities and functions which require the knowledge and skill level of a registered nurse and seeking assistance when activities and functions are beyond the licensee’s scope of preparation.
- Using professional judgment supervising unlicensed assistant personnel.
- Using professional judgment in assigning and delegating activities and functions to unlicensed assistant personnel.
- Supervising, among other things, includes any or all the following:
- Direct observation of any activity or function.
- Assumption of overall responsibility for assessing, planning, implementing, and evaluating nursing care.
- Delegation of nursing tasks while retaining accountability.
- Determination that nursing care being provided is adequate and delivered appropriately.
Executing the regimen prescribed by the physician while exercising professional judgment in accordance with minimum standards of nursing practice.
- If the prescribed medical regimen is not carried out, based on the nurse’s professional judgment, accountability will include:
- Timely notification of the prescribing physician the medical regimen was not executed and reason(s) for same.
- Documentation on medical record the physician was notified and reason(s) for not following order(s).
Performs, skillfully and proficiently, the following duties:
- Reads report from previous shift and writes report for following shift.
- Reports and explains all pertinent resident care information to C.N.A.’s.
- Supervises all meals and nourishment or assures proper diet is served, nutrition and hydration needs are met, and residents are assisted as necessary.
- Makes rounds as necessary, assessing unstable residents.
- Prepares and administers medications, nutrition, fluids and medication, and treatments as ordered.
- Documents all medications, IV fluids, and treatments as administered.
- Supervises any restraint application and/or removal.
- Supervises prompt response to resident’s call lights.
- Orders medications as necessary.
- Notifies pharmacy of changes/additions to resident’s drug regimen.
- Receives medication delivery from pharmacy and checks and documents all drug received.
- Supervises all resident care and assists with direct care as needed.
- Observes, evaluates, reports, and documents all changes in resident’s conditions every two hours or as needed.
Assists in the managerial responsibilities (interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems). Performs other duties and responsibilities as assigned.
LPN Essential Functions
Participate in the “nursing process” (i.e. ongoing assessment, nursing diagnosis, planning, intervention, and evaluation), consistent with accepted and prevailing practice, by assisting a registered nurse or physician. The LPN may assist in monitoring, observing, and reporting reactions to interventions. Refrain from performing any activity requiring the knowledge and skill of a registered nurse including:
- The initiation of an assessment related to procedures/therapies requiring the knowledge or skill level of a registered nurse.
- The initiation of intravenous solutions, intravenous medications and blood components.
- The administration of medicated intravenous solutions, intravenous medications and blood components.
- The initiation or administration of medications requiring the knowledge or skill level of a registered nurse.
Engage in, under the supervision of a registered nurse, a limited scope of practice in intravenous therapy as follows:
- Add intravenous solutions without medications to established peripheral intravenous sites.
- Regulate the rate of non-medicated intravenous solutions.
- Administer maintenance doses of analgesics via resident-controlled analgesic pump set at a lock-out interval.
- Discontinue intravenous therapy.
Perform intravenous therapy procedures as outlined in Iowa Code, Chapter 6, Nursing Practice for Registered Nurses/Licensed Practical Nurses following completion of a board-approved intravenous therapy certification course offered by a board-approved provider of education. Recognize and understand the legal implications of accountability including, but not limited to the following:
- Performing those activities and functions which require the knowledge and skill level of a licensed practical nurse and seeking assistance when activities and functions are beyond the licensee’s scope of preparations.
- Accepting responsibility for performing assigned and delegated functions and informing the registered nurse when assigned and delegate functions are not executed.
- Executing the medical regimen prescribed by a physician. In executing the medical regimen as prescribed by the physician, the licensed practical nurse will exercise prudent judgment in accordance with minimum standards of nursing practice. If the medical regimen prescribed by the physician is not carried out based on the LPN’s prudent judgment, accountability will include but need not be limited to the following:
- Timely notification of the physician who prescribed the medical regimen that order(s) was not executed and reason(s) for same.
- Documentation on the medical records the physician was notified and reason(s) for not following order(s).
Supervise unlicensed assistant personnel under the provisions of the Iowa Code. Supervision, among other things, includes any or all of the following:
- Direct observation of a function or activity.
- Delegation of nursing tasks while retaining accountability.
- Determination that nursing care being provided is adequate and delivered appropriately.
- A licensed practical nurse may serve as a charge nurse under the supervision of a registered nurse.
Assists in the managerial responsibilities (interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems). Performs other duties and responsibilities as assigned.
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See all 42+ H-1B Visa Registered Practical Nurse Jobs
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Get Access To All JobsTips for Finding H-1B Visa Sponsorship as a Registered Practical Nurse
Verify your credential equivalency early
If your nursing degree came from outside the U.S., get a credential evaluation from a CGFNS-recognized body before applying. USCIS needs confirmation your education is equivalent to a U.S. degree in nursing to support a specialty occupation determination.
Secure your state nursing license first
H-1B approval for nursing roles depends on holding an active, unrestricted license in the state where you'll work. Employers won't file an I-129 petition until you can present a valid license, so start the licensure process well before targeting open roles.
Search employers with active LCA filing history
Use Migrate Mate to find healthcare employers who have consistently filed Labor Condition Applications for nursing roles. Verified LCA history signals an employer already understands the H-1B process and is set up to sponsor you without delays.
Check prevailing wage tiers before negotiating
Use the OFLC Wage Search to look up the prevailing wage for your specific nursing SOC code and metro area before any salary discussion. Your offer must meet or exceed that figure, and an LCA certified below your actual wage level can invalidate your petition.
Confirm each worksite gets its own certified LCA
If your employer assigns you across multiple facilities, USCIS requires a separately certified LCA for each worksite location. Clarify with your employer's HR or immigration contact that all assigned locations will be covered before you sign an offer.
Review the O*NET profile to frame your specialty occupation case
The O*NET occupation profile for your nursing title documents the degree-level knowledge domains the role requires. Referencing these in your petition documentation helps the employer demonstrate to USCIS that the position genuinely meets specialty occupation standards.
H-1B Visa Registered Practical Nurse: Frequently Asked Questions
Does Registered Practical Nurse qualify as a specialty occupation for H-1B purposes?
RPN roles do not automatically qualify as a specialty occupation under H-1B rules because a bachelor's degree in a specific field is not universally required for the title. Sponsoring employers typically build the position around degree-level clinical duties and document that requirement explicitly in the job description and LCA to support the petition. USCIS evaluates each case individually, so the strength of the employer's specialty occupation argument matters significantly.
How do I find healthcare employers who actively sponsor H-1B visas for nursing roles?
Migrate Mate lists employers with verified Labor Condition Application filing history for nursing and clinical roles, so you can target organizations that have already navigated the H-1B process. Hospital systems, long-term care networks, and federally qualified health centers tend to have established immigration workflows compared to smaller private practices, making them more consistent sponsors.
What documents does an employer need before filing my H-1B petition?
Your employer needs your active state nursing license, a credential evaluation confirming your foreign degree is equivalent to a U.S. nursing degree, and a certified Labor Condition Application from DOL. The LCA must be certified for the specific worksite location before USCIS will accept the I-129 petition. Having all three ready before your employer starts filing reduces processing delays considerably.
Can my H-1B status be transferred if I change nursing employers?
Yes, H-1B portability allows you to begin working for a new employer once they file a new I-129 petition on your behalf, without waiting for approval, provided you've been maintaining valid H-1B status. The new employer must file their own LCA certified for your new worksite and submit the full petition to USCIS. Your initial six-year maximum status period continues from your original start date.
What happens to my H-1B status if my nursing license lapses between renewals?
An expired or inactive state nursing license can jeopardize your H-1B status because maintaining a valid license is a condition of your employment authorization in a licensed healthcare role. If your license lapses, your employer should pause clinical assignments and work with immigration counsel immediately. USCIS may treat unlicensed practice as a violation of your status terms, so renewal timelines need to be tracked carefully.