OPT Advanced Practice Registered Nurse Aprn Jobs
Advanced Practice Registered Nurse (APRN) roles, including Nurse Practitioners, Certified Nurse Midwives, and Certified Registered Nurse Anesthetists, are in high demand across U.S. healthcare systems. Most APRN positions require state licensure, which F-1 OPT students must obtain before starting work. Your OPT authorization must align with your nursing degree field to remain compliant.
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Get Access To All JobsJoin the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage.
Functional Title: Medical APRN
Job Title: Advanced Practice RN I
Agency: Health & Human Services Comm
Department: Physician Services
Posting Number: 23028
Closing Date: 12/04/2026
Posting Audience: Internal and External
Occupational Category: Healthcare Practitioners and Technical
Salary Range: $10,400.00 - $13,051.00
Pay Frequency: Monthly
Salary Group: TEXAS-B-28
Shift: Day
Telework: Not Eligible for Telework
Travel: Up to 5%
Regular/Temporary: Regular
Full Time/Part Time: Full time
FLSA Exempt/Non-Exempt: Exempt
Facility Location: San Angelo State Supported Living Center
Job Location City: CARLSBAD
Job Location Address: 11640 US HWY 87 N
MOS Codes: 290X, 46YX, 66P, 66R, HS
Brief Job Description:
Come work in an environment where we truly value and respect those we serve and believe in the mission that all people can achieve a higher level of wellness and independence.
The state supported living centers serve people with intellectual and developmental disabilities who are medically fragile or who have behavioral problems. The centers provide campus-based direct services and supports at 13 centers located throughout the state. Learn About Our State Supported Living Centers
If you are looking for a place to work where you can establish a career that is filled with purpose, this is the job for you!
The Advanced Practice RN is appointed by the Medical Director subject to the approval of the SSLC Director. Performs advanced clinical medical care under the supervision of a physician. Work involves assessing, planning, and providing comprehensive patient care independently or in collaboration with other health care professionals. Directs medical activities/treatment, monitors trends and activities, and makes recommendations for improvement. Provides treatment to HHS employees injured in course and scope of employment. Performs all other duties as assigned by the Medical Director/Facility Director, including planning, assigning, and/or supervising the work of others. Works under minimal supervision with extensive latitude for the use of initiative and independent judgment. Works under the clinical and administrative supervision of the Medical Director and/or other supervising physician.
MSP statement: This position may also be eligible to earn additional pay for work performed on maximum security locations.
Essential Job Functions (EJFs):
Attends work on a regular basis and may be required to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned. [May serve in an on-call status on a rotating schedule as required to meet operational needs of the facility.]
Provides acute care to individuals, including daily assessment for acute health problems or injury in the clinic and/or infirmary. The assessment includes diagnosis, treatment and a plan of care with documentation of the acute issue, assessing injuries, including possible sutures and/or referrals to hospital or emergency room.
Provides chronic care to individuals, which includes a quarterly assessment for individuals with identified chronic health care diagnosis including review of appropriate treatment specific to the disease process and update or change of medical treatment as warranted.
Provides comprehensive medical care, which includes conducting rounds, review of infirmary and hospitalized patient and on-call cases for status of condition individuals are under treatment for.
Provides medical diagnosis and the review of the treatment plan at the Individual Service Plan (ISP). Includes review of all the identified risks of the individual, (choking, pneumonia, etc.) as well as their health status, and ensures necessary supports (OT, PT, Nursing, etc.) have been identified and appropriate areas of need are being addressed.
Develops accurate and timely documentation, which includes dictation of annual summaries and pre-procedural histories and physicals, documentation of specialty medical consultation, physical and chemical restrains and all acute and chronic patient care.
Provide treatment to HHS employees injured in course and scope of employment as needed.
Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location.
Knowledge, Skills and Abilities (KSAs):
Knowledge of methods and procedures in the field of general medicine/nursing including laws and ordinances governing public health and hospital operations.
Knowledge of principles, methods and procedures for the delivery of medical evaluations, diagnosis, and treatment.
Knowledge of the principles of the development, implementation, and documentation of case histories and individualized care and treatment plans.
Skill in interpretation of laboratory analyses and x-rays.
Skill in the care and treatment of patients and in the use of medical diagnostic and treatment tools and equipment.
Ability to examine, diagnose, and treat physical and mental disorders.
Ability to supervise the work of others who provide medical care to patients.
Ability to appropriately interact with individuals with developmental disabilities.
Ability to present ideas clearly and concisely in both written and oral communications.
Ability to prepare and maintain medical records.
Ability to work productively with professionals and paraprofessionals as an effective member of an interdisciplinary team.
Ability to work independently and be flexible in carrying out assigned responsibilities.
Registrations, Licensure Requirements or Certifications:
Registered nurse in the State of Texas or in another state that recognizes reciprocity through the Nurse Licensure Compact.
Certified as an advanced practice registered nurse by the Texas Board of Nursing.
Must have, or can obtain, a current registration certificate from the Drug Enforcement Agency (DEA). Must possess a National Provider Identifier (NPI#) as defined by Medicare Part B and enroll as a Medicaid and Medicare Part B provider.
Initial Screening Criteria:
Graduation from an advanced practice registered nurse educational program accredited by a national nursing education accrediting body that is recognized by the U.S. Department of Education and the Texas Board of Nursing with a master’s degree or higher level.
Clinical nursing experience.
Experience in supervising or leading the work of others.
Additional Information:
Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aide, Medication Aide and Employee Misconduct and HHS List of Excluded Individuals/Entities (LEIE).
Males between the ages of 18 – 25 must be registered with the Selective Service.
All State Supported Living Center Employees are subject to Random Drug Testing.
Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours. Must be willing to work weekends and holidays.
All applicants must be at least 18 years of age to be considered for employment at a state-operated facility.
Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC.
Active Duty, Military, Reservists, Guardsmen, and Veterans:
Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor’s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions.
ADA Accommodations:
In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the online application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.
Pre-Employment Checks and Work Eligibility:
Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks.
HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form
Telework Disclaimer:
This position may be eligible for telework. Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.
Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage.
Functional Title: Medical APRN
Job Title: Advanced Practice RN I
Agency: Health & Human Services Comm
Department: Physician Services
Posting Number: 23028
Closing Date: 12/04/2026
Posting Audience: Internal and External
Occupational Category: Healthcare Practitioners and Technical
Salary Range: $10,400.00 - $13,051.00
Pay Frequency: Monthly
Salary Group: TEXAS-B-28
Shift: Day
Telework: Not Eligible for Telework
Travel: Up to 5%
Regular/Temporary: Regular
Full Time/Part Time: Full time
FLSA Exempt/Non-Exempt: Exempt
Facility Location: San Angelo State Supported Living Center
Job Location City: CARLSBAD
Job Location Address: 11640 US HWY 87 N
MOS Codes: 290X, 46YX, 66P, 66R, HS
Brief Job Description:
Come work in an environment where we truly value and respect those we serve and believe in the mission that all people can achieve a higher level of wellness and independence.
The state supported living centers serve people with intellectual and developmental disabilities who are medically fragile or who have behavioral problems. The centers provide campus-based direct services and supports at 13 centers located throughout the state. Learn About Our State Supported Living Centers
If you are looking for a place to work where you can establish a career that is filled with purpose, this is the job for you!
The Advanced Practice RN is appointed by the Medical Director subject to the approval of the SSLC Director. Performs advanced clinical medical care under the supervision of a physician. Work involves assessing, planning, and providing comprehensive patient care independently or in collaboration with other health care professionals. Directs medical activities/treatment, monitors trends and activities, and makes recommendations for improvement. Provides treatment to HHS employees injured in course and scope of employment. Performs all other duties as assigned by the Medical Director/Facility Director, including planning, assigning, and/or supervising the work of others. Works under minimal supervision with extensive latitude for the use of initiative and independent judgment. Works under the clinical and administrative supervision of the Medical Director and/or other supervising physician.
MSP statement: This position may also be eligible to earn additional pay for work performed on maximum security locations.
Essential Job Functions (EJFs):
Attends work on a regular basis and may be required to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned. [May serve in an on-call status on a rotating schedule as required to meet operational needs of the facility.]
Provides acute care to individuals, including daily assessment for acute health problems or injury in the clinic and/or infirmary. The assessment includes diagnosis, treatment and a plan of care with documentation of the acute issue, assessing injuries, including possible sutures and/or referrals to hospital or emergency room.
Provides chronic care to individuals, which includes a quarterly assessment for individuals with identified chronic health care diagnosis including review of appropriate treatment specific to the disease process and update or change of medical treatment as warranted.
Provides comprehensive medical care, which includes conducting rounds, review of infirmary and hospitalized patient and on-call cases for status of condition individuals are under treatment for.
Provides medical diagnosis and the review of the treatment plan at the Individual Service Plan (ISP). Includes review of all the identified risks of the individual, (choking, pneumonia, etc.) as well as their health status, and ensures necessary supports (OT, PT, Nursing, etc.) have been identified and appropriate areas of need are being addressed.
Develops accurate and timely documentation, which includes dictation of annual summaries and pre-procedural histories and physicals, documentation of specialty medical consultation, physical and chemical restrains and all acute and chronic patient care.
Provide treatment to HHS employees injured in course and scope of employment as needed.
Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location.
Knowledge, Skills and Abilities (KSAs):
Knowledge of methods and procedures in the field of general medicine/nursing including laws and ordinances governing public health and hospital operations.
Knowledge of principles, methods and procedures for the delivery of medical evaluations, diagnosis, and treatment.
Knowledge of the principles of the development, implementation, and documentation of case histories and individualized care and treatment plans.
Skill in interpretation of laboratory analyses and x-rays.
Skill in the care and treatment of patients and in the use of medical diagnostic and treatment tools and equipment.
Ability to examine, diagnose, and treat physical and mental disorders.
Ability to supervise the work of others who provide medical care to patients.
Ability to appropriately interact with individuals with developmental disabilities.
Ability to present ideas clearly and concisely in both written and oral communications.
Ability to prepare and maintain medical records.
Ability to work productively with professionals and paraprofessionals as an effective member of an interdisciplinary team.
Ability to work independently and be flexible in carrying out assigned responsibilities.
Registrations, Licensure Requirements or Certifications:
Registered nurse in the State of Texas or in another state that recognizes reciprocity through the Nurse Licensure Compact.
Certified as an advanced practice registered nurse by the Texas Board of Nursing.
Must have, or can obtain, a current registration certificate from the Drug Enforcement Agency (DEA). Must possess a National Provider Identifier (NPI#) as defined by Medicare Part B and enroll as a Medicaid and Medicare Part B provider.
Initial Screening Criteria:
Graduation from an advanced practice registered nurse educational program accredited by a national nursing education accrediting body that is recognized by the U.S. Department of Education and the Texas Board of Nursing with a master’s degree or higher level.
Clinical nursing experience.
Experience in supervising or leading the work of others.
Additional Information:
Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aide, Medication Aide and Employee Misconduct and HHS List of Excluded Individuals/Entities (LEIE).
Males between the ages of 18 – 25 must be registered with the Selective Service.
All State Supported Living Center Employees are subject to Random Drug Testing.
Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours. Must be willing to work weekends and holidays.
All applicants must be at least 18 years of age to be considered for employment at a state-operated facility.
Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC.
Active Duty, Military, Reservists, Guardsmen, and Veterans:
Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor’s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions.
ADA Accommodations:
In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the online application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.
Pre-Employment Checks and Work Eligibility:
Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks.
HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form
Telework Disclaimer:
This position may be eligible for telework. Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.
See all 85+ OPT Advanced Practice Registered Nurse Aprn Jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new OPT Advanced Practice Registered Nurse Aprn Jobs.
Get Access To All JobsTips for Finding OPT Sponsorship in Advanced Practice Registered Nurse Aprn
Obtain your state APRN license before your start date
State licensure is a hard requirement for practicing as an APRN in the U.S. Begin the licensing process immediately after graduation. Delays in licensure can prevent you from starting work and may affect your OPT authorization timeline.
Target healthcare systems with established visa sponsorship programs
Large hospital networks and academic medical centers, such as Mayo Clinic, Kaiser Permanente, and HCA Healthcare, have dedicated HR infrastructure for sponsoring international nurses. Smaller private practices rarely have the resources to navigate work visa sponsorship.
Verify your OPT employment is in your degree field
Your OPT job must be directly related to your nursing or healthcare degree. A Nurse Practitioner role for a Family Nurse Practitioner graduate qualifies. An unrelated administrative role does not. Misalignment can jeopardize your legal status.
Start your H-1B sponsorship conversation during the interview process
APRN roles are strong H-1B visa candidates because they qualify as specialty occupations. Ask potential employers about their H-1B sponsorship history early. Waiting until your OPT expires leaves no time to file before the April 1 registration deadline.
Document all employment carefully for STEM OPT extension eligibility
If your nursing degree qualifies as a STEM field, you may be eligible for a 24-month OPT extension. Keep detailed records of your employer's E-Verify enrollment status and your job duties, as USCIS requires this documentation for STEM OPT approval.
Negotiate your start date around your OPT authorization window
Your OPT authorization has a specific start date. Starting work before that date or accepting an offer outside your authorized window creates serious compliance issues. Confirm your Employment Authorization Document arrival date before committing to any employer start date.
Advanced Practice Registered Nurse Aprn OPT: Frequently Asked Questions
Can I work as an APRN in the U.S. on F-1 OPT?
Yes, you can work as an APRN on F-1 OPT, provided your position is directly related to your nursing or healthcare degree. You must also obtain the required state APRN license and any national certification, such as ANCC or AANP board certification for Nurse Practitioners, before your employment begins. Your Employment Authorization Document must be valid for your entire period of employment.
Do APRN jobs typically lead to H-1B visa sponsorship?
APRN roles generally qualify as specialty occupations under H-1B requirements because they require at minimum a master's degree in a specific nursing specialty. Large healthcare employers, including hospital systems and federally qualified health centers, are more likely to sponsor H-1B petitions than small private practices. Raise the topic of long-term sponsorship during the hiring process, not after your OPT is nearly expired.
Where can I find APRN jobs that are open to OPT students?
Migrate Mate is the recommended platform for F-1 OPT students searching for APRN and other healthcare roles. The job board surfaces positions from employers who are open to sponsoring international candidates, which saves significant time compared to filtering through general postings where visa requirements are unclear or unstated.
Does my APRN role qualify for a STEM OPT extension?
It depends on your specific degree program's CIP code. Some nursing graduate programs, particularly those classified under Nursing Science or Nursing Practice with a science-focused designation, may qualify for the 24-month STEM OPT extension. Check with your Designated School Official before assuming eligibility. Your employer must also be enrolled in E-Verify, which most major hospital systems already are.
Can I work as a travel APRN or per diem contractor while on OPT?
Yes, but with important constraints. Self-employment is generally not permitted on OPT. You must be employed by an organization, not working independently as a sole proprietor. Short-term contract or per diem arrangements through a staffing agency are permissible if the agency is your employer of record. Ensure every engagement remains within your authorized OPT field and document all placements carefully for your records.