OPT Clinical Registered Nurse Jobs
Clinical Registered Nurse jobs on OPT are available at hospitals, outpatient clinics, and long-term care facilities, but most require active RN licensure in the state where you'll work. NCLEX passage and state board approval timelines matter for your OPT start date. STEM OPT extension does not apply to nursing roles.
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Registered Nurse Clinical Decision Unit
Job Code: RN1527
About us
Full-time - Nights
$15,000 sign-on for eligible candidates
We are welcoming a new era in healthcare where achieving good health is just the beginning. At UVA Health Northern VA & Culpeper, we believe in caring for the whole person by getting to know – and making connections with – our patients. By combining the talent and expertise of our people, the breadth of capabilities across our system, and our commitment to helping our communities get better and stay healthy, we are improving the patient experience.
As a UVA Health Northern VA & Culpeper team member, you will have a voice in patient care decisions, support the most advanced medical technologies and feel a strong sense of satisfaction from making a difference in people’s lives every day.
JOB TYPE
Classification: Non Exempt
Supervises Positions:
JOB SUMMARY
The Registered Nurse serves as a leader of the healthcare team at UVA Health Northern VA Culpeper by establishing an authentic personalized relationship with the patient and their chosen support system, collaborating with physicians and other team members to assess, plan, implement, and evaluate an individualized plan of care that promotes optimal health. The Registered Nurse utilizes best scientific evidence and compassion to assist the patient in navigating their health journey. The Registered Nurse accepts responsibility, authority, and accountability for management and provision of care in accordance with the current policies and procedures. Provides and documents patient care under the direction and supervision of the Assistant Nurse Manager/Nurse Manager.
QUALIFICATIONS
Education: Graduate of an accredited School of Nursing required. 4 Year/Bachelor’s Degree preferred.
Experience: 1 year of relevant experience preferred. Refer to the Life Support Training Policy for additional details.
Licensure: Current RN licensure in applicable state required. CPI certification within three months of hire required for Behavioral Health, Emergency Department, and Central Staffing and Scheduling Office (CSSO). If your RN nursing license has been inactive, retired or lapsed for five years or more and you have not been licensed in another state during the last five years, successful completion of a Board approved refresher course is required prior to reactivating or reinstating your license. In order to be considered for current licensure status, you must apply for reinstatement within one year of completing the refresher course.
Additional Skills/Requirements Required: Ability to perform basic nursing skills on groups of patients and ability to assume charge responsibility. Ability to multitask and prioritize quickly. Ability to administer medication utilizing the five rights. Ability to communicate verbally and in written form. Basic computer knowledge. Ability to safely and effectively care for all patient populations which present to the department.
Additional Skills/Requirements Preferred: N/A
Competencies
- Patient Care: Acts with patient advocacy when implementing the interdisciplinary plan of care.
- Collaborates with healthcare team to educate patient and their support system.
- Analyzes, modifies, and implements strategies to progress the patient through their plan of care.
- Ensures completion of nursing interventions, medical orders, and other related therapies.
- Prioritizes job duties according to patients' needs and changing acuity levels.
- Teamwork: Develops and maintains positive relationships with team members/internal customers to provide efficient treatment of patients.
- Develops team members through mentoring, precepting, orientation, and providing feedback.
- Resolves conflicts independently, as appropriate.
- Accepts responsibility for actions and responds positively upon feedback from others.
- Medical Knowledge: Demonstrates medical skills to provide required patient care.
- Operates various equipment including portable cardiac monitors, bedside commodes, etc.
- Provides routine nursing care such as starting IVs, performing dressing changes, etc. for multiple patients in a timely manner.
- Assists in critical situations including administering CPR.
- Administers and evaluates medication therapies, performs patient transfers, and transports patients via wheelchair, hospital bed, or stretcher to other departments.
The incumbent may be asked to perform additional duties as assigned.
PHYSICAL DEMANDS
Physical Demand Code: Medium to Heavy Physical Demand: The job requires constant standing, frequently walking, and bending/stooping. Proficient communicative, auditory, and visual skills. Attention to detail and ability to write legibly. Ability to lift/push/pull 100 lbs. For any weight over 35 lbs., use Safe Handling Equipment. This job description may not include all assigned duties, responsibilities, or aspects of the job described. It may be amended at any time at the sole discretion of UVA Community Health.
OTHER
- May require the use of safety equipment, such as HEPA mask, for infection prevention:
- On call responsibilities as directed:
- Ability to travel between campus buildings, remote facilities, and out of town as needed:
- Yes
- Yes
The base compensation range for this role is $33.70 - $56.91 hourly. Individual compensation will be determined by the selected candidate's qualifications, previous work experience, and/or education. Please note that the pay range does not include any applicable incentive compensation programs such as shift differentials, clinical ladders, and other incentives that may be available for those in eligible positions.
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Get Access To All JobsTips for Finding OPT Sponsorship as a Clinical Registered Nurse
Pass NCLEX before your OPT start date
State RN licensure requires NCLEX passage, and most employers won't onboard you without it. Begin the licensing application process as soon as you graduate to avoid gaps between your OPT authorization date and your first eligible work day.
Target health systems with established J-1 and H-1B track records
Large hospital networks such as HCA Healthcare, Kaiser Permanente, and academic medical centers regularly sponsor nurses for H-1B visa and green card pathways. Smaller clinics rarely have the infrastructure to navigate the sponsorship process for clinical staff.
Apply to states with faster RN licensing timelines
Some state boards of nursing issue licenses in two to four weeks while others take three months or longer. Prioritizing states like Texas or Florida can help you start working sooner and preserve more of your OPT authorization period.
Highlight your visa status clearly and early in applications
Many nursing hiring managers are unfamiliar with OPT work authorization. Briefly explain that you're authorized to work for 12 months without employer sponsorship. Removing the ambiguity upfront prevents your application from being screened out incorrectly.
Prioritize employers actively filing H-1B for nurses
Use OFLC disclosure data to identify hospitals that have filed Labor Condition Applications for RN roles in recent fiscal years. Past H-1B filings for nursing positions are the strongest signal that an employer is willing to sponsor future work visas.
Pursue specialty certifications to strengthen your transition case
Certifications in ICU, emergency nursing, or oncology nursing narrow your competition pool and signal commitment to a specialty. Employers sponsoring H-1B for nurses consistently favor candidates with credentials beyond the base RN license.
Clinical Registered Nurse OPT: Frequently Asked Questions
Can I work as a Clinical Registered Nurse on OPT?
Yes, if you've graduated from a nursing or related healthcare program and hold an active RN license in the state where you'll work. OPT authorizes employment directly related to your degree field. Nursing roles qualify when your degree is in nursing, pre-medicine, or a closely related clinical discipline. You must have a valid EAD before starting work.
Does OPT STEM extension apply to Clinical Registered Nurse roles?
No. Nursing is classified under CIP code 51, which is not included on the STEM Designated Degree Program List. Clinical RN roles do not qualify for the 24-month STEM OPT extension. You'll have 12 months of standard OPT. Planning your H-1B or other long-term visa sponsorship timeline from day one of your OPT is essential.
How do I find hospitals that will sponsor my visa after OPT?
Browse Clinical Registered Nurse listings on Migrate Mate, which filters for employers with sponsorship history. You can also review OFLC H-1B disclosure data to identify hospitals that have filed Labor Condition Applications for RN roles. Large health systems and academic medical centers are the most likely sponsors. Smaller practices and outpatient clinics rarely have sponsorship infrastructure.
What happens if my state RN license isn't approved before my OPT start date?
You cannot legally work as a Registered Nurse without an active state license, even if your EAD is valid. If your license is delayed, some employers will place you in a non-clinical or patient care technician role temporarily. Consult your DSO immediately if a licensing delay risks creating an employment gap, since unauthorized unemployment periods can jeopardize your OPT status.
Can I work for a travel nursing agency on OPT?
Yes, but with important caveats. Travel nursing involves rotating assignments at different facilities, and your OPT authorization requires that employment remain consistent with your degree field. The agency is your employer of record, so your EAD must list them or cover the role correctly. Confirm with your DSO that the agency placement structure satisfies your OPT employment reporting requirements before accepting an assignment.