OPT Graduate Nurse Jobs
Graduate Nurse OPT jobs are available at hospitals, outpatient clinics, and health systems that sponsor H-1B visa or offer cap-exempt positions. Most roles require active RN licensure in the state where you'll work. Your 12-month OPT window starts on your program end date, so timing your NCLEX and job search carefully is essential.
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It's more than a career, it's a calling
Worker Type:
Regular
Job Highlights:
Neurology ICU - SSM Health St. Louis University Hospital – St. Louis, MO
We are looking for August 2026 graduates to join our team!
Schedule:
Full time, 7p-7a varying nights with every 3rd weekend, holiday requirement, no on call requirement
Eligibility:
- Graduate of an accredited nursing program
- Eligible to practice as determined by State Board of Nursing
- Less than one year of experience working as an RN
Being a nurse is more than a job, it’s a calling. That is why SSM Health wants to invest in your future. As a new graduate nurse hired with SSM Health, you will participate in the SSM Health Nurse Residency Program. This will allow you to connect and learn from other graduate nurses across the system as you work to enhance your confidence, knowledge, and practical skill. The residency program is designed to complement your education and support your continued professional growth.
Join our team and make a difference every day while enjoying competitive pay, great benefits, and a supportive work environment.
We offer competitive, affordable health insurance and benefits designed to support you and your family.
Fulfill your calling with SSM Health — apply today!
Job Summary:
Licensed new graduate nurse from an accredited nursing program who actively participates in SSM Health Saint Louis University Hospital New Graduate Nurse Residency Program. Provides professional nursing care to patients, which includes assessing, planning, implementing, coordinating, delegating and monitoring tasks assigned to other members of the care team in accordance with professional nursing standards. Responsible for the delivery of age appropriate care for assigned patients with a wide variety of medical conditions.
Job Responsibilities and Requirements:
POSITION ACCOUNTABILITIES AND PERFORMANCE CRITERIA
Essential Functions: The following are essential job accountabilities and performance criteria:
1) Performs comprehensive nursing assessment/reassessment.
Criteria
A) Performs age-appropriate admission assessment or transfer assessment. Obtains input from family/guardian when appropriate.
B) Accurately and completely documents findings.
C) Performs assessment of post-op/post-invasive procedure patients.
D) Assesses and documents education and discharge needs of patient and family on admission and throughout hospitalization.
E) Provides patient reassessment documenting pertinent observations according to the patient plan of care, changes in condition, status and/or diagnosis, response to care, procedures, etc., and standards of care.
2) Establishes, coordinates and evaluates a plan of care based on analysis of assessment data, patient diagnosis, lab data, tests, procedures, physician orders, protocols and standards of care and other information as relevant.
Criteria
A) Identifies short and long term goals based on patient care needs.
B) Formulates nursing interventions to achieve desired patient outcome.
C) Incorporates disease specific evidenced based practice into nursing care plan and other documentation.
3) Provides and documents nursing interventions based on assessed patient needs, plan of care, and changes in patient status.
Criteria
A) Collaborates with appropriate health team members for coordination of daily plan of care for assigned patients.
B) Provides, coordinates and communicates patient care, including accurate Handoff Communication Reports.
C) Administers and documents medications accurately according to policies and procedures.
D) Monitors, maintains and documents accurate IV fluids and parenteral nutrition according to policies and procedures.
E) Completes referrals as indicated by assessment data.
F) Requests consultation for special needs, equipment, or information for patient and/or family.
G) Provides patient/family education and discharge planning per documentation guidelines and protocol.
H) Clarifies all physician orders as warranted.
I) Acknowledges and implements physician orders in an accurate and timely manner as evidenced by documentation in the medical record.
J) Assists physician with procedures/treatments as requested or delegates to Care Partner as appropriate.
K) Documents "Readback" for all telephone/verbal orders.
L) Takes telephone/verbal orders only in emergency situations.
M) Recognizes changes in patient's condition and takes appropriate nursing actions.
N) Involves the family/guardian when providing care and in decision-making as appropriate.
O) Recognizes risks for patient and takes appropriate action.
P) Incorporates use of Infection Control practices in daily care.
4) Documents and or communicates nursing care and or changes in patient condition.
Criteria
A) Performs and documents ongoing evaluation of effectiveness of care based on assessment data, nursing interventions, patient response to medications, treatments and procedures.
B) Evaluates and documents effectiveness of patient/family education.
C) Evaluates plan of care and modifies as indicated in "A" above.
D) Recognizes significant changes in patient's clinical parameters and reports immediately to physician and others as indicated.
E) Identifies problems, gathers pertinent data, suggests solutions, communicates using appropriate lines of authority, and works toward problem resolution.
F) Reports variation from care/treatment following the occurrence reporting policy and procedures.
5) Specialized Care: Provides specialized care to patients at high risk for injury.
Criteria
A) Restraint Care
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Initiates/evaluates alternatives to restraint prior to application.
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Applies restraints consistent with the approved procedure.
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Monitors and assesses patient's response throughout the restraint period at the appropriate intervals.
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Provides specified patient care (toileting, skin care, hydration, feeding, etc.) on a timely basis.
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Provides consultation for peers to determine alternatives to restraints and 1:1 observation.
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Documents restraint use and associated care thoroughly.
B) Pain Management
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Assess patient for presence of pain on admission and during assessments/reassessments.
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Incorporates patient's cultural/spiritual beliefs regarding pain into pain management plan.
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Implement pain management techniques. Focus on prevention rather than treatment.
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Include patient and/or family members in developing a pain management plan.
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Consider other methods of pain control when developing plan of care: massage, repositioning, immobilization, and music therapy.
C) Abuse Assessment
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Is aware of abuse recognition criteria and incorporates it into assessments.
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Reports signs of possible abuse/neglect to the Administrative Director of Behavioral Health, physician, Risk Management and Social Work.
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Takes appropriate action to support patient safety when signs of abuse are noted.
6) Demonstrates accountability for own professional practice.
Criteria
A) Adheres to all quality and performance standards, policies, procedures, protocols when implementing clinical and technical aspects of care.
- Participates in learning experiences that increases professional competence.
B) Demonstrates appropriate technical and cognitive skills for area of practice.
C) Maintains currency in all hospital/unit information, communication, policies and procedures.
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Attends staff meetings/reviews minutes when absent.
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Participates in Committee(s), Shared Governance, Work Team(s), in a leadership and or in membership role.
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Reviews Hospital/Nursing publications.
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Keeps up to date with policies and procedures.
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Participates and or keeps up to date with Shared Governance and Unit Based Practice Council activities and information. Contributes to requests for feedback.
D) Demonstrates ability to change and adapt to changing work demands.
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Responds positively to change.
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Provides assistance and support to peers, co-workers and other team members.
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Adapts positively to changes in unplanned work load and job demands.
7) Ability to relate to coworkers in a professional and appropriate manner.
Criteria
A) Orients and/or precepts new employees when required.
B) Participates in and maintains a collaborative team approach toward work.
C) Functions as a resource person to co-workers, patients/families, medical staff and other members of the health care team.
D) Effectively assumes and delegates care and other activities to the appropriate team member.
E) Redirects clinical staff when the medical plan of care is altered.
F) Communicates the plan of care to be followed on each individual patient in a precise and professional manner.
G) Responsible for the supervision and teaching of students/new staff nurses.
8) Safety/Infection Control: Performs job in accordance with safety and infection control policies.
Criteria
A) Practices standard precautions and disposes of hazardous wastes per established guidelines.
B) Maintains a safe, clean, comfortable, and therapeutic environment for patients/families/employees in accordance to hospital standards.
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Maintains clutter free environment.
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Follows hand hygiene procedures.
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Utilizes Safe Patient Handling techniques and equipment.
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Keeps personal conversations/background noise to a minimum.
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Adheres to dress code.
C) Reports risk management concerns using eSRM.
D) Assumes responsibility for completing all annual mandatory requirements:
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Maintains current license and certifications.
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Maintain up to date BLS and HI.
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Annual TB Screening and Influenza vaccination.
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Annual Ethics Training (Initial Ethics, if new employee).
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Annual Safety Training.
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Required Information Security course.
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Required Abuse & Neglect course.
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Annual Blood Borne Pathogens training (if required).
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Coursework as assigned for .edu.
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Annual competency.
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Age/Population specific competency (if applicable).
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orientation competency (if new hire).
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Service Specific.
E) Reports variations from care/treatment following the occurrence reporting policy and procedure.
9) Service: Provides service excellence to the customers of Saint Louis University Hospital by delivering timely, high quality care in a courteous and respectful manner.
Criteria
A) Demonstrates care and courtesy.
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Provides prompt, respectful, courteous service.
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Meets physical, spiritual, psychological and emotional needs of patients and families.
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Works with other members of the health care team to see that call lights are answered promptly.
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Apologizes for mix-up and delay.
B) Communicates effectively and maintains confidentiality.
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Listens to staff/patient/family concerns and addresses needs.
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Explains procedures and all education in a manner that staff/patient/family understand.
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Allows time for questions.
C) Demonstrates competence and collaboration.
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Provides accurate handoff reports.
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Provides quality care in accordance to standards.
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Shares knowledge with other departments to facilitate work flow and continuity.
D) Provides cost effect services.
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Uses resources wisely.
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Recommends changes in practice that increases efficiency and minimizes waste.
E) Ensures that customer satisfaction is maintained through the use of the "Principles and Commitments" of the hospital AIDET and "One Mission, One Spirit".
10) Incorporates Performance Improvement and Evidenced Based Practice into individual professional practice.
Criteria
A) Assist in developing and implementing nursing unit goals.
B) Remains current with evidenced based practice initiatives.
C) Identifies opportunities for improvement, participates in data collection when requested, suggests solutions, communicates using appropriate lines of authority and works toward problem resolution.
D) Participates in the performance/process improvement process.
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Assists in developing unit based Performance Improvement and action plans.
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Leads a performance improvement team when requested.
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Contributes to data collection.
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Participates in evaluation of Performance Improvement results.
E) Participates in nursing research activities.
F) Participates in Departmental and Hospital Performance Improvement activities when warranted.
G) Participates in occurrence reviews.
H) Contributes to the maintenance/improvement of all nursing quality indicators.
11) Age Appropriate Care: Provides age-appropriate care to: Adult Geriatric
Criteria
A) Demonstrates knowledge and skills of normal growth & development necessary to provide services to the age of the patient served by the department.
B) Demonstrates ability to assess and interpret age specific data to identify patient needs.
C) Utilizes communication skills necessary to interpret age specific responses to service and interaction.
D) Involves family or significant other in decision making related to services provided.
E) Demonstrates ability to provide service needed for the age groups routinely served by the department assigned.
12) Cost Effective Services
Criteria
A) Uses resources efficiently.
B) Recommends change in practice that increase efficiency and minimize waste.
C) Documents chargeable supplies and equipment used to provide care.
D) Prioritizes responsibilities and completes work on time.
E) Utilizes non-clinical time in a constructive manner, i.e. completing chart audits, .edu, mandatory education requirements.
DISCLAIMER: Performs other related duties as assigned or requested.
Job Specifications
MINIMUM EDUCATION:
RN licensure in the State of Missouri, or new graduate of accredited school of nursing and must obtain licensure within 90 days of graduation.
WORKING CONDITIONS:
May be exposed to the risk of blood borne diseases. Exposure to unpleasant elements (accidents, injuries, and illness). Subject to varying and unpredictable situations. Handles emergency and crisis situations. Subject to irregular hours.
Physical Requirements:
Occasional prolonged standing/walking. Occasionally lifts, positions, pushes and/or transfers patients. Occasional reaching, stooping, bending, kneeling, crouching.
Work Shift:
Night Shift (United States of America)
Job Type:
Employee
Department:
1300020037 ICU - 3N
Scheduled Weekly Hours:
36
Benefits:
SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs.
- Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE).
- Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.
- Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members.
Explore All Benefits
SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law.
See all 207+ OPT Graduate Nurse Jobs
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Get Access To All JobsTips for Finding OPT Sponsorship as a Graduate Nurse
Pass the NCLEX before your OPT start date
Your OPT employment authorization is active from day one, but most hospitals won't onboard you without an active RN license. Schedule your NCLEX as early as possible so licensure delays don't eat into your authorized work window.
Target hospital systems with established visa sponsorship programs
Large academic medical centers and nonprofit health systems are far more likely to sponsor H-1B visas after OPT than small private practices. Look for organizations with international nurse recruitment programs already in place before applying.
Clarify sponsorship intent during the first interview
Ask directly whether the organization has sponsored H-1B visas for nurses before and whether they're open to doing so for this role. Early clarity saves weeks of effort on offers that won't lead anywhere for your long-term status.
Apply to STEM-adjacent nursing programs if your degree qualifies
Some nursing informatics or clinical research roles at hospitals fall under STEM OPT extension eligibility, giving you 36 months of work authorization. Confirm your specific degree CIP code with your DSO before assuming you qualify.
Research state-specific licensing timelines before relocating
Some states process RN endorsements in two to four weeks while others take three months or longer. Factor state board timelines into your job search geography so licensing delays don't create an unauthorized employment gap.
Document your clinical hours and specialty rotations clearly
Hospitals reviewing OPT candidates want to see specific clinical experience, not just a degree. List your hours by specialty, unit type, and patient population in your resume to help hiring managers assess your readiness for their specific floor or department.
Graduate Nurse OPT: Frequently Asked Questions
Can I work as a Graduate Nurse on OPT without H-1B sponsorship?
Yes, for the duration of your OPT authorization. Standard OPT gives you 12 months of work authorization after graduation, which is enough to complete most new graduate nurse residency programs. However, to continue working beyond that window, you'll need an employer willing to sponsor an H-1B or another long-term visa, so it's worth identifying sponsorship-open employers from the start.
Do Graduate Nurse roles qualify for the STEM OPT extension?
Traditional nursing degrees (BSN, MSN) are generally not classified under STEM CIP codes, so most Graduate Nurse positions do not qualify for the 24-month STEM OPT extension. Exceptions exist for nursing informatics or health data science degrees, which may carry eligible CIP codes. Confirm your specific degree classification with your DSO before counting on the extension.
How do I find Graduate Nurse jobs that are open to OPT candidates?
Most general job boards don't filter by visa sponsorship willingness, which wastes significant time. Migrate Mate is built specifically for F-1 OPT students and shows Graduate Nurse roles at employers who are open to candidates on work authorization. Browsing there lets you focus your applications on positions that won't stall over your immigration status.
What happens to my OPT if I'm still waiting for my RN license when my authorization starts?
Your OPT clock runs from the start date on your EAD card regardless of your licensure status. Days spent waiting for NCLEX results or state board approval still count against your authorized period. Some hospitals will provisionally onboard you as an unlicensed graduate nurse intern, but employment under OPT generally requires you to be working in a role that matches your degree field, so confirm the arrangement with your DSO.
Which employers are most likely to sponsor Graduate Nurses for H-1B after OPT?
Large nonprofit hospital systems, academic medical centers, and health systems affiliated with universities are the most consistent H-1B sponsors for nursing roles. These organizations have dedicated HR and immigration infrastructure and often recruit internationally as a matter of policy. Smaller community hospitals or private practices rarely have the internal resources to manage sponsorship for nursing staff.