OPT Nurse Resident Jobs
Nurse Resident positions are entry-level hospital roles designed for new graduate nurses completing clinical training. Many health systems sponsor OPT for these programs, and STEM OPT extension may apply if your nursing degree qualifies. USCIS authorization timing matters: your EAD must be valid before your start date.
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Job Summary
Responsible for attending all quality and core curriculum classes, actively participating in professional development workshops and peer support groups, and successfully completing all clinical competencies and validation requirements of the Nurse Residency Program. Works under the direct and indirect supervision of the Clinical Education Team while refining nursing knowledge and skills. Actively participates in managing clinical situations for which he/she is assigned under the direct supervision of a licensed Registered Nurse who oversees all clinical experiences, documentation and procedures in the clinical environment. Adheres to policy and procedure requirements of the organization including, but not limited to licensure renewal, assigned training, employee health screenings, time and attendance policy, dress code policy, patient confidentiality, infection control, medication administration.
Are you a new graduate nurse with less than one year of experience?
If so, our Nurse Residency Program is designed for you—apply today through this requisition!
Cohort Start Date: December 7th
- Must graduate 45 days or more prior to the start date.
At Prisma Health, we’re committed to helping new graduate nurses build a strong foundation for a successful nursing career. Our Nurse Residency Program blends core clinical training with specialty-specific education, including quality and safety classes, simulation labs, one-on-one skills validation, hands-on learning with clinical mentors, and ongoing professional development.
Essential Functions
- All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference.
- Collects patient data and completes required forms with appropriate responses according to unit standards; identifies patient’s problems/needs and sets priorities; identifies problems requiring further referral and/or follow-up; interprets and records latest diagnostic results; performs nursing assessment using critical thinking skills under the direct supervision of the licensed RN.
- Develops a plan of care based on nursing process, and which incorporates the plans of other disciplines and continuing care needs; includes the patient/family in developing or revising the plan of care; makes referrals to multidisciplinary support services under the direct supervision of the licensed RN.
- Care provided conforms to accepted practice standards; provides treatments/procedures and other care as prescribed and according to patient care standards; demonstrates understanding of age-related characteristics and needs of patients served; explains nursing procedures; provides discharge teaching; identifies emergency situations and independently initiates advanced therapy; acts as an advocate and coordinator of patient care with other health care personnel and evaluates patient care measures instituted; understands and demonstrates respect for patient rights and utilizes established mechanisms for management of ethical issues in patient care under the direct supervision of the licensed RN.
- Records patient care delivered as planned and any variation, with appropriate rationale; makes and records observations related to impending or associated problems; implements nursing measures related to impending or associated problems under the direct supervision of the licensed RN.
- Using nursing process, delegates nursing care to appropriate personnel; integrates cost effective measures into nursing practice; recognizes unit problems and takes responsibility for documenting same; demonstrates active participation in QI processes; complies with hospital expectations to meet staffing demands based on patient care needs; complies with policies addressing safe working conditions; monitors unsafe working conditions; recognizes inappropriate and/or ineffective patient care management, resolves issue/problem and completes written reports; fulfills call for unit as assigned and adjusts staffing for census (volume) and acuity under the direct supervision of the licensed RN.
- Graduate Nurse completes all clinical skills under the direct supervision of a licensed Registered Nurse. Performs other duties as assigned.
- Performs other duties as assigned.
Supervisory/Management Responsibility
This is a non-management job that will report to a supervisor, manager, director, or executive.
Minimum Requirements
- Education - Associate degree in Nursing. Graduate of an accredited school of Nursing program approved by the State Board of Nursing. Bachelor's degree in Nursing preferred.
- Experience - No previous experience is required. Candidates with greater than 12 months of experience are not eligible.
In Lieu Of
In lieu of RN licensure upon hire, a temporary license/Graduate Nurse licensure may be accepted upon receipt of diploma, authorization to test and NCLEX testing date. The Graduate Nurse may work in a provisional status with NCLEX testing date provided prior to hire. The Graduate Nurse works directly under the licensure of the clinical preceptor while in the clinical setting and provides care within the scope of the State Nursing Practice Act provisional status until NCLEX completion with passing score and licensure with State Board of Nursing.
After Jan 1, 2019, all newly hired RN’s at Prisma Health are required to have an ADN or BSN degree from an accredited institution/program recognized by the U.S. Dept. of Education or the State Board of Nursing.
Required Certifications, Registrations, Licenses
- Holds a current RN compact/multistate license recognized by the NCSBN Compact State or is licensed to practice as an RN in the state the team member is working.
Knowledge, Skills and Abilities
NA
Work Shift
Variable (United States of America)
Location
Blount Memorial Hospital
Facility
8001 Blount Memorial Hospital, Inc.
Department
80016201 Orthopedic Surgery
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
Inspire health. Serve with compassion. Be the difference.
Job Summary
Responsible for attending all quality and core curriculum classes, actively participating in professional development workshops and peer support groups, and successfully completing all clinical competencies and validation requirements of the Nurse Residency Program. Works under the direct and indirect supervision of the Clinical Education Team while refining nursing knowledge and skills. Actively participates in managing clinical situations for which he/she is assigned under the direct supervision of a licensed Registered Nurse who oversees all clinical experiences, documentation and procedures in the clinical environment. Adheres to policy and procedure requirements of the organization including, but not limited to licensure renewal, assigned training, employee health screenings, time and attendance policy, dress code policy, patient confidentiality, infection control, medication administration.
Are you a new graduate nurse with less than one year of experience?
If so, our Nurse Residency Program is designed for you—apply today through this requisition!
Cohort Start Date: December 7th
- Must graduate 45 days or more prior to the start date.
At Prisma Health, we’re committed to helping new graduate nurses build a strong foundation for a successful nursing career. Our Nurse Residency Program blends core clinical training with specialty-specific education, including quality and safety classes, simulation labs, one-on-one skills validation, hands-on learning with clinical mentors, and ongoing professional development.
Essential Functions
- All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference.
- Collects patient data and completes required forms with appropriate responses according to unit standards; identifies patient’s problems/needs and sets priorities; identifies problems requiring further referral and/or follow-up; interprets and records latest diagnostic results; performs nursing assessment using critical thinking skills under the direct supervision of the licensed RN.
- Develops a plan of care based on nursing process, and which incorporates the plans of other disciplines and continuing care needs; includes the patient/family in developing or revising the plan of care; makes referrals to multidisciplinary support services under the direct supervision of the licensed RN.
- Care provided conforms to accepted practice standards; provides treatments/procedures and other care as prescribed and according to patient care standards; demonstrates understanding of age-related characteristics and needs of patients served; explains nursing procedures; provides discharge teaching; identifies emergency situations and independently initiates advanced therapy; acts as an advocate and coordinator of patient care with other health care personnel and evaluates patient care measures instituted; understands and demonstrates respect for patient rights and utilizes established mechanisms for management of ethical issues in patient care under the direct supervision of the licensed RN.
- Records patient care delivered as planned and any variation, with appropriate rationale; makes and records observations related to impending or associated problems; implements nursing measures related to impending or associated problems under the direct supervision of the licensed RN.
- Using nursing process, delegates nursing care to appropriate personnel; integrates cost effective measures into nursing practice; recognizes unit problems and takes responsibility for documenting same; demonstrates active participation in QI processes; complies with hospital expectations to meet staffing demands based on patient care needs; complies with policies addressing safe working conditions; monitors unsafe working conditions; recognizes inappropriate and/or ineffective patient care management, resolves issue/problem and completes written reports; fulfills call for unit as assigned and adjusts staffing for census (volume) and acuity under the direct supervision of the licensed RN.
- Graduate Nurse completes all clinical skills under the direct supervision of a licensed Registered Nurse. Performs other duties as assigned.
- Performs other duties as assigned.
Supervisory/Management Responsibility
This is a non-management job that will report to a supervisor, manager, director, or executive.
Minimum Requirements
- Education - Associate degree in Nursing. Graduate of an accredited school of Nursing program approved by the State Board of Nursing. Bachelor's degree in Nursing preferred.
- Experience - No previous experience is required. Candidates with greater than 12 months of experience are not eligible.
In Lieu Of
In lieu of RN licensure upon hire, a temporary license/Graduate Nurse licensure may be accepted upon receipt of diploma, authorization to test and NCLEX testing date. The Graduate Nurse may work in a provisional status with NCLEX testing date provided prior to hire. The Graduate Nurse works directly under the licensure of the clinical preceptor while in the clinical setting and provides care within the scope of the State Nursing Practice Act provisional status until NCLEX completion with passing score and licensure with State Board of Nursing.
After Jan 1, 2019, all newly hired RN’s at Prisma Health are required to have an ADN or BSN degree from an accredited institution/program recognized by the U.S. Dept. of Education or the State Board of Nursing.
Required Certifications, Registrations, Licenses
- Holds a current RN compact/multistate license recognized by the NCSBN Compact State or is licensed to practice as an RN in the state the team member is working.
Knowledge, Skills and Abilities
NA
Work Shift
Variable (United States of America)
Location
Blount Memorial Hospital
Facility
8001 Blount Memorial Hospital, Inc.
Department
80016201 Orthopedic Surgery
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
See all 329+ OPT Nurse Resident Jobs
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Get Access To All JobsTips for Finding OPT Sponsorship in Nurse Resident
Target health systems with established residency programs
Large academic medical centers and regional hospital networks run structured nurse residency cohorts and are far more experienced with OPT authorization than small clinics. Prioritize employers with dedicated HR immigration support and a track record of hiring international new grads.
Confirm your start date aligns with your EAD validity
Nurse residency programs have fixed cohort start dates, often January, June, or July. Verify your OPT EAD covers that exact date before accepting an offer. Starting even one day before your EAD is valid is an unauthorized employment violation with serious immigration consequences.
Ask HR about STEM OPT eligibility before you apply
Some BSN programs classify under STEM-eligible CIP codes, which could extend your work authorization by 24 months. Confirm your degree's CIP code with your DSO early. If you qualify, mention this proactively to employers, as it meaningfully extends the window before H-1B visa sponsorship is needed.
Disclose your OPT status clearly and early in the process
Nurse residency applications often move quickly through HR screening. Clearly stating your OPT authorization upfront saves everyone time and signals professionalism. Employers who proceed knowing your status are already self-selected as willing to work with international candidates, making the conversation much more productive.
Understand the timeline between offer and program start
Residency programs typically require several weeks for onboarding, background checks, and licensing verification before the cohort begins. Factor this into your OPT timeline planning. If your EAD application is pending, apply early enough to receive your card well before the program's required onboarding start date.
Research which states have faster NCLEX licensure processing
You cannot work as a nurse resident without a valid RN license, and state processing times range from days to several months. Choose states with faster endorsement or initial licensure timelines when job searching. This directly affects whether you can realistically start within your OPT authorization window.
Nurse Resident OPT: Frequently Asked Questions
Can F-1 OPT students work as nurse residents in the United States?
Yes, F-1 students with an approved OPT Employment Authorization Document can work as nurse residents, provided the role is directly related to their nursing or healthcare degree. Your EAD must be valid before your start date, and the position must fall within your authorized field of study. You'll also need a valid RN license for the state where you're working before the program begins.
Do nurse residency programs typically sponsor OPT students?
Many large health systems and academic medical centers actively hire OPT nurses, but sponsorship practices vary significantly by employer. Hospital networks with formal residency cohorts and dedicated HR immigration teams tend to be most accommodating. Smaller community hospitals may lack the infrastructure to navigate OPT requirements efficiently. Migrate Mate lists nurse residency roles at employers experienced with international candidates, making it easier to filter for genuine opportunities.
Does a BSN degree qualify for the STEM OPT extension?
It depends on the specific CIP code your university assigned to your nursing program. Some BSN programs qualify under STEM-eligible classifications, which would allow a 24-month OPT extension beyond the standard 12 months. Check with your Designated School Official to confirm your degree's CIP code before assuming you qualify. If eligible, apply for the STEM extension at least 90 days before your initial OPT expires.
What happens to my OPT if a nurse residency program delays my start date?
If your employer delays your start date, you're considered unemployed during that gap, which counts against your OPT unemployment limit of 90 days. You cannot begin working, even informally, until your EAD is valid and your official start date arrives. Notify your DSO immediately if your start date shifts, and confirm all paperwork is aligned. Extended delays close to your OPT expiration date can create serious authorization gaps.
Can I switch to a different nurse residency employer after starting OPT?
Yes, OPT allows you to change employers as long as the new role remains within your authorized field of study and your EAD is still valid. However, you must report the employer change to your DSO within 10 days of starting the new position, and any gap between jobs counts toward your 90-day unemployment limit. Transition carefully if you're close to your EAD expiration date, as a new position does not extend your OPT period.