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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Summary
Job Description:
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Provides daily physician management and treatment of patients at the Clinic/Practice.
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Provides clinical services to patients, including diagnosis, treatment and referral.
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Participates in the establishment of office policies, procedures and medical protocol necessary to provide physician clinic services.
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Appropriately refers patients to medical specialists.
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Complies with BMA/BCHS policies, procedures and pricing.
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Utilizes program forms/computer system for charting.
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Complies with case management protocols.
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Agrees to assist with the clinic/practice’s quality assurance and quality improvement plan.
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Works with Administration to ensure that the program operates in a manner consistent with appropriate medical policy and current professional standards in specific area of care.
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Participates in community events and periodic public relations calls as time permits. It is understood that, on occasion, these duties may fall outside of regularly scheduled office hours.
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Maintains appropriate telephone contact with patients, payers and pharmacies.
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Performs physical exams to include, but not limited to: Routine Examinations, Department of Transportation (DOT) examinations, Post-Offer Examinations, Executive Physicals, Commercial Drivers License (CDL), Annual Examinations, and School/Sport Physicals.
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May serve as Medical Review Officer (MRO) for drug screens.
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May serve as Director for on-site Laboratory services if applicable to specific site.
Key Accountabilities:
Duties and Responsibilities:
- Daily physician management and treatment of patients.
- Directs appropriate clinical services, tests and referrals.
- Performs physical exams and develops treatment plan.
- Maintains appropriate telephone contact with patients, payers and pharmacies.
Compliance:
- Complies with BCHS policies, procedures and pricing.
- Complies with clinical protocols.
- Complies with quality assurance and quality improvement.
- Participates in chart reviews and staff education when appropriate and maintains continuing education requirements.
Policies and Procedures:
- Works with administration to help assure that the management program operates within appropriate medical policies and procedures.
- Gives feedback regarding treatment protocols.
- Participates in community events and public relations when appropriate.
Standards of Conduct:
Communication: The goal of good communication is being committed to listening attentively to our customers to fully understand their needs. It is speaking in terms customers can easily understand to deliver messages with courtesy, clarity and care. This includes face-to-face encounters, telephone and email.
Confidentiality/Privacy: It is the responsibility of all Baptist Medical Associates employees to protect our patients’ privacy and modesty by creating a secure and trusting environment.
Professionalism/Excellence Orientation: Professionalism and Excellence Orientation refer to the way in which our employees work to meet our customers’ needs and further the mission of the hospital.
Ownership/Stewardship: The work we do is a reflection of ourselves. Ownership and Stewardship mean taking PRIDE in what we do and demonstrating a sense of responsibility for the outcomes of our work and job.
Teamwork/Commitment to Co-Workers: We rely on each other to give the best possible service and care to our patients, visitors, coworkers and physicians. Respect and collaboration are essential Baptist Medical Associates values.
Minimum Education, Training and Experience Required:
- Current valid & unrestricted license to practice in the Commonwealth of Kentucky.
- Current valid & unrestricted DEA registration number.
- Eligible at all times to be insured for professional liability insurance.
- Board Certified or Board Eligible in appropriate specialty.
- BCLS required.
Skills and Abilities Required:
- Excellent understanding of limits and appropriate supervision.
- Ability to collaborate with other departments.
- Assist the surgeon in the office and operating room until all patients have been taken care of.
- Familiarity with laws and state regulations relation to advanced nursing practice.
- Desires to maintain high level of quality of care.
- Promote application of research to clinical setting.
Physical Requirements:
- Strength - Position requires ability to occasionally lift objects less than 20 pounds or push/pull carts in excess of 20 pounds.
- Manual Dexterity - Position requires ability to constantly perform simple motor skills such as moving from area to area in the building, on campus and off campus. Position requires ability to frequently perform moderately difficult manipulative skills such as typing, data entry.
- Coordination - Position requires ability to constantly perform gross body movement such as stooping, filing, etc., and constantly to perform tasks, which require hand-eye coordination such as keyboard skills.
- Mobility - Position requires ability to frequently move from department to department, building to building, and to sit for prolonged periods of time.
- Visual Discrimination - Position requires ability to constantly see objects closely as in reading and viewing paper records and computer screen.
- Hearing - Position requires ability to constantly hear normal sounds with some background noise as in answering the telephone.
Mental Requirements:
- Concentration - Position requires ability to constantly concentrate on minimal and fine detail with some interruption.
- Attention Span - Position requires ability to frequently attend to task/function for more than 60 minutes at a time and to frequently attend to task/function for less than 10 minutes at a time.
- Conceptualization - Position requires ability to frequently understand and relate to concepts behind specific ideas, to frequently understand and relate to the theories behind several related concepts.
- Memory - Position requires ability to constantly remember multiple tasks/functions given to self and others over long periods of time.
- Communication - Position requires ability to constantly communicate verbally and in writing using advanced level vocabulary and advanced writing skills. Ability to communicate in reassuring fashion with patients and families.
- Clerical perception needed to prevent errors in proofreading prescription labels and other work performed by others.
Working and Environmental Conditions:
Position requires exposure to infectious or communicable diseases, biohazardous and/or chemical materials.
Category A – Job classification employee may be expected to incur occupational exposure.
If you would like to be part of a growing family focused on supporting clinical excellence, teamwork and innovation, we urge you to apply now!
Baptist Health is an Equal Employment Opportunity employer.
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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.