OPT Outpatient Registered Nurse Jobs
Outpatient Registered Nurse jobs on OPT are available at physician group practices, urgent care centers, ambulatory surgery centers, and specialty clinics. Most roles require an active state RN license and a nursing degree that qualifies as a STEM-adjacent specialty occupation. Standard OPT authorizes 12 months of work; STEM OPT extension adds 24 more.
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Get Access To All JobsPURPOSE AND SCOPE:
The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations.
- Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses.
- Performs ongoing, systematic collection and analysis of patient data pre – during – post hemodialysis treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed.
- Assesses, collaborates, and documents patient/family’s basic learning needs to provide initial and ongoing education to patients and family.
- Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients.
- Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness.
- Initiates or assists with emergency response measures.
- Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned.
- Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections.
- Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team.
- Ensures patient awareness related to transplant and treatment modality options.
- Required to complete CAP requirements to advance.
- Performs all other duties as assigned by Supervisor.
PHYSICAL DEMANDS AND WORKING CONDITIONS:
The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance.
- This position requires frequent, prolonged periods of standing and the employee must be able to bend over.
- The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet.
- The work environment is characteristic of a health care facility with air temperature control and moderate noise levels.
- May be exposed to infectious and contagious diseases/materials.
- Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians.
- The position may require travel to training sites or other facilities.
- May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.
SUPERVISION:
Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following:
- Successful completion of all FKC education and training requirements for new employees.
- Must have a minimum of 9 months experience as a RN.
- Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN.
EDUCATION and LICENSURE:
- Graduate of an accredited School of Nursing.
- Current appropriate state licensure.
- Current or successful completion of CPR BLS Certification.
- Must meet the practice requirements in the state in which he or she is employed.
EXPERIENCE AND REQUIRED SKILLS:
- Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
- Chronic/acute hemodialysis experience (preferred).
Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.
EOE, disability/veterans
PURPOSE AND SCOPE:
The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations.
- Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses.
- Performs ongoing, systematic collection and analysis of patient data pre – during – post hemodialysis treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed.
- Assesses, collaborates, and documents patient/family’s basic learning needs to provide initial and ongoing education to patients and family.
- Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients.
- Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness.
- Initiates or assists with emergency response measures.
- Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned.
- Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections.
- Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team.
- Ensures patient awareness related to transplant and treatment modality options.
- Required to complete CAP requirements to advance.
- Performs all other duties as assigned by Supervisor.
PHYSICAL DEMANDS AND WORKING CONDITIONS:
The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance.
- This position requires frequent, prolonged periods of standing and the employee must be able to bend over.
- The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet.
- The work environment is characteristic of a health care facility with air temperature control and moderate noise levels.
- May be exposed to infectious and contagious diseases/materials.
- Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians.
- The position may require travel to training sites or other facilities.
- May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.
SUPERVISION:
Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following:
- Successful completion of all FKC education and training requirements for new employees.
- Must have a minimum of 9 months experience as a RN.
- Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN.
EDUCATION and LICENSURE:
- Graduate of an accredited School of Nursing.
- Current appropriate state licensure.
- Current or successful completion of CPR BLS Certification.
- Must meet the practice requirements in the state in which he or she is employed.
EXPERIENCE AND REQUIRED SKILLS:
- Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
- Chronic/acute hemodialysis experience (preferred).
Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.
EOE, disability/veterans
See all 546+ OPT Outpatient Registered Nurse Jobs
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Get Access To All JobsTips for Finding OPT Sponsorship as an Outpatient Registered Nurse
Verify your state RN license before applying
Most outpatient nursing employers require an active RN license in the state where the clinic operates. Start the licensing process early because state boards can take 6 to 12 weeks to process applications, and you cannot work without it.
Target multi-site ambulatory care networks
Large ambulatory care networks and hospital-affiliated outpatient systems hire in higher volume than independent practices and are more familiar with OPT work authorization paperwork. Their HR teams typically have established processes for onboarding international employees.
Understand your OPT end date and apply with buffer time
Outpatient nursing roles often have longer hiring timelines due to credentialing and background checks. Apply at least 90 days before your OPT expires so you have room to complete the process before your authorization runs out.
Ask about H-1B or TN sponsorship during the offer stage
Outpatient nursing roles frequently qualify under specialty occupation criteria with a BSN or higher. Ask prospective employers directly whether they sponsor H-1B visas, since many healthcare systems do sponsor for hard-to-fill clinical positions.
Highlight clinical specializations that address staffing shortages
Specializations such as oncology infusion, pre-op and post-op care, and chronic disease management are in high demand at outpatient clinics. Emphasizing these on your resume signals immediate value and makes sponsorship discussions easier to initiate.
Confirm employer size before relying on STEM OPT extension
STEM OPT requires your employer to be enrolled in E-Verify. Most major health systems and larger clinic groups meet this requirement, but smaller independent practices may not. Confirm E-Verify enrollment before accepting an offer if you need the 24-month extension.
Outpatient Registered Nurse OPT: Frequently Asked Questions
Do outpatient RN jobs qualify for OPT work authorization?
Yes, outpatient Registered Nurse positions qualify for OPT as long as the work is directly related to your nursing or healthcare degree. Your Employment Authorization Document authorizes you to work in this field for up to 12 months. If you hold a qualifying STEM degree such as a Bachelor of Science in Nursing, you may be eligible for the 24-month STEM OPT extension through your DSO.
Do I need a separate work permit to work as a nurse on OPT?
No separate permit is required beyond your Employment Authorization Document, which is your OPT work authorization. However, you do need an active state RN license in the state where you will be working. The RN license is issued by the state nursing board and is independent of your immigration status. Start both processes simultaneously because licensing timelines can be lengthy.
Can I work at multiple outpatient clinics on OPT?
Yes, OPT allows multiple concurrent employers as long as each position is directly related to your degree field and you work at least 20 hours per week in total. Per-diem or float pool nursing roles at multiple ambulatory sites are compatible with OPT. Report all employers to your DSO and ensure your SEVIS record reflects accurate employment information to remain in valid status.
Which employers are most likely to sponsor outpatient RNs for H-1B after OPT?
Large integrated health systems, academic medical center-affiliated outpatient networks, and national clinic groups such as those operating across multiple states are the most consistent H-1B sponsors for outpatient RNs. Specialty areas with documented staffing shortages, including infusion therapy and post-surgical care, strengthen the case for sponsorship. Browse Migrate Mate to filter outpatient nursing roles by employers with active sponsorship histories.
What happens to my OPT status if I lose my outpatient nursing job?
You have a cumulative 90-day unemployment allowance during standard OPT, reduced to 60 days during the STEM OPT extension period. Losing your position does not immediately invalidate your status, but you must find new authorized employment before that window closes. Notify your DSO immediately so your SEVIS record stays current. Begin searching right away to avoid using up your unemployment days unnecessarily.