TN Visa Cardiology Nurse Practitioner Jobs
Cardiology Nurse Practitioners qualify for TN visa sponsorship under the USMCA treaty's Nurse category, making this one of the cleaner pathways for Canadian and Mexican NPs entering U.S. cardiac care. No lottery, no annual cap for Canadians, and employers in high-demand cardiac units are increasingly familiar with TN filing requirements.
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About Pulse Heart Institute
MultiCare’s Pulse Heart Institute is a physician led institute with multi-specialty partnership with Cardiothoracic surgery, vascular and cardiovascular service lines. Our team and state-of-the-art programs create a world-class health care organization and the destination center for cardiac, thoracic, and vascular care with complex structural heart disease and interventions, advanced heart failure service as well as advanced imaging with cutting edge technologies.
Join a growing Cardiology team in central Washington supporting patients in both inpatient and outpatient settings.
FTE: 1.0
Shift: Day
Schedule: Variable
Base Compensation: $124,831.00 - 166,995.00 plus eligibility for performance bonus and call pay
What We Have to Offer
- Competitive compensation: Attractive salary with potential sign-on and relocation.
- Top-tier benefits: Medical, dental, CME, retirement plans, and malpractice insurance (including tail).
- Generous time off: Ample time to recharge and maintain work/life balance.
- Career growth: Student loan repayment, leadership training, and advancement opportunities.
- Research opportunities: Engage in impactful, industry-sponsored clinical trials and investigator-initiated research, collaborating closely with our dedicated Research Institute team.
- Innovation Lab: Partner with our medical device incubator to develop cutting-edge healthcare solutions.
- Wellness support: Access to mental health services and wellness coaching.
- Pacific Northwest lifestyle: Enjoy stunning views and outdoor adventures in a vibrant community.
Contact Carla Voss - carla.voss@multicare.org
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Position Summary
MultiCare Pulse Heart Institute is seeking a General Cardiology Nurse Practitioner to join our busy, well established and expanding practice. As a provider within our physician governed cardiovascular institute, you’ll find everything you need to excel in your job including outstanding facilities, comprehensive resources and talented teammates sharing your commitment to quality patient care.
Requirements
- Masters of Science in Nursing
- Post Bachelor’s Nurse Practitioner Program
- Licensed in the state of WA as an ARNP by the time of employment
- Successful completion of a Certified Nurse Practitioner Exam through an accredited organization
- DEA, NPI & prescriptive authority
- Current BLS & ACLS for Healthcare Providers certification by the American Heart Association
- Minimum three (3) years of experience as an ARNP in cardiology services preferred or ARNP with previous RN experience in cardiology
- Acute Care Management of General Cardiology Patients
Why Pulse Heart Institute?
Physician-led care
Led by physicians and advanced practice providers who understand patient needs firsthand, ensuring decisions are grounded in clinical expertise and collaboration.
Proven excellence
Pulse units across MultiCare earned the 2025 Chest Pain – MI Registry™ Platinum Performance Achievement Award — the only facilities in Washington to receive this distinction.
Comprehensive cardiovascular care
A fully integrated model across cardiology, cardiothoracic surgery and vascular services, supporting the full continuum of care.
People-first culture
We invest in our teams through professional development, supportive leadership and an environment where caregivers can learn, grow and succeed.
Well-being and support
Resources and programs designed to help you maintain balance and feel supported in your work and life.
Pacific Northwest lifestyle
Work and live where natural beauty, adventure and strong community connections are part of everyday life.
Pay and Benefit Expectations
We provide a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off. As required by various pay transparency laws, we share a competitive range of compensation for candidates hired into each position. The pay scale is $124,831.00 - $166,995.00 USD. However, pay is influenced by factors specific to applicants, including but not limited to: skill set, level of experience, and certification(s) and/or education. If this position is associated with a union contract, pay will be reflective of the appropriate step on the pay scale to which the applicant’s years of experience align.
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Get Access To All JobsTips for Finding TN Visa Sponsorship in Cardiology Nurse Practitioner
Verify your NP credentials meet TN standards
TN visa classification for nurses requires a baccalaureate or licenciatura degree in nursing. Canadian NPs trained at the master's level clear this easily, but Mexican NPs should confirm their licenciatura aligns with USCIS's defined credential requirements before applying to U.S. cardiac positions.
Obtain NCLEX licensure before employer outreach
U.S. employers hiring a Cardiology NP on TN status will require an active state RN license as a baseline. Clear NCLEX and apply for licensure in your target state before approaching cardiac care employers so sponsorship conversations don't stall on credential gaps.
Target health systems with recent visa sponsorship experience
Large academic medical centers and regional cardiac networks are far more likely to have HR and legal processes already set up for work visa sponsorship. Search Migrate Mate to find Cardiology NP roles filtered by employers with recent visa filings and experience sponsoring international professionals.
Request a TN support letter specifying cardiology duties
Your employer's support letter must describe your role in terms that map directly to the Nurse category, including specific cardiac care responsibilities. A generic nursing letter can trigger scrutiny at the port of entry, so work with HR to make the cardiology scope explicit.
Understand Mexican nationals face a TN cap
Mexico's TN allocation is capped at 5,500 per year across all professions. Mexican Cardiology NPs should factor in this constraint when timing applications and confirm with USCIS that petition volume hasn't approached the annual limit before accepting an offer.
Clarify renewal timing with your employer before signing
TN status is granted in three-year increments and must be renewed before expiration. Confirm during the offer stage that your employer will initiate renewal paperwork at least 90 days out, since lapses in status affect your ability to keep working in the cardiac unit.
Cardiology Nurse Practitioner TN Visa: Frequently Asked Questions
Does a Cardiology Nurse Practitioner qualify for TN visa sponsorship?
Yes. The TN visa includes a Nurse category that covers Nurse Practitioners, including those working in cardiology specialties. Your employer must provide a support letter describing your cardiology-specific duties, and you must hold a qualifying nursing degree and active U.S. state licensure. Canadian citizens apply at the port of entry; Mexican nationals go through USCIS.
How does TN visa sponsorship compare to H-1B for Cardiology NPs?
TN is almost always the better route for Cardiology NPs who qualify. There's no annual lottery, no cap for Canadians, and employers can sponsor you for a three-year period with straightforward renewals. The H-1B visa process involves a lottery with roughly a one-in-four selection rate, months of USCIS processing, and significantly higher filing costs for employers, making many cardiac care employers reluctant to sponsor it.
What credentials do Mexican Cardiology NPs need to qualify?
Mexican Cardiology NPs need a licenciatura degree in nursing, which is recognized as equivalent to a U.S. baccalaureate for TN purposes. You'll also need NCLEX passage, an active state RN license in your target state, and any NP-specific certifications your employer requires, such as AGACNP-BC or ACNP-BC credentials relevant to cardiac care roles.
Where can I find Cardiology Nurse Practitioner jobs with TN visa sponsorship?
Migrate Mate is built specifically for this search. You can filter for Cardiology NP roles by employers who have a track record of sponsoring TN visa professionals, saving you from cold-applying to health systems that have never navigated TN paperwork. That filtering step alone cuts down weeks of back-and-forth with recruiters who aren't familiar with TN sponsorship.
Can a Canadian Cardiology NP apply for TN status at the border without a USCIS petition?
Yes. Canadian citizens can present their TN application directly at a U.S. port of entry or pre-clearance facility without filing a USCIS petition first. You'll need your employer's support letter, credential documents, and proof of NCLEX licensure. CBP officers adjudicate on the spot, and approval typically takes under an hour at most land border crossings.