TN Visa Clinic Director Jobs
Clinic Director roles qualify for TN visa sponsorship under the USMCA for Canadian and Mexican professionals with a degree in hospital administration, health services, or a related field. For Canadians, you can request TN status directly at the U.S. border with your employer's support letter. For Mexicans, you'll apply at a U.S. consulate with the same documentation. No government labor filing is required for TN sponsorship.
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Job Summary and Responsibilities
As our Cardiac Nurse, you’ll care for patients who may have life-threatening cardiac events or conditions while helping their families navigate daily care and the long-term plan for healing and maintenance outside of the hospital. Franciscan Medical Group, part of Virginia Mason Franciscan Health, is currently seeking a full time Clinic RN-Cardio for our Franciscan Heart and Vascular Associates in Burien, WA. This position is full time with no weekends, nights or organizationally recognized holidays required.
You’ll never have the same day twice as your patients’ needs evolve. That’s why you must be adaptable and detail-oriented, observing vitals and reporting the warning signs early to our multidisciplinary team of cardiologists, EKG techs, and other cardiovascular professionals.
Your success in this role comes from your enthusiasm to go the extra mile for your patients and your strong assessment skills. To further support your nursing career, we offer continuing education opportunities to help you advance your clinical nursing skills.
- Administers cardiovascular and pharmacological stress tests with the use of imaging modalities and IV therapy as appropriate; interprets EKG findings in accordance with standard protocols.
- Completes cardiac risk assessment forms in response to requests from internal/external providers for cardiac clearance for new/additional clinical/diagnostic tests/protocols; forwards assessments to Cardiologist for final determination.
- Reviews protocols established for each procedure/study and provides patient with specifically-tailored training/information based on unique patient medical history and physician-specific protocols.
- As initial point of patient contact, performs nursing triage activities based on direct patient contact or via phone within scope of licensure; independently triages cardiac patients/situations in accordance with standing orders/protocols; addresses more complex, urgent or emergent situations escalated from other clinic staff.
- Documents studies, procedures, and interactions in patient’s electronic medical record in accordance with established procedures; enters, pends and signs orders as appropriate.
Job Requirements
- Graduation from an accredited school of nursing approved by the Washington State Board of Nursing and two years of related work experience that would demonstrate attainment of the requisite job knowledge/abilities, upon hire.
- Registered Nurse: WA, upon hire.
- Basic Life Support - CPR, upon hire.
- Advanced Cardiac Life Support, upon hire.
Preferred
- Work experience in a cardiology-related field.
Where You'll Work
Virginia Mason Franciscan Health has a rich history of providing exceptional healthcare, dating back to 1891. Building upon a legacy of compassionate care and innovation, our organization has evolved over the years through strategic partnerships and integrations to expand our reach and services across the Puget Sound area.
Today, as Virginia Mason Franciscan Health, we remain deeply committed to healing the whole person – body, mind, and spirit – in the communities we serve. This commitment is strengthened by the diverse expertise and shared values brought together through our growth.
Our dedicated providers offer a full spectrum of health care services, from routine wellness to complex disease management, all grounded in rigorous research and education. Our comprehensive network of 10 hospitals and nearly 300 care sites strategically located across the greater Puget Sound region reflects our ongoing commitment to accessibility and comprehensive care.
We are proud of our pioneering medical advances and numerous awards and accreditations that reflect our dedication to excellence. When you join Virginia Mason Franciscan Health, you become part of a team that delivers top-quality, professional healthcare in modern, well-equipped facilities, and contributes to a legacy of service built on collaboration and shared purpose.
Pay Range
$45.58 - $75.89 /hour
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Get Access To All JobsTips for Finding TN Visa Sponsorship in Clinic Director
Align your credentials to administrative classifications
TN visa approval hinges on your degree matching a recognized management or health services field. A clinical background alone won't qualify you; your transcript must reflect hospital administration, health information management, or a directly related discipline.
Target health systems with multi-site clinic networks
Large health systems managing multiple outpatient locations hire Clinic Directors regularly and typically have experience sponsoring work visas. Single-practice employers rarely have the HR expertise to navigate the TN sponsorship process accurately or on time.
Request a support letter that names your degree field
Your employer's support letter must explicitly connect your academic credentials to the Clinic Director duties listed in the offer. Officers at the port of entry use this letter to verify specialty occupation; vague language about 'leadership experience' causes secondary review.
Confirm salary expectations with the employer upfront
Your employer will need to prepare documentation supporting your TN eligibility, including details about your role and compensation. Before accepting an offer, request written confirmation from your employer that they understand TN requirements and can provide the necessary support letter demonstrating your qualifications meet the role's requirements.
Use Migrate Mate to find employers experienced with visa sponsorship
Search Migrate Mate to find Clinic Director openings at employers with recent visa filings and sponsorship experience. Applying to organizations experienced with work visa processes shortens the negotiation phase and reduces the risk of an employer withdrawing after learning about TN requirements like the support letter and port-of-entry presentation.
Prepare for Canadian border processing with a complete packet
Canadian citizens can activate TN status at a U.S. port of entry without a visa stamp, but CBP officers expect a complete packet: your employer's support letter, your offer letter, diploma, and any professional licenses your state requires for clinic operations oversight.
Clinic Director TN Visa: Frequently Asked Questions
Does the Clinic Director title qualify for TN visa status?
Yes, provided your degree is in hospital or health services administration, or a closely related field, and the role involves managing clinic operations rather than primarily delivering patient care. TN officers evaluate both the job duties and your academic credentials together. A title alone does not guarantee approval; the position must meet the specialty occupation standard defined under USMCA.
How does TN compare to H-1B for Clinic Director positions?
TN has no annual lottery, no cap for Canadians, and no multi-month wait for approval. H-1B visa selection is random and processed once per year, meaning a qualified candidate could wait over a year before starting work. For Clinic Director roles where the credential match is clean, TN is faster, cheaper for the employer, and does not require USCIS petition approval before the hire can proceed.
Can Mexican citizens use TN for Clinic Director jobs in the U.S.?
Yes, but Mexican nationals must apply at a U.S. consulate rather than at the border, and TN visas for Mexican citizens fall under a separate annual allocation. The process requires scheduling a nonimmigrant visa appointment and presenting the same documentation as Canadian applicants: a valid job offer, a support letter from the employer, and a qualifying degree. Processing timelines vary by consulate workload.
Where should I search for Clinic Director jobs that offer TN sponsorship?
Migrate Mate is built specifically for Canadian and Mexican professionals seeking roles with TN visa sponsorship. You can search Clinic Director openings filtered by employers who have active sponsorship programs, which removes the guesswork of asking each employer whether they can support your visa status before you invest time in the application process.
What happens if my Clinic Director role shifts to include more clinical duties over time?
Your TN status is tied to the duties described in your support letter. If your responsibilities shift significantly toward direct patient care, your employer should issue an updated support letter reflecting the revised role before you begin those new duties. Operating outside the scope of your approved role can create status compliance issues at renewal, so document any material role changes with HR promptly.