TN Visa CNS Jobs
CNS roles qualify for TN visa sponsorship under USMCA when your position meets the scientific or technical specialty occupation standard. Canadian citizens can enter at the port of entry without a cap; Mexican nationals apply at a U.S. consulate. Your employer doesn't file a petition with USCIS, making the process faster than H-1B.
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Get Access To All JobsINTRODUCTION
Cleveland Clinic is currently seeking a qualified Physician Assistant or Nurse Practitioner for an outpatient position with the Department of Hematology & Oncology. This position involves treating adult GU patients, collaborating with staff physicians. Additional responsibilities include managing patients who require symptoms management, assessment, diagnosis, orders, and outpatient procedures.
M-F 8am-5pm hours.
Experience in oncology is preferred, but not required. New graduates will not be considered.
ROLE AND RESPONSIBILITIES:
- Conducts thorough medical histories, performs complete physical examinations (where indicated), initiates appropriate lab, radiology tests or other special tests required for evaluation of illness, and scrutinizes lab data to establish a record of the patient's current health status and to develop a working diagnosis and treatment plan. Works in collaboration with the health care team.
- Performs and interprets common laboratory, radiologic, cardiographic and other routine diagnostic procedures used to identify pathophysiologic processes as credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals.
- Performs routine and specialized procedures as credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals.
- May prescribe and monitor medications as allowed by license through applicable state board and Cleveland Clinic policies.
- Educates patients and answers questions regarding their disease, treatments, related drug and treatment side effects and hazards.
- Participates in medical team rounds; collaborates with nursing, medical and other healthcare team members regularly to ensure quality patient care.
- Refers patients to specialists as appropriate for consultation or for specialized health resources and treatment.
- Ensures continuity of care by serving as a liaison between patient and other members of the multi-disciplinary care team or with other specialty areas as necessary.
- Participates in quality monitoring thru the review of records and treatment plans for patient outcomes on a periodic basis to assure quality care.
- Facilitates appropriate length of stay, discharge planning and compliance with regulatory standards for inpatient management.
- Supports professional development of the health care team.
- Promotes translation of evidence-based practices, guidelines, and research.
- May conduct research studies. May assist in data collection and analysis.
- May serve as clinical preceptor for students. May onboard new caregivers.
- Other duties as assigned.
BASIC QUALIFICATIONS:
Education:
APRN
- Effective 05/01/2014: MSN required upon hire or within 3 years of hire for external hires and internal hires moving from a non-APRN licensed role to an APRN licensed role.
- Graduate of an accredited APRN program.
- If in neonatal care service area Master’s Degree is required upon hire.
PA
- Graduate of an A.R.C. approved Physician Assistant Program.
- Master’s degree in Physician Assistant Studies and/or higher degree obtained from a program recognized by their practicing states Licensing Board.
Languages:
- Oral and written communication in English.
Certifications:
NP
- Currently licensed as a Nurse Practitioner in applicable state(s).
- Must be licensed as an RN in applicable state(s).
- National certification as a Nurse Practitioner by nationally accredited organization recognized by state Board of Nursing.
- Basic Life Support (BLS) through the American Heart Association (AHA) required.
- Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) through the American Heart Association (AHA); or Neonatal Resuscitation Program (NRP) through the American Academy of Pediatrics (AAP) may be required based upon work setting.
- Must have arrangements with at least one physician in accordance with requirements set forth by the State Board of Nursing in applicable states.
- Must be credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals.
CNS
- Currently licensed as a Clinical Nurse Specialist in applicable state(s).
- Must be licensed as an RN in applicable state(s).
- National certification as a Clinical Nurse Specialist by nationally accredited organization recognized by state Board of Nursing.
- Basic Life Support (BLS) through the American Heart Association (AHA) required.
- Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) through the American Heart Association (AHA); or Neonatal Resuscitation Program (NRP) through the American Academy of Pediatrics (AAP) may be required based upon work setting.
- Must have arrangements with at least one physician in accordance with requirements set forth by the State Board of Nursing in applicable states.
- Must be credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals.
PA
- Certification as a Physician Assistant through the NCCPA or successor organization recognized by their practicing states Licensing Board.
- License to practice and prescribe issued by their practicing states Licensing Board.
- Current DEA License or DEA designee as required by NCQA.
- Basic Life Support (BLS) through the American Heart Association (AHA) required.
- Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) through the American Heart Association (AHA); or Neonatal Resuscitation Program (NRP) through the American Academy of Pediatrics (AAP); or Advanced Trauma Life Support (ATLS) American Heart Association may be required based upon work setting.
- If a candidate has held a license to prescribe within another jurisdiction and needs to obtain a master's degree in order to apply for prescribing privileges the candidate will be subject for review for eligibility for hiring within our system.
- Must have a Physician Supervision Agreement and signed addendum to Physician Supervision Agreement.
- Must be credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals.
Complexity of Work:
- Excellent analytical and decision-making skills are required.
- Strong written and verbal communication skills.
- Ability to work as a member of a multi-disciplinary team.
- Demonstrated competency and the ability to perform advanced assessment and diagnosis.
- Demonstrated ability to utilize the electronic medical record.
- Demonstrates a high standard of moral and ethical behavior.
- Demonstrates compassion and professionalism and a commitment to excellent patient care.
- Requires critical thinking skills, decisive judgement, and the ability to work independently.
- Must be able to work in a stressful environment and take appropriate action.
Work Experience:
- Related clinical experience preferred.
Physical Requirements:
- Typical physical demands include the ability to walk and stand for long periods of time.
- Manual and finger dexterity and eye/hand coordination to perform physical examinations.
- Requires corrected vision and hearing to a normal range.
- Occasionally lifts and carries items weighing up to 50 pounds.
- May require exposure to communicable diseases and/or body fluids.
Personal Protective Equipment:
- Follows standard precautions using personal protective equipment as required.
PAY RANGE
Minimum Annual Salary: $92,620.00
Maximum Annual Salary: $157,480.00
The pay range displayed on this job posting reflects the anticipated range for new hires. Actual compensation may be higher or lower than the standard range, depending on factors such as job responsibilities, relevant experience, skills, scheduling requirements, education, and area of licensure. Please note, the displayed pay range does not include additional pay practices or the value of Cleveland Clinic's comprehensive benefits package (including healthcare, dental and vision coverage, retirement savings contributions, and more). The listed range is based on a full-time (1.0 FTE) with the exception of PRN positions, which have an hourly rate based on the position type.
INTRODUCTION
Cleveland Clinic is currently seeking a qualified Physician Assistant or Nurse Practitioner for an outpatient position with the Department of Hematology & Oncology. This position involves treating adult GU patients, collaborating with staff physicians. Additional responsibilities include managing patients who require symptoms management, assessment, diagnosis, orders, and outpatient procedures.
M-F 8am-5pm hours.
Experience in oncology is preferred, but not required. New graduates will not be considered.
ROLE AND RESPONSIBILITIES:
- Conducts thorough medical histories, performs complete physical examinations (where indicated), initiates appropriate lab, radiology tests or other special tests required for evaluation of illness, and scrutinizes lab data to establish a record of the patient's current health status and to develop a working diagnosis and treatment plan. Works in collaboration with the health care team.
- Performs and interprets common laboratory, radiologic, cardiographic and other routine diagnostic procedures used to identify pathophysiologic processes as credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals.
- Performs routine and specialized procedures as credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals.
- May prescribe and monitor medications as allowed by license through applicable state board and Cleveland Clinic policies.
- Educates patients and answers questions regarding their disease, treatments, related drug and treatment side effects and hazards.
- Participates in medical team rounds; collaborates with nursing, medical and other healthcare team members regularly to ensure quality patient care.
- Refers patients to specialists as appropriate for consultation or for specialized health resources and treatment.
- Ensures continuity of care by serving as a liaison between patient and other members of the multi-disciplinary care team or with other specialty areas as necessary.
- Participates in quality monitoring thru the review of records and treatment plans for patient outcomes on a periodic basis to assure quality care.
- Facilitates appropriate length of stay, discharge planning and compliance with regulatory standards for inpatient management.
- Supports professional development of the health care team.
- Promotes translation of evidence-based practices, guidelines, and research.
- May conduct research studies. May assist in data collection and analysis.
- May serve as clinical preceptor for students. May onboard new caregivers.
- Other duties as assigned.
BASIC QUALIFICATIONS:
Education:
APRN
- Effective 05/01/2014: MSN required upon hire or within 3 years of hire for external hires and internal hires moving from a non-APRN licensed role to an APRN licensed role.
- Graduate of an accredited APRN program.
- If in neonatal care service area Master’s Degree is required upon hire.
PA
- Graduate of an A.R.C. approved Physician Assistant Program.
- Master’s degree in Physician Assistant Studies and/or higher degree obtained from a program recognized by their practicing states Licensing Board.
Languages:
- Oral and written communication in English.
Certifications:
NP
- Currently licensed as a Nurse Practitioner in applicable state(s).
- Must be licensed as an RN in applicable state(s).
- National certification as a Nurse Practitioner by nationally accredited organization recognized by state Board of Nursing.
- Basic Life Support (BLS) through the American Heart Association (AHA) required.
- Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) through the American Heart Association (AHA); or Neonatal Resuscitation Program (NRP) through the American Academy of Pediatrics (AAP) may be required based upon work setting.
- Must have arrangements with at least one physician in accordance with requirements set forth by the State Board of Nursing in applicable states.
- Must be credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals.
CNS
- Currently licensed as a Clinical Nurse Specialist in applicable state(s).
- Must be licensed as an RN in applicable state(s).
- National certification as a Clinical Nurse Specialist by nationally accredited organization recognized by state Board of Nursing.
- Basic Life Support (BLS) through the American Heart Association (AHA) required.
- Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) through the American Heart Association (AHA); or Neonatal Resuscitation Program (NRP) through the American Academy of Pediatrics (AAP) may be required based upon work setting.
- Must have arrangements with at least one physician in accordance with requirements set forth by the State Board of Nursing in applicable states.
- Must be credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals.
PA
- Certification as a Physician Assistant through the NCCPA or successor organization recognized by their practicing states Licensing Board.
- License to practice and prescribe issued by their practicing states Licensing Board.
- Current DEA License or DEA designee as required by NCQA.
- Basic Life Support (BLS) through the American Heart Association (AHA) required.
- Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) through the American Heart Association (AHA); or Neonatal Resuscitation Program (NRP) through the American Academy of Pediatrics (AAP); or Advanced Trauma Life Support (ATLS) American Heart Association may be required based upon work setting.
- If a candidate has held a license to prescribe within another jurisdiction and needs to obtain a master's degree in order to apply for prescribing privileges the candidate will be subject for review for eligibility for hiring within our system.
- Must have a Physician Supervision Agreement and signed addendum to Physician Supervision Agreement.
- Must be credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals.
Complexity of Work:
- Excellent analytical and decision-making skills are required.
- Strong written and verbal communication skills.
- Ability to work as a member of a multi-disciplinary team.
- Demonstrated competency and the ability to perform advanced assessment and diagnosis.
- Demonstrated ability to utilize the electronic medical record.
- Demonstrates a high standard of moral and ethical behavior.
- Demonstrates compassion and professionalism and a commitment to excellent patient care.
- Requires critical thinking skills, decisive judgement, and the ability to work independently.
- Must be able to work in a stressful environment and take appropriate action.
Work Experience:
- Related clinical experience preferred.
Physical Requirements:
- Typical physical demands include the ability to walk and stand for long periods of time.
- Manual and finger dexterity and eye/hand coordination to perform physical examinations.
- Requires corrected vision and hearing to a normal range.
- Occasionally lifts and carries items weighing up to 50 pounds.
- May require exposure to communicable diseases and/or body fluids.
Personal Protective Equipment:
- Follows standard precautions using personal protective equipment as required.
PAY RANGE
Minimum Annual Salary: $92,620.00
Maximum Annual Salary: $157,480.00
The pay range displayed on this job posting reflects the anticipated range for new hires. Actual compensation may be higher or lower than the standard range, depending on factors such as job responsibilities, relevant experience, skills, scheduling requirements, education, and area of licensure. Please note, the displayed pay range does not include additional pay practices or the value of Cleveland Clinic's comprehensive benefits package (including healthcare, dental and vision coverage, retirement savings contributions, and more). The listed range is based on a full-time (1.0 FTE) with the exception of PRN positions, which have an hourly rate based on the position type.
See all 16+ CNS jobs
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Get Access To All JobsTips for Finding TN Visa Sponsorship as a CNS
Align your credentials to the TN sciences list
TN approval for CNS roles depends on your degree matching a recognized scientific or technical field. A diploma in neuroscience, biology, or a related clinical science strengthens your case more than a general health sciences credential.
Request a support letter from your employer
Your employer writes a letter describing your role, your qualifications, and the temporary nature of your work. CNS positions must be framed around scientific or specialized clinical functions, not general patient care, to satisfy the TN specialty occupation standard.
Target health systems with established TN hiring history
Academic medical centers, large regional hospital networks, and research-affiliated institutions regularly sponsor TN professionals. They have HR teams familiar with the employer support letter process, which cuts your onboarding timeline significantly compared to first-time sponsors.
Search for CNS jobs using Migrate Mate
Filter by TN-eligible CNS roles across U.S. employers actively offering sponsorship. Migrate Mate surfaces positions where the employer has already committed to the TN process, so you're not cold-pitching sponsorship to recruiters unfamiliar with it.
Prepare for port-of-entry review if you're Canadian
Canadian citizens adjudicate TN status at the U.S. border, not a consulate. Bring your employer support letter, degree transcripts, professional certifications, and a copy of your offer letter. CBP officers review everything on the spot, so organization matters.
Clarify scope of practice before the filing stage
CNS roles that blend advanced practice nursing with administrative duties can create ambiguity at adjudication. Confirm with your employer that the role description in the TN support letter reflects specialized scientific functions, not duties that overlap with general RN or management work.
CNS jobs are hiring across the US. Find yours.
Find CNS JobsCNS TN Visa: Frequently Asked Questions
Does a CNS role qualify for TN visa sponsorship?
A Clinical Nurse Specialist can qualify for TN status when the role meets the scientific or specialty occupation standard under USMCA. The position must require a degree in a recognized scientific field such as nursing science or a clinical specialty. Roles blending general nursing duties with advanced practice functions receive more scrutiny, so your employer's support letter needs to clearly frame the work as specialized and scientific.
How does the TN visa compare to H-1B for CNS professionals?
TN has no annual lottery, no cap for Canadians, and no USCIS petition filing requirement, which means a qualified CNS can start work far faster than the H-1B process allows. H-1B requires employer sponsorship through a lottery with long wait times. The tradeoff is that TN status must be renewed and doesn't provide a direct path to permanent residence the way H-1B can.
Where can I find CNS jobs that already offer TN visa sponsorship?
Migrate Mate is built specifically for Canadian and Mexican professionals seeking TN-eligible roles. You can filter by job title and visa type to find CNS positions at employers who have indicated TN sponsorship willingness, saving you the friction of asking recruiters to explain the process from scratch.
What documents does a Canadian CNS need to enter the U.S. on TN status?
You'll need a valid Canadian passport, an employer support letter that describes your CNS role and confirms the temporary nature of your engagement, proof of your qualifying degree, and any relevant professional certifications. CBP adjudicates your TN status at the port of entry, so bring originals and organized copies of all documents.
Can a Mexican CNS professional also obtain TN status?
Yes, Mexican citizens are eligible for TN status under USMCA, but the process differs from the Canadian pathway. Mexican nationals apply for a TN visa at a U.S. consulate rather than at the border. There is a 5,500 annual allocation for Mexican TN visa holders, so timing and preparation matter more than they do for Canadian applicants.
See which CNS employers are hiring and sponsoring visas right now.
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