TN Visa Home Health Nurse Jobs
Home Health Nurse roles qualify for TN visa sponsorship under the USMCA's Registered Nurse category, covering Canadian and Mexican RNs who hold valid licensure and a qualifying degree. Canadians can obtain TN status at the port of entry without a lottery. Mexicans apply through a U.S. consulate.
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Job Title: LTSS Service Care Manager
Duration: 6 months contract (Possibility to extend)
Location: New Castle County, Delaware
Shift Type: 8am – 5pm EST Mon – Fri
Payrate: $36-39/hr
ROLE AND RESPONSIBILITIES:
Day to day responsibilities of this role include:
- Completing LTSS level of care redetermination
- Completing a mixture of care visits and supporting other LTSS case managers
- Visiting member homes
- Supporting the case management team due to high increase in membership
- Conducting level of care redeterminations, transition of care, and case management
- Assisting in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes
- Developing or assisting with developing personalized service care plans/service plans for long-term care members
- Educating members and their families/caregivers on services and benefits available to meet member needs
BASIC QUALIFICATIONS:
- Driver’s license, home workspace
- Level of Care Redetermination, Transition of Care and Case Management experience
- Computer literate
- Experience in evaluating older adults/disabled level of functioning
- Experience with medication reconciliation
DISQUALIFIERS:
- Location should be within Delaware
PERFORMANCE INDICATORS:
- 4-5 assessments per week for redeterminations
- 4-5 daily
EDUCATION/LICENSES:
- Bachelor's degree and 2 – 4 years of related experience
- Delaware/Compact RN License
- Driver’s license

Job Title: LTSS Service Care Manager
Duration: 6 months contract (Possibility to extend)
Location: New Castle County, Delaware
Shift Type: 8am – 5pm EST Mon – Fri
Payrate: $36-39/hr
ROLE AND RESPONSIBILITIES:
Day to day responsibilities of this role include:
- Completing LTSS level of care redetermination
- Completing a mixture of care visits and supporting other LTSS case managers
- Visiting member homes
- Supporting the case management team due to high increase in membership
- Conducting level of care redeterminations, transition of care, and case management
- Assisting in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes
- Developing or assisting with developing personalized service care plans/service plans for long-term care members
- Educating members and their families/caregivers on services and benefits available to meet member needs
BASIC QUALIFICATIONS:
- Driver’s license, home workspace
- Level of Care Redetermination, Transition of Care and Case Management experience
- Computer literate
- Experience in evaluating older adults/disabled level of functioning
- Experience with medication reconciliation
DISQUALIFIERS:
- Location should be within Delaware
PERFORMANCE INDICATORS:
- 4-5 assessments per week for redeterminations
- 4-5 daily
EDUCATION/LICENSES:
- Bachelor's degree and 2 – 4 years of related experience
- Delaware/Compact RN License
- Driver’s license
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Get Access To All JobsTips for Finding TN Visa Sponsorship as a Home Health Nurse
Verify your credentials meet TN requirements
TN sponsorship for Home Health Nurses requires an RN license valid in the state where you'll work, not just your home country. Confirm your NCLEX passage and check whether your degree meets U.S. credential equivalency standards before applying.
Target agencies with dedicated clinical staffing
Home health agencies and visiting nurse organizations file TN petitions regularly for clinical roles. Focus your search on providers that employ large nursing teams across multiple states, as they're more likely to have an established TN filing process.
Request an offer letter that specifies clinical duties
Your TN documentation must show the role is a specialty occupation tied to nursing. Ask your employer to describe patient assessment, care planning, and treatment administration duties explicitly so the offer letter aligns with USCIS's Registered Nurse definition.
Understand the Mexican TN consular process early
Mexican nationals must schedule a consular appointment rather than presenting at a port of entry. Build at least eight to twelve weeks into your timeline before your start date to account for appointment availability and document preparation.
Search for TN-sponsoring home health employers on Migrate Mate
Filter by role and visa type to find home health employers actively filing TN petitions for nurses. Migrate Mate surfaces sponsorship history so you can prioritize outreach to agencies that have already navigated the process.
Prepare for state license transfer before your start date
TN status is employer- and state-specific. If your nursing license is issued in a non-compact state, begin the endorsement application for your work state as soon as you receive your offer to avoid gaps between your TN approval and your first shift.
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Find Home Health Nurse JobsHome Health Nurse TN Visa: Frequently Asked Questions
Does a Home Health Nurse role qualify for TN visa sponsorship?
Yes. Registered Nurse is an explicitly listed occupation under the USMCA TN category. Home health nursing qualifies as long as your offer letter describes duties consistent with professional nursing practice, including patient assessment, medication administration, and care coordination. General caregiver or home aide roles do not qualify, so the job title and description matter.
How does TN visa sponsorship compare to H-1B for Home Health Nurses?
TN is available every year with no lottery and no annual cap for Canadians. H-1B is subject to an annual lottery, meaning qualified nurses can be rejected purely by chance. TN also processes faster, often the same day for Canadians at the port of entry. The tradeoff is that TN is nonimmigrant and doesn't lead directly to a green card the way H-1B can.
Can a Mexican RN get TN sponsorship for a home health position?
Yes, but the process differs from the Canadian pathway. Mexican nationals must apply at a U.S. consulate and attend a visa interview rather than presenting at the border. You'll need a valid job offer, proof of RN licensure in the destination state, and educational credentials showing a nursing degree. Processing timelines depend on consulate availability, so plan accordingly.
What documents does my home health employer need to sponsor my TN visa?
Your employer prepares a support letter confirming your job title, duties, anticipated length of employment, and your credentials as a Registered Nurse. You provide your RN license, nursing degree, and NCLEX results. Canadians present these at the port of entry. Mexican nationals submit them as part of the DS-160 consular application package. Migrate Mate can help you identify employers already familiar with this document set.
Can I switch home health employers after getting TN status?
Yes, but TN status is employer-specific. You'll need a new TN approval tied to the new employer before or at the time you start working there. Canadians can obtain a new TN at the port of entry with the new employer's support letter. Mexican nationals must return to a consulate. There's no grace period equivalent to the H-1B's 60-day rule, so coordinate your transition carefully.
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