TN Visa Hospice Director Jobs
Hospice Director roles qualify for TN visa sponsorship under the USMCA's medical and allied health professional category when the position requires a bachelor's degree or higher in a relevant field. Canadian citizens can secure TN status at the border or a U.S. consulate, while Mexican citizens apply through a consulate and face a separate annual allocation.
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Location: Oconomowoc, WI Areas | On average Resource RNs can expect to drive around 50 miles from their home.
1.0 FTE (40 Hours/Week) | Day Shift | Weekdays | 8: 30am - 5:00pm
Includes weekends (every 3rd) and Holiday (2/year) rotations
Not quite the FTE you are looking for? Apply to connect with an Agrace recruiter to explore options in FTE and shift!
Sign on bonus: $6,000
Make a lasting impact with Agrace
Join Agrace, a nationally recognized nonprofit leader in hospice and palliative care. If you are a skilled RN who values meaningful, patient-centered care, this is your opportunity to make a difference!
How You’ll Make a Difference (Essential Functions)
The Resource Registered Nurse (Resource RN) is responsible for patient and family satisfaction through the provision of nursing care and case management by conducting assessments, triaging patient needs, creating and updating the plan of care, providing interventions, communicating, and documenting. The Resource RN moves across the homecare teams when a need arises (vacancies, FMLA, high census). The Resource RN provides patient and family centered care consistent with Agrace philosophy, goals, standards, regulations, and policies.
Key Responsibilities
- Patient and Family Assessments
- Assess patients and family’s physical, pain, psychosocial, emotional, spiritual, environmental, and educational needs as outlined by the plan of care (POC).
- Collect data from the patient, family, significant other or other members of the interdisciplinary team and other health care professionals.
- Identify, interpret, and document assessment data collected in the nursing interview, physical assessment, and other health data.
- Document and report significant changes in condition or unusual incidents to appropriate IDT member such as client abuse/neglect, suicidal intent, harmful coping mechanisms or violence, etc.
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Collaborate with IDT and primary care provider to create HES for determination of hospice eligibility.
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Patient Visits
- Respond to patient and family needs or change in condition or need for acute patient intervention.
- Provide interventions, treatments, and pain management to patient and family to meet needs. Evaluate the effectiveness of pain management or other intervention and adjust to meet needs.
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Provide patient and family education on pain, symptom management, end of life, etc. Evaluate the effectiveness of education and adjust to meet needs.
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Plan of Care
- Formulate, implement, and revise individualized POC in collaboration with Interdisciplinary Team (IDT), patient, and family. The POC to include goals, pain management, interventions, education, discharge plan, etc.
- Develop reasonable and achievable outcome measures and establish priorities in the planning and provision of care.
- Read, understand, and follow the plan of care. Document interventions, outcomes, and changes in patient condition in electronic health record (EHR).
- Delegate visits to appropriate disciplines and manage visit sets.
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Oversee work of Certified Nursing Assistants (CNA) and Licensed Practical Nurses (LPN).
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Miscellaneous
- Participate in meetings to plan and evaluate patient/family services.
- Precept new staff and students.
- Participates in education and outreach.
You Bring (Qualifications)
- ADN, required; BSN, preferred
- Current, unrestricted Registered Nursing License in state of employment
- One-year nursing experience, preferred
- Valid driver’s license, auto insurance, and access to a reliable vehicle
- Must be at least 18 years of age
- Basic Microsoft Office skills
- Intermediate electronic health records skills
- Ability to use proper body mechanics, safe patient handling, and standard precautions
Benefits
- Competitive salary with mileage reimbursement
- Health, dental, and vision insurance for employees who are hired for 28 or more hours per week (.7 FTE +)
- Retirement plans with employer matching
- Generous Paid Time Off (PTO) and holiday paid time off
- Comprehensive onboarding, mentorship, and career development
About Agrace
For more than 45 years, Agrace has been an innovator and leader in both caring for patients and their families, and in educating others about death, dying and grief. We are the largest hospice provider in Wisconsin. Well known for end-of-life care, Agrace also serves people across southern Wisconsin who are aging, seriously ill or grieving.
At Agrace we are strengthened by the unique experiences, cultures and traditions of our staff, patients and clients.
Together, we pursue a vision in which every Agrace staff member is treated fairly, and every patient and client experiences the respectful, individualized care they need and deserve.
We foster a culture of belonging that celebrates people’s uniqueness and leads to meaningful, empathetic connections.
Agrace Health Inc is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.
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Get Access To All JobsTips for Finding TN Visa Sponsorship in Hospice Director
Verify your credentials meet TN requirements
Hospice Director roles must qualify as a specialty occupation under USMCA. Gather your degree transcripts, nursing license or healthcare administration credentials, and any state-issued hospice administrator certifications before approaching employers.
Target hospice networks with existing TN history
Multi-site hospice operators and hospital-affiliated palliative care programs file TN visa petitions more routinely than standalone facilities. Focus your search on organizations with dedicated HR compliance teams who already understand the USMCA professional categories.
Search for TN-sponsored roles using Migrate Mate
Migrate Mate filters Hospice Director listings by TN visa sponsorship availability, so you're not cold-applying to employers unfamiliar with the process. Start your search there to reach hiring managers already open to sponsoring Canadian and Mexican professionals.
Address state licensure before your offer letter
Many states require a licensed nursing home administrator credential or a specific hospice administrator license to hold a director-level role. Confirm your state's board requirements early, since an incomplete license can delay or derail TN approval after you've accepted an offer.
Clarify who prepares the TN support letter
Your employer must provide a detailed support letter describing the role, your qualifications, and the professional category under USMCA. Ask the hiring manager during offer negotiation whether their legal team or HR handles this, so there are no surprises at the port of entry or consulate.
Understand Canadian and Mexican filing differences
Canadian citizens can present TN documentation directly to a CBP officer at the border or preclearance, often receiving same-day approval. Mexican citizens must schedule a U.S. consulate appointment and work within the annual TN allocation, so build extra lead time into your start date negotiation.
Hospice Director TN Visa: Frequently Asked Questions
Does a Hospice Director role qualify for a TN visa?
Yes, if the position requires at least a bachelor's degree in nursing, healthcare administration, or a closely related field. The USMCA lists several medical and allied health categories that cover director-level clinical and administrative roles in hospice and palliative care. Your offer letter and credentials must clearly establish that professional-level degree requirement to satisfy CBP or consular review.
How does the TN visa compare to the H-1B for Hospice Director positions?
The TN visa has no annual lottery, no cap for Canadian citizens, and can be approved at the border the same day you apply. The H-1B visa requires employer sponsorship through a lottery with a March registration window and a roughly 25% selection rate in recent fiscal years. For Canadian hospice professionals in particular, TN is a faster and more predictable path than waiting on an H-1B lottery outcome.
What documents does a Hospice Director need for TN sponsorship?
You'll need your employer's TN support letter, proof of your qualifying degree (official transcripts or a credential evaluation), any applicable state hospice or nursing home administrator license, and your valid Canadian or Mexican passport. Mexican nationals also need a DS-160 form and a consular appointment. Having all documents notarized or officially translated before your appointment prevents delays.
Where can I find Hospice Director jobs that offer TN visa sponsorship?
Migrate Mate is designed specifically for Canadian and Mexican professionals seeking U.S. roles with TN visa sponsorship. Rather than filtering through general job boards and cold-applying, you can search Hospice Director listings on Migrate Mate that are already tagged for TN eligibility, connecting you with employers familiar with the USMCA professional process.
Can I change hospice employers on a TN visa without losing status?
Yes, but you must have a new TN approval in place before you begin work with the new employer. TN status is tied to a specific employer and role, so your new employer needs to file a fresh TN petition or accompany you to a port of entry with updated documentation. Working even one day for a new employer before that approval is in place violates your status.