TN Visa Hospice Registered Nurse Jobs
Hospice Registered Nurse roles qualify for TN visa sponsorship under the USMCA's Registered Nurse category, covering inpatient, home-based, and palliative care settings. Canadian citizens enter without a cap or lottery. Mexican citizens face a limited annual allocation. A valid nursing license and a U.S. employer offer are required to qualify.
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INTRODUCTION
Seeking an experienced Weekend Hospice RN for Montgomery County. Will work Saturday/Sunday from 8a - 8p.
Job Summary
Provides skilled professional nursing care to the patient as prescribed by the physician and in compliance with regulations as established by the State Board of Nursing and department policies. The RN/Case Manager coordinates the interdisciplinary care team for the patient and family to assure continuity of care. Services may be provided to neonate, infant, child, adolescent, adult and geriatric populations.
This position supports the Frederick Health mission, vision, core values and customer service philosophy and adheres to the Frederick Health Compliance Program, including following all regulatory requirements and the Frederick Health Standards of Behavior.
Essential Functions:
- Completes assessment and admission of patients as assigned.
- Assesses and regularly re-evaluates patient and family needs.
- Performs basic physical assessment of all body systems.
- Assesses physical environment including safety factors.
- Revises plan of care as necessary.
- Documents assessment and completes all required forms including consents in compliance with policies and procedures.
- Utilization of all elements of the nursing process.
- Promotes optimum patient comfort as part of an interdisciplinary team under the attending physician’s orders.
- Provides case management for assigned patients.
- Initiates and sustains implementation of orders as prescribed by the physician.
- Notifies attending physician of any changes in care plan.
- Is compliant at all times with policies regarding documentation.
- Monitors documentation in the clinical record and initiates the discharge planning process for assigned patients.
- Assures that all team members have completed the discharge summary.
- Uses supplies and equipment effectively and efficiently, meeting applicable competency standards.
- Provides medication, diet and other instructions as ordered by the physician.
- Recognizes and utilizes opportunities for health counseling.
- Works in concert with the other interdisciplinary team members.
- Uses supplies and equipment effectively and efficiently, meeting applicable competency standards.
- Carries out basic Infection Control procedures.
- Uses equipment properly.
- Disposes of dressings and other waste according to protocol.
- Recognizes and validates the psycho/social/spiritual state of individuals in the home.
- Makes a supervisory visit to observe the work of Home Health Aides at least every 14 days.
- Keeps appropriate team members apprised of changes and updates to patient/family/caregiver status.
- Maintains and upgrades professional knowledge and practice skills.
- Participates in continuing education and in-service classes.
- Stays informed of department/hospital events by reading minutes or attending staff meetings 100% of time.
- Actively participates in quality management programs.
- Interacts in a calm, courteous and professional manner.
Required Knowledge, Skills and Abilities:
- Demonstrates clinical competency in area of practice. Understands Hospice philosophy, principles of death/dying.
- Must be licensed driver with a reliable vehicle that is insured in accordance with state and/or organizational requirements.
- Self-directed with the ability to work with little supervision.
- Ability to work effectively within an interdisciplinary team.
- Demonstrates knowledge of and proper use of equipment listed on the Unit Specific Competency Tool.
- Demonstrates knowledge of office equipment including but not limited to: telephone, photocopier, facsimile equipment, computer and printer.
Minimum Education, Training, and Experience Required:
- Currently licensed as a Registered Nurse in the State of Maryland.
- Possesses and maintains current CPR certification.
- At least 2 years general nursing experience is required with current Hospice, medical, surgical, critical care or home health experience. Experience providing pain management, IV skills preferred. Hospice nursing experience preferred.
- Bachelors of Science in Nursing Required or Associates degree in Nursing with a signed BSN agreement to obtain BSN within 5 years of employment.
Patient Contact:
If applicable, must demonstrate and maintain current knowledge and skills in providing appropriate care/contact for patients in the following age groups:
- X Neonate (0 thru 30 days)
- X Infant (31 thru 12 months)
- X Child (13 months thru 12 years)
- X Adolescent (13 years thru 17 years)
- X Adult (18 years thru 65 years)
- X Geriatric (66+ years)
Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient’s status. Possess the ability to interpret the appropriate information needed to identify each patient’s requirements relative to his/her age-specific needs and to provide the care needed as described in the unit’s/department’s policies and procedures.
Physical Requirements:
Medium-Heavy Work – Lifting up to 75 pounds on an infrequent basis (less than one lift every three minutes) and/or carrying up to 35 pounds while walking. Pushing or pulling up to 115 pounds infrequently or greater than 115 pounds occasionally (no more than once per hour).
Ergonomic Risk Factors:
- Repetition: Repeating the same motion over and over again places stress on the muscles and tendons. The severity of risk depends on how often the action is repeated, the speed of the movement, the required force and muscles involved.
- Forceful Exertion: The amount of physical effort required to perform a task (such as moving patients) or to maintain control of equipment or tools. The amount of force depends on the type of grip, the weight of an object or person, body posture, the type of activity and the duration of the task.
- Awkward Posture: Posture is the position your body is in and its effect on the muscle groups that are involved in the physical activity. Awkward postures include repeated or prolonged reaching, twisting, bending, kneeling, squatting, working overhead with your hands or arms, or holding fixed positions.
- Contact Stress: Pressing the body hard on sharp edges can result in placing too much pressure on nerves, tendons, and blood vessels. For example, using the palm of your hand to hit or stick objects can increase risk of musculoskeletal disorders.
Working Conditions:
Bloodborne Pathogens Exposure Risk: Category A – WILL have exposure to blood or body fluids.
Reporting Relationship:
Hospice Clinical Manager
Disclaimer:
The content of this document reflects the general duties, responsibilities, minimum skills, abilities and competencies necessary to perform the essential functions of the job and should not be considered as an exhaustive detailed description of all the work requirements of the position.
Caring for you as you care for the CommUNITY
Frederick Health offers a comprehensive and affordable benefits package. Health, Dental and Vision insurance are offered the 1st of the month after 30 days of employment to all employees hired to work at least 20 hours per week and we offer multiple plans to best meet your and your family's needs. Life insurance, Short-Term Income Replacement and Long-Term Disability are employer paid for eligible employees. Frederick Health offers a robust Paid Time Off program for eligible employees. Our 403B retirement plan helps you save for your retirement and includes an employer match to eligible employees. All employees have access to free financial planning sessions. We also offer an educational assistance program to support your education goals as well as an employer paid Employee Assistance Program.
Pay is based on experience, skills and education. If position is part-time, salary will be pro-rated based on scheduled hours. The pay range may also vary within the stated range based on specialty if applicable. Non-Exempt positions may have shift differential and/or Overtime paid, if applicable.
Hourly range: $38.19 - $55.17

INTRODUCTION
Seeking an experienced Weekend Hospice RN for Montgomery County. Will work Saturday/Sunday from 8a - 8p.
Job Summary
Provides skilled professional nursing care to the patient as prescribed by the physician and in compliance with regulations as established by the State Board of Nursing and department policies. The RN/Case Manager coordinates the interdisciplinary care team for the patient and family to assure continuity of care. Services may be provided to neonate, infant, child, adolescent, adult and geriatric populations.
This position supports the Frederick Health mission, vision, core values and customer service philosophy and adheres to the Frederick Health Compliance Program, including following all regulatory requirements and the Frederick Health Standards of Behavior.
Essential Functions:
- Completes assessment and admission of patients as assigned.
- Assesses and regularly re-evaluates patient and family needs.
- Performs basic physical assessment of all body systems.
- Assesses physical environment including safety factors.
- Revises plan of care as necessary.
- Documents assessment and completes all required forms including consents in compliance with policies and procedures.
- Utilization of all elements of the nursing process.
- Promotes optimum patient comfort as part of an interdisciplinary team under the attending physician’s orders.
- Provides case management for assigned patients.
- Initiates and sustains implementation of orders as prescribed by the physician.
- Notifies attending physician of any changes in care plan.
- Is compliant at all times with policies regarding documentation.
- Monitors documentation in the clinical record and initiates the discharge planning process for assigned patients.
- Assures that all team members have completed the discharge summary.
- Uses supplies and equipment effectively and efficiently, meeting applicable competency standards.
- Provides medication, diet and other instructions as ordered by the physician.
- Recognizes and utilizes opportunities for health counseling.
- Works in concert with the other interdisciplinary team members.
- Uses supplies and equipment effectively and efficiently, meeting applicable competency standards.
- Carries out basic Infection Control procedures.
- Uses equipment properly.
- Disposes of dressings and other waste according to protocol.
- Recognizes and validates the psycho/social/spiritual state of individuals in the home.
- Makes a supervisory visit to observe the work of Home Health Aides at least every 14 days.
- Keeps appropriate team members apprised of changes and updates to patient/family/caregiver status.
- Maintains and upgrades professional knowledge and practice skills.
- Participates in continuing education and in-service classes.
- Stays informed of department/hospital events by reading minutes or attending staff meetings 100% of time.
- Actively participates in quality management programs.
- Interacts in a calm, courteous and professional manner.
Required Knowledge, Skills and Abilities:
- Demonstrates clinical competency in area of practice. Understands Hospice philosophy, principles of death/dying.
- Must be licensed driver with a reliable vehicle that is insured in accordance with state and/or organizational requirements.
- Self-directed with the ability to work with little supervision.
- Ability to work effectively within an interdisciplinary team.
- Demonstrates knowledge of and proper use of equipment listed on the Unit Specific Competency Tool.
- Demonstrates knowledge of office equipment including but not limited to: telephone, photocopier, facsimile equipment, computer and printer.
Minimum Education, Training, and Experience Required:
- Currently licensed as a Registered Nurse in the State of Maryland.
- Possesses and maintains current CPR certification.
- At least 2 years general nursing experience is required with current Hospice, medical, surgical, critical care or home health experience. Experience providing pain management, IV skills preferred. Hospice nursing experience preferred.
- Bachelors of Science in Nursing Required or Associates degree in Nursing with a signed BSN agreement to obtain BSN within 5 years of employment.
Patient Contact:
If applicable, must demonstrate and maintain current knowledge and skills in providing appropriate care/contact for patients in the following age groups:
- X Neonate (0 thru 30 days)
- X Infant (31 thru 12 months)
- X Child (13 months thru 12 years)
- X Adolescent (13 years thru 17 years)
- X Adult (18 years thru 65 years)
- X Geriatric (66+ years)
Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient’s status. Possess the ability to interpret the appropriate information needed to identify each patient’s requirements relative to his/her age-specific needs and to provide the care needed as described in the unit’s/department’s policies and procedures.
Physical Requirements:
Medium-Heavy Work – Lifting up to 75 pounds on an infrequent basis (less than one lift every three minutes) and/or carrying up to 35 pounds while walking. Pushing or pulling up to 115 pounds infrequently or greater than 115 pounds occasionally (no more than once per hour).
Ergonomic Risk Factors:
- Repetition: Repeating the same motion over and over again places stress on the muscles and tendons. The severity of risk depends on how often the action is repeated, the speed of the movement, the required force and muscles involved.
- Forceful Exertion: The amount of physical effort required to perform a task (such as moving patients) or to maintain control of equipment or tools. The amount of force depends on the type of grip, the weight of an object or person, body posture, the type of activity and the duration of the task.
- Awkward Posture: Posture is the position your body is in and its effect on the muscle groups that are involved in the physical activity. Awkward postures include repeated or prolonged reaching, twisting, bending, kneeling, squatting, working overhead with your hands or arms, or holding fixed positions.
- Contact Stress: Pressing the body hard on sharp edges can result in placing too much pressure on nerves, tendons, and blood vessels. For example, using the palm of your hand to hit or stick objects can increase risk of musculoskeletal disorders.
Working Conditions:
Bloodborne Pathogens Exposure Risk: Category A – WILL have exposure to blood or body fluids.
Reporting Relationship:
Hospice Clinical Manager
Disclaimer:
The content of this document reflects the general duties, responsibilities, minimum skills, abilities and competencies necessary to perform the essential functions of the job and should not be considered as an exhaustive detailed description of all the work requirements of the position.
Caring for you as you care for the CommUNITY
Frederick Health offers a comprehensive and affordable benefits package. Health, Dental and Vision insurance are offered the 1st of the month after 30 days of employment to all employees hired to work at least 20 hours per week and we offer multiple plans to best meet your and your family's needs. Life insurance, Short-Term Income Replacement and Long-Term Disability are employer paid for eligible employees. Frederick Health offers a robust Paid Time Off program for eligible employees. Our 403B retirement plan helps you save for your retirement and includes an employer match to eligible employees. All employees have access to free financial planning sessions. We also offer an educational assistance program to support your education goals as well as an employer paid Employee Assistance Program.
Pay is based on experience, skills and education. If position is part-time, salary will be pro-rated based on scheduled hours. The pay range may also vary within the stated range based on specialty if applicable. Non-Exempt positions may have shift differential and/or Overtime paid, if applicable.
Hourly range: $38.19 - $55.17
See all 47+ Hospice Registered Nurse jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new Hospice Registered Nurse roles.
Get Access To All JobsTips for Finding TN Visa Sponsorship as a Hospice Registered Nurse
Verify your license transfers correctly
Your provincial or Mexican nursing license doesn't automatically satisfy U.S. requirements. You'll need an active RN license in the state where you'll work before your employer can file TN paperwork. Start the endorsement process at least three months before your target start date.
Target hospice-specific employer networks first
Large hospice and palliative care organizations maintain standing relationships with immigration counsel and process TN sponsorship routinely. Applying to standalone hospice agencies rather than general hospitals often means faster sponsorship decisions and staff familiar with TN documentation.
Confirm NCLEX equivalency before applying
Mexican-trained nurses must pass the NCLEX-RN and obtain a CGFNS credential evaluation before most U.S. hospice employers will extend a TN-eligible offer. Completing this step before outreach removes a common barrier employers cite when declining to sponsor.
Search TN-ready hospice roles through Migrate Mate
Not every hospice posting signals TN sponsorship willingness. Use Migrate Mate to filter specifically for Hospice RN roles where employers have active TN or H-1B filing history, saving you from pursuing openings where sponsorship is unlikely.
Ask about employer support letters before accepting an offer
Your employer will need to prepare a support letter documenting your role, qualifications, and salary. For Canadian citizens, you'll present this letter at the U.S. border or port of entry. For Mexican citizens, your employer submits it with your application to the U.S. consulate. Request confirmation that the support letter is ready before you give notice at your current job.
Understand Canadian versus Mexican port-of-entry differences
Canadian citizens can apply for TN status directly at a U.S. port of entry with their employer's support letter and credentials. Mexican citizens must schedule a consular interview and obtain a TN visa stamp first, which adds several weeks to the timeline.
Hospice Registered Nurse jobs are hiring across the US. Find yours.
Find Hospice Registered Nurse JobsHospice Registered Nurse TN Visa: Frequently Asked Questions
Does the TN visa cover all types of hospice nursing roles?
The TN visa covers Registered Nurses specifically, which includes hospice RNs working in inpatient facilities, home-based settings, and palliative care units. The role must require RN licensure and a related degree. Positions titled Licensed Practical Nurse or Nursing Assistant do not qualify under the TN Registered Nurse category.
How does the TN visa compare to H-1B for hospice nursing jobs?
The TN visa has no annual lottery and no cap for Canadian citizens, making it far more predictable than the H-1B for hospice RN roles. H-1B selection is random and capped at 85,000 per year. TN status can be obtained at a Canadian port of entry within a single day if documentation is complete, whereas H-1B requires months of lead time.
What documents does a hospice employer need to sponsor your TN visa?
Your employer needs to provide a detailed support letter confirming the job title, duties, your qualifications, and that the role qualifies as a specialty occupation under USMCA. You'll need to supply your nursing degree, your active state RN license, and for Mexican citizens, a CGFNS evaluation. The employer's letter must specifically reference TN visa classification.
Where can you find hospice nursing jobs that offer TN visa sponsorship?
Migrate Mate filters job listings by TN visa sponsorship history, so you can search specifically for Hospice Registered Nurse roles where employers have demonstrated willingness to sponsor. This saves time compared to applying broadly and discovering sponsorship isn't available after multiple interview rounds.
Can you switch hospice employers while on TN status?
Yes, but TN status is employer-specific. If you change hospice employers, your new employer must obtain a new TN authorization before you begin working for them. Canadian citizens can often handle this at a port of entry. Mexican citizens need a new consular appointment. Working for a new employer before TN approval is a violation of status.
See which Hospice Registered Nurse employers are hiring and sponsoring visas right now.
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