TN Visa NP Jobs
NP jobs in the U.S. are open to Canadian and Mexican professionals under TN visa sponsorship through USMCA. The TN category covers registered nurses in advanced practice roles when your employer supports the filing. Canadians get TN status at the border with no lottery; Mexicans apply at a U.S. consulate.
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JOB SUMMARY
Provides screening, preventive primary care and medical care services to members - primarily in non-clinical settings where members feel most comfortable, including in-home, community and nursing facilities and “pop up” clinics. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care.
ESSENTIAL JOB DUTIES
- Provides general medical care and care coordination to various and/or specific patient member populations – adult, women’s health, pediatric, and geriatric.
- Performs comprehensive evaluations including history and physical exams for gaps in care and preventive assessments.
- Addresses both chronic and acute primary care complaints, and demonstrates ability to ascertain medical urgency.
- Establishes and documents reasonable medical diagnoses.
- Seeks specialty consultation as appropriate.
- Orders/performs pertinent diagnostic laboratory and radiology testing for the medical diagnosis or presenting symptoms; works within an environment of limited resources and therefore uses diagnostic tests judiciously and appropriately.
- Understands when a member's needs are beyond their scope of knowledge and when physician oversight is needed.
- Creates and implements a medical plan of care.
- Schedules appointments for visits when appropriate.
- Provides post-discharge coordination to reduce hospital readmission rates and emergency room utilization.
- Performs face-to-face in-person visits in a variety of settings including in-home, skilled nursing facilities, and public locations.
- Performs face-to-face visits via alternative modalities based on business need, leadership direction and state regulations.
- Orders bulk laboratory orders to target specific member populations.
- Performs alternating on-call coverage to triage any urgent lab results and pharmacy inquiries and develops appropriate plans of care.
- Participates in community-based “pop up clinics” to build relationships with communities, and address gaps in health care.
- Drives up to 120 miles a day on a regular basis to a variety of locations within the assigned region. Drives beyond 120 miles as part of extended mileage may be required on special project days. Special projects may include an overnight hotel stay.
- Obtains and maintains cross-state license in other states besides home state based on business need.
- Collaborates with fellow nurse practitioners to develop best practices to perform work duties efficiently and effectively.
- Actively participates in regional meetings.
- May prescribe medications and perform procedures as appropriate.
- Performs timely medical records documentation in electronic medical record (EMR) computer system.
- On occasion, may be required to walk flights of stairs while carrying up to 50 lbs. of equipment.
- Engages in practices constituting the practice of medicine in collaboration with and under the medical direction and supervision of a licensed physician to the degree required by state laws.
- Local travel required (based upon state/contractual requirements).
REQUIRED QUALIFICATIONS
- At least 1 year of experience as a nurse practitioner, or equivalent combination of relevant education and experience.
- Active and unrestricted national certification from one of the following organizations: American Academy of Nurse Practitioners (AANP) or American Nurses Credentialing Center (ANCC).
- Current state-issued license to practice as a Family Nurse Practitioner (FNP). License must be active and unrestricted in state of practice.
- Prescriber Drug Enforcement Agency (DEA) license with authority to prescribe per state qualifications. License must be active and unrestricted in state of practice.
- Current Basic Life Support (BLS) certification.
- Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements.
- Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.
- Ability to work independently with minimal supervision and demonstrate self-motivation.
- Responsive in all forms of communication.
- Ability to remain calm in high-pressure situations.
- Ability to develop and maintain professional relationships.
- Excellent time-management and prioritization skills; ability to focus on multiple projects simultaneously and adapt to change.
- Excellent problem-solving and critical-thinking skills.
- Strong verbal and written communication skills.
- Microsoft Office suite/applicable software program(s) proficiency, and electronic medical record (EMR) experience.
PREFERRED QUALIFICATIONS
- Experience as a registered nurse or nurse practitioner in a home health, community health or public health setting.
- Experience in home health as a licensed clinician, especially in management of chronic conditions.
- Experience with underserved populations facing socioeconomic barriers to health care.
- Immunization and point of care testing skills.
- Bilingual.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
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Get Access To All JobsTips for Finding TN Visa Sponsorship in NP
Verify your NP credentials meet TN requirements
TN visa classification requires a registered nurse license, not just an advanced practice credential. Confirm your provincial or national nursing license is active and translates to RN-level authorization under U.S. standards before approaching employers.
Target employers with existing TN filing experience
Large health systems, academic medical centers, and multi-state hospital networks are more likely to understand TN sponsorship for NPs than small private practices. Prioritize organizations that already have an immigration contact or HR team familiar with USMCA filings.
Clarify the job offer letter must specify RN duties
CBP officers review the offer letter at the border for Canadians. Your letter must describe registered nursing duties, not just the NP title. Vague or administrative-heavy descriptions have led to TN denials at ports of entry.
Understand the consulate process as a Mexican national
Mexican NPs apply for TN status at a U.S. consulate, not at the border. Book your appointment early, since wait times vary by location. Bring the certified job offer, your nursing degree, and your Mexican nursing license translated into English.
Use Migrate Mate to find NP roles offering TN sponsorship
Searching broadly wastes time on employers who won't file. Migrate Mate filters NP jobs by TN visa sponsorship so you're only reviewing roles where the employer has already committed to supporting your status.
Negotiate TN renewal timelines before accepting an offer
TN status is granted in up to three-year increments with unlimited renewals. Confirm your employer understands renewal is required and will file on time. Gaps in employer support have caused NPs to fall out of status between hospital contract renewals.
NP TN Visa: Frequently Asked Questions
Does the TN visa cover nurse practitioners specifically?
TN visa classification covers registered nurses, which includes nurse practitioners when the job duties involve direct registered nursing care. The position title alone isn't sufficient. The offer letter must describe qualifying RN-level clinical duties, and your active nursing license must correspond to the RN category. Advanced practice credentials support the application but don't substitute for the underlying RN license requirement.
How does TN compare to H-1B for NP roles?
TN has no annual lottery, no cap for Canadians, and Canadians can obtain status at the border the same day with an approved offer letter. H-1B visa requires employer sponsorship months in advance, lottery selection, and USCIS petition approval. For NPs with an active RN license, TN is faster and more predictable, though it doesn't lead to a green card on its own the way some H-1B visa pathways can.
Where can I find NP jobs that already support TN sponsorship?
Migrate Mate is built specifically for this search. It surfaces NP roles where employers are open to TN visa sponsorship, saving you from filtering through postings that require U.S. citizenship or permanent residency only. Targeting employers who already understand TN filings significantly reduces the time from application to start date.
Can a Canadian NP get TN status at the border without a petition?
Yes. Canadian citizens can apply for TN status directly at a U.S. port of entry or pre-clearance location without filing a petition with USCIS first. You bring your job offer letter, nursing license, and supporting credentials. CBP reviews the package on the spot. The offer letter describing qualifying RN duties is the document most likely to be scrutinized.
What happens to my TN status if my NP employer changes ownership or closes?
TN status is tied to the specific employer named in your filing. If your employer is acquired, merged, or closes, you generally need a new TN filing before starting with the successor entity unless the employment relationship is truly continuous and materially unchanged. Mexicans will need a new consular appointment. Canadians can seek a new TN at a port of entry with an updated offer letter.