TN Visa Nurse Resident Jobs
Nurse Resident positions qualify for TN visa sponsorship under the USMCA treaty, making this pathway available to Canadian and Mexican registered nurses entering U.S. hospital residency programs. No lottery, no annual cap for Canadians, and employer-sponsored TN petitions can be filed directly at the border or through USCIS.
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State of New Hampshire Job Posting
Department of Health and Human Services
New Hampshire Hospital
36 Clinton St.
Concord, NH 03301
NURSE RESIDENT
REGISTERED NURSE I
Full-Time
Position #MRHHS-RN-PL
$33.74/hour - $51.02/hour
Plus, Direct Care Pay of Ten Dollars per week and Shift Differentials when applicable
MULTIPLE POSITIONS AVAILABLE, INCLUDING 3-DAY WORK WEEKS
1ST SHIFT: 5, 8-hour shifts (6:45am - 3:15pm) OR 3, 12-hour shifts (6:45am - 7:15pm)
2ND SHIFT: 5, 8-hour shifts (2:45pm - 11:15pm) OR 3, 12-hour shifts (10:45am - 11:15pm)
3RD SHIFT: 5, 8-hour shifts (10:45pm - 7:15am) OR 3, 12-hour shifts (6:45pm - 7:15am)
At New Hampshire Hospital, our Nurse Residency Program offers an individualized, competency-based, partnered, shared learning experience for the new graduate. The nurse resident will experience a balance between partnered clinical experience, individual/group learning experience, and role-supportive activity. During this time, the nurse resident will gradually assume greater responsibility and authority, within the scope of his or her nursing practice as he or she works side by side with a clinical RN partner. The goal of the Residency Program is to support a new graduate nurse transitioning into a professional nursing role within a specialized practice environment of Psychiatric Nursing.
See total compensation information at the bottom of announcement.
The State of New Hampshire, Department of Health & Human Services, and New Hampshire Hospital have full-time vacancies for Nurse Residents.
Summary: This position is assigned to work with the adult psychiatric client population.
YOUR EXPERIENCE COUNTS: Each additional year of approved formal education may be substituted for one year of required work experience and/or each additional year of approved work experience may be substituted for one year of required formal education.
Minimum Qualifications:
Registered Nurse I:
Education: Graduation from a recognized nursing program with either affiliate or postgraduate courses and clinical experience in medical, surgical, obstetrics, pediatrics and psychiatric nursing.
Experience: Experience is limited to that required for registration.
License/Certification: Current license as a Temporary Nurse or as a Registered Nurse in New Hampshire.
Special Requirements: An employee may be required to work additional hours beyond their normal work shift, engaged in work that is characteristic of their classification, in order to meet patient care needs/safe staffing levels, established by the Nursing Department of New Hampshire Hospital.
Responsibilities:
Registered Nurse I:
- Functions as Nurse-in-Charge in the absence of the Nurse Specialist.
- When in charge role, makes shift nursing care assignments based on assessment of patient needs and acuity to assure appropriate level of care is provided.
- Provides direct nursing care through application of the Nursing Process to patient care management by assessing immediate and long-term nursing needs.
- Collects patient data by interview and/or observations to provide a basis for nursing assessment.
- Completes nursing assessment and diagnoses on patient admission and as often as clinically indicated to provide a basis for nursing care.
- Completes patient assessments prior to authorizing Seclusion/Restraint in an emergency situation.
- May perform venipuncture to collect blood for laboratory testing.
- Collaborates with interdisciplinary team members to formulate an individualized treatment plan.
- Defines patient problems, identifies goals and nursing interventions to assist in formulation of treatment plan.
- Evaluates the effectiveness of the patient's care plan and documents patient's response to provide for revision of treatment plan and readiness for discharge.
- Coordinates and supervises subordinates in their provision of patient care through the use of patient assignment, staff meetings, performance appraisals, etc., to provide safe and quality nursing care.
- Administers medication and treatment according to Nursing Department Standards to assure a safe level of treatment.
- Educates patient/family/significant other regarding unit routines, rationale for interventions, medications, treatments and health care needs and documents same to prepare patients for discharge.
- Collaborates with the interdisciplinary treatment team to plan for discharge and documents the nurses' involvement.
- Evaluates and collaborates with Nursing Managers and unit staff to effect positive therapeutic milieu.
- Monitors patient's medical problems, reports findings to Internal Medicine Department, carries out medical treatments as indicated by Nursing Practice and as ordered by the physician to provide safe quality nursing care.
- Participates in activities to improve workflow and patient care.
- Supervises mental health workers in assisting patients to carry out Activities of Daily Living, milieu management, and various assigned patient care tasks.
- Is responsible for and actively participates in own skill development via academic course work, seminars, and training programs to improve overall contribution to patient care and professional development.
Supervisors Workplace Safety Accountabilities
Ensures compliance with established hospital and departmental safety policies and procedures by:
- Maintaining competency in hospital approved Crisis Management Program (CMP) and Cardiopulmonary Resuscitation (CPR) techniques for adults, children, infants and AED training.
- Conducting periodic (minimum quarterly basis) on site reviews.
- Completing competency-based review, when applicable.
- Providing on the spot reinforcement/training on safety issues; referring staff to formal training programs, as appropriate; and recording safety related initiatives for annual reporting.
Total Commitment to Quality
- Participates in the formulation of the mission, philosophy, goals, and objectives for the Department. Carries out same by acting as an agent of the Department within the hospital. Supports the organizational mission, philosophy, goals, and objectives as demonstrated by a positive leadership presence in unit based, departmental, hospital wide, or in public meetings/committees.
- Participates in the process of continuous quality improvement by supporting unit-based quality improvement activities. Demonstrates commitment to customer service values in professional conduct and by promoting such values in assigned staff.
DISCLAIMER STATEMENT: The supplemental job description lists typical examples of work and is not intended to include every job duty and responsibility specific to a position. An employee may be required to perform other related duties not listed on the supplemental job description provided that such duties are characteristic of that classification.
For further information please contact Claire Kent, Assistant Director of Nursing at: (603)271-5835 or email: Claire.A.Kent@dhhs.nh.gov.
You may also contact Human Resources at: NHH-HR@dhhs.nh.gov.
TOTAL COMPENSATION INFORMATION
The State of NH total compensation package features an outstanding set of employee benefits, including:
HMO or POS Medical and Prescription Drug Benefits:
The actual value of State-paid health benefits and the amount of employee health benefit contributions may vary depending on the type of plan selected and the bargaining unit with which a position is associated.
See this link for details on State-paid health benefits:
https://www.das.nh.gov/hr/benefits.aspx
Value of State's share of Employee's Retirement: 12.87% of pay
Other Benefits:
- Dental Plan at minimal cost for employees and their families ($500-$1800 value)
- Flexible Spending healthcare and childcare reimbursement accounts
- State defined benefit retirement plan and Deferred Compensation 457(b) plan
- Work/life balance flexible schedules, paid holidays and generous leave plan
- $50,000 state-paid life insurance plus additional low-cost group life insurance
- Incentive-based Wellness Program (ability to earn up to $500)
Total Compensation Statement Worksheet:
https://www.das.nh.gov/jobsearch/compensation-calculator.aspx
EOE
TDD Access: Relay NH 1-800-735-2964
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Get Access To All JobsTips for Finding TN Visa Sponsorship in Nurse Resident
Verify your NCLEX and licensure before applying
TN visa classification for nurses requires a valid U.S. state RN license, not just NCLEX passage. Get your license transferred or endorsed to the state where your residency program is located before contacting employers about sponsorship.
Target hospital systems with established residency pipelines
Magnet-designated hospitals and large health systems run structured nurse residency programs year-round and are far more practiced at filing TN petitions than smaller community hospitals. Ask recruiters directly whether they've sponsored TN nurses before.
Ask employers to specify TN vs H-1B in your offer
Some hospital HR teams default to H-1B visa for all international hires, even when TN is faster and cap-exempt. Confirm in writing that your offer letter references TN classification so there's no confusion when the petition is prepared.
Search TN-specific nurse resident jobs on Migrate Mate
Migrate Mate filters job listings by TN visa sponsorship availability, so you can identify nurse residency openings where employers have already committed to this pathway rather than cold-applying and discovering sponsorship gaps after interviews.
Prepare a credential packet for the port of entry
Canadian nurses seeking TN status at the border need an RN license, a signed employer offer letter specifying the nurse residency role and duration, and degree transcripts. Missing any one document causes same-day denial with no appeal window.
Understand the Mexican TN cap before your start date
Mexican nationals face a 5,500 annual TN cap, and approvals are processed through USCIS rather than at the border. File well before your residency program start date because USCIS processing adds weeks that Canadian nurses filing at the border don't face.
Nurse Resident TN Visa: Frequently Asked Questions
Does a nurse residency role actually qualify for TN visa status?
Yes, nurse residency positions qualify under the USMCA's registered nurse category, provided you hold a valid U.S. state RN license and the employer's offer letter describes the role as a registered nursing position. The residency title itself doesn't disqualify you; what matters is that the work performed meets the RN classification requirements.
How does the TN visa compare to H-1B for nurse residents?
TN is almost always the better option for nurse residents. There's no annual lottery, no cap for Canadians, and Canadian nurses can get TN status approved at the border the same day. H-1B requires employer sponsorship months in advance, subjects you to a random lottery, and caps are heavily oversubscribed. The only scenario where H-1B matters is if you're pursuing a green card, since TN doesn't support dual intent.
What documents does my employer need to file a TN petition for my nurse residency?
Your employer needs to prepare a signed offer letter that specifies your title, duties, start date, and that the position requires an RN. You'll need to provide your valid U.S. state RN license, nursing degree, and Canadian or Mexican passport. For Mexican nationals, the employer files Form I-129 with USCIS. Canadians present these documents directly at a port of entry.
Where can I find nurse residency jobs that already offer TN visa sponsorship?
Migrate Mate is built specifically for this search. It surfaces nurse residency openings filtered by TN visa sponsorship, so you're not spending time on applications where the employer has no experience with or interest in TN petitions. This is especially useful for Canadian and Mexican nurses who need confirmation of sponsorship before investing in licensure endorsement.
Can I extend my TN status if my nurse residency program lasts two or three years?
Yes. TN status is granted in up to three-year increments and can be renewed indefinitely as long as you maintain a qualifying employer and role. Your employer files for an extension before your current TN period expires. There's no limit on the number of extensions, which makes multi-year nurse residency programs fully compatible with TN status.