TN Visa Nursing Attendant Jobs
Nursing Attendant roles qualify for TN visa sponsorship under the USMCA treaty's Medical/Allied Professionals category, covering direct patient care and support duties in hospitals, long-term care facilities, and rehabilitation centers. Canadian citizens can apply at the port of entry without a cap; Mexican citizens apply through a U.S. consulate.
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Get Access To All JobsINTRODUCTION
At Houston Methodist, the Manager Nursing position is responsible for 24-hour comprehensive operational responsibility for the delivery and quality of patient care provided in the designated areas(s) of responsibility. This registered nurse position fosters interdepartmental/interprofessional collaboration. The Manager, Nursing position participates in committees, representing unit and Nursing in a positive manner. The position assists with developing and implementing performance initiatives, ensuring optimal patient safety, outcomes and customer satisfaction. This position demonstrates leadership qualities and critical thinking through self-direction, initiative, effective interpersonal skills and oral/written communication skills.
The manager position responsibilities include managing the daily work activities of the work unit/department staff, ensuring quality, productivity, functional excellence and efficiency while assisting management in accomplishing strategic and operational objectives. In addition, this position provides guidance to staff and is responsible for staffing, budget compliance, contributing to staffing decisions such as hiring and terminating employment, coaching and counseling employees on work related performance, and assisting in the development and implementation of policies and procedures to ensure a safe and effective work environment. This position also implements training, monitoring and operations initiatives that secure compliance with ethical and legal business practices and accreditation/regulatory/government regulations.
FLSA STATUS
Exempt
BASIC QUALIFICATIONS
Education
Bachelor’s degree or higher from an accredited school of Nursing
Experience
Three years’ experience in nursing, one year in a progressive leadership role in healthcare; for HM internal, two years’ experience in nursing which includes HM performance that demonstrates leadership abilities, i.e. charge nurse responsibilities
LICENSES AND CERTIFICATIONS
Required
RN - Registered Nurse - Texas State Licensure - Texas Board of Nursing_PSV Compact Licensure – Must obtain permanent Texas license within 60 days (if establishing Texas residency)
BLS - Basic Life Support or Instructor (AHA) - American Heart Association
* Magnet - ANCC Recognized Leadership Certification (ANCC)
SKILLS AND ABILITIES
Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through ongoing skills, competency assessments, and performance evaluations
Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
Ability to effectively communicate through a variety of channels with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles; engages the recipient(s) and helps them understand and retain the message
Demonstrates the ability to interact with others in a way that gives them confidence in one’s intentions and those of the organization
Ability to use appropriate interpersonal styles and techniques to gain acceptance of ideas or plans; modifying one’s own behavior to accommodate tasks, situations and individuals involved
Demonstrates leadership qualities and critical thinking through self-direction initiative and effective interpersonal skills and oral/written communication skills
Ability to identify and understand issues, problems and opportunities, comparing data from different sources to draw conclusions; using effective approaches for choosing a course of action or developing appropriate solutions; taking action that is consistent with available facts, constraints and probable consequences
Ability to work effectively in a fast paced environment
Demonstrates flexibility and adaptability in the workplace
* Demonstrates problem solving skills to include investigation, identification of cause(s) and development of corrective action
ESSENTIAL FUNCTIONS
PEOPLE ESSENTIAL FUNCTIONS
Performs management responsibilities of selection, scheduling, supervision, retention, and evaluation of employees in the department. Provides development and mentoring of staff. Meets or exceeds threshold goal for department turnover. Develops direct reports to perform these same functions.
Provides fair and consistent leadership and communication to maintain a competent and engaged employee group by conducting regular department meetings to review policies and procedures and operational matters, rounding on all employees, completing performance appraisals, conducting new hire feedback sessions, coaching/corrective counseling, and providing recognition/commendations to achieve desired outcomes. Provides timely guidance and feedback to help others strengthen specific knowledge/skill areas needed to accomplish a task or solve a problem.
Facilitates and promotes effective team dynamics and teambuilding strategies within and between departments; participates and/or leads and facilitates department process improvements as needed.
Meets or exceeds threshold goal for department and/or system metrics on employee engagement indicators: action readiness score, tier level.
Establishes effective, two-way communication with staff, demonstrating active listening, requesting and acknowledging feedback, making equitable decisions, providing rationale when appropriate, and supporting organizational goals. Coaches staff to use efficient and effective communication to establish and maintain a team environment, and to include the patient and family as a part of the team regarding their plan of care. Assists staff with stress management practices.
SERVICE ESSENTIAL FUNCTIONS
Plans and organizes day-to-day department operations, schedule and activities. Sets priorities and functional standards, giving direction to staff as necessary to ensure the best possible delivery of service and high customer/patient satisfaction.
Drives department service standards and activities to impact department and/or system score for patient/customer-based satisfaction, through role modeling and fostering accountability. Serves and actively participates on various entity committees as a voice for the department.
Serves as role model to staff, reinforcing principles of service orientation and ensuring that the focus is always on improving patient care and/or services, effectively resolve concerns, complaints or conflict with patients, families, physicians and other interprofessional health care team members, taking appropriate action and channeling concerns according to appropriate procedures.
* Maintains ongoing interactions with patients, families, physicians, and staff on how to improve patient care and service provided.
QUALITY/SAFETY ESSENTIAL FUNCTIONS
Ensures a safe and effective working environment; monitors and/or revises the department safety plan and/or any specific accreditation/regulatory required safety guidelines, including infection control principles. Monitors and confirms staff maintain their required credentials that demonstrate competency per accrediting agency or department guidelines as applicable.
Uses and optimizes information systems to enhance operations; supports entity-specific performance improvement and data management/analysis functions.
Employs a proactive approach in the optimization of safe outcomes by monitoring and improving the department workflow, using peer-to-peer accountability, reporting near misses and/or adverse events immediately and identifying solutions via collaboration. Adopts lean principles in driving process improvements. Role models situational awareness, using teachable moments to improve safety.
Monitors self and employee compliance with policies, procedures, and System HR Standards of Practice and performs associated actions upon non-compliance (i.e., focal point review requirements, disaster plan, in-services, influenza immunization, wage and hour, standard hours, timely termination submission, timely timecard approval, etc.).
Prepares measurable goals and objectives that are consistent with Houston Methodist priorities, and develops action plans for achieving goals, incorporating collaborative efforts when appropriate.
FINANCE ESSENTIAL FUNCTIONS
Assists in the development of department budget and ensures that the department operates in a cost-effective manner. Manages/audits department expenses within approved budget parameters, ensuring that the department meets the budgeted/flex revenue and/or expense targets on a monthly and annual basis. Develops staffing plans and schedules to meet department/patient care needs that reflect understanding of the importance of cost-effectiveness.
Implements department strategies to achieve financial target and staffing needs, developing others to do the same, through optimizing productivity, supply/resource efficiency, minimizing incidental overtime and overtime percentage, and other areas according to department specifications.
Plans coverage of unit to maximize presence of management and staff. Develops staffing plans and schedules to meet department/patient care needs that reflect understanding of the importance of cost-effectiveness.
GROWTH/INNOVATION ESSENTIAL FUNCTIONS
Identifies and implements innovative solutions for practice or workflow changes to improve department operations or other department-specific measures by leading unit projects and/or other department/system directed shared governance activities. Supports change initiatives, maintaining effectiveness when experiencing major changes in work responsibilities or environment; adjusts effectively to work within new work structures, processes, requirements or cultures.
Proactively evaluates processes; recommends and implements action plan(s) for change; follows through to ensure effective, sustainable change. Participates in the development and implementation of new procedures and the review and revision of existing procedures.
Identifies opportunities and takes action to build strategic relationships between one’s area and other areas, teams, departments, and units to achieve business goals.
* Seeks opportunities to identify developmental needs of self and staff and takes appropriate action. Ensures own career discussions occur with appropriate management. Completes and updates the individual development plan (IDP) on an ongoing basis. Conducts conversations with staff on their development and IDP.
SUPPLEMENTAL REQUIREMENTS
WORK ATTIRE
+ Uniform: No
+ Scrubs: Yes
+ Business professional: Yes
+ Other (department approved): No
ON-CALL
+ Note that employees may be required to be on-call during emergencies (ie. Disaster, Severe Weather Events, etc) regardless of selection below.
+ On Call Yes
TRAVEL
Travel specifications may vary by department
+ May require travel within the Houston Metropolitan area Yes
+ May require travel outside Houston Metropolitan area No
Houston Methodist is an Equal Opportunity Employer.
INTRODUCTION
At Houston Methodist, the Manager Nursing position is responsible for 24-hour comprehensive operational responsibility for the delivery and quality of patient care provided in the designated areas(s) of responsibility. This registered nurse position fosters interdepartmental/interprofessional collaboration. The Manager, Nursing position participates in committees, representing unit and Nursing in a positive manner. The position assists with developing and implementing performance initiatives, ensuring optimal patient safety, outcomes and customer satisfaction. This position demonstrates leadership qualities and critical thinking through self-direction, initiative, effective interpersonal skills and oral/written communication skills.
The manager position responsibilities include managing the daily work activities of the work unit/department staff, ensuring quality, productivity, functional excellence and efficiency while assisting management in accomplishing strategic and operational objectives. In addition, this position provides guidance to staff and is responsible for staffing, budget compliance, contributing to staffing decisions such as hiring and terminating employment, coaching and counseling employees on work related performance, and assisting in the development and implementation of policies and procedures to ensure a safe and effective work environment. This position also implements training, monitoring and operations initiatives that secure compliance with ethical and legal business practices and accreditation/regulatory/government regulations.
FLSA STATUS
Exempt
BASIC QUALIFICATIONS
Education
Bachelor’s degree or higher from an accredited school of Nursing
Experience
Three years’ experience in nursing, one year in a progressive leadership role in healthcare; for HM internal, two years’ experience in nursing which includes HM performance that demonstrates leadership abilities, i.e. charge nurse responsibilities
LICENSES AND CERTIFICATIONS
Required
RN - Registered Nurse - Texas State Licensure - Texas Board of Nursing_PSV Compact Licensure – Must obtain permanent Texas license within 60 days (if establishing Texas residency)
BLS - Basic Life Support or Instructor (AHA) - American Heart Association
* Magnet - ANCC Recognized Leadership Certification (ANCC)
SKILLS AND ABILITIES
Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through ongoing skills, competency assessments, and performance evaluations
Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
Ability to effectively communicate through a variety of channels with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles; engages the recipient(s) and helps them understand and retain the message
Demonstrates the ability to interact with others in a way that gives them confidence in one’s intentions and those of the organization
Ability to use appropriate interpersonal styles and techniques to gain acceptance of ideas or plans; modifying one’s own behavior to accommodate tasks, situations and individuals involved
Demonstrates leadership qualities and critical thinking through self-direction initiative and effective interpersonal skills and oral/written communication skills
Ability to identify and understand issues, problems and opportunities, comparing data from different sources to draw conclusions; using effective approaches for choosing a course of action or developing appropriate solutions; taking action that is consistent with available facts, constraints and probable consequences
Ability to work effectively in a fast paced environment
Demonstrates flexibility and adaptability in the workplace
* Demonstrates problem solving skills to include investigation, identification of cause(s) and development of corrective action
ESSENTIAL FUNCTIONS
PEOPLE ESSENTIAL FUNCTIONS
Performs management responsibilities of selection, scheduling, supervision, retention, and evaluation of employees in the department. Provides development and mentoring of staff. Meets or exceeds threshold goal for department turnover. Develops direct reports to perform these same functions.
Provides fair and consistent leadership and communication to maintain a competent and engaged employee group by conducting regular department meetings to review policies and procedures and operational matters, rounding on all employees, completing performance appraisals, conducting new hire feedback sessions, coaching/corrective counseling, and providing recognition/commendations to achieve desired outcomes. Provides timely guidance and feedback to help others strengthen specific knowledge/skill areas needed to accomplish a task or solve a problem.
Facilitates and promotes effective team dynamics and teambuilding strategies within and between departments; participates and/or leads and facilitates department process improvements as needed.
Meets or exceeds threshold goal for department and/or system metrics on employee engagement indicators: action readiness score, tier level.
Establishes effective, two-way communication with staff, demonstrating active listening, requesting and acknowledging feedback, making equitable decisions, providing rationale when appropriate, and supporting organizational goals. Coaches staff to use efficient and effective communication to establish and maintain a team environment, and to include the patient and family as a part of the team regarding their plan of care. Assists staff with stress management practices.
SERVICE ESSENTIAL FUNCTIONS
Plans and organizes day-to-day department operations, schedule and activities. Sets priorities and functional standards, giving direction to staff as necessary to ensure the best possible delivery of service and high customer/patient satisfaction.
Drives department service standards and activities to impact department and/or system score for patient/customer-based satisfaction, through role modeling and fostering accountability. Serves and actively participates on various entity committees as a voice for the department.
Serves as role model to staff, reinforcing principles of service orientation and ensuring that the focus is always on improving patient care and/or services, effectively resolve concerns, complaints or conflict with patients, families, physicians and other interprofessional health care team members, taking appropriate action and channeling concerns according to appropriate procedures.
* Maintains ongoing interactions with patients, families, physicians, and staff on how to improve patient care and service provided.
QUALITY/SAFETY ESSENTIAL FUNCTIONS
Ensures a safe and effective working environment; monitors and/or revises the department safety plan and/or any specific accreditation/regulatory required safety guidelines, including infection control principles. Monitors and confirms staff maintain their required credentials that demonstrate competency per accrediting agency or department guidelines as applicable.
Uses and optimizes information systems to enhance operations; supports entity-specific performance improvement and data management/analysis functions.
Employs a proactive approach in the optimization of safe outcomes by monitoring and improving the department workflow, using peer-to-peer accountability, reporting near misses and/or adverse events immediately and identifying solutions via collaboration. Adopts lean principles in driving process improvements. Role models situational awareness, using teachable moments to improve safety.
Monitors self and employee compliance with policies, procedures, and System HR Standards of Practice and performs associated actions upon non-compliance (i.e., focal point review requirements, disaster plan, in-services, influenza immunization, wage and hour, standard hours, timely termination submission, timely timecard approval, etc.).
Prepares measurable goals and objectives that are consistent with Houston Methodist priorities, and develops action plans for achieving goals, incorporating collaborative efforts when appropriate.
FINANCE ESSENTIAL FUNCTIONS
Assists in the development of department budget and ensures that the department operates in a cost-effective manner. Manages/audits department expenses within approved budget parameters, ensuring that the department meets the budgeted/flex revenue and/or expense targets on a monthly and annual basis. Develops staffing plans and schedules to meet department/patient care needs that reflect understanding of the importance of cost-effectiveness.
Implements department strategies to achieve financial target and staffing needs, developing others to do the same, through optimizing productivity, supply/resource efficiency, minimizing incidental overtime and overtime percentage, and other areas according to department specifications.
Plans coverage of unit to maximize presence of management and staff. Develops staffing plans and schedules to meet department/patient care needs that reflect understanding of the importance of cost-effectiveness.
GROWTH/INNOVATION ESSENTIAL FUNCTIONS
Identifies and implements innovative solutions for practice or workflow changes to improve department operations or other department-specific measures by leading unit projects and/or other department/system directed shared governance activities. Supports change initiatives, maintaining effectiveness when experiencing major changes in work responsibilities or environment; adjusts effectively to work within new work structures, processes, requirements or cultures.
Proactively evaluates processes; recommends and implements action plan(s) for change; follows through to ensure effective, sustainable change. Participates in the development and implementation of new procedures and the review and revision of existing procedures.
Identifies opportunities and takes action to build strategic relationships between one’s area and other areas, teams, departments, and units to achieve business goals.
* Seeks opportunities to identify developmental needs of self and staff and takes appropriate action. Ensures own career discussions occur with appropriate management. Completes and updates the individual development plan (IDP) on an ongoing basis. Conducts conversations with staff on their development and IDP.
SUPPLEMENTAL REQUIREMENTS
WORK ATTIRE
+ Uniform: No
+ Scrubs: Yes
+ Business professional: Yes
+ Other (department approved): No
ON-CALL
+ Note that employees may be required to be on-call during emergencies (ie. Disaster, Severe Weather Events, etc) regardless of selection below.
+ On Call Yes
TRAVEL
Travel specifications may vary by department
+ May require travel within the Houston Metropolitan area Yes
+ May require travel outside Houston Metropolitan area No
Houston Methodist is an Equal Opportunity Employer.
See all 28,872+ Nursing Attendant jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new Nursing Attendant roles.
Get Access To All JobsTips for Finding TN Visa Sponsorship as a Nursing Attendant
Verify your credential documentation before applying
TN classification for Nursing Attendants requires proof of relevant training or certification, not just a job offer. Gather transcripts, CPR certification, and any state-recognized nursing assistant credentials before reaching out to U.S. employers.
Target employers with active CMS certification
Hospitals and skilled nursing facilities certified by the Centers for Medicare and Medicaid Services are accustomed to sponsoring foreign-national clinical staff. They maintain compliance infrastructure that makes TN sponsorship documentation faster and more straightforward for you.
Use Migrate Mate to find TN sponsorship-ready employers
Not every facility knows how to file TN paperwork for Nursing Attendants. Migrate Mate filters job opportunities by verified sponsorship history, so you're applying to employers already familiar with the process.
Ask about E-Verify enrollment during your offer stage
Federal contractors and many healthcare systems are required to use E-Verify. Confirming your prospective employer is enrolled before accepting an offer prevents delays in your I-9 completion after your TN status is granted.
Get your support letter drafted before your port of entry appointment
Canadian applicants present their TN support letter directly to a CBP officer. The letter must specify your job title as Nursing Attendant, your USMCA category, and your start date. Errors here cause denials on the spot.
Mexicans should apply at the consulate early in the hiring process
Mexican nationals require a visa stamp before entering the U.S. to work, so consular appointment wait times affect your actual start date. Align your employer's onboarding timeline with the consulate's current scheduling availability.
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Find Nursing Attendant JobsNursing Attendant TN Visa: Frequently Asked Questions
Does the Nursing Attendant role qualify for TN visa status?
Yes. Nursing Attendants qualify under the USMCA's Medical/Allied Professionals category, which covers roles involving direct patient care and support in licensed healthcare settings. Your employer's offer letter must explicitly describe duties consistent with that category, and you must hold relevant training or certification recognized in your home country.
How does TN compare to H-1B for Nursing Attendant positions?
TN has no annual lottery, no cap for Canadians, and no lengthy USCIS adjudication period. H-1B requires a bachelor's degree in a specialty field and selection in a random lottery, which makes it impractical for most Nursing Attendant roles. TN can be granted at the Canadian port of entry the same day you present your documentation.
Where can I find Nursing Attendant jobs that offer TN visa sponsorship?
Migrate Mate is built specifically for Canadian and Mexican professionals seeking TN-eligible roles in the U.S. It surfaces employers with verified sponsorship experience so you're not cold-applying to facilities unfamiliar with TN filings. Searching by role and visa type narrows results to employers who can actually move the process forward.
Can I switch employers while on TN status as a Nursing Attendant?
Yes, but your TN status is tied to your specific employer and job description. If you change employers, you need a new TN authorization before starting work with the new facility. Canadian citizens can obtain this at a port of entry; Mexican nationals must return to a U.S. consulate for a new visa stamp.
What happens if my Nursing Attendant TN petition is denied at the border?
CBP officers adjudicate Canadian TN applications on the spot, and a denial means you cannot enter to work under that petition. Common causes include vague job descriptions, missing credentials, or a support letter that doesn't clearly link your duties to the USMCA Nursing Attendant category. You can reapply immediately with corrected documentation.
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