TN Visa Nursing Officer Jobs
Nursing Officer roles qualify for TN visa sponsorship under USMCA, making this one of the more accessible paths for Canadian and Mexican registered nurses seeking U.S. hospital employment. Your degree, active licensure, and a verified job offer are the three documents that drive every application.
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Description
Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina.
Summary
Coordinate all clinical care within all clinics to maximize safety, patient and co-worker satisfaction and quality outcomes.
Responsibilities
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Coordinates clinical assignments for each day and clinic to ensure optimal coverage, timely patient flow, and excellent patient care. Identify opportunities to improve clinic flow. Works with Manager, Physicians, and APPs to provide a dynamic and user-friendly practice environment for all staff. Ensures that care/service delivered to each patient is appropriate and in accordance with Physician orders, departmental policies, and with full consideration of patient safety needs. Documents in patient care records.
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Serves as a clinical and management resource for decision-making, problem solving and employee performance reviews. Serves as a liaison between staff, physicians and Manager. Advises medical staff and Manager in matters related to patient care and operation of the department. Assists in addressing patient issues/complaints related to care/service received. Serves as a point of contact between nurses, providers, and other team members. Delegates tasks to clinical, non-clinical, and volunteer staff as appropriate.
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Assists in the development and implementation of clinical policies and procedures. Ensures that clinical nursing staff is adhering to all applicable policies and procedures including JCAHO, OSHA, and other regulatory standards. Establishes, maintains and evaluates protocols, policies and procedures in conjunction with physician staff and Manager. Assists with the evaluation of quality of care/service provided. Identifies areas needing improvement and makes appropriate recommendations to address quality deficiencies.
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Provides direct patient care maintaining current skills and competencies required of other Registered Nurses in the department. Ensures patient care maintains the UNC REX Healthcare standard of excellence. Ensures clinic nurses are properly trained to perform clinic procedures and patient care.
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Maintains adequate inventory of clinical supplies and equipment. Assists with adherence to the budget, cost containment and product selection.
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Adheres to the American Nurses Association Code of Ethics. Participates in performance improvement and quality improvement activities. Recognizes, supports, and utilizes evidence based nursing practices.
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Assists in the development and implementation of an orientation plan for new staff. In conjunction with Manager, prepares clinical staff time schedules, ensuring adequate staffing of the unit and provides assistance in covering staff absences. Identifies, coordinates and conducts ongoing continuing education programs for the staff. Serves as lead for annual competency training. Serves as a role model for other staff in the unit.
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Collaborates with physicians and APPs to customize their clinics, in order to meet the unique needs of their patient population. Assists in the development and implementation of clinical policies and procedures to reflect these standards. Ensures that clinical nursing staff is adhering to all applicable policies and procedures including TJC, OSHA, and other regulatory standards.
Other Information
Education Requirements:
- Nursing Diploma, Associate Degree (ADN) or Bachelor's Degree (BSN).
Licensure/Certification Requirements:
- BLS certification required. Licensed to practice as RN in North Carolina.
Professional Experience Requirements:
- Two (2) years (RN/LPN) nursing experience with at least one (1) year as a RN in a medical office or outpatient setting preferred. Prefer previous supervisory experience.
Knowledge/Skills/and Abilities Requirements:
- Language Skills: Ability to read, analyze, and interpret clinical information and technical procedures. Ability to document clinical information. Ability to effectively communicate information and respond to questions from patients, physicians, family members and other Rex staff.
- Mathematical Skills: Ability to apply concepts such as fractions, percentages, ratios and proportions to practical situations.
- Reasoning Ability: Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of technical instructions.
Job Details
Legal Employer: NCHEALTH
Entity: UNC Health Medical Group
Organization Unit: UNC Orthopedics Sports Medicine at Lenoir
Work Type: Full Time
Standard Hours Per Week: 40.00
Salary Range: $33.37 - $47.97 per hour (Hiring Range)
Pay offers are determined by experience and internal equity
Work Assignment Type: Onsite
Work Schedule: Day Job
Location of Job: US:NC:Kinston
Exempt From Overtime: Exempt: No
This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Heath Care System. This is not a State employed position.
Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.
UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.
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Get Access To All JobsTips for Finding TN Visa Sponsorship in Nursing Officer
Verify your licensure transfers across borders
State nursing boards set their own endorsement timelines, and some require NCLEX retesting for Mexican nurses. Confirm your target state's requirements before accepting any offer, since your TN visa petition depends on active licensure in that state.
Target hospitals with recent visa sponsorship experience
Large health systems and academic medical centers are experienced with visa sponsorship and have HR processes in place to support international hires. Use Migrate Mate to filter Nursing Officer roles by employers with recent visa filings, helping you identify organizations likely familiar with sponsorship requirements and cutting your search time significantly.
Request a support letter that names your specialty unit
Your employer's support letter must describe the Nursing Officer role in specialty-specific terms matching your credentials. A generic letter citing only 'registered nurse duties' invites CBP scrutiny at the port of entry.
Understand the Mexican TN allocation before applying
Mexican nationals face a 5,500-per-year TN cap, unlike Canadians who have no numerical limit. If you're applying from Mexico, time your petition early in the fiscal year to avoid processing delays from cap proximity.
Confirm your employer's support letter includes key qualifications
Your offer letter must reflect competitive compensation appropriate for your nursing classification and geographic area. Employers unfamiliar with TN requirements sometimes issue offers that fall short, which can trigger a CBP denial at the border.
Carry your full credential package at the port of entry
Canadian nurses applying at the border need originals or certified copies of nursing degree transcripts, your NCLEX results, state license documentation, and the employer support letter. CBP officers can deny entry if any document is missing or ambiguous.
Nursing Officer TN Visa: Frequently Asked Questions
Does a Nursing Officer role actually qualify for a TN visa?
Yes. Nurses are explicitly listed as a qualifying TN profession under USMCA, provided you hold a baccalaureate or licenciatura degree in nursing and a valid state license. The job offer must be for a position requiring those credentials. Roles with generalized administrative duties that don't require active RN licensure may not qualify, so the offer letter language matters.
How does the TN visa compare to the H-1B for Nursing Officers?
The TN has no annual lottery, no cap for Canadians, and can be obtained at a port of entry the same day for Canadian citizens. H-1B visa requires an employer to enter a lottery, wait months for adjudication, and pay significantly higher filing fees. For Canadian nurses especially, the TN is far more predictable. Mexican nurses face a 5,500-per-year TN cap but still avoid the H-1B lottery entirely.
Which U.S. employers actively sponsor TN visas for Nursing Officers?
Large hospital networks, academic medical centers, and multi-state health systems are the most consistent TN sponsors for nursing roles because they have dedicated immigration HR teams. Smaller community hospitals may be willing but lack experience with the TN process. Use Migrate Mate to identify Nursing Officer roles at employers with a documented history of TN sponsorship, so you're not educating HR from scratch.
Can a Mexican nurse apply for a TN visa at a U.S. consulate?
Yes. Mexican nationals must apply through a U.S. consulate rather than at a port of entry, which adds scheduling and processing time compared to the Canadian border crossing process. You'll need your passport, DS-160, employer support letter, degree credentials, and state nursing license documentation. Consular processing typically takes several weeks, so plan your start date accordingly.
What happens to my TN status if my hospital employer terminates the role?
Your TN status is tied to that specific employer and role. If the position ends, your authorized stay ends with it. You have a practical grace period to depart or secure a new TN-qualifying offer, but there is no formal 60-day grace period under TN rules the way there is under H-1B. Lining up a new offer quickly is essential, and your new employer must file a fresh TN petition.