TN Visa Practice Assistant Jobs
Practice Assistant roles qualify for TN visa sponsorship under the USMCA's Medical/Allied Professionals category, provided you hold a qualifying credential and a job offer from a U.S. employer. Canadian citizens can apply at the border with no cap; Mexican citizens go through consular processing. No lottery, no annual limit for Canadians.
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Get Access To All JobsJoin the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage.
Functional Title: Advanced Practice RN
Job Title: Advanced Practice RN I
Agency: Health & Human Services Comm
Department: MedClinic/Prof Medical Svs M
Posting Number: 21308
Closing Date: 09/24/2026
Posting Audience: Internal and External
Occupational Category: Healthcare Practitioners and Technical
Salary Range: $10,400.00 - $13,051.00
Pay Frequency: Monthly
Salary Group: TEXAS-B-28
Shift: Day
Telework: Not Eligible for Telework
Travel: Up to 10%
Regular/Temporary: Regular
Full Time/Part Time: Full time
FLSA Exempt/Non-Exempt: Exempt
Facility Location:
Job Location City: KERRVILLE
Job Location Address: 721 THOMPSON DR
Other Locations: Kerrville
MOS Codes: 290X, 46YX, 66P, 66R, HS
Brief Job Description:
Would you thrive in an environment where you learn and grow personally and professionally all while helping make a positive impact on people’s lives? Do you appreciate being around others like yourself who are dependable, trustworthy, hard workers who believe in the value of teamwork? HSCS is dedicated to building an atmosphere where employees feel valued and supported while providing specialized care for Texans in need. HSCS is comprised of ten psychiatric hospitals, two youth residential treatment facilities, and thirteen state supported living centers. Psychiatric hospitals are a hub of excellence for forensic mental health and complex psychiatric care, with all facilities accredited by The Joint Commission. They provide state-of-the-art treatment that is recovery-oriented and science-based. If providing hope and healing through compassionate, innovative, and individualized care interests you, we welcome your application for the position below.
The Advanced Practice RN is appointed by the Medical Director subject to the approval of the State Hospital Superintendent. Performs highly complex to advanced (senior level) clinical medical care under the clinical and administrative supervision of the Medical Director and/or another supervising physician. Work involves assessing, planning, and providing comprehensive patient care independently or in collaboration with other health care professionals. Directs medical activities/treatment, monitors trends and activities, and makes recommendations for improvement. Utilizes advanced nursing skills in the treatment and care of patients to include medical assessments. Limited prescriptive authority and the evaluation of the efficacy and progress of a patient’s individualized care plan. Provides treatment to HHSC employees injured in course and scope of employment. Works under limited supervision with extensive latitude for the use of initiative and independent judgment.
Performs other duties as assigned. Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location.
This position may be eligible to earn additional pay for work performed on evenings, nights and/or weekends.
This position may also be eligible to earn additional pay for work performed on maximum security locations.
Essential Job Functions (EJFs):
Attends work on a regular basis and may be asked to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned.
Operates within the scope of their licensure to promote and maintain a therapeutic and safe medical environment. Provides acute care to individuals, including daily assessment of acute health problems or injury in the clinic and/or infirmary. The assessment includes diagnosis, treatment, and a plan of care with documentation of the acute issue, assessing injuries, including possible sutures and/or referrals to hospital or emergency room.
Operates within the scope of their licensure to promote and maintain a therapeutic and safe medical environment. Provides chronic care to individuals, which includes a quarterly assessment for individuals with identified chronic health care diagnosis, a review of appropriate treatment specific to the disease process and update or change of medical treatment as warranted, and monitoring of the chronic condition, quarterly assessment for individuals with identified chronic health care diagnosis including review of appropriate treatment specific to the disease process and update or change of medical treatment as warranted.
Provides comprehensive medical care, which includes conducting rounds, review of hospitalized patient and on-call cases for status of condition individuals are under treatment.
Provides medical diagnosis and the review of the recovery plan. Includes review of all the identified risks of the individual, (choking, pneumonia, etc.) as well as their health status, and ensures necessary supports (OT, PT, Nursing, etc.) have been identified and appropriate areas of need are being addressed.
Develops accurate and timely documentation, which includes annual summaries and pre-procedural histories and physicals, documentation of specialty medical consultation, physical restraints, and all acute and chronic patient care.
Provides treatment to HHSC employees injured in course and scope of employment as needed.
Performs other duties as assigned. Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location.
Knowledge, Skills and Abilities (KSAs):
Knowledge of methods and procedures in the field of general medicine/nursing including laws and ordinances governing public health and hospital operations
Knowledge of principles, methods, and procedures for the delivery of medical evaluations, diagnosis, and treatment
Knowledge of the principles of the development, implementation, and documentation of case histories and individualized care and treatment plans
Skills in interpretation of laboratory analyses and x-rays.
Skills in the care and treatment of patients and in the use of medical diagnostic and treatment tools and equipment
Ability to examine, diagnose, and treat physical disorders.
Ability to supervise the work of others who provide medical care to patients.
Ability to appropriately interact with individuals with developmental disabilities.
Ability to present ideas clearly and concisely in both written and oral communications.
Ability to prepare and maintain medical records.
Ability to work productively with professionals and paraprofessionals as an effective member of an interdisciplinary team.
Ability to work independently and be flexible in carrying out assigned responsibilities.
Registrations, Licensure Requirements or Certifications:
Must be a registered nurse in the State of Texas or in another state that recognizes reciprocity through the Nurse Licensure Compact
Must be certified as an Advanced Practice Registered Nurse (APRN) by the Texas Board of Nursing, and certified as a family, adult/geriatric APRN by a certifying board (i.e., American Nurses Credentialing Center) (ANCC)
Must have, or ability to obtain, a current registration certificate from the Drug Enforcement Agency (DEA)
Must possess a National Provider Identifier (NPI#) as defined by Medicare Part B
Initial Screening Criteria:
Graduation from an advanced practice registered nurse educational program accredited by a national nursing education accrediting body that is recognized by the U.S. Department of Education and the Texas Board of Nursing with a master’s degree or higher level.
One year of clinical nursing experience.
Experience in supervising or leading the work of others preferred.
Additional Information:
Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aid, Medication Aide and Employee Misconduct, List of Excluded Individuals/Entities (LEIE). Males between the ages of 18-25 must be registered with the Selective Service.
All applicants must be at least 18 years of age to be considered for employment at a state-operated facility. Waco and Terrell Center for Youth applicants must be 21 years of age.
Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours.
Compliance with HHSC immunization policy and state hospital operating procedures related to immunizations is required. According to the Centers for Disease Control and Prevention, healthcare workers are considered to be at significant risk for acquiring or transmitting hepatitis B, measles, mumps, rubella, varicella (chicken pox), tetanus, diphtheria, pertussis (whooping cough), and influenza. All these diseases are vaccine preventable. As a result, state hospital policy requires employees be vaccinated according to their level of contact with individuals. In the event you choose to not be immunized for the influenza virus, you may be required to wear a mask and take other protective measures.
Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC.
Active Duty, Military, Reservists, Guardsmen, and Veterans:
Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor’s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions.
ADA Accommodations:
In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the online application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.
Pre-Employment Checks and Work Eligibility:
Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks.
HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form.
Telework Disclaimer:
This position may be eligible for telework. Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.
Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage.
Functional Title: Advanced Practice RN
Job Title: Advanced Practice RN I
Agency: Health & Human Services Comm
Department: MedClinic/Prof Medical Svs M
Posting Number: 21308
Closing Date: 09/24/2026
Posting Audience: Internal and External
Occupational Category: Healthcare Practitioners and Technical
Salary Range: $10,400.00 - $13,051.00
Pay Frequency: Monthly
Salary Group: TEXAS-B-28
Shift: Day
Telework: Not Eligible for Telework
Travel: Up to 10%
Regular/Temporary: Regular
Full Time/Part Time: Full time
FLSA Exempt/Non-Exempt: Exempt
Facility Location:
Job Location City: KERRVILLE
Job Location Address: 721 THOMPSON DR
Other Locations: Kerrville
MOS Codes: 290X, 46YX, 66P, 66R, HS
Brief Job Description:
Would you thrive in an environment where you learn and grow personally and professionally all while helping make a positive impact on people’s lives? Do you appreciate being around others like yourself who are dependable, trustworthy, hard workers who believe in the value of teamwork? HSCS is dedicated to building an atmosphere where employees feel valued and supported while providing specialized care for Texans in need. HSCS is comprised of ten psychiatric hospitals, two youth residential treatment facilities, and thirteen state supported living centers. Psychiatric hospitals are a hub of excellence for forensic mental health and complex psychiatric care, with all facilities accredited by The Joint Commission. They provide state-of-the-art treatment that is recovery-oriented and science-based. If providing hope and healing through compassionate, innovative, and individualized care interests you, we welcome your application for the position below.
The Advanced Practice RN is appointed by the Medical Director subject to the approval of the State Hospital Superintendent. Performs highly complex to advanced (senior level) clinical medical care under the clinical and administrative supervision of the Medical Director and/or another supervising physician. Work involves assessing, planning, and providing comprehensive patient care independently or in collaboration with other health care professionals. Directs medical activities/treatment, monitors trends and activities, and makes recommendations for improvement. Utilizes advanced nursing skills in the treatment and care of patients to include medical assessments. Limited prescriptive authority and the evaluation of the efficacy and progress of a patient’s individualized care plan. Provides treatment to HHSC employees injured in course and scope of employment. Works under limited supervision with extensive latitude for the use of initiative and independent judgment.
Performs other duties as assigned. Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location.
This position may be eligible to earn additional pay for work performed on evenings, nights and/or weekends.
This position may also be eligible to earn additional pay for work performed on maximum security locations.
Essential Job Functions (EJFs):
Attends work on a regular basis and may be asked to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned.
Operates within the scope of their licensure to promote and maintain a therapeutic and safe medical environment. Provides acute care to individuals, including daily assessment of acute health problems or injury in the clinic and/or infirmary. The assessment includes diagnosis, treatment, and a plan of care with documentation of the acute issue, assessing injuries, including possible sutures and/or referrals to hospital or emergency room.
Operates within the scope of their licensure to promote and maintain a therapeutic and safe medical environment. Provides chronic care to individuals, which includes a quarterly assessment for individuals with identified chronic health care diagnosis, a review of appropriate treatment specific to the disease process and update or change of medical treatment as warranted, and monitoring of the chronic condition, quarterly assessment for individuals with identified chronic health care diagnosis including review of appropriate treatment specific to the disease process and update or change of medical treatment as warranted.
Provides comprehensive medical care, which includes conducting rounds, review of hospitalized patient and on-call cases for status of condition individuals are under treatment.
Provides medical diagnosis and the review of the recovery plan. Includes review of all the identified risks of the individual, (choking, pneumonia, etc.) as well as their health status, and ensures necessary supports (OT, PT, Nursing, etc.) have been identified and appropriate areas of need are being addressed.
Develops accurate and timely documentation, which includes annual summaries and pre-procedural histories and physicals, documentation of specialty medical consultation, physical restraints, and all acute and chronic patient care.
Provides treatment to HHSC employees injured in course and scope of employment as needed.
Performs other duties as assigned. Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location.
Knowledge, Skills and Abilities (KSAs):
Knowledge of methods and procedures in the field of general medicine/nursing including laws and ordinances governing public health and hospital operations
Knowledge of principles, methods, and procedures for the delivery of medical evaluations, diagnosis, and treatment
Knowledge of the principles of the development, implementation, and documentation of case histories and individualized care and treatment plans
Skills in interpretation of laboratory analyses and x-rays.
Skills in the care and treatment of patients and in the use of medical diagnostic and treatment tools and equipment
Ability to examine, diagnose, and treat physical disorders.
Ability to supervise the work of others who provide medical care to patients.
Ability to appropriately interact with individuals with developmental disabilities.
Ability to present ideas clearly and concisely in both written and oral communications.
Ability to prepare and maintain medical records.
Ability to work productively with professionals and paraprofessionals as an effective member of an interdisciplinary team.
Ability to work independently and be flexible in carrying out assigned responsibilities.
Registrations, Licensure Requirements or Certifications:
Must be a registered nurse in the State of Texas or in another state that recognizes reciprocity through the Nurse Licensure Compact
Must be certified as an Advanced Practice Registered Nurse (APRN) by the Texas Board of Nursing, and certified as a family, adult/geriatric APRN by a certifying board (i.e., American Nurses Credentialing Center) (ANCC)
Must have, or ability to obtain, a current registration certificate from the Drug Enforcement Agency (DEA)
Must possess a National Provider Identifier (NPI#) as defined by Medicare Part B
Initial Screening Criteria:
Graduation from an advanced practice registered nurse educational program accredited by a national nursing education accrediting body that is recognized by the U.S. Department of Education and the Texas Board of Nursing with a master’s degree or higher level.
One year of clinical nursing experience.
Experience in supervising or leading the work of others preferred.
Additional Information:
Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aid, Medication Aide and Employee Misconduct, List of Excluded Individuals/Entities (LEIE). Males between the ages of 18-25 must be registered with the Selective Service.
All applicants must be at least 18 years of age to be considered for employment at a state-operated facility. Waco and Terrell Center for Youth applicants must be 21 years of age.
Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours.
Compliance with HHSC immunization policy and state hospital operating procedures related to immunizations is required. According to the Centers for Disease Control and Prevention, healthcare workers are considered to be at significant risk for acquiring or transmitting hepatitis B, measles, mumps, rubella, varicella (chicken pox), tetanus, diphtheria, pertussis (whooping cough), and influenza. All these diseases are vaccine preventable. As a result, state hospital policy requires employees be vaccinated according to their level of contact with individuals. In the event you choose to not be immunized for the influenza virus, you may be required to wear a mask and take other protective measures.
Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC.
Active Duty, Military, Reservists, Guardsmen, and Veterans:
Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor’s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions.
ADA Accommodations:
In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the online application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.
Pre-Employment Checks and Work Eligibility:
Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks.
HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form.
Telework Disclaimer:
This position may be eligible for telework. Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.
See all 326+ TN Visa Practice Assistant Jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new TN Visa Practice Assistant Jobs.
Get Access To All JobsTips for Finding TN Visa Sponsorship as a Practice Assistant
Match your credential to the TN category
Practice Assistant falls under the Medical/Allied Professionals list. Confirm your Canadian or Mexican credential maps directly to the USCIS-recognized classification before applying, because a mismatch in job title or credential type is the most common TN visa denial reason.
Target clinics with active E-Verify enrollment
Employers who hire TN workers must verify work authorization. Searching for Practice Assistant openings at E-Verify-enrolled practices filters out employers unfamiliar with cross-border hiring and cuts time spent educating HR from scratch.
Request an offer letter that mirrors TN language
Your offer letter must state your TN classification, specific duties, and employment period. Ask HR to include language reflecting what USCIS expects for Medical/Allied Professionals, not a generic employment letter, before your border or consular appointment.
Find TN-sponsoring employers through Migrate Mate
Search Practice Assistant roles on Migrate Mate to filter specifically for employers offering TN visa sponsorship. This avoids sorting through listings from employers with no cross-border hiring experience or no established TN filing process.
Prepare for consular processing if you hold Mexican citizenship
Mexican citizens cannot self-petition at the border and must attend a U.S. consular interview. Schedule your appointment immediately after receiving your offer letter, since appointment wait times at Mexico City and Monterey vary and can affect your start date.
Bring primary-source credential documents to your CBP inspection
Canadian citizens seeking TN status at a U.S. port of entry must present original credentials, not notarized copies. CBP officers have discretion to deny entry if documents appear unofficial, so carry degree certificates and license documents issued directly by the credentialing body.
Practice Assistant TN Visa: Frequently Asked Questions
Does a Practice Assistant role qualify for TN visa status?
Yes, Practice Assistants can qualify under the TN Medical/Allied Professionals category, provided the role involves duties consistent with that classification and your credential aligns with what USCIS recognizes. The job offer letter must specify your classification explicitly. Roles that blur into general administrative support rather than clinical assistance can face additional scrutiny at the port of entry or consulate.
How does the TN visa compare to the H-1B for Practice Assistant positions?
The TN visa has no annual lottery and no cap for Canadian citizens, meaning you can obtain status the same day you arrive at a U.S. port of entry with a qualifying job offer. The H-1B visa requires surviving a random lottery with a roughly 25% selection rate and waiting months for processing. For Practice Assistants who are Canadian or Mexican citizens, the TN is a significantly more direct path to U.S. employment.
Can my employer file the TN petition, or do I handle it myself?
For Canadian citizens, TN status is obtained directly at a U.S. port of entry and does not require the employer to file a petition with USCIS in advance. The employer's role is to provide a qualifying offer letter. Mexican citizens require consular processing, where the employer typically provides supporting documentation. Either way, a well-prepared offer letter from your employer is the foundation of the application.
Where can I find Practice Assistant jobs that specifically offer TN visa sponsorship?
Most general job boards don't filter by visa sponsorship type, which means you can spend hours contacting employers who have no TN hiring experience. Migrate Mate is built specifically for TN and other work visa job seekers, letting you search Practice Assistant roles by employers who actively sponsor TN visas, so you're connecting with hiring managers already familiar with the process.
What happens to my TN status if my Practice Assistant role changes significantly?
If your duties change materially, such as shifting from clinical assistance to primarily administrative work, your existing TN status may no longer accurately reflect your role. USCIS expects TN holders to perform the duties described in their approval. A significant change typically requires obtaining a new TN authorization reflecting the updated position before the change takes effect.