TN Visa Practice Manager Jobs
Practice Manager roles qualify for TN visa sponsorship under the USMCA's Management Consultant category when the position involves systems analysis, operational planning, or organizational advisory functions. Canadian citizens can apply at the port of entry or a U.S. consulate. Mexican citizens require advance consular processing. Your job offer must clearly define the consulting or managerial scope to satisfy CBP adjudicators.
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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 334+ TN Visa Practice Manager Jobs
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Get Access To All JobsTips for Finding TN Visa Sponsorship as a Practice Manager
Frame your credentials around Management Consultant duties
TN visa status for Practice Managers routes through the Management Consultant category, not a generic manager category. Your resume, credentials, and job offer letter must reflect advisory, analytical, or systems planning functions rather than purely supervisory responsibilities.
Verify your degree field aligns with the role
CBP officers assess whether your education directly supports the consulting functions in the offer letter. A degree in healthcare administration, business management, or a related field strengthens your case more than an unrelated credential paired with experience alone.
Target healthcare groups with multi-site operational structures
Practice Manager roles at multi-location physician groups, specialty clinics, or hospital networks are more likely to involve the systems-level responsibilities CBP expects. These employers also have established HR processes for navigating TN sponsorship documentation.
Search TN-sponsoring employers through Migrate Mate
Use Migrate Mate to filter Practice Manager openings by employers with active TN visa sponsorship history. This saves time you'd otherwise spend screening postings that don't support international candidates or lack the organizational complexity TN requires.
Require a detailed support letter from your employer
The employer's support letter must specify your consulting duties, the business need, your Canadian or Mexican citizenship, and your qualifying degree. A vague letter citing only your job title is a common reason CBP requests additional evidence or denies entry.
Understand the Mexican processing timeline before accepting an offer
Mexican citizens cannot self-petition at the port of entry and must schedule a consular appointment. Factor two to four weeks of consular wait time into your start date negotiation so your employer doesn't rescind the offer due to an unexpected delay.
Practice Manager TN Visa: Frequently Asked Questions
Does a Practice Manager role qualify for TN visa sponsorship?
It depends on how the role is structured. TN visa status for Practice Managers typically falls under the Management Consultant category, which requires the position to involve advisory, analytical, or organizational planning functions. If the role is framed purely as administrative oversight with no consulting component, CBP may not approve it. Your offer letter and job description need to reflect the consulting scope explicitly.
How does TN compare to H-1B for Practice Manager positions?
TN has no annual lottery, no cap for Canadian citizens, and can be issued at the port of entry the same day for Canadians. H-1B visa requires employer sponsorship through a competitive lottery, a lengthy USCIS filing process, and approval before you can start work. For Canadian and Mexican Practice Managers, TN is significantly faster to obtain and can be renewed indefinitely in two or three-year increments as long as you maintain a qualifying job offer.
How do I find Practice Manager jobs that offer TN visa sponsorship?
Migrate Mate is built specifically for this search. It surfaces Practice Manager openings from employers with recent visa filings, so you're not manually filtering through postings that exclude international candidates. This is especially useful for roles where sponsorship eligibility isn't advertised but the employer has prior experience with visa sponsorship processes.
Can Canadian and Mexican citizens both use TN for Practice Manager roles?
Yes, but the process differs. Canadian citizens can present their TN application directly to CBP at a port of entry or pre-clearance location and receive status the same day. Mexican citizens must apply through a U.S. consulate and obtain a TN visa stamp before traveling. Both nationalities must meet the same Management Consultant category requirements, including a qualifying degree and a detailed employer support letter.
What documents does the employer need to prepare for TN sponsorship?
The employer must provide a detailed support letter on company letterhead that outlines the consulting or managerial duties, the business need for the role, the anticipated duration of employment, your citizenship, and your qualifying educational credentials. For Mexican citizens, the employer may also need to coordinate timing around the consular appointment window. A poorly written support letter is the leading cause of TN delays and denials for Practice Manager applicants.