TN Visa Registered Nurse Med Surg Jobs
Registered Nurse Med Surg jobs qualify for TN visa sponsorship under USMCA for Canadian and Mexican RNs holding a valid nursing license. Canadian applicants can get TN status at the border in a single day. Employers prepare a support letter that you present at port of entry—no government filing required.
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Job Summary and Responsibilities
As a Charge RN, you'll oversee a department of frontline nurses caring for patients. Your previous experience in acute care, LTC, or nursing homes adds tremendous value to our nursing team.
Every day you will advocate for your fellow nurses as you support them in reaching their full potential, which aligns with your department's operational goals and objectives.
To thrive in this role, you need to be accountable and confident. You're an excellent communicator in 1:1 interactions and in front of groups. It's also important for you to be comfortable holding tough conversations, as you are responsible for the performance of your people and your unit.
- Provides direct supervision of personnel practicing on Nursing Units, makes patient care assignments, evaluates assignments, facilitates patient throughout, and directly observes staff performance on assigned shift.
- Proactively matches existing resources seeking ways to provide patient care that supports staff and maintains a therapeutic environment.
- Monitors productivity and assures that staffing and resources are aligned with patient care needs.
- Communicates personnel related concerns to Unit Manager.
- Uses a logical, systematic approach to problems and problem-solving.
- Facilitates Patient Experience best practices on the unit (hourly rounding, etc.)
Job Requirements
- Graduate of an accredited school of nursing, upon hire
- Registered Nurse: KY, upon hire
- Basic Life Support - CPR, upon hire
- Advanced Cardiac Life Support, within 6 months
- Pediatric Advanced Life Support, within 6 months
- BSN Requirement: Effective 04/01/2026, all ADN prepared RN hires are required to obtain their BSN degree within five (5) years of their start date. Individuals must enroll in and begin participating in a BSN program within two (2) years of their start date.
Where You'll Work
Welcome to Saint Joseph London, a 150-bed regional hospital founded in 1926. Located on a 52 acre healing environment, Saint Joseph London offers private patient rooms that overlook a small lake and healing garden and has been recognized as a Best Place to Work in Kentucky for five years in a row (2020-2024).
CHI Health Saint Joseph is part of CommonSpirit Health, a non-profit, Catholic health system dedicated to advancing health for all people. With approximately 175,000 team members and 25,000 physicians and advanced practice clinicians.
Our commitment to serve the common good is delivered through the dedicated work of thousands of physicians, advanced practice clinicians, nurses, and staff; through clinical excellence delivered across a system of 140 hospitals and more than 2,200 care centers serving 24 states.
Pay Range
$33.84 - $50.34 /hour

Job Summary and Responsibilities
As a Charge RN, you'll oversee a department of frontline nurses caring for patients. Your previous experience in acute care, LTC, or nursing homes adds tremendous value to our nursing team.
Every day you will advocate for your fellow nurses as you support them in reaching their full potential, which aligns with your department's operational goals and objectives.
To thrive in this role, you need to be accountable and confident. You're an excellent communicator in 1:1 interactions and in front of groups. It's also important for you to be comfortable holding tough conversations, as you are responsible for the performance of your people and your unit.
- Provides direct supervision of personnel practicing on Nursing Units, makes patient care assignments, evaluates assignments, facilitates patient throughout, and directly observes staff performance on assigned shift.
- Proactively matches existing resources seeking ways to provide patient care that supports staff and maintains a therapeutic environment.
- Monitors productivity and assures that staffing and resources are aligned with patient care needs.
- Communicates personnel related concerns to Unit Manager.
- Uses a logical, systematic approach to problems and problem-solving.
- Facilitates Patient Experience best practices on the unit (hourly rounding, etc.)
Job Requirements
- Graduate of an accredited school of nursing, upon hire
- Registered Nurse: KY, upon hire
- Basic Life Support - CPR, upon hire
- Advanced Cardiac Life Support, within 6 months
- Pediatric Advanced Life Support, within 6 months
- BSN Requirement: Effective 04/01/2026, all ADN prepared RN hires are required to obtain their BSN degree within five (5) years of their start date. Individuals must enroll in and begin participating in a BSN program within two (2) years of their start date.
Where You'll Work
Welcome to Saint Joseph London, a 150-bed regional hospital founded in 1926. Located on a 52 acre healing environment, Saint Joseph London offers private patient rooms that overlook a small lake and healing garden and has been recognized as a Best Place to Work in Kentucky for five years in a row (2020-2024).
CHI Health Saint Joseph is part of CommonSpirit Health, a non-profit, Catholic health system dedicated to advancing health for all people. With approximately 175,000 team members and 25,000 physicians and advanced practice clinicians.
Our commitment to serve the common good is delivered through the dedicated work of thousands of physicians, advanced practice clinicians, nurses, and staff; through clinical excellence delivered across a system of 140 hospitals and more than 2,200 care centers serving 24 states.
Pay Range
$33.84 - $50.34 /hour
See all 240+ Registered Nurse Med Surg jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new Registered Nurse Med Surg roles.
Get Access To All JobsTips for Finding TN Visa Sponsorship as a Registered Nurse Med Surg
Verify your NCLEX and state license first
TN eligibility for RNs requires a valid U.S. state nursing license, not just your Canadian or Mexican credential. Apply for licensure by endorsement in your target state before contacting employers, so you can confirm readiness immediately.
Target hospitals with recent visa sponsorship experience
Med Surg units at large hospital systems and regional medical centers often sponsor work visas for nursing roles. Look for employers with recent visa filings to identify facilities experienced with sponsorship processes. For TN status, Canadian applicants can present an employer support letter directly at the U.S. border, while Mexican applicants apply through a U.S. consulate. Employers experienced with visa sponsorship generally understand the documentation needed to support international healthcare professionals and are more likely equipped to prepare the required support materials.
Distinguish TN from H-1B when talking to recruiters
Many hospital recruiters assume visa sponsorship means H-1B lottery risk. Clarify that TN has no cap or lottery for Canadians, and the employer's main obligation is preparing a support letter, which the applicant presents directly at the U.S. port of entry—a streamlined process that typically takes just days to finalize.
Prepare your credential package before the offer stage
CBP officers reviewing your TN application at the port of entry expect your nursing degree, NCLEX results, state license, and a detailed employer support letter. Gaps in this package cause delays or denials, so assemble it before you receive a job offer.
Search TN-ready Med Surg roles through Migrate Mate
Use Migrate Mate to find Registered Nurse Med Surg positions where employers have confirmed TN visa sponsorship willingness, filtering out roles where you'd need to educate the hiring team about USMCA eligibility from scratch.
Negotiate TN renewal timing into your offer letter
TN status is granted in three-year increments with no limit on renewals. Ask your employer to commit in writing to filing renewal documentation at least 90 days before your current TN expiration, protecting continuity of your work authorization.
Registered Nurse Med Surg jobs are hiring across the US. Find yours.
Find Registered Nurse Med Surg JobsRegistered Nurse Med Surg TN Visa: Frequently Asked Questions
Does Registered Nurse Med Surg qualify for the TN visa?
Yes. Registered Nurses are explicitly listed as a qualifying occupation under the USMCA TN visa category. To qualify, you must hold a valid nursing license in the U.S. state where you'll work, have a baccalaureate or licenciatura degree in nursing, and have a job offer from a U.S. employer in a nursing role.
How does TN visa sponsorship for RNs compare to H-1B?
TN is significantly more straightforward for Canadian RNs. There's no annual lottery, no cap, and no USCIS petition waiting period. Canadian nurses can obtain TN status directly at a port of entry the same day. H-1B requires filing months in advance, entering a randomized lottery, and waiting for USCIS adjudication, which can take the better part of a year.
What documents does my employer need to provide for my TN application?
Your employer must provide a detailed support letter on company letterhead stating your job title, a description of your duties confirming the role is a specialty nursing position, your anticipated length of employment, and your offered compensation. You'll present this support letter at the U.S. port of entry (if Canadian) or at a U.S. consulate (if Mexican) as part of your TN visa application.
Where can I find Med Surg RN jobs that already offer TN visa sponsorship?
Migrate Mate is built specifically for this search. It surfaces Registered Nurse Med Surg positions where employers have confirmed TN sponsorship willingness, so you're not spending time on roles where the hiring team is unfamiliar with USMCA requirements. Filtering by TN eligibility upfront saves significant time in the job search.
Can Mexican RNs get TN visa sponsorship for Med Surg nursing roles?
Yes, Mexican citizens are eligible for TN visas as Registered Nurses under USMCA. The key difference is that Mexican nationals must apply at a U.S. consulate rather than at the port of entry, and Mexico has a 5,500 annual TN allocation. In practice, demand has not exhausted this cap, so qualifying Mexican RNs can still access TN status.
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