TN Visa Transition Of Care Jobs
Transition of Care roles qualify for TN visa sponsorship under the USMCA for Canadian and Mexican healthcare professionals. Employers file directly with CBP or USCIS, with no lottery and no annual cap for Canadians. Your nursing or allied health credentials must align with the approved TN occupational category before any offer is finalized.
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INTRODUCTION
If you are an existing employee of South Shore Health then please apply through the internal career site.
Requisition Number:
R-23176
Facility:
LOC0001 - 55 Fogg Road55 Fogg Road
Weymouth, MA 02190
Department Name:
SSH Emergency Department HB
Status:
Full time
Budgeted Hours:
36
Shift:
Eve/Night Rotation (United States of America)
Manages individualized, outcome oriented nursing care through the use of the nursing process. Provides care, treatment and services through the successful coordination and completion of a series of processes that include assessment, planning care, providing care, in accordance with departmental and hospital policies and procedures.
Compensation Pay Range:
$38.20 - $77.39
Responsibilities
- Medication Administration
- Demonstrates knowledge of and follows SSH policies and procedures for administering, transcribing, and recording medications.
- Completes medication reconciliation process following SSH policy and procedure.
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Demonstrates proper procedure for the documentation of narcotic withdrawal, administration, verifies count, wastes per policy and resolves narcotic discrepancy.
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Plan of care/Documentation/Patient Family Centered Care/Patient Experience
- Develops, discusses, and communicates a prioritized problem list/plan of care for each patient.
- Develop, evaluate and update individualized plan of care for patient and documents outcomes.
- Initiating admission assessment within 8 hours of admissions, identifies and documents patient/family/significant other teaching needs upon admission and throughout hospitalization.
- Continues assessment/reassessment and identifies care needs within established nursing practice.
- Documents all patient care following the department of nursing policy, unit based standards, disease processes (CHF, PNA vaccines) and nurse sensitive indicators (falls, skin, CAUTI).
- Assess/reassesses and documents patient's level of comfort utilizing the appropriate pain scale and the patient's response to each intervention both pharmacological and non-pharmacological per South Shore Hospital policy.
- Works on behalf of patient/family. Seeks help to represent patient/family when they are unable to represent themselves.
- Raises ethical questions and concerns with clinical team. Seeks available resources to help formulate and understand ethical decisions.
- Actively communicates plan of day via white board updating every shift.
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Facilitates discharge/transfer by goal of 12:00pm, communicates barriers utilizing chain of command.
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Safety/Quality
- Fosters a "Culture of Safety" through personal ownership and commitment to a safe environment.
- Verifies patient identification with two identifiers prior to the start of any invasive procedure, including "time out", administration of care, medications, labeled specimen's and documents confirming the correct patient, procedure, site, equipment and consent.
- Complies with the current CDC hand hygiene guidelines through proper handwashing. Adheres to universal precautions, makes appropriate use of personal protective equipment at all times and appropriately disposes of hazardous materials. Maintains awareness of MSDS sheets and how to access.
- Ensures environment meets regulatory requirements at all times.
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Understands and is able to demonstrate individual roles and responsibilities in the event of hospital codes/emergency preparedness.
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Professional Development
- Assumes overall responsibility for own professional development by incorporating evidenced-based practice, research, and performance improvement initiatives as a part of ongoing nursing practice.
- Obtains at least 5 contact hours per year in area of practice.
- Practices within the legal boundaries of MA Nurse Practice Act. Directs other licenses and non-licensed personnel as assigned.
- Displays the ability to accept and respond appropriately to feedback and recommendations for change.
- Demonstrates professional working relationships with colleagues from all disciplines to promote a positive/encouraging workplace.
- Critical Thinking: analyzes causes of problems, identifies and evaluates alternative solutions, and selects appropriate solution, and communicates appropriately and effectively utilizing chain of command.
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Accountable for being informed about changes in hospital policy and procedure.
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Technology
- Utilizes technological solutions to work processes and practices.
- Access Lotus Notes to review email, learning management and other resources as applicable to RN role.
- Utilizes software applications required by department and unit standards.
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Accountable to understand how to operate in downtime.
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Compliance
- Works within legal, regulatory and ethical standards relevant to the position.
- Complies with applicable policies and procedures.
- Safeguards the privacy and security of patient information. The employee compiles will policies and procedures relating to SSH’s privacy and security programs.
- Brings potential compliance issues to a manager, supervisor, director or VP.
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Complies with the mandatory education requirements of the compliance, privacy and security programs.
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Patient and Family Centered Care
- Conveys respect for values, preferences, and expressed needs of the patient and family.
- Recognizes the patient, and family according to patient preferences, as important members of the health care team.
- Collaborates with the patient, and family according to patient preferences, in planning, implementing, and evaluating care.
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Welcomes the presence and participation of family members at all times according to patient preferences, regardless of rounds, change of shift, or other events on unit.
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Age & Culture
- Possesses age and cultural knowledge and awareness.
- Considers the individual needs of each person with whom they interact.
- Interacts with sensitivity in the delivery of care/services of diverse populations as needed.
- Effectively utilizes resources to provide care/services - such as, interpreter services and on-line sources.
MINIMUM QUALIFICATIONS
Graduate of an accredited School of Nursing
MINIMUM WORK EXPERIENCE
Previous Acute Care RN experience preferred
REQUIRED LICENSES/CERTIFICATIONS
RN - Registered Nurse
Depending on department Basic Life Support (BLS) Certification, Advanced Cardiac Life Support (ACLS) Certification, Emergency Response Training Certification, Neonatal Resuscitation Program (NRP) Certification, Pediatric Advanced Life Support (PALS), Trauma Nurse Core Course (TNCC), Trauma Care After Resuscitation (TCAR) Certification may be required
7p-7:30a, rotating weekends and holidays
LICENSE/REGISTRATION/CERTIFICATION REQUIREMENTS
ACLS (AHA) Advanced Cardiac Life Support Certification - American Heart Association (AHA) (Including courses offered through SSH), Basic Life Support (BLS) Certification - American Heart Association (AHA) (Including courses offered through SSH), INSTRUCTOR- Advanced Cardiac Life Support (ACLS) - American Heart Association (AHA) (Including courses offered through SSH), INSTRUCTOR- Basic Life Support (BLS) - American Heart Association (AHA) (Including courses offered through SSH), INSTRUCTOR-Neonatal Resuscitation Program (NRP) - American Heart Association (AHA) (Including courses offered through SSH), INSTRUCTOR-Pediatric Advanced Life Support (PALS) - American Heart Association (AHA) (Including courses offered through SSH), INSTRUCTOR-Trauma Nurse Core Course (TNCC) - Emergency Nurses Association - (ENA), Neonatal Resuscitation Program (NRP) Certification - American Heart Association (AHA) (Including courses offered through SSH), OB- Emergency Response Training (ERT) - SSH Education & Training, Pediatric Advanced Life Support (PALS) Certification - American Heart Association (AHA) (Including courses offered through SSH), RN-Registered Nurse - Board of Registration in Nursing (Massachusetts), Trauma Care After Resuscitation (TCAR) - TCAR Education Programs, Trauma Nurse Core Course (TNCC) - Emergency Nurses Association - (ENA)
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Get Access To All JobsTips for Finding TN Visa Sponsorship in Transition Of Care
Map your credentials to TN categories
Transition of Care roles often straddle nursing, social work, and case management. Confirm your specific credential matches a recognized TN visa occupational category before applying, or your offer letter may not survive CBP scrutiny.
Target hospital systems with care coordination teams
Large hospital networks and integrated health systems hire Transition of Care specialists far more consistently than outpatient clinics. Filter your search by employers who already run dedicated discharge planning or case management departments.
Get your license verified across state lines
TN status is tied to the state where you'll work. If your Canadian or Mexican credential requires state licensure, complete that process before the employer submits your TN documentation to avoid delays at the border or USCIS.
Search for TN-ready roles using Migrate Mate
Use Migrate Mate to find Transition of Care positions at employers with active TN visa sponsorship history. Filtering by visa type saves weeks of outreach to employers unfamiliar with the USMCA professional categories.
Ask the employer to specify your TN job category in writing
The offer letter CBP sees must name your exact TN occupational category, not just your job title. Employers who are new to TN sponsorship frequently omit this detail, which can result in a denial at the port of entry.
Prepare a degree equivalency letter if your credential is regional
Mexican nursing and allied health degrees sometimes require a credential evaluation from a USCIS-recognized agency before a CBP officer accepts them as equivalent to U.S. degree standards required for the TN professional category.
Transition Of Care TN Visa: Frequently Asked Questions
Does a Transition of Care role qualify for TN visa status?
It depends on your credential and how the employer defines the role. Transition of Care specialists who hold an RN license or a master's degree in social work typically qualify under existing TN occupational categories. Roles framed purely as care coordinators without a recognized professional credential attached are harder to support at the port of entry, so the offer letter framing matters significantly.
How does TN compare to H-1B for Transition of Care positions?
TN has no annual lottery and no cap for Canadian citizens, meaning you can pursue a Transition of Care role any time of year without waiting for a selection round. H-1B visa requires employer registration, a lottery slot, and a wait of up to a year before you can start. For healthcare professionals with qualifying credentials, TN is almost always faster and less expensive for the employer to sponsor.
Can Mexican professionals access TN sponsorship for Transition of Care jobs the same way Canadians can?
Mexican citizens qualify for TN status under USMCA but face a separate numerical allocation administered by USCIS, so processing goes through a petition rather than a direct CBP port-of-entry admission. The occupational categories and credential requirements are identical, but Mexican applicants should plan for a longer timeline and work with employers who understand the petition-based route rather than the border crossing process.
How do I find employers who understand TN visa sponsorship for healthcare roles?
Many hospital systems sponsor H-1B petitions but are less familiar with TN, which often means faster approvals once you identify the right contact. Migrate Mate filters job listings by employers with active TN visa sponsorship history, so you can prioritize outreach to organizations that already have HR and legal processes in place for USMCA-based hires in clinical or care coordination roles.
What documents do I need from my employer before applying for TN status in a Transition of Care role?
You need a support letter on company letterhead that names your specific TN occupational category, describes your job duties in terms that align with that category, confirms the professional nature of the role, and states your start date and compensation structure. CBP officers use that letter to verify eligibility on the spot, so vague job descriptions or missing credential references are the most common reasons for a denial at the border.