Director of Nursing Visa Sponsorship Jobs in Texas
Director of nursing jobs in Texas span major hospital systems like HCA Healthcare, Texas Health Resources, and Baylor Scott & White, plus long-term care networks across Houston, Dallas, San Antonio, and Austin. Texas's large and growing population drives sustained demand for experienced nursing leadership, making it one of the more active states for director of nursing hiring with visa sponsorship.
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Job Summary
GENERAL SUMMARY OF DUTIES:
The Director of Nursing (DON) shall take the lead in ensuring that clinical operations are conducted in a manner to meet written and operational standards set by Laboratory Operations, Nursing, OSHA, HRSA, and other clinical compliance organizations.
The Director of Nursing functions as a member of a collaborative health care team to create and maintain a Patient Centered Medical Home where emphasis is on excellent communication; support of the patient is provided and tracked in a culturally competent, behaviorally enhanced setting supported by information technology.
Supervises: Clinic Managers/Coordinators, RNs, LVNs, Medical Office Assistants, Patient Access Representatives, and Phlebotomists.
ESSENTIAL FUNCTIONS AND RESPONSIBILITIES, OTHER DUTIES MAY BE ASSIGNED:
Leadership & Communication
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Keeps Chief Executive Officer (CEO) and Chief Medical Officer (CMO) informed of all significant nursing issues including but not limited to any proposed policy or procedural changes, disciplinary actions, problems with providers, etc.
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Conducts periodic nursing meetings; agenda and minutes are to be forwarded to the CEO/CMO
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Collaborates with administrative staff and physicians to optimize efficiency of a variety of related services ranging from inpatient care to outpatient follow-up care
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Reports on department results and clinical outcomes
Nursing Staff Oversight & Development
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Coordinates orientation of new clinical support employees regarding clinical skills and duties
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Performs periodic assessments to determine deficiencies in nursing performance at all sites and of new hires, which includes but is not limited to:
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Log keeping (abnormal Pap smears, sub-specialty referrals, pregnancy/perinatal, STD, temperature, Clinical Measures data entry, immunizations, etc.)
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Skills (vital signs, immunizations, instrument sterilization, EKG, etc.)
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Policies and procedures (universal precautions, consent forms, needle disposal, identification and proper disposal of expired medications, etc.)
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Participates in 90-day and annual evaluations of nursing staff with input from CEO/CMO
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Participates in staff human resource planning and decisions, including hiring, training, supervision, and evaluating personnel and their work
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Recommends and collaborates on in-service education programs to promote staff development
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Responsible for maintaining current credentials for clinical support staff on file with Human Resources
Clinical Operations
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Serves as Triage Nurse and works with staff to ensure patient flow is optimal and patient wait times are minimized
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Determines staffing levels and monitors for adequacy in provision of nursing care
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Manages clinical department with major focus on improving the business aspects of health care operations and the quality of the health care provided
Quality, Compliance & Policy
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In charge of developing and monitoring the annual Patient Centered Medical Home (PCMH) reports for compliance
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Develops and implements nursing service objectives, policies, and procedures to maintain quality nursing care
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Establishes and implements policies, objectives, and procedures for the department
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Participates in the Center's Performance Improvement/Risk Management Program by identifying areas needing improvement to achieve goals
Budget & General Support
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Develops budgets, including recommendations for equipment outlays
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Performs other duties as assigned
KNOWLEDGE, SKILLS AND ABILITIES
REQUIRED
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Excellent organizational and grammatical skills
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Ability to communicate well orally and in writing
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Ability to manage time effectively and efficiently
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Strong interpersonal skills; ability to work effectively and deal tactfully with professional personnel as well as with the public
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Able to organize work, develop procedures, and follow instructions
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Projects a positive and professional image of Amistad Health
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Able to maintain confidential documents and information
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Ability to work flexible hours
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Other duties as assigned
Education:
Associate's Degree in Nursing required; Bachelor of Science in Nursing from an accredited college or university preferred
Experience:
Minimum of five (5) years of full-time paid experience in a hospital, community health center, or ambulatory care position, including two (2) years of supervisory experience
Position Requirements:
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Active, unrestricted license to practice as a Registered Nurse in the State of Texas
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Maintain current BLS certification
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Must have reliable transportation
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Must have a current and valid Texas Driver's License and maintain minimum required auto liability insurance
Preferred Qualifications
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Experience as a hospital nurse strongly preferred
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Bilingual in English and Spanish preferred
Physical & Working Requirements
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Typically requires stooping, bending, reaching, kneeling, and the ability to move 25 pounds
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Requires the use of office equipment including printer, copier, fax, computer, calculator, and telephone
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OSHA Category: 1
Benefits:
- Paid time off
Work Location: In person
Director of Nursing Job Roles in Texas
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Search Director of Nursing Jobs in TexasDirector of Nursing Jobs in Texas: Frequently Asked Questions
Which visa types realistically apply to director of nursing roles in Texas?
The H-1B visa is the most common path for director of nursing roles, as the position qualifies as a specialty occupation requiring at least a bachelor's degree in nursing. EB-2 and EB-3 employment-based green cards are also realistic for permanent sponsorship, with EB-3 covering skilled workers with the required clinical and leadership credentials. F-1 OPT can bridge recent graduates into their first director-level role before an employer files for H-1B visa sponsorship.
Which companies sponsor visas for director of nursing roles in Texas?
Large integrated health systems are the most consistent sponsors in Texas. HCA Healthcare operates dozens of facilities across the state and has an established immigration sponsorship track record. Baylor Scott & White Health, Texas Health Resources, and CHRISTUS Health also appear in federal Labor Condition Application filings for nursing leadership roles. Long-term care operators and regional hospital groups in Houston and Dallas round out the employer pool, though sponsorship varies by facility and staffing needs.
Which cities in Texas have the most director of nursing sponsorship jobs?
Houston leads in volume, driven by the Texas Medical Center, the largest medical complex in the world, and its surrounding hospital network. Dallas and Fort Worth follow closely, with major health systems headquartered in the Metroplex actively hiring nursing leadership. San Antonio has a strong military and VA healthcare presence that generates additional demand, while Austin's expanding hospital infrastructure has increased sponsorship activity in recent years as the city's population has grown rapidly.
How to find director of nursing visa sponsorship jobs in Texas?
Migrate Mate lists director of nursing positions at Texas employers with verified visa sponsorship history, so you can focus on facilities that have already demonstrated willingness to sponsor. Filtering by Texas and nursing leadership roles surfaces active openings at health systems across Houston, Dallas, San Antonio, and Austin. Reviewing employer sponsorship history before applying saves time and helps you prioritize organizations where the immigration process is already familiar to HR.
Are there any Texas-specific considerations for director of nursing visa sponsorship?
Texas requires registered nurses to hold an active Texas Board of Nursing license, so international candidates must have credentials evaluated and licensure confirmed before or concurrent with the sponsorship process. The state's large for-profit hospital sector, particularly HCA and Tenet Healthcare, processes sponsorships through centralized HR, which can mean longer internal timelines. Texas's size also means labor market conditions differ significantly by region, so prevailing wage levels and demand vary between rural West Texas facilities and major metro health systems.
What is the prevailing wage for sponsored director of nursing jobs in Texas?
U.S. employers sponsoring a visa must pay at least the prevailing wage, which is what workers in the same role, area, and experience level typically earn. The Department of Labor sets this rate to make sure companies aren't hiring foreign workers simply because they'd accept lower pay than a U.S. worker. It varies by job title, location, and experience. You can look up current prevailing wage rates for any occupation and location using the OFLC Wage Search page.