NP Visa Sponsorship Jobs in Texas
Texas is one of the most active states for NP visa sponsorship, driven by large hospital systems like HCA Healthcare, Baylor Scott & White, and the University of Texas health network. Houston, Dallas-Fort Worth, and San Antonio concentrate the most opportunities, with strong demand across acute care, primary care, and specialty clinics.
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At Houston Methodist, the Nurse Practitioner Acute Care (NP-AC) is responsible for functioning as a licensed registered nurse and care provider to provide all aspects of patient care, including diagnosis, treatment and consultation while maintaining and promoting the health of the patient. This position may work in both inpatient and outpatient situations and performs according to the nurse practice act of the State of Texas and as part of a treatment team. The NP-AC position role models compassionate communication with patients, physicians and the interprofessional health care team and provides education to patients about preventative care and prescribed treatments. This position may also conduct physicals, order tests and serve as a patient's healthcare provider, prescribing medications as appropriate. The NP-AC position affects direct patient care according to the Houston Methodist Professional Practice Model Nursing Practice and Professional Performance policies and procedures.
FLSA STATUS
Exempt
QUALIFICATIONS
Education
Master’s degree or higher from an accredited school of Nursing and graduate from an accredited Nurse Practitioners program
Experience
Two years of registered nurse, advanced practice or nurse practitioner clinical experience
LICENSES AND CERTIFICATIONS
Required
- RN - Registered Nurse - Texas State Licensure - Texas Board of Nursing_PSV Compact Licensure – Must obtain permanent Texas license within 60 days (if establishing Texas residency)
- APRN Acute Care state license
- Magnet ANCC-recognized Acute-Care practitioner certification
- BLS - Basic Life Support or Instructor (AHA) - American Heart Association
- ACLS - Advanced Cardiac Life Support or Instructor (AHA) - American Heart Association
- AP - Prescriptive Authority - Texas Board of Nursing - Texas Department of Licensing and Regulation_PSV
- DEA - Narcotics License (DEA) - Drug Enforcement Administration_PSV within 6 months
KNOWLEDGE AND ABILITIES
Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through ongoing skills, competency assessments, and performance evaluations
- Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
- Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
- Demonstrates highly developed assessment, clinical, documentation, leadership, and analytical skills
- Uses therapeutic communication to establish a relationship with patients, families and interprofessional team to collaborate on the plan of care
- Strong organizational and problem-solving skill as evidenced by capacity to prioritize multiple tasks and role components
- Ability to function independently and exercise judgment in interactions with physicians, interprofessional care team and patients and their families
- Demonstrates proficient time management skills
- Uses critical thinking skills and clinical judgment to work autonomously as defined by the Nurse Practice Act
ESSENTIAL FUNCTIONS
PEOPLE ESSENTIAL FUNCTIONS
Demonstrates leadership as a clinical resource, interprofessional consultant, and patient advocate. Identifies staff development opportunities for professional growth of colleagues, provides coaching to meet identified goals.
- Communicates organizational information and aspects of administrative and clinical practice in a respectful and positive manner when interacting with staff. Advocates for a balanced workload, promotes positive behaviors, and peer-to-peer accountability. Facilitates the promotion of teamwork.
- Collaborates with the interprofessional healthcare team members to manage/coordinate patient care. Advocates on patient/family’s behalf to identify and resolve clinical and ethical concerns.
- Collaborates to foster healthy relationships in the work environment. Acts as a role model and coaches staff in effective verbal, non-verbal and written communication. Serves as preceptor for Nurse Practitioner students and medical resident(s), as applicable. Uses peer-to-peer accountability towards improvement of department score for employee engagement.
SERVICE ESSENTIAL FUNCTIONS
Coordinates appropriate, timely patient care under physician supervision, for a defined patient population(s), focusing on identified expected unit/optimal outcomes, individualized to the patient.
- Prioritizes care based on the patient’s needs, abilities, and preferences.
- Coordinates patient care between healthcare providers. Attends and participates in interprofessional rounds, as appropriate.
- Helps drive improvement of department score for patient satisfaction, through peer-to-peer accountability to service standards.
QUALITY/SAFETY ESSENTIAL FUNCTIONS
Functions as a quality care provider, coordinating, maintaining, and promoting the health of the patient. Assists the interprofessional healthcare team in the development and implementation of protocols to ensure patient safety. Affects direct patient care according to the Nurse Practice Act of the State of Texas and the Houston Methodist Professional Practice Model Nursing Practice and Professional Performance.
- Conducts health assessments (initial, ongoing, discharge, as appropriate). Identifies normal/abnormal health characteristics, develops plan of care, initiates appropriate interventions, and evaluates care outcomes on defined patient populations(s).
- Performs invasive, diagnostic, or therapeutic procedures necessary for defined patient population(s) based on licensure and credentialed privileges.
- Provides safe and effective care by leading and initiating outcome, quality, and safety improvement activities in alignment with organizational goals. Integrates and contributes to professional practice standards, policies, procedures, protocols and leads improvements in patient safety-related processes.
FINANCE ESSENTIAL FUNCTIONS
Implements department strategies to achieve financial targets and mentors others to do the same through timely documentation of care, decreasing length of stay, optimizing efficiency, and other areas according to departmental specifications.
- Projects awareness and understanding of resource allocation based on patient needs and staff experience, knowledge, and skills.
GROWTH/INNOVATION ESSENTIAL FUNCTIONS
Promotes quality health care through integration of current research into practice and participation in research/evidence-based activities. Identifies opportunities for practice changes and performance improvement.
- Provides education of information/knowledge in professional activities such as research, presentations, and publications. Expands individual nursing knowledge and coaches staff to grow in knowledge, abilities, skills, and attitudes. Serves as clinical resource. Ensures own career discussions occur with appropriate management. Completes and updates the My Development Plan on an ongoing basis.
SUPPLEMENTAL REQUIREMENTS
WORK ATTIRE
- Uniform: No
- Scrubs: Yes
- Business professional: Yes
- Other (department approved): Yes
ON-CALL
- Note that employees may be required to be on-call during emergencies (ie. Disaster, Severe Weather Events, etc) regardless of selection below.
- On Call Yes
TRAVEL
Travel specifications may vary by department
- May require travel within the Houston Metropolitan area Yes
- May require travel outside Houston Metropolitan area No
Company Profile:
Houston Methodist Hospital is recognized by U.S. News & World Report as the No. 1 hospital in Texas and one of America’s “Best Hospitals.” As a full-service, acute-care hospital located in the Texas Medical Center and the flagship hospital of Houston Methodist, it has evolved into one of the nation’s largest nonprofit teaching hospitals and a leader in innovative medical research with a comprehensive residency program. Two of Houston Methodist’s primary academic affiliates are among the nation’s leading health care organizations: Weill Cornell Medicine and New York-Presbyterian Hospital. Houston Methodist also has affiliations with Texas A&M University and the University of Houston. Houston Methodist Hospital offers unparalleled care for thousands of patients from around the world.
Houston Methodist is an Equal Opportunity Employer.

At Houston Methodist, the Nurse Practitioner Acute Care (NP-AC) is responsible for functioning as a licensed registered nurse and care provider to provide all aspects of patient care, including diagnosis, treatment and consultation while maintaining and promoting the health of the patient. This position may work in both inpatient and outpatient situations and performs according to the nurse practice act of the State of Texas and as part of a treatment team. The NP-AC position role models compassionate communication with patients, physicians and the interprofessional health care team and provides education to patients about preventative care and prescribed treatments. This position may also conduct physicals, order tests and serve as a patient's healthcare provider, prescribing medications as appropriate. The NP-AC position affects direct patient care according to the Houston Methodist Professional Practice Model Nursing Practice and Professional Performance policies and procedures.
FLSA STATUS
Exempt
QUALIFICATIONS
Education
Master’s degree or higher from an accredited school of Nursing and graduate from an accredited Nurse Practitioners program
Experience
Two years of registered nurse, advanced practice or nurse practitioner clinical experience
LICENSES AND CERTIFICATIONS
Required
- RN - Registered Nurse - Texas State Licensure - Texas Board of Nursing_PSV Compact Licensure – Must obtain permanent Texas license within 60 days (if establishing Texas residency)
- APRN Acute Care state license
- Magnet ANCC-recognized Acute-Care practitioner certification
- BLS - Basic Life Support or Instructor (AHA) - American Heart Association
- ACLS - Advanced Cardiac Life Support or Instructor (AHA) - American Heart Association
- AP - Prescriptive Authority - Texas Board of Nursing - Texas Department of Licensing and Regulation_PSV
- DEA - Narcotics License (DEA) - Drug Enforcement Administration_PSV within 6 months
KNOWLEDGE AND ABILITIES
Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through ongoing skills, competency assessments, and performance evaluations
- Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
- Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
- Demonstrates highly developed assessment, clinical, documentation, leadership, and analytical skills
- Uses therapeutic communication to establish a relationship with patients, families and interprofessional team to collaborate on the plan of care
- Strong organizational and problem-solving skill as evidenced by capacity to prioritize multiple tasks and role components
- Ability to function independently and exercise judgment in interactions with physicians, interprofessional care team and patients and their families
- Demonstrates proficient time management skills
- Uses critical thinking skills and clinical judgment to work autonomously as defined by the Nurse Practice Act
ESSENTIAL FUNCTIONS
PEOPLE ESSENTIAL FUNCTIONS
Demonstrates leadership as a clinical resource, interprofessional consultant, and patient advocate. Identifies staff development opportunities for professional growth of colleagues, provides coaching to meet identified goals.
- Communicates organizational information and aspects of administrative and clinical practice in a respectful and positive manner when interacting with staff. Advocates for a balanced workload, promotes positive behaviors, and peer-to-peer accountability. Facilitates the promotion of teamwork.
- Collaborates with the interprofessional healthcare team members to manage/coordinate patient care. Advocates on patient/family’s behalf to identify and resolve clinical and ethical concerns.
- Collaborates to foster healthy relationships in the work environment. Acts as a role model and coaches staff in effective verbal, non-verbal and written communication. Serves as preceptor for Nurse Practitioner students and medical resident(s), as applicable. Uses peer-to-peer accountability towards improvement of department score for employee engagement.
SERVICE ESSENTIAL FUNCTIONS
Coordinates appropriate, timely patient care under physician supervision, for a defined patient population(s), focusing on identified expected unit/optimal outcomes, individualized to the patient.
- Prioritizes care based on the patient’s needs, abilities, and preferences.
- Coordinates patient care between healthcare providers. Attends and participates in interprofessional rounds, as appropriate.
- Helps drive improvement of department score for patient satisfaction, through peer-to-peer accountability to service standards.
QUALITY/SAFETY ESSENTIAL FUNCTIONS
Functions as a quality care provider, coordinating, maintaining, and promoting the health of the patient. Assists the interprofessional healthcare team in the development and implementation of protocols to ensure patient safety. Affects direct patient care according to the Nurse Practice Act of the State of Texas and the Houston Methodist Professional Practice Model Nursing Practice and Professional Performance.
- Conducts health assessments (initial, ongoing, discharge, as appropriate). Identifies normal/abnormal health characteristics, develops plan of care, initiates appropriate interventions, and evaluates care outcomes on defined patient populations(s).
- Performs invasive, diagnostic, or therapeutic procedures necessary for defined patient population(s) based on licensure and credentialed privileges.
- Provides safe and effective care by leading and initiating outcome, quality, and safety improvement activities in alignment with organizational goals. Integrates and contributes to professional practice standards, policies, procedures, protocols and leads improvements in patient safety-related processes.
FINANCE ESSENTIAL FUNCTIONS
Implements department strategies to achieve financial targets and mentors others to do the same through timely documentation of care, decreasing length of stay, optimizing efficiency, and other areas according to departmental specifications.
- Projects awareness and understanding of resource allocation based on patient needs and staff experience, knowledge, and skills.
GROWTH/INNOVATION ESSENTIAL FUNCTIONS
Promotes quality health care through integration of current research into practice and participation in research/evidence-based activities. Identifies opportunities for practice changes and performance improvement.
- Provides education of information/knowledge in professional activities such as research, presentations, and publications. Expands individual nursing knowledge and coaches staff to grow in knowledge, abilities, skills, and attitudes. Serves as clinical resource. Ensures own career discussions occur with appropriate management. Completes and updates the My Development Plan on an ongoing basis.
SUPPLEMENTAL REQUIREMENTS
WORK ATTIRE
- Uniform: No
- Scrubs: Yes
- Business professional: Yes
- Other (department approved): Yes
ON-CALL
- Note that employees may be required to be on-call during emergencies (ie. Disaster, Severe Weather Events, etc) regardless of selection below.
- On Call Yes
TRAVEL
Travel specifications may vary by department
- May require travel within the Houston Metropolitan area Yes
- May require travel outside Houston Metropolitan area No
Company Profile:
Houston Methodist Hospital is recognized by U.S. News & World Report as the No. 1 hospital in Texas and one of America’s “Best Hospitals.” As a full-service, acute-care hospital located in the Texas Medical Center and the flagship hospital of Houston Methodist, it has evolved into one of the nation’s largest nonprofit teaching hospitals and a leader in innovative medical research with a comprehensive residency program. Two of Houston Methodist’s primary academic affiliates are among the nation’s leading health care organizations: Weill Cornell Medicine and New York-Presbyterian Hospital. Houston Methodist also has affiliations with Texas A&M University and the University of Houston. Houston Methodist Hospital offers unparalleled care for thousands of patients from around the world.
Houston Methodist is an Equal Opportunity Employer.
NP Job Roles in Texas
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Search NP Jobs in TexasNP Jobs in Texas: Frequently Asked Questions
Which companies sponsor visas for NPs in Texas?
Large hospital systems are the most consistent sponsors for NPs in Texas. HCA Healthcare, Baylor Scott & White Health, UT Health, Methodist Health System, and Texas Health Resources all have established international hiring processes. Federally Qualified Health Centers across Texas also sponsor NPs, particularly for roles in underserved rural communities where staffing shortages are most acute.
Which visa types are most common for NP roles in Texas?
The H-1B is the most common visa for NPs in Texas, as the role typically qualifies as a specialty occupation requiring a graduate-level degree. The TN visa is available to Canadian and Mexican NPs under USMCA. Some employers also support J-1 waivers for NPs who completed a J-1 exchange program and commit to working in a Health Professional Shortage Area.
Which cities in Texas have the most NP sponsorship jobs?
Houston leads in volume, given its concentration of major medical centers including the Texas Medical Center, one of the largest in the world. Dallas-Fort Worth follows closely, with strong demand across hospital systems and private specialty practices. San Antonio has significant activity tied to military-affiliated healthcare and a growing civilian hospital sector. Austin is an emerging market as its healthcare infrastructure expands alongside population growth.
How to find np visa sponsorship jobs in Texas?
Migrate Mate is built specifically for international candidates seeking visa sponsorship, making it straightforward to filter NP roles in Texas by sponsorship type and specialty. Rather than sorting through general job boards that rarely surface sponsorship details, Migrate Mate surfaces employers already open to sponsoring, saving significant time for NPs navigating the application process alongside visa requirements.
Are there state-specific considerations for NPs seeking sponsorship in Texas?
Texas operates under a reduced practice model, meaning NPs must maintain a supervisory agreement with a collaborating physician, which affects how employers structure roles and employment contracts. Employers familiar with international hires will account for this in the sponsorship process. The state's large Health Professional Shortage Area footprint also means J-1 waiver positions are relatively available compared to many other states.
What is the prevailing wage for sponsored np 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.
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