Practice Director Visa Sponsorship Jobs in Texas
Practice director visa sponsorship jobs in Texas span large health systems like HCA Healthcare, Baylor Scott & White, and UT Southwestern Medical Center, with strong hiring across Dallas-Fort Worth, Houston, and San Antonio. These senior clinical leadership roles attract international candidates holding specialty degrees who need employer-sponsored work authorization to lead and grow patient care operations across the state.
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At Texas Children’s Hospital, our mission starts with our people. Guided by our HEART values—Humility, Excellence, Accountability, Respect, and Trust—we strive to create a workplace where teammates feel valued, supported, and empowered to do their best work every day. We are searching for a Director of Advanced Practice Providers (APPs) to join our team at Texas Children’s Hospital North Austin Campus! In this role, you will provide strategic, clinical, and operational leadership for Advanced Practice Providers across designated service areas at Texas Children’s North Austin Campus. You will be responsible for overseeing APP practice, workforce development, clinical quality, and operational performance while ensuring the delivery of safe, high-quality, patient- and family-centered care. As a key member of the leadership team, you will collaborate with physician leaders, nursing leadership, and interdisciplinary partners to advance APP practice, optimize care delivery models, strengthen clinical operations, and support the continued growth of Texas Children’s North Austin Campus.
Responsibilities
Clinical Leadership & Patient Care
- Provide clinical leadership and oversight for Advanced Practice Providers (APPs) across designated service areas at Texas Children’s North Austin Campus.
- Maintain active clinical practice consistent with licensure, credentialing, and privileging requirements.
- Oversee APP clinical practice standards, including patient assessments, procedures, diagnostic interpretation, care planning, and patient and family counseling.
- Ensure the delivery of safe, evidence-based, developmentally appropriate, and family-centered care.
- Monitor clinical outcomes and practice patterns to identify opportunities for continuous improvement and practice optimization.
Strategic Leadership & Organizational Collaboration
- Partner with physician leaders, medical directors, nursing leadership, and interdisciplinary teams to ensure clinical excellence and operational alignment.
- Collaborate with Chiefs and/or Medical Directors to strengthen communication, integration, and shared leadership.
- Support strategic planning, service line development, clinical transformation, and organizational growth initiatives.
- Lead the development and implementation of policies, procedures, and practice guidelines that advance APP practice.
- Represent APP practice on departmental, institutional, and system-wide committees.
- Foster a collaborative, accountable, and service-oriented team culture aligned with Texas Children’s HEART values.
Quality, Patient Safety & Regulatory Compliance
- Lead APP engagement in quality improvement, patient safety initiatives, and performance monitoring.
- Ensure compliance with institutional policies, accreditation standards, and applicable regulatory requirements.
- Oversee APP licensure, certification, credentialing, privileging, billing, coding, and reimbursement compliance.
- Collaborate with internal partners to maintain readiness for regulatory audits, surveys, and reviews.
- Investigate and address patient, family, staff, and provider concerns, identifying opportunities for system-level improvements.
- Develop and monitor departmental goals, action plans, and performance improvement initiatives.
APP Workforce Leadership & Professional Development
- Provide leadership and oversight for APP staffing, scheduling, productivity, and workload distribution.
- Oversee APP onboarding, orientation, continuing education, and professional development.
- Conduct timely performance evaluations and provide ongoing coaching, mentorship, and feedback to APP leaders and staff.
- Promote professional governance, role clarity, accountability, and leadership development within APP teams.
- Support academic partnerships and educational opportunities for APPs, students, and other healthcare professionals.
- Cultivate a positive work environment that encourages collaboration, innovation, professional growth, and employee engagement.
Operational & Financial Management
- Provide fiscal and operational oversight of APP services, ensuring effective management of personnel, equipment, supplies, and capital resources.
- Develop, monitor, and manage annual operating and capital budgets, including financial performance reporting and budget variance analysis.
- Evaluate staffing models, productivity, and resource utilization to optimize operational efficiency and sustainability.
- Participate in workforce forecasting, resource planning, and operational improvement initiatives.
- Monitor and report departmental financial and operational performance to support organizational priorities.
Evidence-Based Practice, Research & Innovation
- Advance APP practice through the integration of evidence-based care, scientific inquiry, and continuous improvement.
- Support APP participation in research, scholarly activities, and the dissemination of best practices.
- Promote innovative APP care delivery models that improve patient access, operational efficiency, and the patient and family experience.
- Encourage professional accountability, knowledge sharing, and the advancement of APP practice across the organization.
Qualifications
Education
- Master's Degree in Nursing and/or Physician Assistant Studies (Required)
- Education Substitution: Current Texas Physician Assistant (PA) License with the Texas Medical Board OR Bachelor's Degree in Nursing and Certified Nurse Midwife (CNM) issued by the American Midwifery Certification Board may substitute for the Master's Degree in Nursing.
Experience
- 5 years of experience as an Advanced Practice Nurse, Physician Assistant, or Certified Nurse Midwife (Required)
- 3 years of management or leadership experience (Preferred)
Licenses & Certifications
Current applicable Texas licensure and certification in one of the following advanced practice specialties is Required:
- Women's Health Nurse Practitioner (WHNP-BC)
- Family Nurse Practitioner (FNP)
- Neonatal Nurse Practitioner (NNP)
- Certified Physician Assistant (PA)
- Pediatric Nurse Practitioner (PNP)
- Acute Care Pediatric Nurse Practitioner (PNP-AC)
- Psychiatric-Mental Health Nurse Practitioner (PMHNP-BC)
- Adult-Gerontology Nurse Practitioner (AGNP)
About us
Texas Children’s presence in Austin helps support a pediatric population of more than half a million and keeps kids healthy and happy from birth to adulthood. Texas Children’s first health care location in Austin, Texas Children’s Urgent Care West Gate, opened in March 2018, providing high quality pediatric-focused care after hours and on weekends. There are now more than 15 Texas Children’s Pediatric primary care practices in the greater Austin area providing full-service family care including routine childhood immunizations, well visits, and sick care. Our Specialty Care Center in Austin includes a multidisciplinary group of pediatric specialists committed to providing comprehensive care across a wide spectrum of services. Texas Children’s Hospital North Austin, is our new state-of-the-art facility providing world-class pediatric and maternal care to Austin families. To join our community of more than 15,000 dedicated team members, visit texaschildrenspeople.org.
Texas Children’s is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.
Job Description
At Texas Children’s Hospital, our mission starts with our people. Guided by our HEART values—Humility, Excellence, Accountability, Respect, and Trust—we strive to create a workplace where teammates feel valued, supported, and empowered to do their best work every day. We are searching for a Director of Advanced Practice Providers (APPs) to join our team at Texas Children’s Hospital North Austin Campus! In this role, you will provide strategic, clinical, and operational leadership for Advanced Practice Providers across designated service areas at Texas Children’s North Austin Campus. You will be responsible for overseeing APP practice, workforce development, clinical quality, and operational performance while ensuring the delivery of safe, high-quality, patient- and family-centered care. As a key member of the leadership team, you will collaborate with physician leaders, nursing leadership, and interdisciplinary partners to advance APP practice, optimize care delivery models, strengthen clinical operations, and support the continued growth of Texas Children’s North Austin Campus.
Responsibilities
Clinical Leadership & Patient Care
- Provide clinical leadership and oversight for Advanced Practice Providers (APPs) across designated service areas at Texas Children’s North Austin Campus.
- Maintain active clinical practice consistent with licensure, credentialing, and privileging requirements.
- Oversee APP clinical practice standards, including patient assessments, procedures, diagnostic interpretation, care planning, and patient and family counseling.
- Ensure the delivery of safe, evidence-based, developmentally appropriate, and family-centered care.
- Monitor clinical outcomes and practice patterns to identify opportunities for continuous improvement and practice optimization.
Strategic Leadership & Organizational Collaboration
- Partner with physician leaders, medical directors, nursing leadership, and interdisciplinary teams to ensure clinical excellence and operational alignment.
- Collaborate with Chiefs and/or Medical Directors to strengthen communication, integration, and shared leadership.
- Support strategic planning, service line development, clinical transformation, and organizational growth initiatives.
- Lead the development and implementation of policies, procedures, and practice guidelines that advance APP practice.
- Represent APP practice on departmental, institutional, and system-wide committees.
- Foster a collaborative, accountable, and service-oriented team culture aligned with Texas Children’s HEART values.
Quality, Patient Safety & Regulatory Compliance
- Lead APP engagement in quality improvement, patient safety initiatives, and performance monitoring.
- Ensure compliance with institutional policies, accreditation standards, and applicable regulatory requirements.
- Oversee APP licensure, certification, credentialing, privileging, billing, coding, and reimbursement compliance.
- Collaborate with internal partners to maintain readiness for regulatory audits, surveys, and reviews.
- Investigate and address patient, family, staff, and provider concerns, identifying opportunities for system-level improvements.
- Develop and monitor departmental goals, action plans, and performance improvement initiatives.
APP Workforce Leadership & Professional Development
- Provide leadership and oversight for APP staffing, scheduling, productivity, and workload distribution.
- Oversee APP onboarding, orientation, continuing education, and professional development.
- Conduct timely performance evaluations and provide ongoing coaching, mentorship, and feedback to APP leaders and staff.
- Promote professional governance, role clarity, accountability, and leadership development within APP teams.
- Support academic partnerships and educational opportunities for APPs, students, and other healthcare professionals.
- Cultivate a positive work environment that encourages collaboration, innovation, professional growth, and employee engagement.
Operational & Financial Management
- Provide fiscal and operational oversight of APP services, ensuring effective management of personnel, equipment, supplies, and capital resources.
- Develop, monitor, and manage annual operating and capital budgets, including financial performance reporting and budget variance analysis.
- Evaluate staffing models, productivity, and resource utilization to optimize operational efficiency and sustainability.
- Participate in workforce forecasting, resource planning, and operational improvement initiatives.
- Monitor and report departmental financial and operational performance to support organizational priorities.
Evidence-Based Practice, Research & Innovation
- Advance APP practice through the integration of evidence-based care, scientific inquiry, and continuous improvement.
- Support APP participation in research, scholarly activities, and the dissemination of best practices.
- Promote innovative APP care delivery models that improve patient access, operational efficiency, and the patient and family experience.
- Encourage professional accountability, knowledge sharing, and the advancement of APP practice across the organization.
Qualifications
Education
- Master's Degree in Nursing and/or Physician Assistant Studies (Required)
- Education Substitution: Current Texas Physician Assistant (PA) License with the Texas Medical Board OR Bachelor's Degree in Nursing and Certified Nurse Midwife (CNM) issued by the American Midwifery Certification Board may substitute for the Master's Degree in Nursing.
Experience
- 5 years of experience as an Advanced Practice Nurse, Physician Assistant, or Certified Nurse Midwife (Required)
- 3 years of management or leadership experience (Preferred)
Licenses & Certifications
Current applicable Texas licensure and certification in one of the following advanced practice specialties is Required:
- Women's Health Nurse Practitioner (WHNP-BC)
- Family Nurse Practitioner (FNP)
- Neonatal Nurse Practitioner (NNP)
- Certified Physician Assistant (PA)
- Pediatric Nurse Practitioner (PNP)
- Acute Care Pediatric Nurse Practitioner (PNP-AC)
- Psychiatric-Mental Health Nurse Practitioner (PMHNP-BC)
- Adult-Gerontology Nurse Practitioner (AGNP)
About us
Texas Children’s presence in Austin helps support a pediatric population of more than half a million and keeps kids healthy and happy from birth to adulthood. Texas Children’s first health care location in Austin, Texas Children’s Urgent Care West Gate, opened in March 2018, providing high quality pediatric-focused care after hours and on weekends. There are now more than 15 Texas Children’s Pediatric primary care practices in the greater Austin area providing full-service family care including routine childhood immunizations, well visits, and sick care. Our Specialty Care Center in Austin includes a multidisciplinary group of pediatric specialists committed to providing comprehensive care across a wide spectrum of services. Texas Children’s Hospital North Austin, is our new state-of-the-art facility providing world-class pediatric and maternal care to Austin families. To join our community of more than 15,000 dedicated team members, visit texaschildrenspeople.org.
Texas Children’s is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.
Practice Director Job Roles in Texas
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Search Practice Director Jobs in TexasPractice Director Jobs in Texas: Frequently Asked Questions
Which visa types realistically fit practice director roles in Texas?
Practice director roles in Texas typically qualify as specialty occupations, making the H-1B visa the most common sponsorship pathway. It requires a bachelor's degree in a directly related field and is subject to an annual cap and selection process. The EB-2 and EB-3 employment-based green card categories also apply for permanent residence, with PERM labor certification required. Canadian and Mexican nationals cannot use TN visa for this role, as practice director is not a USMCA-listed profession.
Which companies sponsor visas for practice directors in Texas?
Large health systems with active H-1B and green card sponsorship histories in Texas include HCA Healthcare, Baylor Scott & White Health, UT Southwestern Medical Center, Houston Methodist, and Texas Health Resources. Academic medical centers affiliated with UT Health, Texas A&M, and Baylor College of Medicine also sponsor international candidates for clinical leadership positions. Sponsorship patterns vary by organization size and hiring need, so verifying individual employer filing histories is worthwhile before applying.
Which cities in Texas have the most practice director sponsorship jobs?
Dallas-Fort Worth leads in practice director sponsorship opportunities, anchored by major health systems, specialty clinics, and corporate healthcare headquarters concentrated across the metro. Houston is a close second, driven by the Texas Medical Center, one of the largest medical complexes in the world. San Antonio has a growing market tied to military health networks and regional hospital groups, while Austin's expanding healthcare sector is producing more director-level openings as the city's population grows rapidly.
How to find practice director visa sponsorship jobs in Texas?
Migrate Mate is built specifically for international candidates and lists practice director roles in Texas from employers with verified visa sponsorship histories. Searching by role and state on Migrate Mate surfaces positions at health systems and specialty practices that have actively filed for work authorization. This saves significant time compared to manually screening postings that do not disclose sponsorship. Filtering to Texas narrows results to the Dallas-Fort Worth, Houston, San Antonio, and Austin markets where most openings are concentrated.
Are there state-specific factors that affect practice director sponsorship in Texas?
Texas has no state income tax, which makes total compensation packages particularly attractive for sponsored international hires. The sheer scale of the Texas healthcare market, with multiple large nonprofit systems and for-profit networks operating statewide, means more employers have established immigration sponsorship infrastructure than in smaller states. UT Southwestern, Texas Children's Hospital, and MD Anderson Cancer Center also create strong academic-to-leadership pipelines that international candidates with advanced clinical or health administration degrees can enter at the director level.
What is the prevailing wage for sponsored practice director 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.