Assistant Director of Nursing Jobs in USA with Visa Sponsorship
Assistant Director of Nursing roles qualify for H-1B visa and EB-3 visa sponsorship when the position requires a BSN or higher. Employers in acute care, long-term care, and health systems file LCAs and PERM labor certifications to sponsor international candidates. NCLEX licensure and state RN authorization are prerequisites before any petition moves forward.
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Get Access To All JobsINTRODUCTION
$10,000 Bonus!
We are seeking individuals with genuine empathy and patience to help care for our residents’ needs. Applicants must have a caring approach and be willing to care for the needs of patients and the team. Pillars for successful employment are work ethic, integrity, and competence.
We are seeking an Assistant Director of Nursing ADON.
ROLE AND RESPONSIBILITIES
Must be a Registered Nurse (RN) for this role.
- Oversee aspects of the nursing department, including staff management and patient care
- Develop and implement nursing policies and procedures to ensure compliance with regulations
- Collaborate with other healthcare professionals to create individualized care plans
- Monitor and evaluate the performance of nursing staff
- Ensure adherence to resident rights and maintain confidentiality in accordance with HIPAA regulations
- Provide leadership and guidance to nursing staff to promote a positive work environment
BASIC QUALIFICATIONS
- Strong Leadership and Supervisory Skills
- Unencumbered Registered Nurse (RN) license in the state of practice with previous DON or ADON experience
- Rehabilitation Focus, Wound Care Experience, Knowledge of Medicare A & B, Willing To Work With Behavior Management Residents
- Enjoy working with the Elderly, MDS/Care Plans, Willing to work 2 Weeks a Month, Previous CNA/CMT instructor certification and have excellent regulatory compliance record and commitments to TQM (Total Quality Management)
- Strong leadership skills with the ability to motivate and mentor staff
- Familiarity with healthcare systems and regulations, including HIPAA compliance
BENEFITS
- Health Insurance
- Dental Insurance
- Disability Insurance
- Vision Insurance
- Employee Assistance Program
- 401(k)
- Life Insurance
- Paid Time Off
ADDITIONAL BENEFITS
- Telemedicine: $0 co-pay for telemedicine appointments, providing easy access to medical consultations from the comfort of your home.
- Unlimited Assistance: Receive unlimited support for legal, financial, childcare, elder care, and more—designed to support your personal and family well-being.
- Mayo Clinic Programs: Access exclusive programs from the Mayo Clinic, including resources for workouts, lifestyle, mental health, and diet to promote a balanced and healthy lifestyle.
These additional benefits are available to you without reducing your take-home pay!
We only accept resumes and applications submitted directly through our Applicant Tracking System for posted positions. We do not accept unsolicited resumes from third-party agencies, recruiters, or staffing firms. Company employees and hiring managers are not authorized to enter into agreements or otherwise bind the company with respect to recruiting services. Any resumes submitted without a signed written agreement by the Executive Vice President of Recruitment will be considered unsolicited, and no fees will be owed.
COMPENSATION
- Pay: $95,000.00 - $105,000.00 per year
INTRODUCTION
$10,000 Bonus!
We are seeking individuals with genuine empathy and patience to help care for our residents’ needs. Applicants must have a caring approach and be willing to care for the needs of patients and the team. Pillars for successful employment are work ethic, integrity, and competence.
We are seeking an Assistant Director of Nursing ADON.
ROLE AND RESPONSIBILITIES
Must be a Registered Nurse (RN) for this role.
- Oversee aspects of the nursing department, including staff management and patient care
- Develop and implement nursing policies and procedures to ensure compliance with regulations
- Collaborate with other healthcare professionals to create individualized care plans
- Monitor and evaluate the performance of nursing staff
- Ensure adherence to resident rights and maintain confidentiality in accordance with HIPAA regulations
- Provide leadership and guidance to nursing staff to promote a positive work environment
BASIC QUALIFICATIONS
- Strong Leadership and Supervisory Skills
- Unencumbered Registered Nurse (RN) license in the state of practice with previous DON or ADON experience
- Rehabilitation Focus, Wound Care Experience, Knowledge of Medicare A & B, Willing To Work With Behavior Management Residents
- Enjoy working with the Elderly, MDS/Care Plans, Willing to work 2 Weeks a Month, Previous CNA/CMT instructor certification and have excellent regulatory compliance record and commitments to TQM (Total Quality Management)
- Strong leadership skills with the ability to motivate and mentor staff
- Familiarity with healthcare systems and regulations, including HIPAA compliance
BENEFITS
- Health Insurance
- Dental Insurance
- Disability Insurance
- Vision Insurance
- Employee Assistance Program
- 401(k)
- Life Insurance
- Paid Time Off
ADDITIONAL BENEFITS
- Telemedicine: $0 co-pay for telemedicine appointments, providing easy access to medical consultations from the comfort of your home.
- Unlimited Assistance: Receive unlimited support for legal, financial, childcare, elder care, and more—designed to support your personal and family well-being.
- Mayo Clinic Programs: Access exclusive programs from the Mayo Clinic, including resources for workouts, lifestyle, mental health, and diet to promote a balanced and healthy lifestyle.
These additional benefits are available to you without reducing your take-home pay!
We only accept resumes and applications submitted directly through our Applicant Tracking System for posted positions. We do not accept unsolicited resumes from third-party agencies, recruiters, or staffing firms. Company employees and hiring managers are not authorized to enter into agreements or otherwise bind the company with respect to recruiting services. Any resumes submitted without a signed written agreement by the Executive Vice President of Recruitment will be considered unsolicited, and no fees will be owed.
COMPENSATION
- Pay: $95,000.00 - $105,000.00 per year
See all Assistant Director of Nursing Jobs
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Get Access To All JobsTips for Finding Assistant Director of Nursing Jobs
Get your NCLEX and state license first
No employer can file an H-1B or begin PERM for an ADON role until you hold an active RN license in the hiring state. Start the CGFNS credentialing and NCLEX registration process well before you apply, since state board timelines vary significantly.
Verify the role requires a BSN
H-1B sponsorship depends on specialty occupation status, meaning the position must require at least a bachelor's degree in nursing. Confirm the job posting and offer letter both explicitly state BSN or higher as a requirement, not just a preference.
Target health systems with PERM filing history
Large hospital networks and long-term care chains are far more likely to have established immigration counsel and budget for PERM labor certifications. Search Migrate Mate's verified employer database to identify health system employers actively sponsoring ADON and nursing leadership roles.
Understand PERM's supervised recruitment rules
PERM requires your employer to run DOL-mandated recruitment steps before filing. Your offer can't be conditional on PERM approval, and the employer must document that no qualified U.S. workers were available. Ask your prospective employer directly whether they've completed PERM filings for clinical management roles before.
Check prevailing wage before accepting an offer
Your employer's LCA must certify wages at or above the DOL prevailing wage for your role and location. Run the OFLC Wage Search using the correct SOC category for nursing directors to know whether the offered salary clears the threshold before you sign anything.
Account for H-1B cap timing in your start date
H-1B petitions are subject to an annual cap and lottery, with rules that have changed recently. USCIS can only authorize employment starting October 1 for cap-subject cases filed in the same year's lottery cycle, so negotiate a conditional start date that accounts for this timeline.
Frequently Asked Questions
Does an Assistant Director of Nursing role qualify as a specialty occupation for H-1B purposes?
Yes, provided the employer's job requirements specify a BSN or higher as a minimum qualification, not simply preferred. USCIS evaluates specialty occupation at the position level, not the industry. If the posting says 'bachelor's preferred,' the employer should revise it to 'required' before filing the LCA, otherwise the petition is vulnerable to a Request for Evidence.
Which visa types realistically cover an Assistant Director of Nursing?
H-1B is the most common nonimmigrant path, requiring a specialty occupation determination and an employer-filed LCA. EB-3 skilled worker is the standard immigrant visa route, requiring PERM labor certification. TN visa is not applicable to ADON roles since nursing directors are not on the USMCA profession list. J-1 visa is typically unavailable for permanent clinical leadership roles outside formal exchange programs.
How long does EB-3 green card sponsorship take for a nursing leadership role?
PERM labor certification alone takes roughly six to eighteen months depending on DOL audit rates. After PERM approval, your employer files an I-140 immigrant petition with USCIS. Wait times for a green card then depend on your country of birth and the EB-3 priority date backlog. Candidates born in India or China face multi-year queues due to per-country limits, while most other nationalities move faster.
Do I need my nursing credentials evaluated before an employer can sponsor me?
Yes. CGFNS credential evaluation or an equivalent assessment is typically required to validate that your foreign nursing degree is equivalent to a U.S. BSN. Many state nursing boards require this evaluation before granting an RN license, and without an active state RN license, neither H-1B nor PERM sponsorship can proceed for an ADON role.
Where can I find employers actively sponsoring Assistant Director of Nursing roles?
Migrate Mate lists employers with verified sponsorship history for nursing and clinical leadership positions, searchable by location and role type. Focusing your search on employers who have already sponsored similar roles reduces the risk of pursuing opportunities with organizations that have no immigration infrastructure or budget for PERM filings.
What is the prevailing wage requirement for sponsored Assistant Director of Nursing jobs?
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.