Assistant Nurse Manager Jobs in USA with Visa Sponsorship
Assistant Nurse Manager roles sit at the intersection of clinical expertise and administrative leadership, making them specialty occupations that qualify for H-1B visa sponsorship. Many hospitals and health systems sponsor RNs moving into ANM roles, particularly candidates with BSN credentials and charge nurse or supervisory experience.
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Position Summary:
Department: Intermediate Critical Care / Multisystem PCU
Status: Variable Full-Time w/ rotating weekends (Three 12 hour shifts)
Shift: Nights (7pm - 7am)
Title: Clinical Assistant Nurse Manager | Assistant Nurse Manager
Orlando Health Dr. P. Phillips proudly holds recognition as a “Best Regional Hospital” by U.S. News & World Report and selected as one of the “Best Places to Work in Healthcare” by Modern Healthcare. With a highly qualified team of nurses, support staff and physician specialists, our 285-bed facility provides combined expertise and advanced technology in numerous areas of specialty, including diagnostic imaging, cardiovascular care, orthopedic care, surgical services and emergency medicine.
In 2025, Dr. P. Phillips Hospital opened the onsite Team Member Wellness Center, designed to support employee health and well-being. The center features a state-of-the-art fitness facility, a dedicated tranquility space, and wellness activities - making it easy to recharge and get your workout in before or after your shift. “Orlando Health Is Your Best Place to Work” is not just something we say, it’s our promise to you.
All Inclusive Benefits (start day one)
- Student loan repayment, tuition reimbursement, FREE college education programs, retirement savings, paid paternity leave, fertility benefits, back up elder and childcare, pet insurance, PTO/Holidays, and more for full time and part time employees.
About the DPH Intermediate Critical Care / Multisystem PCU
The ICC / Multisystem Progressive Care Unit (PCU) is a 30-bed unit conveniently located adjacent to the ICU. This unit functions as a transitional care ICU step-down for patients who no longer require intensive care but still need close monitoring.
- Specialized medication drips: Nicardipine, Insulin, Nitroglycerin, etc.
- We cater to adult patients who are stable enough to leave the ICU but require continued observation and care. This includes individuals with potential life-threatening conditions, those recovering from post-cath procedures, patients needing advanced monitoring, specialized medication drips, and/or ventilator support.
Position Summary
The Clinical Assistant Nurse Manager (CANM) is responsible for leading the shift operations within the clinical setting to ensure delivery of high-quality care, exceptional customer experience, and optimal patient flow. In conjunction with the Department Nursing Operations Manager and the Assistant Nursing Operations Manager (ANOM); the CANM provides guidance, fosters collaboration, and is responsible for the unit’s clinical operations including patient care assignments, customer experience, productivity, and quality outcomes in settings where an acute care patient receives active treatment for an injury, episode of illness, a medical condition, or post intervention with assessment.
Qualifications
Education/Training
Bachelor of Science in Nursing Degree (BSN) preferred.
Licensure/Certification
- Current licensure as a registered nurse in the State of Florida or Nurse Licensure Compact (NLC).
- Current Basic Life Support (BLS) certification.
- Certification in area of expertise; preferred.
- May require one or more of the following certifications based on the assigned patient population:
- Advanced Cardiovascular Life Support (ACLS)
Experience
- 2+ years of experience as a Registered Nurse
- Prior preceptor/charge/lead experience highly preferred but not required
Essential Functions
- Exemplar of the mission, vision, and values of Orlando Health.
- Participates in shared leadership structure.
- Manages staffing assignments for oncoming and off going shifts, based on patient acuity and skill set of team members to ensure patient care needs are met.
- Coordinates patient flow by working directly with the Administrative Supervisors, Care Coordinators, and Discharge Planners to achieve expected outcomes.
- Monitors overall status of patients within area of responsibility and closely monitors status of seriously ill patients.
- Coordinates and/or participates in the delivery of patient care ensuring compliance with physician orders and established policies, procedures, and standards of practice.
- Serves as a resource supporting frontline team members and providers as appropriate.
- Supports clinical collaboration focusing on expected patient length of stay.
- Performs direct patient care activities as required to meet operational needs.
- Interfaces with patients and families to enhance customer experience by conducting Nurse Leader rounds and investigating and responding to patient/family and physician complaints.
- Participates in and/or leads safety huddles.
- Embraces, communicates, and promotes change and problem solving.
- Assesses equipment needs to ensure staff have the needed equipment for patient care, and they can appropriately utilize equipment.
- Supports and sustains all leader-driven initiatives.
- Assists with retention strategies for new team members that fosters a best place to work environment.
- Maintains a regulatory ready environment of care.
- Ensures the appropriate allocation/adjustment of staff, assignment of meal breaks, relief of team members as indicated, etc.
- Utilizes effective fiscal management skills and financial resources with decision-making.
- Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA, and other federal, state, and local standards.
- Maintains compliance with all Orlando Health policies and procedures.
Other Related Functions
Leadership
- Supports strategic imperatives by attending leadership huddles, assisting in new nursing/clinical initiatives, and fostering positive multidisciplinary partnerships through collegial collaboration.
- Serves as a coach and mentor for the nursing team.
- Expresses ideas clearly and effectively in verbal and written communication to team members and groups.
- Fosters diversity, equity, and inclusion.
- Promote a safe working environment; support and/or coordinate any follow-up related to WPV occurrences.
Performance/Quality Improvement
- Participates in the collection of unit/department information via audits to identify opportunities for improvement and trends.
- Promotes high-quality nursing practice supported by evidence-based practice, research, organization, and national standards.
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Get Access To All JobsTips for Finding Visa Sponsorship as an Assistant Nurse Manager
Verify your credentials before applying
Your NCLEX pass, state RN license, and BSN are non-negotiable for ANM sponsorship. Have your foreign nursing credentials evaluated by CGFNS before you approach employers, since an incomplete credentials package stalls PERM labor certification filings.
Target health systems with existing LCA history
Large hospital networks and academic medical centers file Labor Condition Applications for nursing leadership roles far more consistently than smaller community hospitals. Use Migrate Mate to find employers with verified ANM and nursing management sponsorship history by city.
Distinguish ANM from staff RN in your resume
Employers filing for an ANM specialty occupation need to show the role requires a directly related bachelor's degree. Frame your resume around supervisory scope, budget oversight, and staff management, not bedside clinical tasks, so the LCA specialty occupation argument holds.
Ask about PERM timing during the offer stage
Some employers start PERM labor certification only after you're onboard, which adds six to twelve months before your green card petition can be filed. Ask HR whether they initiate PERM concurrently with your H-1B petition or wait until after a performance review period.
Confirm the prevailing wage tier before signing
ANM roles often fall at DOL Level II or III on the OFLC Wage Search, depending on the hospital's market. Confirm that your offered salary meets the certified LCA wage for your specific location, since mismatches between the LCA wage and your offer letter can trigger an RFE.
Understand H-1B cap timing for nursing leadership
If you're moving from F-1 OPT or a non-H-1B status, your employer must file your H-1B petition in April for an October 1 start. USCIS selection rules have changed recently, so plan your ANM job search timeline at least twelve months before your current status expires.
Frequently Asked Questions
Does an Assistant Nurse Manager role qualify as a specialty occupation for H-1B purposes?
Yes, ANM roles typically qualify as specialty occupations because they require at least a bachelor's degree in nursing or a directly related field. The key is that the employer must demonstrate the position's complexity and that a BSN is the standard entry requirement for the role, not just preferred. Generic nursing management roles that accept an ADN may face RFEs from USCIS.
Which visa types can sponsor an Assistant Nurse Manager working in the U.S.?
H-1B is the most common nonimmigrant visa for ANM roles, requiring a specialty occupation and employer sponsorship. EB-2 and EB-3 green card categories are available for longer-term sponsorship via PERM labor certification. TN visa is not available for nursing management roles, and H-2B visa covers only temporary non-agricultural work, which ANM positions don't satisfy.
How do I find hospitals actively sponsoring Assistant Nurse Manager positions?
Migrate Mate lists employers with verified sponsorship history for nursing leadership roles, searchable by city and role type. Large academic medical centers, VA facilities, and multi-site health systems are the most consistent sponsors for ANM positions because they have dedicated immigration counsel and established HR workflows for clinical leadership hires.
Does my foreign nursing degree satisfy the specialty occupation requirement for an ANM visa?
A foreign nursing degree needs to be evaluated for U.S. equivalency before it can support an H-1B specialty occupation claim. CGFNS or a NACES-approved credential evaluation agency must confirm your degree is equivalent to a U.S. BSN. A three-year foreign nursing degree may qualify if the evaluator confirms it meets the four-year U.S. standard.
What happens to my H-1B status if I get promoted from staff RN to Assistant Nurse Manager?
A promotion from staff RN to ANM is considered a material change in employment, so your employer must file an amended H-1B petition with USCIS before or when you move into the new role. The amended petition includes a new LCA at the ANM prevailing wage level. You can't simply update your title internally without USCIS notification.
What is the prevailing wage requirement for sponsored Assistant Nurse Manager 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.