Charge RN Jobs in USA with Visa Sponsorship
Charge RN roles attract strong visa sponsorship interest from U.S. hospitals. Most employers file H-1B visa or EB-3 petitions for qualified candidates. You'll need an active U.S. RN license, a nursing degree, and NCLEX-RN passage before sponsorship can begin. For detailed occupation requirements, see the O*NET profile.
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Get Access To All JobsPURPOSE AND SCOPE:
Functions as the hemodialysis team leader in the provision of chronic hemodialysis care and treatment. Provides day to day direction and supervision to assigned direct patient care staff. Communicates with the physician and other members of the healthcare team to interpret, adjust, and complete patient care plans. Provides safe, effective delivery of patient care in compliance with standards outlined in the facility procedure manual, as well as regulations set forth by the company, state, and federal agencies. Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
General and Staff Related:
- Provide day to day guidance, support and direction to direct patient care staff, providing informal feedback on an ongoing basis and formal feedback input for the annual performance evaluation. Participate in the department staffing and the appropriate hiring, firing and disciplinary actions. Recommend disciplinary action to Clinical Manager and initiate as appropriate.
- Ensure compliance with all company and facility approved procedures and policies as well as regulations set forth by state and federal agencies in clinics with more than 100 patients.
- Approve or disapprove time or personnel schedule changes in the absence on the Clinical Manager ensuring compliance with applicable regulations, policies and procedures for documenting time of work hours for staff members on assigned shift.
- Participate in patient care plan meetings.
- Maintain knowledge in the current practices related to the principles and techniques of dialysis by participating in all scheduled in-services.
- Train and orient staff as necessary.
- Routinely observe and guide direct patient care staff for appropriate technique and adherence to facility policies and procedures.
- Promote and assist with compliance to OSHA programs in order to maintain a safe and clean working environment.
- Maintain overall shift operation in a safe, efficient, and effective matter.
- With Clinical Manager conduct staff meetings at least monthly or as needed to keep patient care staff informed of changes in patient care needs or operations to improve delivery of care.
- Meet routinely with the Clinical Manager to discuss personnel and patient care status, issues, and information.
- Supervise all documentation of patient information.
- Coordinate Charge Nurse duties with Staff RNs acting in the relief charge capacity.
Patient Care:
- Assess daily patient care needs and develop and distribute patient care assignments appropriately.
- Assume primary responsibility in an emergency situation.
- Assess patient needs, respond to dialysis treatments, and communicate concerns to rounding physician. Implement changes in patient care/treatment as directed.
- Monitor and supervise all patient care activity during dialysis and assist as necessary.
- Collaborate with direct patient care team in making decisions to benefit patient care.
- Continuously monitor patient's condition with regards to problems and potential complications associated with dialysis.
- Administer medications to patients per physician's orders.
- Act as the subject matter expert and as a resource for staff members.
- Supervise and participate in completion of short- and long-term care plans.
- Admit new patients according to facility procedure.
- Ensure educational needs of patients are met and educate the patient and family about End Stage Renal Disease, dialysis therapy, diet and medication.
Technical:
- Supervise the safe and effective use of all equipment involved in direct patient care.
- Operate all dialysis related and emergency equipment safely and efficiently when needed.
- Perform required testing and verification and initial the checklist for start-up and shut-down procedures as outlined in the Technical Services Manual.
- Complete Nurse's Technical Training Program/Water Quality Facility Training.
Other:
- Assist with special projects or other duties as assigned by the Clinical Manager.
- Assist with the interviewing of potential direct patient care staff as requested.
- Promote efficient use of medical supplies.
- Attend and participate in monthly Quality Assurance meetings.
- Other duties as assigned.
Relationships:
- Internal Contacts: Direct Patient Care Staff, Facility support staff, management teams (Clinical Manager, Area Manager, RVP)
- External Contacts: Physicians, Back-up Hospitals
Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions.
The duties listed in this job description are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position.
PHYSICAL DEMANDS AND WORKING CONDITIONS:
- The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made.
- Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians.
- The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required.
- The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials.
SUPERVISION:
- Direct Patient Care Staff, Ward Clerk as assigned.
Education:
- Graduate of an accredited school of Nursing (R.N.)
- Current appropriate state licensure.
EXPERIENCE AND REQUIRED SKILLS:
- Minimum of 9 months of nursing experience and an additional 3 months of clinical experience in dialysis.
- RN charge nurses assuming responsibility for nursing and patient services in the absence of the Clinical Manager must have one-year clinical experience and six months dialysis experience.
- Supervisory or management experience preferred.
- Successfully complete a training course in the theory and practice of hemodialysis.
- Good communication skills - verbal and written.
- Must meet appropriate state requirements (if any).
Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.
EOE, disability/veterans
PURPOSE AND SCOPE:
Functions as the hemodialysis team leader in the provision of chronic hemodialysis care and treatment. Provides day to day direction and supervision to assigned direct patient care staff. Communicates with the physician and other members of the healthcare team to interpret, adjust, and complete patient care plans. Provides safe, effective delivery of patient care in compliance with standards outlined in the facility procedure manual, as well as regulations set forth by the company, state, and federal agencies. Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
General and Staff Related:
- Provide day to day guidance, support and direction to direct patient care staff, providing informal feedback on an ongoing basis and formal feedback input for the annual performance evaluation. Participate in the department staffing and the appropriate hiring, firing and disciplinary actions. Recommend disciplinary action to Clinical Manager and initiate as appropriate.
- Ensure compliance with all company and facility approved procedures and policies as well as regulations set forth by state and federal agencies in clinics with more than 100 patients.
- Approve or disapprove time or personnel schedule changes in the absence on the Clinical Manager ensuring compliance with applicable regulations, policies and procedures for documenting time of work hours for staff members on assigned shift.
- Participate in patient care plan meetings.
- Maintain knowledge in the current practices related to the principles and techniques of dialysis by participating in all scheduled in-services.
- Train and orient staff as necessary.
- Routinely observe and guide direct patient care staff for appropriate technique and adherence to facility policies and procedures.
- Promote and assist with compliance to OSHA programs in order to maintain a safe and clean working environment.
- Maintain overall shift operation in a safe, efficient, and effective matter.
- With Clinical Manager conduct staff meetings at least monthly or as needed to keep patient care staff informed of changes in patient care needs or operations to improve delivery of care.
- Meet routinely with the Clinical Manager to discuss personnel and patient care status, issues, and information.
- Supervise all documentation of patient information.
- Coordinate Charge Nurse duties with Staff RNs acting in the relief charge capacity.
Patient Care:
- Assess daily patient care needs and develop and distribute patient care assignments appropriately.
- Assume primary responsibility in an emergency situation.
- Assess patient needs, respond to dialysis treatments, and communicate concerns to rounding physician. Implement changes in patient care/treatment as directed.
- Monitor and supervise all patient care activity during dialysis and assist as necessary.
- Collaborate with direct patient care team in making decisions to benefit patient care.
- Continuously monitor patient's condition with regards to problems and potential complications associated with dialysis.
- Administer medications to patients per physician's orders.
- Act as the subject matter expert and as a resource for staff members.
- Supervise and participate in completion of short- and long-term care plans.
- Admit new patients according to facility procedure.
- Ensure educational needs of patients are met and educate the patient and family about End Stage Renal Disease, dialysis therapy, diet and medication.
Technical:
- Supervise the safe and effective use of all equipment involved in direct patient care.
- Operate all dialysis related and emergency equipment safely and efficiently when needed.
- Perform required testing and verification and initial the checklist for start-up and shut-down procedures as outlined in the Technical Services Manual.
- Complete Nurse's Technical Training Program/Water Quality Facility Training.
Other:
- Assist with special projects or other duties as assigned by the Clinical Manager.
- Assist with the interviewing of potential direct patient care staff as requested.
- Promote efficient use of medical supplies.
- Attend and participate in monthly Quality Assurance meetings.
- Other duties as assigned.
Relationships:
- Internal Contacts: Direct Patient Care Staff, Facility support staff, management teams (Clinical Manager, Area Manager, RVP)
- External Contacts: Physicians, Back-up Hospitals
Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions.
The duties listed in this job description are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position.
PHYSICAL DEMANDS AND WORKING CONDITIONS:
- The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made.
- Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians.
- The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required.
- The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials.
SUPERVISION:
- Direct Patient Care Staff, Ward Clerk as assigned.
Education:
- Graduate of an accredited school of Nursing (R.N.)
- Current appropriate state licensure.
EXPERIENCE AND REQUIRED SKILLS:
- Minimum of 9 months of nursing experience and an additional 3 months of clinical experience in dialysis.
- RN charge nurses assuming responsibility for nursing and patient services in the absence of the Clinical Manager must have one-year clinical experience and six months dialysis experience.
- Supervisory or management experience preferred.
- Successfully complete a training course in the theory and practice of hemodialysis.
- Good communication skills - verbal and written.
- Must meet appropriate state requirements (if any).
Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.
EOE, disability/veterans
See all 29,885+ Charge RN Jobs
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Get Access To All JobsTips for Finding Charge RN Jobs
Get your NCLEX-RN passed before applying
U.S. employers won't initiate sponsorship without an active RN license. NCLEX-RN passage is a prerequisite, not something you can work toward after hire. Have your license in hand before submitting applications.
Target hospital systems with established sponsorship pipelines
Large hospital networks and health systems sponsor international nurses far more consistently than small clinics or physician practices. They have immigration counsel on retainer and predictable H-1B or EB-3 filing cycles already in place.
Understand the EB-3 green card pathway for nurses
Registered nurses qualify for EB-3 Schedule A, a pre-certified green card category that bypasses the PERM labor market test. This makes permanent sponsorship faster and more accessible for Charge RNs than most other foreign workers.
Credential your foreign nursing degree early
International nursing graduates must have their credentials evaluated by a body such as CGFNS before state licensing boards will issue an RN license. This process takes months, so start credential evaluation well before you begin your job search.
Highlight charge-level leadership experience in your application
Charge RN roles carry supervisory and care-coordination responsibilities beyond staff nursing. Employers sponsoring for this title specifically need that experience documented. Emphasize unit oversight, scheduling, and charge duties in your resume and interviews.
Browse Migrate Mate for employers actively filing for nurses
Migrate Mate surfaces jobs from employers with a verified history of visa sponsorship for nursing roles. Filtering by sponsorship-verified postings saves significant time and helps you focus outreach on employers already willing to sponsor.
Frequently Asked Questions
Do Charge RN positions qualify for H-1B visa sponsorship?
Yes, Charge RN roles generally qualify as specialty occupations under H-1B visa criteria because they require at least a bachelor's degree in nursing. However, many employers prefer sponsoring nurses through EB-3 Schedule A, which offers a direct green card path without the H-1B lottery and is specifically designed for registered nurses.
What is EB-3 Schedule A and why does it matter for Charge RNs?
Schedule A is a U.S. Department of Labor pre-certification for occupations facing domestic worker shortages, and registered nurses are explicitly listed. This means your employer skips the PERM labor market test entirely, reducing the green card timeline significantly. Most internationally recruited nurses pursue permanent residence through this pathway rather than through H-1B.
Do I need a four-year BSN degree, or is an associate degree enough?
For H-1B sponsorship, USCIS requires a U.S. bachelor's degree or its equivalent, so a two-year associate degree alone may not satisfy the specialty occupation standard. However, EB-3 Schedule A green card sponsorship does not impose the same four-year degree requirement. Many employers strongly prefer or require a BSN for Charge RN titles regardless of visa type.
How long does sponsorship take for a Charge RN role?
H-1B timelines depend on the lottery, which runs once per year with results in spring for an October 1 start date. EB-3 Schedule A green card cases avoid PERM but still require I-140 petition approval and visa number availability, which varies by your birth country. Indian and Chinese nationals face multi-year backlogs; nationals from most other countries have far shorter waits.
Where can I find Charge RN jobs with confirmed visa sponsorship?
Migrate Mate lists nursing roles from employers with a documented history of sponsoring international candidates. Searching specifically for Charge RN postings on Migrate Mate helps you identify hospital systems and health networks actively filing H-1B or EB-3 petitions, rather than employers who list sponsorship as possible but rarely follow through.
What is the prevailing wage requirement for sponsored Charge RN 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.