Circulating Nurse Jobs in USA with Visa Sponsorship
Circulating nurse roles attract strong visa sponsorship interest because hospitals rely on perioperative staff to keep operating rooms running. Employers can sponsor you through the H-1B visa, EB-3 skilled worker green card, or TN visa if you hold Canadian or Mexican nursing credentials. NCLEX passage and state licensure are non-negotiable before any petition moves forward.
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MultiCare Surgery Center - McPhee, located in Olympia, WA, is a multispecialty ambulatory surgery center managed by Atlas Healthcare Partners. The center provides advanced surgical services across a range of specialties in a patient-focused environment. With a highly skilled clinical team and an efficient care model, MultiCare Surgery Center – McPhee is committed to delivering high-quality, accessible outpatient care to the Olympia community.
Up to a $10,000 Sign-On Bonus!
Status: Full-Time
Position Summary
This position assesses, plans, implements, evaluates and documents nursing care of patients in accordance with organizational policies and in accordance with standards of professional nursing practice utilizing the framework for professional nursing practice and development. This position is accountable for the quality of nursing services delivered by self or others who are under their direction. This position utilizes specialized knowledge, judgment, and nursing skills necessary to assess data and plan, provide and evaluate care appropriate to the physical and developmental age of assigned patients.
ESSENTIAL FUNCTIONS
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Assesses patient physical, psychological, social, spiritual, educational, developmental, cultural and discharge planning needs. Reviews patient history and physical with patient/family and assures completion within appropriate timeframe. Reviews available information obtained by other health care team members. Reviews diagnostics and laboratory data and reports abnormal results to the physician(s) and other appropriate caregivers. Completes assessment and reassessments according to patient need and as outlined in policy.
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Formulates a plan of care, including the discharge plan, utilizing assessment data and patient, family and health team input. Initiates a plan of care based on patient-specific needs, assessment data and the medical plan of care. Goals for patient are realistic, measurable and developed in conjunction with the patient/family. Considers the physical, cultural, psychosocial, spiritual, age specific and educational needs of the patient in the plan of care. Plans care in collaboration with members of the multidisciplinary team. Reviews and revises the plan of care to reflect changing patient needs based on evaluation of the patient’s status.
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Implements the plan of care through direct patient care, coordination, delegation and supervision of the activities of the health care team. Provides care based on physician orders and the nursing plan of care, in compliance with policies and procedures, standards of care, and regulatory agency requirements. Promotes continuity of care by accurately and completely communicating to other caregivers the status of patients for whom care is provided.
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Evaluates the patient's and family's response to care and teaching and revises the plan of care as needed. Evaluates patient progress towards goals and expected outcomes in collaboration with other health care team members. Evaluates patient's response and the effectiveness of patient teaching.
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Documents assessment, planning, implementation and evaluation in the patient record. Documentation is legible, timely and in accordance with policy. Documentation reflects objective/subjective data, nursing interventions and patient’s response to treatment. Notes physician orders accurately and in a timely manner.
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Provides care based on the best evidence available and may participate in research activities within clinical practice. Participates in department or facility shared leadership. Interacts and participates in the education, role development, and orientation of facility personnel, patients, students, families and visitors. Promotes/supports growth of others through precepting and mentoring when appropriate.
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Contributes to society through activities that lead to excellent patient outcomes through timely, effective, efficient, equitable, and safe care. Actively participates in the improvement of national nursing quality indicators and outcomes. Such activities may include participating in professional organizations.
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In some location, this position may provide relief charge for staff and workflow of the department.
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Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards.
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Provides all customers with an excellent service experience by consistently demonstrating our core and leader behaviors each and every day.
NOTE: The essential functions are intended to describe the general content of and requirements of this position and are not intended to be an exhaustive statement of duties. Specific tasks or responsibilities will be documented as outlined by the incumbent's immediate manager.
MINIMUM QUALIFICATIONS
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Associate’s Degree or Diploma in Nursing, or higher, required.
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Must possess a current, valid RN license in state of practice, temporary RN license in state of practice, or compact RN licensure for current state of practice.
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BLS and ACLS required.
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*PALS certification required within 90 days of start date if assigned ASC services pediatrics.
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Core (FT/PT): Minimum one-year licensed RN experience in OR (other procedural areas consider with Support Center Clinical Educator approval) Licensed RN with no experience in OR and enrolled in PeriOp101 program with successful completion within 4 months.
PREFERRED QUALIFICATIONS
- Additional OR or perioperative licensed RN experience is strongly preferred.
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Get Access To All JobsTips for Finding Visa Sponsorship as a Circulating Nurse
Get your CGFNS certification before applying
Many hospitals won't advance your application without a CGFNS certificate or VisaScreen credential. Complete this credential evaluation early, as it confirms your foreign nursing education meets U.S. equivalency standards and satisfies state board requirements for licensure.
Target hospitals with active perioperative departments
Large hospital systems with dedicated Level I trauma centers or high-volume surgical suites file far more sponsorship petitions than outpatient clinics. Search Migrate Mate to identify employers with verified H-1B or EB-3 LCA filing history specifically for nursing roles.
Verify your wage offer against OFLC Wage Search
Your employer's LCA must certify a wage at or above the prevailing wage for registered nurses in that metro area. Cross-check the offered salary against the OFLC Wage Search before signing an offer letter, since underpayment triggers DOL compliance issues.
Clarify OR-specific duties in your job description
USCIS scrutinizes nursing petitions heavily. Your employer's support letter and LCA job description should explicitly name circulating nurse duties, like pre-op patient assessment, sterile field maintenance, and intraoperative documentation, to satisfy specialty occupation standards.
Ask about PERM timing if pursuing a green card
EB-3 sponsorship through PERM requires your employer to run a supervised labor market test before filing. That process takes six to twelve months on average, so confirm whether the hospital has started PERM before you rely on it for long-term status planning.
Confirm state licensure portability before relocating
Some hospitals sponsor nurses licensed in a Nurse Licensure Compact state, which allows multistate practice. If your license isn't portable, you'll need a new state license before starting, which can delay your I-94 work authorization start date.
Frequently Asked Questions
Does a circulating nurse role qualify as a specialty occupation for the H-1B?
USCIS applies stricter scrutiny to nursing H-1B petitions than to many other roles, because not all nursing positions historically required a bachelor's degree. A circulating nurse petition succeeds when the employer documents that the position requires at minimum a BSN and that the complexity of perioperative care duties justifies that requirement. Associate-degree nurses face significant petition challenges under this standard.
What is the most common green card path for a sponsored circulating nurse?
The EB-3 skilled worker category is the most widely used green card route for circulating nurses. Your employer files a PERM labor certification with DOL, then an I-140 immigrant petition with USCIS. Wait times vary significantly by birth country, with applicants born in India or China facing longer priority date backlogs than those from most other countries.
Can a Canadian or Mexican circulating nurse use the TN visa?
Yes. Registered nurses from Canada or Mexico can qualify for TN visa status under the USMCA profession list. You'll need a valid RN license, a job offer letter, and proof of your nursing degree or diploma. Canadian nurses apply at the port of entry without a consulate appointment; Mexican nurses apply at a U.S. consulate. TN does not allow immigrant intent, so you can't pursue a green card simultaneously.
Which hospitals sponsor circulating nurses most actively?
Large academic medical centers, Level I trauma hospitals, and regional health systems with high surgical volume are the most consistent sponsors for circulating nurse roles. Migrate Mate lists employers with verified H-1B and EB-3 LCA filing history for nursing positions, so you can target your applications toward facilities that have already demonstrated willingness to sponsor.
Does my foreign nursing degree need to be evaluated before an employer files a petition?
Yes. USCIS requires evidence that your foreign nursing credential is equivalent to a U.S. nursing degree. A credential evaluation from CGFNS or a recognized evaluation service is typically required alongside your state board application. Without a credential evaluation and an active state RN license, neither an H-1B petition nor an EB-3 PERM application can move forward.
What is the prevailing wage requirement for sponsored Circulating Nurse 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.