Facility Administrator Jobs in USA with Visa Sponsorship
Facility Administrator roles qualify for H-1B visa sponsorship when the position requires a bachelor's degree in facilities management, business administration, or a related field. Employers in healthcare, education, and commercial real estate sponsor this role regularly, and the H-1B lottery and PERM green card pathway are both available to qualified candidates.
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Get Access To All JobsSUMMARY
The Administrator is responsible for the overall daily management and operation of the clinic. The Administrator reports directly to first line regional operational management which may be an Area Director, Regional Director, or Vice President of Operations, depending on the region/demographics.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties and tasks may be assigned.
GROWTH
- Develop and implement processes for program growth in accordance with Company goals.
- Plan/coordinate patient scheduling to assure timely acceptance of patients and effective staffing levels.
- Implement clinical and operational processes to improve patient health and minimize hospitalizations and missed treatments.
- Achieve financial targets to include budget, labor costs, supply costs and expenditures.
OUTCOMES
- Review all incident reports; make recommendations and take action relative to incidents as appropriate; report at monthly QAPI meeting.
- Promote quality management program through education and involvement of staff and patients in outcomes as well as overall responsibility to achieve corporate goals for quality. Leads QAPI meetings and quality improvement committees.
- Coordinate the functions of all departments and develop standards and methods of measuring patient care services, including a chronological record of services provided to patients as required by the ESRD Network Coordinating Council and Medicare.
- Work with staff to maintain chronological, thorough, and appropriate documentation in the patient record of all treatments, activities, and communication with the patient, physician and other healthcare professionals.
- Achieve program's target goals for patient outcomes in accordance with quality patient care and Company goals.
OPERATIONAL READINESS
- Knowledge of and remain current with federal, state, local laws and regulations, including health care professionals practice act requirements.
- Assure that the clinic is in compliance with all applicable federal, state, and local laws and regulations and receives continuing certification from all statutory and regulatory agencies.
- Develop, implement and follow up necessary Corrective Action Plans for internal and external surveys.
- May assume Charge Nurse's responsibilities as needed.
- Responsible for duties listed in Registered Supervising Nurse job description and nursing services policy # C-AD-0110 or must designate Registered Nurse meeting these qualifications.
- May fulfill responsibility of facility CEO as delegated by Governing Body.
- Conduct and/or participate in both formal and informal meetings with the governing body, Regional Director, Medical Director and the staff. Assure that appropriate staff meetings, in-service education meetings, and team patient care planning meetings are held monthly. Assure that Quality Assessment & Performance Improvement Program is current at all times.
- Establish, maintain, and submit all required records and reports concerning staff, patients, and the operational affairs of the center.
- Plan, coordinate, and approve effective and efficient staffing to meet patient needs and regulations.
- Oversee the maintenance of equipment and supplies to meet current laws and regulations.
OPERATIONAL READINESS (cont.)
- Continuously monitor to ensure that a safe and sanitary physical environment is maintained throughout the facility; that all equipment is maintained and functions properly; and that adequate and appropriate inventory levels of all supplies are available and used correctly.
- Supervise the maintenance of equipment, building areas occupied by the center and other property belonging to the center.
- Know and understand the water treatment and mechanisms of the equipment of the facility.
- Assist, when necessary, with disinfection of equipment and supplies including bicarbonate delivery systems and dialysis machines.
PARTNERSHIPS
- Monitor all contractual agreements; update as needed with corporate oversight.
- Maintain collaborative working relationship with Medical Director and physicians.
- Establish and maintain a positive relationship with area hospitals, agencies, vendors and the community.
- Actively promote GUEST customer service standards; develop effective relationships at all levels of the organization.
- Respond effectively to inquiries or complaints.
STAFF DEVELOPMENT/ RETENTION
- Ensure all staff meet required qualifications for position held and perform duties within limitations established by and in accordance with company policy/procedures, health care professionals practice acts, applicable state and federal laws and regulations.
- Recruit, train, develop, and supervise all personnel.
- Maintain effective personnel management and employee relations, including evaluating the performance of all personnel; approving and submitting all hours worked and counseling and disciplining employees.
- Uphold management goals of corporation by leading staff in team concepts and promoting a team effort.
- Effectively communicates expectations; accepts accountability and holds others accountable for performance.
Qualifications/Requirements:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Requirements include:
- Demonstrated ability to function in a leadership position and to perform in new and emergent situations with sound judgment.
- Demonstrated analytical and problem-solving skills are required.
- Strong time management and organizational skills required.
- 1 year previous dialysis management experience preferred.
- Demonstrated working knowledge of the English language and ability to communicate verbally and in writing.
- Must have basic computer skills, including Microsoft Office (Word, Excel, Outlook); proficiency in all USRC clinical applications required within 90 days of hire.
- Must meet applicable, specific state requirements. (See addendum for Administrator.)
Additionally, if the nursing requirements listed below are not met, an individual may be placed in the Administrator role without them; however, in the absence of these qualifications, there must be a designated Registered Supervising Nurse at the clinic who does possess these qualifications:
- Must be full-time employee of the Company and available to clinic staff during time clinic is open.
- Current RN license in applicable state. License must be maintained as current and in good standing.
- 18 months as an RN with 6 months experience in nursing care of a patient with kidney failure.
- CPR certification required within 90 days of hire.
- Confirmation of ability to distinguish all primary colors.
- Must meet any practice requirement(s) for the applicable state. (See addendum for Registered Supervising Nurse.)
Benefit Details
All Full-Time employees are eligible for the following benefits:
- Medical / Pharmacy
- Dental
- Vision
- Voluntary benefits
- 401k with employer match
- Virtual Care
- Life Insurance
- Voluntary Benefits
- PTO
All Part Time employees are eligible for the following benefits:
- 401k with employer match
- PTO
SUMMARY
The Administrator is responsible for the overall daily management and operation of the clinic. The Administrator reports directly to first line regional operational management which may be an Area Director, Regional Director, or Vice President of Operations, depending on the region/demographics.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties and tasks may be assigned.
GROWTH
- Develop and implement processes for program growth in accordance with Company goals.
- Plan/coordinate patient scheduling to assure timely acceptance of patients and effective staffing levels.
- Implement clinical and operational processes to improve patient health and minimize hospitalizations and missed treatments.
- Achieve financial targets to include budget, labor costs, supply costs and expenditures.
OUTCOMES
- Review all incident reports; make recommendations and take action relative to incidents as appropriate; report at monthly QAPI meeting.
- Promote quality management program through education and involvement of staff and patients in outcomes as well as overall responsibility to achieve corporate goals for quality. Leads QAPI meetings and quality improvement committees.
- Coordinate the functions of all departments and develop standards and methods of measuring patient care services, including a chronological record of services provided to patients as required by the ESRD Network Coordinating Council and Medicare.
- Work with staff to maintain chronological, thorough, and appropriate documentation in the patient record of all treatments, activities, and communication with the patient, physician and other healthcare professionals.
- Achieve program's target goals for patient outcomes in accordance with quality patient care and Company goals.
OPERATIONAL READINESS
- Knowledge of and remain current with federal, state, local laws and regulations, including health care professionals practice act requirements.
- Assure that the clinic is in compliance with all applicable federal, state, and local laws and regulations and receives continuing certification from all statutory and regulatory agencies.
- Develop, implement and follow up necessary Corrective Action Plans for internal and external surveys.
- May assume Charge Nurse's responsibilities as needed.
- Responsible for duties listed in Registered Supervising Nurse job description and nursing services policy # C-AD-0110 or must designate Registered Nurse meeting these qualifications.
- May fulfill responsibility of facility CEO as delegated by Governing Body.
- Conduct and/or participate in both formal and informal meetings with the governing body, Regional Director, Medical Director and the staff. Assure that appropriate staff meetings, in-service education meetings, and team patient care planning meetings are held monthly. Assure that Quality Assessment & Performance Improvement Program is current at all times.
- Establish, maintain, and submit all required records and reports concerning staff, patients, and the operational affairs of the center.
- Plan, coordinate, and approve effective and efficient staffing to meet patient needs and regulations.
- Oversee the maintenance of equipment and supplies to meet current laws and regulations.
OPERATIONAL READINESS (cont.)
- Continuously monitor to ensure that a safe and sanitary physical environment is maintained throughout the facility; that all equipment is maintained and functions properly; and that adequate and appropriate inventory levels of all supplies are available and used correctly.
- Supervise the maintenance of equipment, building areas occupied by the center and other property belonging to the center.
- Know and understand the water treatment and mechanisms of the equipment of the facility.
- Assist, when necessary, with disinfection of equipment and supplies including bicarbonate delivery systems and dialysis machines.
PARTNERSHIPS
- Monitor all contractual agreements; update as needed with corporate oversight.
- Maintain collaborative working relationship with Medical Director and physicians.
- Establish and maintain a positive relationship with area hospitals, agencies, vendors and the community.
- Actively promote GUEST customer service standards; develop effective relationships at all levels of the organization.
- Respond effectively to inquiries or complaints.
STAFF DEVELOPMENT/ RETENTION
- Ensure all staff meet required qualifications for position held and perform duties within limitations established by and in accordance with company policy/procedures, health care professionals practice acts, applicable state and federal laws and regulations.
- Recruit, train, develop, and supervise all personnel.
- Maintain effective personnel management and employee relations, including evaluating the performance of all personnel; approving and submitting all hours worked and counseling and disciplining employees.
- Uphold management goals of corporation by leading staff in team concepts and promoting a team effort.
- Effectively communicates expectations; accepts accountability and holds others accountable for performance.
Qualifications/Requirements:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Requirements include:
- Demonstrated ability to function in a leadership position and to perform in new and emergent situations with sound judgment.
- Demonstrated analytical and problem-solving skills are required.
- Strong time management and organizational skills required.
- 1 year previous dialysis management experience preferred.
- Demonstrated working knowledge of the English language and ability to communicate verbally and in writing.
- Must have basic computer skills, including Microsoft Office (Word, Excel, Outlook); proficiency in all USRC clinical applications required within 90 days of hire.
- Must meet applicable, specific state requirements. (See addendum for Administrator.)
Additionally, if the nursing requirements listed below are not met, an individual may be placed in the Administrator role without them; however, in the absence of these qualifications, there must be a designated Registered Supervising Nurse at the clinic who does possess these qualifications:
- Must be full-time employee of the Company and available to clinic staff during time clinic is open.
- Current RN license in applicable state. License must be maintained as current and in good standing.
- 18 months as an RN with 6 months experience in nursing care of a patient with kidney failure.
- CPR certification required within 90 days of hire.
- Confirmation of ability to distinguish all primary colors.
- Must meet any practice requirement(s) for the applicable state. (See addendum for Registered Supervising Nurse.)
Benefit Details
All Full-Time employees are eligible for the following benefits:
- Medical / Pharmacy
- Dental
- Vision
- Voluntary benefits
- 401k with employer match
- Virtual Care
- Life Insurance
- Voluntary Benefits
- PTO
All Part Time employees are eligible for the following benefits:
- 401k with employer match
- PTO
See all 69+ Facility Administrator Jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new Facility Administrator roles.
Get Access To All JobsTips for Finding Visa Sponsorship as a Facility Administrator
Match your degree to the role
Facility Administrator positions must qualify as a specialty occupation for H-1B eligibility. Pull the O*NET occupation profile for this role and confirm your degree field directly aligns with the job duties your offer letter describes.
Target healthcare and university employers first
Hospitals, university systems, and large healthcare networks file H-1B petitions for Facility Administrators far more consistently than small property management firms. These employers already have established immigration counsel and repeat LCA filing history.
Verify prevailing wage before accepting an offer
Your employer must pay at least the DOL prevailing wage for your location and role level. Run the OFLC Wage Search using the correct SOC category before you negotiate, so you know whether the offer meets the legal minimum.
Find sponsors through Migrate Mate's verified listings
Search Migrate Mate to browse Facility Administrator roles at employers with confirmed LCA sponsorship history. This filters out postings from companies that have never filed for this role, saving you weeks of dead-end applications.
Ask about PERM timing during the offer stage
If you're on H-1B, ask the hiring manager whether the company initiates PERM labor certification after a set tenure. Facility Administrator roles in large institutions often follow a defined sponsorship track, but only if you ask upfront.
Prepare your credential documentation before interviews
Foreign three-year bachelor's degrees often need a credential evaluation to confirm U.S. equivalency for USCIS specialty occupation review. Order a course-by-course evaluation from a NACES-member evaluator before you receive an offer, not after.
Frequently Asked Questions
Does a Facility Administrator role qualify as a specialty occupation for the H-1B?
It depends on how the employer structures the position. If the job description requires a bachelor's degree in a specific field such as facilities management, business administration, or engineering, it can qualify. Generic Facility Administrator roles that accept any degree or equivalent experience often fail the specialty occupation test at USCIS, so the offer letter wording matters significantly.
Which visa types are realistic for Facility Administrator candidates?
H-1B is the most common path for degree-holding candidates. TN visa is not available for this role since Facility Administrator does not appear on the USMCA profession list. F-1 OPT and STEM OPT can bridge the gap while you pursue H-1B sponsorship, provided your degree field relates directly to your duties.
How do I find Facility Administrator jobs where employers will sponsor?
Browse Migrate Mate to find Facility Administrator openings at employers with verified sponsorship history. This is the fastest way to identify companies that have already filed LCAs for this role rather than relying on general job boards where sponsorship status is unconfirmed.
What degree does USCIS expect for a sponsored Facility Administrator position?
USCIS looks for a bachelor's degree in a field directly related to the role's core duties. Facilities management, construction management, business administration, or engineering are the most defensible options. A degree in an unrelated field, even at a high level, creates RFE risk unless the employer can demonstrate the connection in the LCA and petition supporting documents.
Can a Facility Administrator pursue a green card through employment sponsorship?
Yes. The EB-3 skilled worker category is the most common route. The employer must complete PERM labor certification through DOL, advertising the role to demonstrate no qualified U.S. workers are available. Processing timelines vary significantly by country of birth due to per-country limits, with applicants from India and China facing the longest backlogs.
What is the prevailing wage requirement for sponsored Facility Administrator 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.