House Supervisor Jobs in USA with Visa Sponsorship
House Supervisor roles in U.S. hospitals and healthcare systems qualify as specialty occupations, making H-1B visa sponsorship the most common path for international candidates. Employers file a Labor Condition Application before your visa petition, and your nursing or healthcare administration degree must directly align with supervisory clinical duties.
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Purpose: The primary purpose of this position is to supervise the day-to-day nursing activities of the facility during your tour of duty. Such supervision must be in accordance with current federal, state, and local standards, guidelines, and regulations that govern our facility, and as may be required by the Director of Nursing Services, to ensure that the highest degree of quality care is maintained at all times.
Description
- Assist the Director of Nursing Services in directing the day-to-day functions of the nursing activities in accordance with current rules, regulations, and guidelines that govern the long-term care facility by assisting with development, maintenance, and updating written policies and procedures that govern the day-to-day functions of the nursing service department.
- Oversee and ensure all nursing service personnel comply with the procedures set forth in the Nursing Service Procedures Manual.
- Maintain the department’s policies and procedures to personnel, residents, visitors, and government agencies are being followed.
- Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, completing accident/incident reports as necessary etc., while the Unit Managers are not present.
- Attend and be an active participant in various committee meetings of the facility (i.e., Infection Control, Policy Advisory, Pharmaceutical, Quality Assessment, Care Plan Committee, etc.) as required and be prepared to implement recommendations as instructed by the Director of Nursing.
- Provide feedback to the Director regarding the equipment needs of the nursing services department keeping within budgetary guidelines and regulations.
- Ensure that an adequate stock level of medications, medical supplies, equipment, etc., is maintained on premises at all times to meet the needs of the residents while working the off-shifts.
- Participate in developing a preventive maintenance program for maintaining the nursing service department’s equipment and supplies in a safe and operable manner.
- Ensure that care plan and assessment duties are performed in accordance with the Unit Manager job description.
- Coordinate care between units and relay pertinent information to Physicians/NP’s.
- Maintain the confidentiality of all resident care information including protected health information. Report known or suspected incidents of unauthorized disclosure of such information; and adhere to Resident’s rights.
- Demonstrate the knowledge and skills necessary to provide care appropriate to the age-related needs of the residents served.
- Be a supportive team member, contribute to and be an example of teamwork and team concept.
- Possess the ability to make independent decisions when circumstances warrant such action.
- Possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public.
- Possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies, and procedures, etc., that are necessary for providing quality care.
- Have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult residents.
- Be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices.
- Be able to relate information concerning a resident’s condition.
- Process new admissions and re-admissions.
- Perform other work related/personal nursing care duties as requested.
- Challenge current working practices; identify process improvement opportunities and present recommendations and solutions to management. Engage and commit to the organization’s culture of continuous improvement by actively participating, supporting, and promoting CCHC Pillars of Excellence.
Qualifications
- Must possess a current, unencumbered, active RN/LPN license to practice as an RN or LPN in this state.
- Must possess, as a minimum, a Nursing Degree from an accredited college or university, or be a graduate of an approved LPN/LVN program.
- Must be able to read, write, speak, and understand the English language.
- Minimum of one (1) year of experience as a supervisor in a hospital, nursing care facility, or other related health care facility preferred.
- Must have training in rehabilitative and restorative nursing practices.
- BLS/CPR and AED Program Certification.
- Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to nursing care facilities.
- Must possess leadership and supervisory ability and the willingness to work harmoniously with and supervise other personnel.
Schedule Details: 32 Hours Per Week, Rotating Evenings, 3p-11p Every Other Weekend, Rotating Holidays
Organization: JML Care Center
Primary Location: Massachusetts-Falmouth
Department: JML-Nursing Administration
Annual/Hourly: Annual - Based on Full Time Employment
Hiring Pay Range: $98000 - $118000
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Get Access To All JobsTips for Finding House Supervisor Jobs
Align your credentials to specialty occupation standards
House Supervisor positions require a bachelor's degree in nursing or healthcare administration to meet USCIS specialty occupation criteria. If your degree is from outside the U.S., get a credential evaluation from a NACES-member organization before applying.
Target health systems with LCA filing history
Use Migrate Mate to identify hospitals and health networks that have filed Labor Condition Applications for House Supervisor or related RN leadership roles, so you're applying where sponsorship infrastructure already exists.
Verify your offered wage against DOL prevailing rates
Before accepting any offer, run the job title and location through the OFLC Wage Search to confirm the salary meets the required wage level. An employer's LCA is invalid if the offered wage falls below the prevailing wage for your area.
Clarify 24/7 oversight duties in your job description
USCIS scrutinizes whether House Supervisor roles genuinely require a specialized degree. Ensure your offer letter explicitly states that the position involves clinical decision-making authority and oversight of nursing staff across all units, not just administrative scheduling.
Understand the H-1B cap timeline for your start date
H-1B is subject to an annual cap and selection process, and the rules have changed recently. Build at least six months of lead time into your job search so your employer can file within the correct window for your intended start date.
Confirm PERM labor certification requirements for green card sponsorship
If your employer plans to sponsor your EB-2 or EB-3 green card, they'll need to complete a PERM labor certification through DOL before filing your immigrant petition. Ask HR whether they have an established immigration program before you sign an offer.
Frequently Asked Questions
Does a House Supervisor role qualify as a specialty occupation for H-1B purposes?
Yes, provided the position genuinely requires a bachelor's degree or higher in nursing, healthcare administration, or a directly related field. USCIS will review the job duties to confirm the role demands theoretical and practical application of specialized knowledge. Supervisory titles that could be filled by candidates from any background are more likely to draw a Request for Evidence.
Which visa types realistically apply to House Supervisor candidates?
H-1B is the primary path for most nationalities, covering a three-year initial period extendable to six. Australian citizens can also pursue an E-3 visa, which has a 10,500 annual cap that has never been exhausted and allows biennial renewals without a lottery. Both require a certified Labor Condition Application from your employer before the visa petition is filed.
Do I need an RN license to get sponsored as a House Supervisor?
In practice, yes. Most hospitals require an active state RN license before extending an offer, and your visa petition must reflect the actual requirements of the role. If your license is from another country, you'll typically need to pass the NCLEX and obtain state licensure before an employer can proceed with sponsorship. Some employers will begin the immigration process conditionally while your license application is pending, but confirm this with HR before accepting.
How do I find hospitals that are actively sponsoring House Supervisors?
Migrate Mate lists U.S. employers with verified LCA sponsorship history for nursing leadership and supervisory roles, so you can focus your applications on health systems that have already navigated the filing process for this job type.
Can a House Supervisor role support an employer-sponsored green card?
Yes. House Supervisor roles typically qualify under EB-2 with an advanced degree or EB-3 as a skilled worker requiring at least two years of experience. Your employer must complete a PERM labor certification through DOL to prove no qualified U.S. workers are available, then file an I-140 immigrant petition with USCIS. Country of birth affects how long you'll wait for a visa number to become available, with India and China facing significant priority date backlogs.
What is the prevailing wage requirement for sponsored House Supervisor 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.