Intensive Care Nurse Jobs in USA with Visa Sponsorship
Intensive care nurses with valid U.S. credentials can secure employer sponsorship through the H-1B visa, EB-3, or TN visa pathways. ICU roles qualify as specialty occupations, and many hospital systems actively file LCAs for critical care positions. NCLEX licensure, CGFNS certification, and state RN licensure are required before most employers will begin the sponsorship process.
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Get Access To All JobsAbout Pulse Heart Institute
MultiCare’s Pulse Heart Institute is a physician led institute with multi-specialty partnership with Cardiothoracic surgery, vascular and cardiovascular service lines. Our team and state-of-the-art programs create a world-class health care organization and the destination center for cardiac, thoracic, and vascular care with complex structural heart disease and interventions, advanced heart failure service as well as advanced imaging with cutting edge technologies.
FTE: 0.9, Shift: Days, Schedule: Variable
Position Summary
We’re seeking a staff RN to join our incredible hospital-based team. This is an excellent opportunity to utilize your specialized training, knowledge, and nursing care with a multidisciplinary approach.
It’s an exciting time to be a nurse at MultiCare. We are on a journey to become a best-in-class nursing organization. Together, we are creating an environment where nurses are owners in the clinical decision-making process, are well connected, have open communication with their colleagues, feel supported to develop professionally, and understand the future of nursing at MultiCare.
Responsibilities
- You will organize patient care by prioritizing, delegating, delivering and evaluating on an ongoing basis
- You will utilize the knowledge base of nursing education and experience to deliver nursing care using the nursing process according to hospital policies, procedures and protocols
- Collaborate with the nursing team to facilitate overall improvement in quality of care, patient experience and cost reduction
- Foster a learning environment for patients/families, nursing staff and members of the health care team
- Advocate for ethical and holistic care promoting the autonomy, dignity, and health of patients from diverse ethnic and social backgrounds
Requirements
- Current Registered Nurse (RN) license in Washington State or Multistate License endorsement (MLS)
- Bachelor’s degree in nursing (BSN) preferred
- Current BLS Certification required
- ACLS or NALS or PALS or TNCC or NRP certification, as required by facility or department
- Certification in specialty area preferred
- One (1) year of experience in acute care setting preferred
Why Pulse Heart Institute?
Physician-led care
Led by physicians and advanced practice providers who understand patient needs firsthand, ensuring decisions are grounded in clinical expertise and collaboration.
Proven excellence
Pulse units across MultiCare earned the 2025 Chest Pain – MI Registry™ Platinum Performance Achievement Award — the only facilities in Washington to receive this distinction.
Comprehensive cardiovascular care
A fully integrated model across cardiology, cardiothoracic surgery and vascular services, supporting the full continuum of care.
People-first culture
We invest in our teams through professional development, supportive leadership and an environment where caregivers can learn, grow and succeed.
Well-being and support
Resources and programs designed to help you maintain balance and feel supported in your work and life.
Pacific Northwest lifestyle
Work and live where natural beauty, adventure and strong community connections are part of everyday life.
Pay and Benefit Expectations
We provide a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off. As required by various pay transparency laws, we share a competitive range of compensation for candidates hired into each position. The pay scale is $48.15 - $90.83 USD. However, pay is influenced by factors specific to applicants, including but not limited to: skill set, level of experience, and certification(s) and/or education. If this position is associated with a union contract, pay will be reflective of the appropriate step on the pay scale to which the applicant’s years of experience align.
Associated benefit information can be viewed here.
About Pulse Heart Institute
MultiCare’s Pulse Heart Institute is a physician led institute with multi-specialty partnership with Cardiothoracic surgery, vascular and cardiovascular service lines. Our team and state-of-the-art programs create a world-class health care organization and the destination center for cardiac, thoracic, and vascular care with complex structural heart disease and interventions, advanced heart failure service as well as advanced imaging with cutting edge technologies.
FTE: 0.9, Shift: Days, Schedule: Variable
Position Summary
We’re seeking a staff RN to join our incredible hospital-based team. This is an excellent opportunity to utilize your specialized training, knowledge, and nursing care with a multidisciplinary approach.
It’s an exciting time to be a nurse at MultiCare. We are on a journey to become a best-in-class nursing organization. Together, we are creating an environment where nurses are owners in the clinical decision-making process, are well connected, have open communication with their colleagues, feel supported to develop professionally, and understand the future of nursing at MultiCare.
Responsibilities
- You will organize patient care by prioritizing, delegating, delivering and evaluating on an ongoing basis
- You will utilize the knowledge base of nursing education and experience to deliver nursing care using the nursing process according to hospital policies, procedures and protocols
- Collaborate with the nursing team to facilitate overall improvement in quality of care, patient experience and cost reduction
- Foster a learning environment for patients/families, nursing staff and members of the health care team
- Advocate for ethical and holistic care promoting the autonomy, dignity, and health of patients from diverse ethnic and social backgrounds
Requirements
- Current Registered Nurse (RN) license in Washington State or Multistate License endorsement (MLS)
- Bachelor’s degree in nursing (BSN) preferred
- Current BLS Certification required
- ACLS or NALS or PALS or TNCC or NRP certification, as required by facility or department
- Certification in specialty area preferred
- One (1) year of experience in acute care setting preferred
Why Pulse Heart Institute?
Physician-led care
Led by physicians and advanced practice providers who understand patient needs firsthand, ensuring decisions are grounded in clinical expertise and collaboration.
Proven excellence
Pulse units across MultiCare earned the 2025 Chest Pain – MI Registry™ Platinum Performance Achievement Award — the only facilities in Washington to receive this distinction.
Comprehensive cardiovascular care
A fully integrated model across cardiology, cardiothoracic surgery and vascular services, supporting the full continuum of care.
People-first culture
We invest in our teams through professional development, supportive leadership and an environment where caregivers can learn, grow and succeed.
Well-being and support
Resources and programs designed to help you maintain balance and feel supported in your work and life.
Pacific Northwest lifestyle
Work and live where natural beauty, adventure and strong community connections are part of everyday life.
Pay and Benefit Expectations
We provide a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off. As required by various pay transparency laws, we share a competitive range of compensation for candidates hired into each position. The pay scale is $48.15 - $90.83 USD. However, pay is influenced by factors specific to applicants, including but not limited to: skill set, level of experience, and certification(s) and/or education. If this position is associated with a union contract, pay will be reflective of the appropriate step on the pay scale to which the applicant’s years of experience align.
Associated benefit information can be viewed here.
See all 45+ Intensive Care Nurse Jobs
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Get Access To All JobsTips for Finding Visa Sponsorship as an Intensive Care Nurse
Secure your CGFNS certification before applying
Most U.S. hospital systems won't initiate sponsorship until you hold a CGFNS VisaScreen certificate confirming your nursing credentials and English proficiency. Get this process running early since it typically takes three to six months to complete.
Target hospitals with active LCA filing history
Use Migrate Mate to identify hospital systems that have filed Labor Condition Applications for ICU and critical care RN roles. Employers with consistent LCA activity are far more likely to have an internal sponsorship process already in place.
Distinguish your critical care subspecialty clearly
Employers filing LCAs for ICU nurses often specify the unit type, such as cardiac ICU, neuro ICU, or NICU. Matching your clinical experience to the exact subspecialty in your application materials strengthens the specialty occupation argument USCIS evaluates.
Confirm EB-3 PERM labor certification timelines upfront
PERM labor certification for EB-3 sponsorship can run 12 to 18 months before an I-140 petition is even filed. Ask your prospective employer directly whether they use a PERM-based pathway and whether they cover attorney fees for the process.
Verify state board requirements before accepting an offer
RN licensure is state-specific, and your sponsoring employer's location determines which board you must pass. Some states require additional endorsement steps for internationally trained nurses that can delay your start date if not resolved before the offer is finalized.
Clarify H-1B cap timing with your employer early
H-1B petitions are subject to an annual cap and lottery with rules that have changed recently. If you're not already in H-1B status, ask your employer whether they can file under a cap-exempt route through a qualifying nonprofit hospital or research institution affiliated with their system.
Frequently Asked Questions
Does intensive care nursing qualify as a specialty occupation for the H-1B?
Yes. ICU nursing qualifies as a specialty occupation because the role requires at minimum a Bachelor of Science in Nursing and an active RN license. USCIS evaluates specialty occupation status based on degree requirements, and critical care positions consistently meet this threshold. CGFNS credential verification and state licensure are also required before USCIS will approve the petition.
Which visa pathways are available for internationally trained ICU nurses?
The most common pathways are the H-1B for specialty occupation workers, the EB-3 skilled worker green card through PERM labor certification, and the TN visa for Canadian and Mexican nurses with a BSN. Each pathway has different timelines and employer filing requirements. EB-3 is frequently used by hospital systems because it isn't subject to an annual lottery, though PERM certification adds significant processing time upfront.
How do I find hospital systems that actively sponsor intensive care nurses?
Migrate Mate lists U.S. employers with verified LCA sponsorship history for nursing roles, searchable by specialty and location. This is the most direct way to identify hospital systems that have already committed to sponsoring critical care positions rather than contacting employers speculatively.
Do I need a four-year BSN to qualify for visa sponsorship as an ICU nurse?
For H-1B and EB-3 sponsorship, most employers and USCIS require a BSN or its equivalent. If you hold a three-year nursing degree from Australia, the UK, or another country, a credential evaluation from CGFNS or a NACES-approved evaluator can establish U.S. equivalency. Associate degree nurses generally don't meet the specialty occupation threshold for H-1B purposes without additional education.
What is the EB-3 PERM process for ICU nurses, and how long does it take?
PERM labor certification requires the employer to demonstrate through DOL that no qualified U.S. workers are available for the ICU nurse role. This involves a formal recruitment process, prevailing wage determination through the OFLC Wage Search, and a DOL audit-ready documentation package. From PERM filing to I-140 approval, the process typically runs 18 to 24 months before a visa number becomes available, with country-specific backlogs potentially adding more time.
What is the prevailing wage requirement for sponsored Intensive Care 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.