Labor and Delivery Nurse Jobs in USA with Visa Sponsorship
Labor and delivery nurses with international credentials can find U.S. employer sponsorship through H-1B visa, EB-3, or TN visas (for Canadian and Mexican nurses). Most hospitals file PERM labor certification for permanent routes, while NCLEX licensure and CGFNS credential verification are non-negotiable prerequisites before any petition moves forward.
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Location: Murfreesboro, TN
Facility: Saint Thomas Rutherford
Department: Labor and Delivery
Schedule: Full-Time | Days
COMPENSATION
- Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options
- Financial security & retirement: employer-matched 403(b), planning and hardship resources, disability and life insurance
- Time to recharge: pro-rated paid time off (PTO) and holidays
- Career growth: Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning
- Emotional well-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources
- Family support: parental leave, adoption assistance and family benefits
- Other benefits: optional legal and pet insurance, transportation savings and more
ROLE AND RESPONSIBILITIES
- Implements and monitors patient care plans. Monitors, records and communicates patient condition as appropriate.
- Serves as a primary coordinator of all disciplines for well-coordinated patient care.
- Notes and carries out physician and nursing orders.
- Assesses and coordinates patient's discharge planning needs with members of the healthcare team.
LICENSURE / CERTIFICATION / REGISTRATION
Required Credential(s):
- Advanced Life Support obtained within 6 Months (180 days) of hire date or job transfer date. American Heart Association or American Red Cross accepted.
- BLS Provider obtained within 1 Month (30 days) of hire date or job transfer date. American Heart Association or American Red Cross accepted.
- Licensed Compact State Registered Nurse credentialed from the Tennessee Board of Nursing obtained prior to hire date or job transfer date.
- One or more of the following:
- Instructor specializing in Neonatal Resuscitation credentialed from the American Academy of Pediatrics (AAP) obtained within 6 Months (180 days) of hire date or job transfer date.
- Certification specializing in Neonatal Resuscitation credentialed from the American Academy of Pediatrics (AAP) obtained within 6 Months (180 days) of hire date or job transfer date.
Education
Diploma from an accredited school/college of nursing required. OR Required professional licensure at time of hire.
Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 99,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you'll find an inclusive and supportive environment where your contributions truly matter.
Equal employment opportunity employer
Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.
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Prospective applicants should be vigilant against fraudulent job offers and interview requests. Scammers may use sophisticated tactics to impersonate Ascension employees. To ensure your safety, please remember: Ascension will never ask for payment or to provide banking or financial information as part of the job application or hiring process, our legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system.
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Get Access To All JobsTips for Finding Visa Sponsorship as a Labor and Delivery Nurse
Get your CGFNS certification before applying
Most U.S. hospitals won't start the sponsorship process until you've completed CGFNS credential evaluation and passed the NCLEX-RN. Front-load both so your application isn't delayed at the offer stage.
Target hospitals with active PERM filings
Large health systems and teaching hospitals file PERM labor certifications regularly for L&D nurses. Look for employers in regions with documented nursing shortages, where DOL recruitment requirements are easier to satisfy and PERM approval timelines are more predictable.
Use Migrate Mate to find verified sponsoring employers
Search Migrate Mate's job board for L&D nurse roles at employers with confirmed visa filing history. It shows which hospitals have sponsored nurses before, so you're not cold-applying to employers who've never navigated the process.
Clarify your state license before the offer closes
Each state issues its own RN license, and your employer's sponsored position is location-specific. Confirm you can obtain the license for that state before accepting an offer, since USCIS ties your petition to the work location.
Ask about EB-3 versus H-1B at the offer stage
Some hospitals default to H-1B for nurses, but EB-3 through PERM leads directly to a green card. Ask your prospective employer which route they file and whether they cover the attorney and filing fees, since practices vary significantly.
Verify your prevailing wage before accepting
Your employer's sponsored offer must meet the DOL prevailing wage for L&D nurses in that metro area. Run your job title and location through the OFLC Wage Search to confirm the posted salary meets the threshold before you sign anything.
Frequently Asked Questions
Do labor and delivery nurses qualify for H-1B sponsorship?
Yes, but only if the specific role requires a bachelor's degree in nursing as a minimum. Registered nurses without a BSN may not meet the specialty occupation standard USCIS applies to H-1B petitions. Many hospitals instead pursue EB-3 sponsorship through PERM, which has a broader educational threshold and leads directly to a green card.
Is NCLEX required before an employer can sponsor me?
Yes. You must hold a valid U.S. RN license, which requires passing the NCLEX-RN, before any visa petition can be filed. CGFNS credential evaluation is typically required as a prerequisite to sitting for the NCLEX if your nursing degree is from outside the U.S. Employers won't initiate sponsorship paperwork until licensure is confirmed.
How long does EB-3 sponsorship take for an international nurse?
The EB-3 route for nurses involves PERM labor certification, an I-140 petition, and then waiting for a visa number to become available. PERM alone can take six to twelve months. Priority date backlogs vary significantly by country of birth, with applicants from India and China facing much longer waits than those from other countries.
Which visa is better for a labor and delivery nurse, H-1B or TN?
TN is available only to Canadian and Mexican nationals, and RN is an approved TN profession under USMCA, making it a faster and simpler option for eligible candidates since there's no cap or lottery. H-1B is subject to an annual lottery and requires a BSN-level specialty occupation argument. EB-3 is the most common long-term route for nurses from other countries.
Where can I find U.S. hospitals actively sponsoring labor and delivery nurses?
Migrate Mate lists employers with confirmed visa sponsorship history for nursing roles, so you can focus your search on hospitals that have navigated the process before. This saves time you'd otherwise spend applying to employers unfamiliar with PERM or H-1B filings for clinical staff.
What is the prevailing wage requirement for sponsored Labor and Delivery 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.