Nurse Practitioner Or Physician Assistant Jobs in USA with Visa Sponsorship
Nurse Practitioners and Physician Assistants are among the most consistently sponsored clinical roles in the U.S. Most employers file H-1B visa petitions, though some qualify for cap-exempt sponsorship through hospitals and nonprofits affiliated with higher education or research institutions. For detailed occupation requirements, see the O*NET profile.
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Get Access To All JobsWork Arrangement: Regular
Requisition Number: 269453
Location: Durham, NC, US, 27710
Personnel Area: DUKE REGIONAL HOSPITAL
Date: Apr 28, 2026
At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.
About Duke Regional Hospital
Pursue your passion for caring with Duke Regional Hospital in Durham, North Carolina. With 388 beds, it is the second largest of Duke Health's four hospitals and offers a comprehensive range of medical, surgical, and diagnostic services, including orthopedics, weight-loss surgery, women's services, and heart and vascular services.
Job Location
Duke Regional Hospital
Job Summary
The Bariatric Surgery Inpatient Advanced Practice Provider (APP) provides direct patient care services and performs medical acts under the supervision of the supervisory physician to patients on the Bariatric Surgery service at DRH. The APP performs physical exams, collects data and documents, conducts diagnostic and therapeutic procedures, orders and schedules laboratory studies, radiologic studies, and professional consultations, prescribes appropriate interventions and medications, coordinates the care and discharge of patients, and provides direct care to the patients on the Bariatric Surgery service. The Bariatric Surgery APP contributes to excellence in patient care, research, teaching, and provides leadership to the organization.
Job Duties and Responsibilities
Inpatient
- Daily inpatient rounding on primary and consult teams
- Assist with daily notes
- Take first call on primary Bariatric Surgery patients
- Review and order diagnostic and lab studies
- Patient and Family education
- Provides continuity of care by working collaboratively with the multi-disciplinary teams
- Staff new consults for Bariatric Surgery at DRH
- Assist with admissions
- Perform discharges
- Manage/Change/Apply wound vacs
- Assist in maintaining and improving Quality Metrics
- Provide collaborative and cost-effective care.
Outpatient
- No outpatient coverage currently.
Physical and mental requirements:
- Able to clearly articulate scope of practice, and practices within those guidelines as an APP in the state of North Carolina and within the Duke University Health System.
- Able to independently seek out resources and work collaboratively to solve complex problems
- Able to communicate clearly with patients, families, visitors, healthcare team, physicians, administrators, leadership, and others.
- Able to use sensory and cognitive functions to process and prioritize information, perform health assessments, treatment, and follow-up.
- Able to use fine motor skills
- Able to record activities, document assessments & interventions; prepare reports and presentations;
- Able to use computer and learn new software programs
- Able to provide leadership in clinical area of expertise and in meeting organizational goals
- Able to navigate the Hospital and DUHS to provide clinical expertise to specific patient populations
- Able to withstand prolonged standing and walking with the ability to move or lift at least fifty pounds
- Able to remain focused and organized
- Able to work collaboratively with all levels of personnel
Job Eligibility Requirements
Education
NP: Graduate of an accredited MSN or DNP Acute Care Nurse Practitioner program for adults.
PA: Graduate of an ARC-accredited Physician Assistant program. Master’s or Doctoral Degree Preferred.
Certification
NP: Acute Care Nurse Practitioner for adults (ACNP or AGACNP) or Adult Nurse Practitioner (ANP or AGANP)
PA: PA-C
Both: BLS required
ACLS and ATLS strongly recommended but not required
Licensure
NP: Current unrestricted RN licensure issued by or recognized by NCBON with authorization to practice as an NP
PA: Current unrestricted medical license issued by NCMB with authorization to practice as a PA
Both: Federal and State DEA with unrestricted prescriptive authority
Experience
NP: 2+ years RN experience in the clinical care of general surgery patients is strongly preferred. 1+ year NP experience preferred, ideally in general surgery capacity, but not required.
PA: 1+ year PA experience in the clinical care of trauma or general surgery strongly preferred but not required.
Job Hours
The schedule will be 14 (fourteen) 12 (twelve) hour shifts per month. This is an M-F DAY shift role. The APPs and Bariatric Surgery leadership will develop a schedule that is mutually amenable. Schedule may be changed by administrative or clinical leadership to meet department needs.
Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
Essential Physical Job Functions:
Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.
Nearest Major Market: Durham
Nearest Secondary Market: Raleigh
Work Arrangement: Regular
Requisition Number: 269453
Location: Durham, NC, US, 27710
Personnel Area: DUKE REGIONAL HOSPITAL
Date: Apr 28, 2026
At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.
About Duke Regional Hospital
Pursue your passion for caring with Duke Regional Hospital in Durham, North Carolina. With 388 beds, it is the second largest of Duke Health's four hospitals and offers a comprehensive range of medical, surgical, and diagnostic services, including orthopedics, weight-loss surgery, women's services, and heart and vascular services.
Job Location
Duke Regional Hospital
Job Summary
The Bariatric Surgery Inpatient Advanced Practice Provider (APP) provides direct patient care services and performs medical acts under the supervision of the supervisory physician to patients on the Bariatric Surgery service at DRH. The APP performs physical exams, collects data and documents, conducts diagnostic and therapeutic procedures, orders and schedules laboratory studies, radiologic studies, and professional consultations, prescribes appropriate interventions and medications, coordinates the care and discharge of patients, and provides direct care to the patients on the Bariatric Surgery service. The Bariatric Surgery APP contributes to excellence in patient care, research, teaching, and provides leadership to the organization.
Job Duties and Responsibilities
Inpatient
- Daily inpatient rounding on primary and consult teams
- Assist with daily notes
- Take first call on primary Bariatric Surgery patients
- Review and order diagnostic and lab studies
- Patient and Family education
- Provides continuity of care by working collaboratively with the multi-disciplinary teams
- Staff new consults for Bariatric Surgery at DRH
- Assist with admissions
- Perform discharges
- Manage/Change/Apply wound vacs
- Assist in maintaining and improving Quality Metrics
- Provide collaborative and cost-effective care.
Outpatient
- No outpatient coverage currently.
Physical and mental requirements:
- Able to clearly articulate scope of practice, and practices within those guidelines as an APP in the state of North Carolina and within the Duke University Health System.
- Able to independently seek out resources and work collaboratively to solve complex problems
- Able to communicate clearly with patients, families, visitors, healthcare team, physicians, administrators, leadership, and others.
- Able to use sensory and cognitive functions to process and prioritize information, perform health assessments, treatment, and follow-up.
- Able to use fine motor skills
- Able to record activities, document assessments & interventions; prepare reports and presentations;
- Able to use computer and learn new software programs
- Able to provide leadership in clinical area of expertise and in meeting organizational goals
- Able to navigate the Hospital and DUHS to provide clinical expertise to specific patient populations
- Able to withstand prolonged standing and walking with the ability to move or lift at least fifty pounds
- Able to remain focused and organized
- Able to work collaboratively with all levels of personnel
Job Eligibility Requirements
Education
NP: Graduate of an accredited MSN or DNP Acute Care Nurse Practitioner program for adults.
PA: Graduate of an ARC-accredited Physician Assistant program. Master’s or Doctoral Degree Preferred.
Certification
NP: Acute Care Nurse Practitioner for adults (ACNP or AGACNP) or Adult Nurse Practitioner (ANP or AGANP)
PA: PA-C
Both: BLS required
ACLS and ATLS strongly recommended but not required
Licensure
NP: Current unrestricted RN licensure issued by or recognized by NCBON with authorization to practice as an NP
PA: Current unrestricted medical license issued by NCMB with authorization to practice as a PA
Both: Federal and State DEA with unrestricted prescriptive authority
Experience
NP: 2+ years RN experience in the clinical care of general surgery patients is strongly preferred. 1+ year NP experience preferred, ideally in general surgery capacity, but not required.
PA: 1+ year PA experience in the clinical care of trauma or general surgery strongly preferred but not required.
Job Hours
The schedule will be 14 (fourteen) 12 (twelve) hour shifts per month. This is an M-F DAY shift role. The APPs and Bariatric Surgery leadership will develop a schedule that is mutually amenable. Schedule may be changed by administrative or clinical leadership to meet department needs.
Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
Essential Physical Job Functions:
Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.
Nearest Major Market: Durham
Nearest Secondary Market: Raleigh
See all 1,467+ Nurse Practitioner Or Physician Assistant jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new Nurse Practitioner Or Physician Assistant roles.
Get Access To All JobsTips for Finding Visa Sponsorship as a Nurse Practitioner Or Physician Assistant
Target cap-exempt employers first
Hospitals affiliated with universities and nonprofit research institutions can file H-1B petitions year-round, bypassing the lottery. These employers include academic medical centers and federally qualified health centers, giving you a sponsorship path that doesn't depend on luck.
Confirm your degree meets specialty occupation standards
USCIS requires a specific bachelor's degree or higher tied directly to the role. For NPs and PAs, a master's degree is now the standard entry-level credential, which strengthens your specialty occupation argument significantly compared to older associate-level training.
Get your state license sorted before applying
Most employers won't begin sponsorship paperwork until you hold an active state license. Requirements vary by state, so start the licensing process early. Some states have longer processing timelines, which can delay your start date and the entire H-1B petition.
Understand that TN visas don't apply to this role
Physician Assistants and Nurse Practitioners are not listed on the TN visa's qualifying occupations. Canadian and Mexican nationals in these roles must pursue H-1B sponsorship instead. Confirming this upfront prevents wasted applications and helps you plan your timeline accurately.
Ask employers about O-1 eligibility if you have specialization
NPs and PAs with published research, national certifications, or clinical leadership experience may qualify for an O-1A visa, which has no lottery or annual cap. This path is worth exploring if you have a strong professional record in a subspecialty area.
Prioritize employers with established immigration infrastructure
Large hospital systems and multi-site healthcare groups sponsor regularly and maintain relationships with immigration attorneys. These employers process petitions faster and make fewer errors than smaller practices attempting sponsorship for the first time, reducing your risk of delays or denials.
Nurse Practitioner Or Physician Assistant jobs are hiring across the US. Find yours.
Find Nurse Practitioner Or Physician Assistant JobsFrequently Asked Questions
Which visa types are typically used to sponsor Nurse Practitioners and Physician Assistants?
The H-1B is the primary visa for NPs and PAs. Both roles qualify as specialty occupations given the master's-level education now required for licensure. Some employers, particularly academic medical centers and nonprofit hospitals, are cap-exempt and can file H-1B petitions outside the annual lottery window, making them especially valuable targets.
Do NP and PA roles qualify for the H-1B specialty occupation standard?
Yes. USCIS has consistently approved H-1B petitions for Nurse Practitioners and Physician Assistants because both roles require at minimum a master's degree in a specific clinical field. The degree-to-job alignment is direct and well-documented, which reduces the risk of a Request for Evidence compared to roles where the educational requirement is more ambiguous.
How can I find healthcare employers who actively sponsor NPs and PAs?
Migrate Mate lists visa-sponsoring healthcare employers actively hiring NPs and PAs, filtered by sponsorship type. Searching there is more efficient than applying broadly, since employers on the platform have indicated willingness to sponsor. Prioritize large hospital systems, federally qualified health centers, and VA facilities, which have established immigration processes and sponsor consistently across multiple states.
Can international NPs or PAs use the EB-3 green card pathway?
Yes. Employer-sponsored EB-3 petitions are a common green card pathway for NPs and PAs, especially in underserved or rural areas where employers have stronger incentive to sponsor long-term. Some employers in Health Professional Shortage Areas may also support EB-2 National Interest Waiver applications, though self-petitioning under NIW requires demonstrating national significance beyond standard clinical work.
Does the H-1B lottery create significant risk for NPs and PAs seeking sponsorship?
It depends on your employer type. For cap-subject employers, the roughly 25% lottery selection rate is a real risk. However, many healthcare employers, including university hospitals, nonprofit health systems, and federally funded clinics, are cap-exempt. These organizations can file at any time of year, eliminating lottery risk entirely and making them a strategically important segment to target in your job search.
What is the prevailing wage requirement for sponsored Nurse Practitioner Or Physician Assistant 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.
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