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 JobsDiscover Vanderbilt University Medical Center: Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded, and your abilities challenged. Vanderbilt Health is committed to an environment where everyone has the chance to thrive and where your uniqueness is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt’s mission is to advance health and wellness through preeminent programs in patient care, education, and research.
Organization:
VUH Advanced Practice Provider
Job Summary:
The Advanced Practice Provider (APP) is a key member of the multidisciplinary healthcare team, collaborating closely with physicians and other care providers to manage a distinct patient population in the inpatient acute care setting. Working with hospitalized patients, the APP provides specialized care and supports the delivery of high-quality, evidence-based medical services. This role requires a strong foundation in evidence-based practice and clinical education, with the APP responsible for adhering to established clinical pathways and protocols to ensure safe and effective patient care. The APP will demonstrate advanced medical knowledge, clinical and technical competence, sound clinical judgment, and professional communication skills. In addition, the APP is accountable for timely and compliant documentation and actively participates in professional development and competency validation to maintain high standards of care.
Position Hours
Nights
3 Shifts Per Week
Rotating Weekend and Holiday Requirement
Department Summary
Vanderbilt Heart and Vascular Institute knows how to care for patients' unique hearts. Our team includes some of the top heart and vascular specialists in the nation. We care for adult patients aged 18 years and older who are being treated for various cardiovascular disorders such as aneurysms and amputations, as well as patients with congestive heart failure, myocardial infarction, arrhythmias, VT ablations, atrial fibrillation cardioversions, chest pain, pre and post-op catheterizations, and pre and post-op cardiothoracic surgeries. Our cardiac patients’ diagnoses range from STEMIs, CHF exacerbations, pacemaker exchanges, and transplant workups. Vascular surgeries include pre-and post-operative care for Coronary Artery Bypass Grafts.
- Adult-Gerontology Acute Care Nurse Practitioner (AGACNP) / Acute Care Nurse Practitioner (ACNP) or Physician Assistant (PA)
KEY RESPONSIBILITIES
- Obtains and documents a health history; performs and documents complete, system-focused, or symptom-specific physical examination, assessment and plan of care.
- In collaboration, provides healthcare services for primary, acute and complex care of patients and manages patient's overall care, identifying expected outcomes for diagnoses.
- Orders, performs, interprets and collects data using appropriate assessment techniques, relevant supporting diagnostic information and diagnostic procedures where indicated.
- Forms differential diagnoses and treats acute and chronic conditions.
- Prescribes therapeutic interventions both pharmacologic, non-pharmacologic and surgical, needed to achieve expected outcomes.
- Utilizes evidence-based, approved practice protocols in planning and implementing care.
- Initiates appropriate referrals and consultations.
- Provides specialty specific consultation services upon request and within specialty scope of practice.
- Facilitates the patient’s transition between and within health care settings, such as admitting, transferring, and discharging patients.
TECHNICAL CAPABILITIES
- Professionalism (Advanced): Demonstrates behaviors that reflect a commitment to continuous professional development, ethical practice, and a responsible attitude toward their patients, their profession and society. Participates in medical center committees, professional organizations and activities that influence advanced practice.
- Interpersonal and Communication Skills (Advanced): Demonstrates interpersonal and communication skills that enable them to establish and maintain professional relationships with patients, families, and other members of health care teams. Communicates practice knowledge effectively both orally and in writing.
- Practice-Based Scholarly Inquiry and Integration (Advanced): Demonstrates the use of scientific evidence and methods to investigate, evaluate and improve patient care practices. Anticipates variations in practice and is proactive in implementing interventions to improve quality. Uses best available evidence to continuously improve quality of clinical practice. Generates knowledge from clinical practice to improve practice and patient outcomes. Reviews data and evidences to improve advanced practice. Integrates knowledge from the humanities and sciences within the context of nursing science.
- Patient and Family Centered Care (Advanced): Demonstrates care that is compassionate, appropriate and effective for the promotion of health, prevention of illness, treatment of disease and care at the end of life. Within scope of licensure and certification, manages previously diagnosed and undiagnosed patients. Uses health assessment skills to differentiate between normal, variations of normal, and abnormal findings. Employs screening and diagnostic strategies in the development of diagnoses. Prescribes medications within scope of practice. Manages health/illness status of patients and families over time and across the continuum. Provides patient-centered care recognizing the patient or designee as a full partner in decision making. Creates a climate of patient-centered care to include confidentiality privacy, comfort, emotional support, mutual trust, and respect. Incorporates cultural and spiritual preferences, values and beliefs into health care. Preserves the patient's control over decision making by negotiating a mutually acceptable plan of care. Integrates ethical principles into decision making. Uses electronic health record to capture data on variables for the evaluation and management of patient care. Clearly documents findings, assessment and plan of care.
- Clinical Knowledge and Practice (Advanced): Demonstrates established and evolving biomedical, clinical and social sciences, and the application of their knowledge to patient care and the education of others. Demonstrates knowledge of population focus but also other sciences that support his/her field of practice. Demonstrates knowledge of common and important health issues affecting society and other societies around the globe. Demonstrates commitment in maintaining current evidence-based knowledge through continuous learning. Educates patients, families, students and other members of the healthcare team in clinical topics and application of clinical knowledge.
- Health Systems and Policy Management (Advanced): Demonstrates sufficient fundamental proficiency in behaviors that reflect a commitment to continuous professional development, ethical practice, and a responsible attitude toward their patients, their profession and society. Participates in professional organizations and activities that influence advanced practice.
Our Nursing Philosophy:
We believe highly skilled and specialized nursing care is essential to Vanderbilt University Medical Center’s mission of quality in patient care, education and research. We believe nursing is an applied art and science focused on helping people, families and communities reach excellent health and well-being.
As a Vanderbilt University Medical Center employee, you make a difference to our patients and their families by bringing compassion and care to those in need of hope and healing. Please see our current employee benefits offered:
- Affordable High Quality Health Plan Options
- Dental and/or vision plan
- 403 (b) retirement plan
- Paid Time off (flex PTO)
- Tuition Reimbursement and adoption assistance (maximums applied)
- Short-Long term disability
- Subsidized backup childcare
- And many more... Ask us about our current inpatient nursing supplemental Pay Program!
Achieve the Remarkable:
Learn more about VUMC Nursing here.
Core Accountabilities:
Organizational Impact: Executes job responsibilities with the understanding of how output would affect and impact other areas related to own job area/team with occasional guidance. Problem Solving/ Complexity of work: Analyzes moderately complex problems using technical experience and judgment. Breadth of Knowledge: Has expanded knowledge gained through experience within a professional area. Team Interaction: Provides informal guidance and support to team members.
Core Capabilities:
Supporting Colleagues:
- Develops Self and Others: Invests time, energy, and enthusiasm in developing self/others to help improve performance and gain knowledge in new areas.
- Builds and Maintains Relationships: Maintains regular contact with key colleagues and stakeholders using formal and informal opportunities to expand and strengthen relationships.
- Communicates Effectively: Recognizes group interactions and modifies one's own communication style to suit different situations and audiences.
Delivering Excellent Services:
- Serves Others with Compassion: Seeks to understand current and future needs of relevant stakeholders and customizes services to better address them.
- Solves Complex Problems: Approaches problems from different angles; Identifies new possibilities to interpret opportunities and develop concrete solutions.
- Offers Meaningful Advice and Support: Provides ongoing support and coaching in a constructive manner to increase employees' effectiveness.
Ensuring High Quality:
- Performs Excellent Work: Engages regularly in formal and informal dialogue about quality; directly addresses quality issues promptly.
- Ensures Continuous Improvement: Applies various learning experiences by looking beyond symptoms to uncover underlying causes of problems and identifies ways to resolve them.
- Fulfills Safety and Regulatory Requirements: Understands all aspects of providing a safe environment and performs routine safety checks to prevent safety hazards from occurring.
Managing Resources Effectively:
- Demonstrates Accountability: Demonstrates a sense of ownership, focusing on and driving critical issues to closure.
- Stewards Organizational Resources: Applies understanding of the departmental work to effectively manage resources for a department/area.
- Makes Data Driven Decisions: Demonstrates strong understanding of the information or data to identify and elevate opportunities.
Fostering Innovation:
- Generates New Ideas: Proactively identifies new ideas/opportunities from multiple sources or methods to improve processes beyond conventional approaches.
- Applies Technology: Demonstrates an enthusiasm for learning new technologies, tools, and procedures to address short-term challenges.
- Adapts to Change: Views difficult situations and/or problems as opportunities for improvement; actively embraces change instead of emphasizing negative elements.
Position Qualifications:
Responsibilities:
Certifications:
LIC-Licensed Nurse Practitioner - Tennessee, LIC-Physician's Assistant Certified - Tennessee, LIC-Registered Nurse - Tennessee
Work Experience:
Relevant Work Experience
Experience Level:
Less than 1 year
Education:
Master's
This role offers the opportunity to make a meaningful impact within Vanderbilt Health, supported by a comprehensive benefits package which may include health, disability, retirement and/or wellness offerings to enhance your well-being and professional growth.
Vanderbilt Health is committed to fostering an environment where everyone has the chance to thrive and is committed to the principles of equal opportunity. EOE/Vets/Disabled.
Discover Vanderbilt University Medical Center: Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded, and your abilities challenged. Vanderbilt Health is committed to an environment where everyone has the chance to thrive and where your uniqueness is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt’s mission is to advance health and wellness through preeminent programs in patient care, education, and research.
Organization:
VUH Advanced Practice Provider
Job Summary:
The Advanced Practice Provider (APP) is a key member of the multidisciplinary healthcare team, collaborating closely with physicians and other care providers to manage a distinct patient population in the inpatient acute care setting. Working with hospitalized patients, the APP provides specialized care and supports the delivery of high-quality, evidence-based medical services. This role requires a strong foundation in evidence-based practice and clinical education, with the APP responsible for adhering to established clinical pathways and protocols to ensure safe and effective patient care. The APP will demonstrate advanced medical knowledge, clinical and technical competence, sound clinical judgment, and professional communication skills. In addition, the APP is accountable for timely and compliant documentation and actively participates in professional development and competency validation to maintain high standards of care.
Position Hours
Nights
3 Shifts Per Week
Rotating Weekend and Holiday Requirement
Department Summary
Vanderbilt Heart and Vascular Institute knows how to care for patients' unique hearts. Our team includes some of the top heart and vascular specialists in the nation. We care for adult patients aged 18 years and older who are being treated for various cardiovascular disorders such as aneurysms and amputations, as well as patients with congestive heart failure, myocardial infarction, arrhythmias, VT ablations, atrial fibrillation cardioversions, chest pain, pre and post-op catheterizations, and pre and post-op cardiothoracic surgeries. Our cardiac patients’ diagnoses range from STEMIs, CHF exacerbations, pacemaker exchanges, and transplant workups. Vascular surgeries include pre-and post-operative care for Coronary Artery Bypass Grafts.
- Adult-Gerontology Acute Care Nurse Practitioner (AGACNP) / Acute Care Nurse Practitioner (ACNP) or Physician Assistant (PA)
KEY RESPONSIBILITIES
- Obtains and documents a health history; performs and documents complete, system-focused, or symptom-specific physical examination, assessment and plan of care.
- In collaboration, provides healthcare services for primary, acute and complex care of patients and manages patient's overall care, identifying expected outcomes for diagnoses.
- Orders, performs, interprets and collects data using appropriate assessment techniques, relevant supporting diagnostic information and diagnostic procedures where indicated.
- Forms differential diagnoses and treats acute and chronic conditions.
- Prescribes therapeutic interventions both pharmacologic, non-pharmacologic and surgical, needed to achieve expected outcomes.
- Utilizes evidence-based, approved practice protocols in planning and implementing care.
- Initiates appropriate referrals and consultations.
- Provides specialty specific consultation services upon request and within specialty scope of practice.
- Facilitates the patient’s transition between and within health care settings, such as admitting, transferring, and discharging patients.
TECHNICAL CAPABILITIES
- Professionalism (Advanced): Demonstrates behaviors that reflect a commitment to continuous professional development, ethical practice, and a responsible attitude toward their patients, their profession and society. Participates in medical center committees, professional organizations and activities that influence advanced practice.
- Interpersonal and Communication Skills (Advanced): Demonstrates interpersonal and communication skills that enable them to establish and maintain professional relationships with patients, families, and other members of health care teams. Communicates practice knowledge effectively both orally and in writing.
- Practice-Based Scholarly Inquiry and Integration (Advanced): Demonstrates the use of scientific evidence and methods to investigate, evaluate and improve patient care practices. Anticipates variations in practice and is proactive in implementing interventions to improve quality. Uses best available evidence to continuously improve quality of clinical practice. Generates knowledge from clinical practice to improve practice and patient outcomes. Reviews data and evidences to improve advanced practice. Integrates knowledge from the humanities and sciences within the context of nursing science.
- Patient and Family Centered Care (Advanced): Demonstrates care that is compassionate, appropriate and effective for the promotion of health, prevention of illness, treatment of disease and care at the end of life. Within scope of licensure and certification, manages previously diagnosed and undiagnosed patients. Uses health assessment skills to differentiate between normal, variations of normal, and abnormal findings. Employs screening and diagnostic strategies in the development of diagnoses. Prescribes medications within scope of practice. Manages health/illness status of patients and families over time and across the continuum. Provides patient-centered care recognizing the patient or designee as a full partner in decision making. Creates a climate of patient-centered care to include confidentiality privacy, comfort, emotional support, mutual trust, and respect. Incorporates cultural and spiritual preferences, values and beliefs into health care. Preserves the patient's control over decision making by negotiating a mutually acceptable plan of care. Integrates ethical principles into decision making. Uses electronic health record to capture data on variables for the evaluation and management of patient care. Clearly documents findings, assessment and plan of care.
- Clinical Knowledge and Practice (Advanced): Demonstrates established and evolving biomedical, clinical and social sciences, and the application of their knowledge to patient care and the education of others. Demonstrates knowledge of population focus but also other sciences that support his/her field of practice. Demonstrates knowledge of common and important health issues affecting society and other societies around the globe. Demonstrates commitment in maintaining current evidence-based knowledge through continuous learning. Educates patients, families, students and other members of the healthcare team in clinical topics and application of clinical knowledge.
- Health Systems and Policy Management (Advanced): Demonstrates sufficient fundamental proficiency in behaviors that reflect a commitment to continuous professional development, ethical practice, and a responsible attitude toward their patients, their profession and society. Participates in professional organizations and activities that influence advanced practice.
Our Nursing Philosophy:
We believe highly skilled and specialized nursing care is essential to Vanderbilt University Medical Center’s mission of quality in patient care, education and research. We believe nursing is an applied art and science focused on helping people, families and communities reach excellent health and well-being.
As a Vanderbilt University Medical Center employee, you make a difference to our patients and their families by bringing compassion and care to those in need of hope and healing. Please see our current employee benefits offered:
- Affordable High Quality Health Plan Options
- Dental and/or vision plan
- 403 (b) retirement plan
- Paid Time off (flex PTO)
- Tuition Reimbursement and adoption assistance (maximums applied)
- Short-Long term disability
- Subsidized backup childcare
- And many more... Ask us about our current inpatient nursing supplemental Pay Program!
Achieve the Remarkable:
Learn more about VUMC Nursing here.
Core Accountabilities:
Organizational Impact: Executes job responsibilities with the understanding of how output would affect and impact other areas related to own job area/team with occasional guidance. Problem Solving/ Complexity of work: Analyzes moderately complex problems using technical experience and judgment. Breadth of Knowledge: Has expanded knowledge gained through experience within a professional area. Team Interaction: Provides informal guidance and support to team members.
Core Capabilities:
Supporting Colleagues:
- Develops Self and Others: Invests time, energy, and enthusiasm in developing self/others to help improve performance and gain knowledge in new areas.
- Builds and Maintains Relationships: Maintains regular contact with key colleagues and stakeholders using formal and informal opportunities to expand and strengthen relationships.
- Communicates Effectively: Recognizes group interactions and modifies one's own communication style to suit different situations and audiences.
Delivering Excellent Services:
- Serves Others with Compassion: Seeks to understand current and future needs of relevant stakeholders and customizes services to better address them.
- Solves Complex Problems: Approaches problems from different angles; Identifies new possibilities to interpret opportunities and develop concrete solutions.
- Offers Meaningful Advice and Support: Provides ongoing support and coaching in a constructive manner to increase employees' effectiveness.
Ensuring High Quality:
- Performs Excellent Work: Engages regularly in formal and informal dialogue about quality; directly addresses quality issues promptly.
- Ensures Continuous Improvement: Applies various learning experiences by looking beyond symptoms to uncover underlying causes of problems and identifies ways to resolve them.
- Fulfills Safety and Regulatory Requirements: Understands all aspects of providing a safe environment and performs routine safety checks to prevent safety hazards from occurring.
Managing Resources Effectively:
- Demonstrates Accountability: Demonstrates a sense of ownership, focusing on and driving critical issues to closure.
- Stewards Organizational Resources: Applies understanding of the departmental work to effectively manage resources for a department/area.
- Makes Data Driven Decisions: Demonstrates strong understanding of the information or data to identify and elevate opportunities.
Fostering Innovation:
- Generates New Ideas: Proactively identifies new ideas/opportunities from multiple sources or methods to improve processes beyond conventional approaches.
- Applies Technology: Demonstrates an enthusiasm for learning new technologies, tools, and procedures to address short-term challenges.
- Adapts to Change: Views difficult situations and/or problems as opportunities for improvement; actively embraces change instead of emphasizing negative elements.
Position Qualifications:
Responsibilities:
Certifications:
LIC-Licensed Nurse Practitioner - Tennessee, LIC-Physician's Assistant Certified - Tennessee, LIC-Registered Nurse - Tennessee
Work Experience:
Relevant Work Experience
Experience Level:
Less than 1 year
Education:
Master's
This role offers the opportunity to make a meaningful impact within Vanderbilt Health, supported by a comprehensive benefits package which may include health, disability, retirement and/or wellness offerings to enhance your well-being and professional growth.
Vanderbilt Health is committed to fostering an environment where everyone has the chance to thrive and is committed to the principles of equal opportunity. EOE/Vets/Disabled.
See all 1,556+ 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.
Frequently Asked Questions
Which visa types are typically used to sponsor Nurse Practitioners and Physician Assistants?
The H-1B visa 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.