Outpatient Registered Nurse Jobs in USA with Visa Sponsorship
Outpatient registered nurses are in high demand for H-1B visa sponsorship, especially with specialized certifications in oncology, dialysis, or ambulatory surgery. Hospitals and large healthcare systems routinely sponsor nursing roles, and the bachelor's degree requirement for RN licensure typically satisfies USCIS specialty occupation standards. For detailed occupation requirements, see the O*NET profile.
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PURPOSE AND SCOPE:
The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations.
- Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses.
- Performs ongoing, systematic collection and analysis of patient data pre – during – post hemodialysis treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed.
- Assesses, collaborates, and documents patient/family’s basic learning needs to provide initial and ongoing education to patients and family.
- Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients.
- Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness.
- Initiates or assists with emergency response measures.
- Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned.
- Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections.
- Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team.
- Ensures patient awareness related to transplant and treatment modality options.
- Required to complete CAP requirements to advance.
- Performs all other duties as assigned by Supervisor.
PHYSICAL DEMANDS AND WORKING CONDITIONS:
The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance.
- This position requires frequent, prolonged periods of standing and the employee must be able to bend over.
- The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet.
- The work environment is characteristic of a health care facility with air temperature control and moderate noise levels.
- May be exposed to infectious and contagious diseases/materials.
- Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians.
- The position may require travel to training sites or other facilities.
- May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.
SUPERVISION:
Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following:
- Successful completion of all FKC education and training requirements for new employees.
- Must have a minimum of 9 months experience as a RN.
- Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN.
EDUCATION and LICENSURE:
- Graduate of an accredited School of Nursing.
- Current appropriate state licensure.
- Current or successful completion of CPR BLS Certification.
- Must meet the practice requirements in the state in which he or she is employed.
EXPERIENCE AND REQUIRED SKILLS:
- Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
- Chronic/acute hemodialysis experience (preferred).
The rate of pay for this position will depend on the successful candidate’s work location and qualifications, including relevant education, work experience, skills, and competencies.
Hourly Rate: $31.00 - $52.00
Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave.
Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.
EOE, disability/veterans

PURPOSE AND SCOPE:
The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations.
- Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses.
- Performs ongoing, systematic collection and analysis of patient data pre – during – post hemodialysis treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed.
- Assesses, collaborates, and documents patient/family’s basic learning needs to provide initial and ongoing education to patients and family.
- Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients.
- Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness.
- Initiates or assists with emergency response measures.
- Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned.
- Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections.
- Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team.
- Ensures patient awareness related to transplant and treatment modality options.
- Required to complete CAP requirements to advance.
- Performs all other duties as assigned by Supervisor.
PHYSICAL DEMANDS AND WORKING CONDITIONS:
The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance.
- This position requires frequent, prolonged periods of standing and the employee must be able to bend over.
- The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet.
- The work environment is characteristic of a health care facility with air temperature control and moderate noise levels.
- May be exposed to infectious and contagious diseases/materials.
- Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians.
- The position may require travel to training sites or other facilities.
- May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.
SUPERVISION:
Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following:
- Successful completion of all FKC education and training requirements for new employees.
- Must have a minimum of 9 months experience as a RN.
- Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN.
EDUCATION and LICENSURE:
- Graduate of an accredited School of Nursing.
- Current appropriate state licensure.
- Current or successful completion of CPR BLS Certification.
- Must meet the practice requirements in the state in which he or she is employed.
EXPERIENCE AND REQUIRED SKILLS:
- Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
- Chronic/acute hemodialysis experience (preferred).
The rate of pay for this position will depend on the successful candidate’s work location and qualifications, including relevant education, work experience, skills, and competencies.
Hourly Rate: $31.00 - $52.00
Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave.
Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.
EOE, disability/veterans
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Get Access To All JobsTips for Finding Visa Sponsorship as an Outpatient Registered Nurse
Target large hospital systems and healthcare networks
Major healthcare employers like Kaiser Permanente, HCA Healthcare, and Cleveland Clinic have established H-1B sponsorship programs. They understand nursing visa requirements and have legal teams experienced with healthcare worker petitions.
Highlight your nursing specialty certifications
Certifications in oncology (OCN), nephrology (CNN), or ambulatory care (RN-BC) strengthen your H-1B case. USCIS views specialized nursing roles more favorably than general medical-surgical positions for specialty occupation requirements.
Ensure your nursing degree matches U.S. requirements
Your foreign nursing degree needs credential evaluation showing U.S. bachelor's equivalency. Use CGFNS or other approved agencies. Associate degrees typically don't meet H-1B requirements even with extensive experience.
Apply to states with nursing shortages
States like California, Texas, and Florida have critical nursing shortages, making employers more willing to sponsor visas. Rural hospitals and specialized outpatient centers often have less competition for positions.
Get your NCLEX-RN license before applying
Most employers won't sponsor visa petitions until you've passed the NCLEX and obtained state nursing licensure. Some states allow foreign nurses to take the exam before immigrating, streamlining the process.
Outpatient Registered Nurse jobs are hiring across the US. Find yours.
Find Outpatient Registered Nurse JobsFrequently Asked Questions
Do outpatient registered nurses qualify for H-1B visas?
Yes, but USCIS scrutinizes nursing H-1B petitions more than other healthcare roles. You need a bachelor's degree in nursing, specialized duties beyond basic patient care, and an employer willing to argue that your specific position requires specialty occupation knowledge. Success rates are lower than for physicians or nurse practitioners.
What nursing specialties have the best H-1B approval rates?
Oncology, dialysis, ambulatory surgery, and transplant nursing have higher approval rates because they require specialized training beyond general nursing education. Case management and clinical research coordinator roles also fare better than bedside nursing positions due to their specialized nature and degree requirements.
Can I get H-1B sponsorship with an associate degree in nursing?
No, an associate degree typically doesn't meet H-1B requirements even with years of experience. You need a bachelor's degree in nursing or equivalent. Some foreign three-year nursing degrees may qualify with proper credential evaluation, but two-year programs generally don't satisfy specialty occupation standards.
How to find Outpatient Registered Nurse jobs with visa sponsorship?
To find Outpatient Registered Nurse positions with visa sponsorship, use Migrate Mate, which specializes in connecting healthcare professionals with sponsoring employers. Focus your search on hospitals, outpatient clinics, and healthcare systems that commonly sponsor H-1B or EB-3 visas for nursing roles. These employers often have ongoing staffing needs and established sponsorship programs for qualified international nurses.
Which healthcare employers are most likely to sponsor nursing visas?
Large hospital systems, academic medical centers, and specialty outpatient clinics sponsor more nursing visas than smaller practices. Employers like Mayo Clinic, Johns Hopkins, and large state university hospitals have experience with immigration petitions and budgets for legal fees and government filing costs.
How long does H-1B processing take for nursing positions?
Standard processing takes 3-6 months after USCIS receives your petition. Premium processing ($2,805 extra) guarantees a decision within 15 business days. However, nursing petitions face higher RFE rates than other specialties, which can add 2-4 months to the timeline if USCIS requests additional evidence.
What is the prevailing wage requirement for sponsored Outpatient Registered 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.
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