Registered Practical Nurse Jobs in USA with Visa Sponsorship
Registered Practical Nurse jobs with visa sponsorship are available across long-term care, hospital, and home health settings. Employers typically sponsor H-1B visa or EB-3 visas, requiring NCLEX-PN licensure and state registration. Nursing shortages in rural and underserved areas mean active sponsorship pipelines, especially through PERM-based green card routes.
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Location:
Sioux Center-Crown Pointe Estates
Worker Type:
Regular
Work Shift:
Day Shift (United States of America)
Discover a Career of Faith and Healing: For over 70 years, Sioux Center Health has served patients with Jesus’ healing ministry. With eight locations located in Sioux Center, Iowa and surrounding communities, we take great pride in providing superior care in our state-of-the-art facilities.
A Career that You Will Love: There’s no other way to say it: You will love working here. Between our strong mission and our great people, we have nurtured a pretty exceptional culture at Sioux Center Health.
A Chance to Make a Difference: Working with us means making a real difference in the lives of our community members. Your talents and your passions are truly appreciated here. In addition to the service we provide, Sioux Center Health also supports our community with sponsored programs and events, and other volunteer work. If this is your passion, you need to consider joining our team driven to provide quality care and services within a caring Christian culture.
Position Highlights:
At Sioux Center Health, our people are the heart of everything we do. Guided by a strong mission and a commitment to exceptional care, we've built a stable, thriving organization where employees make a meaningful difference. Our dedication to excellence is reflected in the recognition we have earned. Sioux Center Health has been named a Top Workplace in Iowa, received Best of the Northwest honors in 13 categories—including Best Place to Work—and earned a Five-Star Patient Survey Rating from the Centers for Medicare & Medicaid Services (CMS). We have also been recognized as a Chartis Top 100 Critical Access Hospital and Top Hospital in Iowa. Our Care Center has received the LeadingAge Excellence in Workplace Award, reflecting our commitment to creating a positive environment for both residents and employees. Beyond our organization, you'll find an outstanding community to call home. Sioux County was ranked #4 in the nation among the Healthiest Communities by U.S. News & World Report and CVS Health, reflecting the high quality of life and strong community values that make this region a great place to live, work, and grow.
Summary
The Long Term Care RN is responsible for directing and supervising resident care consistent with the Iowa Nursing Practice Code, Federal, State, and Sioux Center Health standards of care while promoting each resident’s highest practicable physical, mental, and psychosocial well-being.
General Hours of Work
8 and 12 hour rotating shift; nights, weekend, call involvement
Education and/or Experience
Graduate of an accredited school of nursing, for registered nurse. Minimum of one year of experience in Long Term Care preferred.
Certificate, Licenses, Registrations
Current Registered Nurse license in the State of Iowa. Must obtain CPR certification within 3 months of hire date.
RN Essential Functions
Utilize the “nursing process” (i.e. ongoing assessment, nursing diagnosis, planning, intervention, and evaluation) in the practice of nursing.
- To assess the health status of each resident.
- To formulate a nursing diagnosis based on the analysis of data from the nursing assessment.
- To plan nursing care which includes determining goals and priorities for activities based on the nursing diagnosis.
- To develop nursing interventions implementing the plan of care.
- To evaluate the individual resident’s status in relation to established goals and the plan of care.
Recognize and understand the legal implications of accountability including, but not limited to the following:
- Performing or supervising those activities and functions which require the knowledge and skill level of a registered nurse and seeking assistance when activities and functions are beyond the licensee’s scope of preparation.
- Using professional judgment supervising unlicensed assistant personnel.
- Using professional judgment in assigning and delegating activities and functions to unlicensed assistant personnel.
- Supervising, among other things, includes any or all the following:
- Direct observation of any activity or function.
- Assumption of overall responsibility for assessing, planning, implementing, and evaluating nursing care.
- Delegation of nursing tasks while retaining accountability.
- Determination that nursing care being provided is adequate and delivered appropriately.
Executing the regimen prescribed by the physician while exercising professional judgment in accordance with minimum standards of nursing practice.
- If the prescribed medical regimen is not carried out, based on the nurse’s professional judgment, accountability will include:
- Timely notification of the prescribing physician the medical regimen was not executed and reason(s) for same.
- Documentation on medical record the physician was notified and reason(s) for not following order(s).
Performs, skillfully and proficiently, the following duties:
- Reads report from previous shift and writes report for following shift.
- Reports and explains all pertinent resident care information to C.N.A.’s.
- Supervises all meals and nourishment or assures proper diet is served, nutrition and hydration needs are met, and residents are assisted as necessary.
- Makes rounds as necessary, assessing unstable residents.
- Prepares and administers medications, nutrition, fluids and medication, and treatments as ordered.
- Documents all medications, IV fluids, and treatments as administered.
- Supervises any restraint application and/or removal.
- Supervises prompt response to resident’s call lights.
- Orders medications as necessary.
- Notifies pharmacy of changes/additions to resident’s drug regimen.
- Receives medication delivery from pharmacy and checks and documents all drug received.
- Supervises all resident care and assists with direct care as needed.
- Observes, evaluates, reports, and documents all changes in resident’s conditions every two hours or as needed.
Assists in the managerial responsibilities (interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems). Performs other duties and responsibilities as assigned.
LPN Essential Functions
Participate in the “nursing process” (i.e. ongoing assessment, nursing diagnosis, planning, intervention, and evaluation), consistent with accepted and prevailing practice, by assisting a registered nurse or physician. The LPN may assist in monitoring, observing, and reporting reactions to interventions. Refrain from performing any activity requiring the knowledge and skill of a registered nurse including:
- The initiation of an assessment related to procedures/therapies requiring the knowledge or skill level of a registered nurse.
- The initiation of intravenous solutions, intravenous medications and blood components.
- The administration of medicated intravenous solutions, intravenous medications and blood components.
- The initiation or administration of medications requiring the knowledge or skill level of a registered nurse.
Engage in, under the supervision of a registered nurse, a limited scope of practice in intravenous therapy as follows:
- Add intravenous solutions without medications to established peripheral intravenous sites.
- Regulate the rate of non-medicated intravenous solutions.
- Administer maintenance doses of analgesics via resident-controlled analgesic pump set at a lock-out interval.
- Discontinue intravenous therapy.
Perform intravenous therapy procedures as outlined in Iowa Code, Chapter 6, Nursing Practice for Registered Nurses/Licensed Practical Nurses following completion of a board-approved intravenous therapy certification course offered by a board-approved provider of education. Recognize and understand the legal implications of accountability including, but not limited to the following:
- Performing those activities and functions which require the knowledge and skill level of a licensed practical nurse and seeking assistance when activities and functions are beyond the licensee’s scope of preparations.
- Accepting responsibility for performing assigned and delegated functions and informing the registered nurse when assigned and delegate functions are not executed.
- Executing the medical regimen prescribed by a physician. In executing the medical regimen as prescribed by the physician, the licensed practical nurse will exercise prudent judgment in accordance with minimum standards of nursing practice. If the medical regimen prescribed by the physician is not carried out based on the LPN’s prudent judgment, accountability will include but need not be limited to the following:
- Timely notification of the physician who prescribed the medical regimen that order(s) was not executed and reason(s) for same.
- Documentation on the medical records the physician was notified and reason(s) for not following order(s).
Supervise unlicensed assistant personnel under the provisions of the Iowa Code. Supervision, among other things, includes any or all of the following:
- Direct observation of a function or activity.
- Delegation of nursing tasks while retaining accountability.
- Determination that nursing care being provided is adequate and delivered appropriately.
- A licensed practical nurse may serve as a charge nurse under the supervision of a registered nurse.
Assists in the managerial responsibilities (interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems). Performs other duties and responsibilities as assigned.
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Get Access To All JobsTips for Finding Visa Sponsorship as a Registered Practical Nurse
Verify your NCLEX-PN before applying
U.S. employers won't file sponsorship paperwork until you hold a valid NCLEX-PN pass result and a state nursing license. Apply for licensure by endorsement in your target state early, since processing times vary by state board and can delay your start date.
Target long-term care facilities actively filing
Skilled nursing facilities and long-term care chains file PERM labor certifications for LPN and RPN roles more consistently than acute-care hospitals. Search DOL OFLC public disclosure data to identify facilities with recent EB-3 certifications in your target region before sending applications.
Distinguish H-1B eligibility from EB-3 for your role
RPN roles typically require only an associate degree or diploma, which may not satisfy the H-1B specialty occupation standard requiring a bachelor's degree. EB-3 skilled worker is usually the cleaner pathway, since PERM only requires the employer to document the minimum job requirements.
Use Migrate Mate to find verified sponsoring employers
Search Migrate Mate's job board to identify employers with verified LCA or PERM filing history for nursing roles. This filters out postings where sponsorship is listed as a possibility but no filings have ever been submitted, saving you weeks of back-and-forth.
Ask your employer about PERM wage documentation upfront
Your employer must pay the prevailing wage determined by DOL for your specific role, shift type, and county. Use the OFLC Wage Search to look up the wage level for your job title before your offer negotiation so you know what the PERM filing will require.
Plan your credential evaluation before the I-140 stage
USCIS requires a credential evaluation for foreign-trained nurses confirming your nursing diploma is equivalent to a U.S. associate degree or higher. Commission on Graduates of Foreign Nursing Schools, or CGFNS, is the standard evaluator, and the report can take 90 days or more to process.
Frequently Asked Questions
Does a Registered Practical Nurse role qualify for H-1B visa sponsorship?
It depends on how the employer frames the job requirements. H-1B requires a specialty occupation, meaning the role must normally require at least a bachelor's degree in a specific field. Most RPN and LPN positions require only a diploma or associate degree, so they don't meet this standard. EB-3 skilled worker via PERM is the more common and legally defensible sponsorship route for this role.
What visa pathways do Registered Practical Nurses typically use for U.S. sponsorship?
The EB-3 skilled worker green card through PERM labor certification is the primary route, as it aligns with the associate degree or diploma requirement most RPN roles carry. Some employers also use the TN visa for Canadian and Mexican nationals if the role fits the USMCA nurse occupation definition. H-1B is rarely used because the specialty occupation bar is difficult to meet for LPN-level positions.
Do I need my NCLEX-PN passed before an employer will file sponsorship paperwork?
Yes. No U.S. employer can legally employ you as an RPN or LPN without a valid state nursing license, which requires passing the NCLEX-PN. Employers won't initiate PERM or any other filing until you have licensure confirmed, since the job description in the PERM application must match the credentials you actually hold. Apply for your state license by endorsement as early as possible to avoid delays.
Which types of employers are most likely to sponsor an RPN for a green card?
Skilled nursing facilities, long-term care chains, and home health agencies file PERM-based EB-3 sponsorships for RPNs far more frequently than acute-care hospitals, which tend to prefer RNs. Rural and underserved facilities often have more urgent hiring needs and more established sponsorship pipelines. Browse Migrate Mate to see which employers have active verified sponsorship history for practical nursing roles in your preferred location.
How long does the EB-3 PERM process take for a Registered Practical Nurse role?
The PERM labor certification itself takes roughly six to twelve months from the time DOL receives the application, depending on audit rates. After PERM approval, the employer files the I-140 immigrant petition with USCIS. Wait times for a visa number to become available vary significantly by your country of birth due to per-country limits, with applicants from India and China facing much longer backlogs than those from most other countries.
What is the prevailing wage requirement for sponsored Registered Practical 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.