RN Home Health Jobs in USA with Visa Sponsorship
RN Home Health positions require H-1B visa sponsorship since nursing is a specialty occupation requiring a BSN degree. Most home health agencies don't sponsor international nurses due to compliance costs, but larger healthcare systems with home health divisions may offer sponsorship for experienced RNs with specialized skills. For detailed occupation requirements, see the O*NET profile.
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Get Access To All JobsJoin the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage.
Functional Title: LTCR Home Health Nurse Surveyor (Nurse III)
Job Title: Nurse III - HCSSA
Agency: Health & Human Services Comm
Department: Rgn 01-Reg Svc HCSSA Reg
Posting Number: 19467
Closing Date: 10/26/2026
Posting Audience: Internal and External
Occupational Category: Protective Services
Salary Range: $7,474.23 - $8,886.16
Pay Frequency: Monthly
Salary Group: TEXAS-B-24
Shift: Day
Telework: Not Eligible for Telework
Travel: Up to 80%
Regular/Temporary: Regular
Full Time/Part Time: Full time
FLSA Exempt/Non-Exempt: Exempt
Facility Location:
Job Location City: LUBBOCK
Job Location Address: 6302 IOLA AVE
Other Locations:
MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W
If you are looking for a place to work where you can establish a career that is filled with purpose, this is the job for you! Home Health Nurse Surveyor – Starting Market Rate Salary $89,690.71
As part of a collaborative team of public servants, a nurse surveyor protects residents’ health and safety by conducting on-site inspections and investigations, including investigations of abuse, neglect, or exploitation, in Texas home health agencies and hospices to assess their compliance with state and federal laws and rules. This position offers a competitive starting salary; excellent state benefits, including health insurance and retirement; and the opportunity to regularly travel to different facilities within a region and across the state – Please see the Additional Information section below for more detail on travel. In this front-line field position, a nurse is mobile and flexible and performs minimal work at an office. However, the role does require writing reports detailing any deficiencies/violations against a facility and a narrative to support regulatory determinations. Must meet certain professional qualifications – see below for details.
The state of Texas offers many benefits to employees. HHSC is a qualifying organization for the Federal Public Service Loan Forgiveness Program, which forgives the remaining balance on college student Direct Loans after making 120 qualifying monthly payments. We also offer excellent health benefits, a lifetime monthly retirement annuity as well as 401(k) and 457 Programs under the Employees Retirement System of Texas.
Essential Job Functions (EJFs):
Under the direction of a program manager, a nurse surveyor conducts on-site licensure inspections, complaint and incident investigations, and annual comprehensive surveys in facilities to determine compliance with federal and state health and safety regulations. Conducts complaint/incident investigations, including for allegations for abuse, neglect, and exploitation.
Communicates clearly and accurately with others (internally and externally) to provide, exchange, or verify information, answer inquiries, or resolve issues or complaints in Texas long-term care facilities.
Conducts exit conferences with facility staff regarding findings and deficiencies.
Completes inspection or survey reports detailing deficiencies, and narratives to support regulatory findings.
Revisits home health agencies to verify correction of previously cited regulatory violations.
Performs quality assurance reviews of documents prepared by others, for example, publications, assessments, and reports.
Might supervise the work of team members during inspections and lend expertise to a survey team in the areas identified above.
May need to testify at hearings or in court proceedings to provide information regarding policy/procedures, history, findings, or activities.
In the event of emergency licensure action, be available to assist with non-skilled care, oversight to residents in a facility and there is a potential that skilled care will be necessary.
Be available for on-call duties for emergencies such as weather events or high-priority situations in facilities or at providers.
Knowledge, Skills and Abilities (KSAs):
Knowledge of issues, concerns, and needs of populations at risk in various health care and/or institutional environments (elderly, mentally ill, developmentally disabled, functionally dependent, medically frail, etc.).
Skill in interpersonal relations.
Skill in performing quality assurance monitoring, program review, certification, survey, or investigations.
Skill in providing guidance, policy clarifications, and information to others.
Skill in preparing detailed written reports.
Ability to multi-task and track multiple activities with competing priorities.
Ability to collect and analyze data.
Ability to analyze and solve work problems.
Ability to interpret regulatory policies, procedures, and regulations.
Ability to work independently.
Ability to use the computer for writing reports.
Ability to exercise professional judgment and reach sound decisions.
Oral, written, and electronic communication skills, including computer word processing software.
Ability to be task organized and punctual.
Registrations, Licensure Requirements or Certifications:
Must be licensed as a registered nurse by the State of Texas or a state that recognizes reciprocity through the Nurse Licensure Compact.
Applicant must complete all training (federal/state) for Home and Community Support Services Agencies.
Initial Screening Criteria:
Experience working as an independent/autonomous health care provider in a home health or hospice setting, long-term care facility, hospital, or as a field nurse or case manager.
Prefer two years of experience providing services in a health care setting as a registered nurse.
Minimum of one year of experience in institutional care, home health care, hospice care, or other long-term care setting preferred.
Additional Information:
Flexibility in work hours is required for this position. The job requires 80% travel, including statewide travel, overnight, and weekend travel. On-call duties for emergencies or high-priority situations in facilities or at providers may be required. Must have reliable transportation.
All applicants must pass a fingerprint criminal background check.
Completes licensing inspection or survey reports detailing deficiencies, recommended remedies, and narratives to support regulatory findings.
If you are offered and accept the position, you will not be permitted to continue employment at any HHSC regulated facilities or providers. You will be required to disclose any potential conflicts of interest, secondary employment, volunteer activities, and friends/family who own, operate, or work at regulated providers.
If you are an active or former licensed nursing facility administrator, certified nurse aide, or medication aide, hiring will be pending until professional licensing and Employee Misconduct Registry checks are completed.
Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC.
Active Duty, Military, Reservists, Guardsmen, and Veterans:
Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor’s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions.
ADA Accommodations:
In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.
Pre-Employment Checks and Work Eligibility:
Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks.
HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form.
Telework Disclaimer:
This position may be eligible for telework. Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.
Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage.
Functional Title: LTCR Home Health Nurse Surveyor (Nurse III)
Job Title: Nurse III - HCSSA
Agency: Health & Human Services Comm
Department: Rgn 01-Reg Svc HCSSA Reg
Posting Number: 19467
Closing Date: 10/26/2026
Posting Audience: Internal and External
Occupational Category: Protective Services
Salary Range: $7,474.23 - $8,886.16
Pay Frequency: Monthly
Salary Group: TEXAS-B-24
Shift: Day
Telework: Not Eligible for Telework
Travel: Up to 80%
Regular/Temporary: Regular
Full Time/Part Time: Full time
FLSA Exempt/Non-Exempt: Exempt
Facility Location:
Job Location City: LUBBOCK
Job Location Address: 6302 IOLA AVE
Other Locations:
MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W
If you are looking for a place to work where you can establish a career that is filled with purpose, this is the job for you! Home Health Nurse Surveyor – Starting Market Rate Salary $89,690.71
As part of a collaborative team of public servants, a nurse surveyor protects residents’ health and safety by conducting on-site inspections and investigations, including investigations of abuse, neglect, or exploitation, in Texas home health agencies and hospices to assess their compliance with state and federal laws and rules. This position offers a competitive starting salary; excellent state benefits, including health insurance and retirement; and the opportunity to regularly travel to different facilities within a region and across the state – Please see the Additional Information section below for more detail on travel. In this front-line field position, a nurse is mobile and flexible and performs minimal work at an office. However, the role does require writing reports detailing any deficiencies/violations against a facility and a narrative to support regulatory determinations. Must meet certain professional qualifications – see below for details.
The state of Texas offers many benefits to employees. HHSC is a qualifying organization for the Federal Public Service Loan Forgiveness Program, which forgives the remaining balance on college student Direct Loans after making 120 qualifying monthly payments. We also offer excellent health benefits, a lifetime monthly retirement annuity as well as 401(k) and 457 Programs under the Employees Retirement System of Texas.
Essential Job Functions (EJFs):
Under the direction of a program manager, a nurse surveyor conducts on-site licensure inspections, complaint and incident investigations, and annual comprehensive surveys in facilities to determine compliance with federal and state health and safety regulations. Conducts complaint/incident investigations, including for allegations for abuse, neglect, and exploitation.
Communicates clearly and accurately with others (internally and externally) to provide, exchange, or verify information, answer inquiries, or resolve issues or complaints in Texas long-term care facilities.
Conducts exit conferences with facility staff regarding findings and deficiencies.
Completes inspection or survey reports detailing deficiencies, and narratives to support regulatory findings.
Revisits home health agencies to verify correction of previously cited regulatory violations.
Performs quality assurance reviews of documents prepared by others, for example, publications, assessments, and reports.
Might supervise the work of team members during inspections and lend expertise to a survey team in the areas identified above.
May need to testify at hearings or in court proceedings to provide information regarding policy/procedures, history, findings, or activities.
In the event of emergency licensure action, be available to assist with non-skilled care, oversight to residents in a facility and there is a potential that skilled care will be necessary.
Be available for on-call duties for emergencies such as weather events or high-priority situations in facilities or at providers.
Knowledge, Skills and Abilities (KSAs):
Knowledge of issues, concerns, and needs of populations at risk in various health care and/or institutional environments (elderly, mentally ill, developmentally disabled, functionally dependent, medically frail, etc.).
Skill in interpersonal relations.
Skill in performing quality assurance monitoring, program review, certification, survey, or investigations.
Skill in providing guidance, policy clarifications, and information to others.
Skill in preparing detailed written reports.
Ability to multi-task and track multiple activities with competing priorities.
Ability to collect and analyze data.
Ability to analyze and solve work problems.
Ability to interpret regulatory policies, procedures, and regulations.
Ability to work independently.
Ability to use the computer for writing reports.
Ability to exercise professional judgment and reach sound decisions.
Oral, written, and electronic communication skills, including computer word processing software.
Ability to be task organized and punctual.
Registrations, Licensure Requirements or Certifications:
Must be licensed as a registered nurse by the State of Texas or a state that recognizes reciprocity through the Nurse Licensure Compact.
Applicant must complete all training (federal/state) for Home and Community Support Services Agencies.
Initial Screening Criteria:
Experience working as an independent/autonomous health care provider in a home health or hospice setting, long-term care facility, hospital, or as a field nurse or case manager.
Prefer two years of experience providing services in a health care setting as a registered nurse.
Minimum of one year of experience in institutional care, home health care, hospice care, or other long-term care setting preferred.
Additional Information:
Flexibility in work hours is required for this position. The job requires 80% travel, including statewide travel, overnight, and weekend travel. On-call duties for emergencies or high-priority situations in facilities or at providers may be required. Must have reliable transportation.
All applicants must pass a fingerprint criminal background check.
Completes licensing inspection or survey reports detailing deficiencies, recommended remedies, and narratives to support regulatory findings.
If you are offered and accept the position, you will not be permitted to continue employment at any HHSC regulated facilities or providers. You will be required to disclose any potential conflicts of interest, secondary employment, volunteer activities, and friends/family who own, operate, or work at regulated providers.
If you are an active or former licensed nursing facility administrator, certified nurse aide, or medication aide, hiring will be pending until professional licensing and Employee Misconduct Registry checks are completed.
Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC.
Active Duty, Military, Reservists, Guardsmen, and Veterans:
Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor’s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions.
ADA Accommodations:
In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.
Pre-Employment Checks and Work Eligibility:
Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks.
HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form.
Telework Disclaimer:
This position may be eligible for telework. Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.
See all 33,641+ RN Home Health Jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new RN Home Health roles.
Get Access To All JobsTips for Finding RN Home Health Jobs
Target larger healthcare systems with home health divisions
Major hospital systems like Kaiser Permanente, HCA Healthcare, and Ascension often have home health arms and established visa sponsorship programs, unlike smaller independent agencies.
Highlight specialized certifications and experience
Wound care certification, IV therapy expertise, or ventilator management experience makes you more valuable and justifies the H-1B sponsorship investment to employers.
Consider acute care positions first for sponsorship entry
Many nurses get sponsored for hospital roles initially, then transfer to home health within the same health system after gaining U.S. experience and establishing their value.
Research state nursing license requirements early
Each state has different nursing license requirements for international graduates. Some require CGFNS certification or specific English proficiency scores beyond basic H-1B requirements.
Network through professional nursing organizations
Join the American Organization for Nursing Leadership or state nursing associations to connect with hiring managers who understand the international nurse recruitment process.
Prepare for longer recruitment timelines
Healthcare H-1B sponsorship often takes 8-12 months from initial application to start date due to license verification, credentialing, and regulatory approval processes.
Frequently Asked Questions
Do I need a BSN degree for H-1B sponsorship as a home health nurse?
Yes, H-1B visa sponsorship for nursing positions requires a Bachelor of Science in Nursing (BSN) from an accredited program. Associate degree nurses (ADN) typically don't qualify for H-1B sponsorship since the specialty occupation standard requires a bachelor's degree in the specific field.
How to find RN Home Health jobs with visa sponsorship?
To find RN Home Health jobs with visa sponsorship, use Migrate Mate, which specializes in connecting international nurses with U.S. healthcare employers. Focus on home healthcare agencies, hospice organizations, and private duty nursing companies that commonly sponsor H-1B and EB-3 visas for registered nurses. These employers often face nursing shortages and actively recruit international RNs for community-based care positions.
Which home health employers are most likely to sponsor H-1B visas?
Large healthcare systems with home health divisions like Amedisys, LHC Group (now Optum), and major hospital networks are most likely to sponsor. Small independent home health agencies rarely sponsor due to costs and compliance complexity. Target employers with 500+ employees and existing international recruitment programs.
What nursing licenses do I need before applying for sponsored positions?
You'll need to pass the NCLEX-RN exam and obtain state nursing licensure in your target state. Some states require CGFNS certification for international graduates. Start the licensing process early since it can take 3-6 months and employers often require active licensure before sponsorship.
How do home health H-1B approval rates compare to other nursing specialties?
Home health nursing H-1B petitions have similar approval rates to other nursing specialties (around 85-90%) since all require BSN degrees. The bigger challenge is finding willing sponsors, as home health agencies sponsor far fewer international nurses than hospitals or skilled nursing facilities.
Can I transfer my H-1B from a hospital to a home health agency?
Yes, you can transfer your H-1B to a home health employer through an H-1B transfer petition. The new employer must file Form I-129, but you can start working once it's filed (not when approved). This is often easier than finding initial sponsorship since you've already proven H-1B eligibility.
What is the prevailing wage requirement for sponsored RN Home Health 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.