Do you know you can relocate to the USA this year? High-paying nursing jobs in the USA with visa sponsorship are back—and in high demand.
U.S. hospitals and staffing agencies are urgently hiring qualified international nurses and covering the full cost of your visa, relocation, and licensing.
If you’re a registered nurse with the right credentials, you could start your journey to the U.S. faster than you think. This guide breaks down exactly how to qualify, which visas to target (EB-3, TN, H-1B), and where to apply. Ready to land a sponsored nursing job in the U.S.? Let’s get started.
Why the U.S. Needs Foreign Nurses
Workforce Gaps and Aging Population
U.S. healthcare systems are understaffed. The Bureau of Labor Statistics projects over 200,000 RN openings yearly through 2031. Many regions—especially rural areas and major cities—struggle to fill essential nursing roles.
Foreign Nurses as a Strategic Solution
International nurses bring clinical experience, language diversity, and cultural awareness. Visa sponsorship helps hospitals meet demand while integrating nurses who often outperform in multilingual or multicultural care settings.
Benefits of Working as a Nurse in the USA
High Pay and Full Benefits
U.S. nurses earn $80,000–$120,000 annually, with higher pay in specialty roles or major metro areas. Most full-time jobs offer health insurance, paid time off, and 401(k) plans.
Career Advancement
U.S. facilities provide structured pathways into critical care, leadership, or advanced practice roles. Many employers fund certifications and continuing education.
Path to Permanent Residency
EB-3 sponsorship offers a green card route. Many employers assist not just with temporary visas but with long-term immigration status for the nurse and eligible family members.
Key Requirements for International Nurses
Valid Nursing Degree and Credential Evaluation
Candidates must hold a nursing degree equivalent to U.S. standards. Agencies like CGFNS evaluate transcripts and clinical training.
NCLEX-RN License
Passing the NCLEX-RN is required for licensure in any U.S. state. Preparation is critical, and many staffing firms offer exam support.
English Language Proficiency
Non-native speakers must pass IELTS or TOEFL. Minimum IELTS band scores usually fall between 6.5–7.0.
CGFNS Certification
Some states require CGFNS certification, which includes credential review, English testing, and a nursing fundamentals exam.
Employer Sponsorship
You need a job offer from a U.S. employer willing to file visa paperwork. Most international hires go through hospitals or staffing agencies familiar with the process.
Types of Visas for Nurses in the USA
EB-3 Immigrant Visa (Green Card)
This is the primary pathway for foreign RNs. It offers permanent residency for the nurse, spouse, and children. Employers file a labor certification and I-140 petition. Processing takes 12–24 months depending on country of origin and visa backlogs.
TN Visa (Canada and Mexico)
Under USMCA, qualified Canadian and Mexican nurses can get renewable 3-year work visas with a valid job offer and nursing license. This visa avoids quotas and is fast-tracked.
H-1B Visa (Advanced Roles Only)
Reserved for specialized nurses like nurse practitioners or anesthetists. General RN positions don’t qualify. Subject to an annual lottery and requires proof that the job needs a bachelor’s degree.
J-1 and O-1 Visas
J-1 is used for temporary training or exchange programs. It requires a return to the home country afterward. O-1 is for nurses with documented extraordinary ability, typically in research or education—not general practice.
Top U.S. Employers Hiring Nurses with Visa Sponsorship
Hospitals and healthcare systems across the U.S. actively recruit international nurses to fill persistent staffing gaps. Some employers handle the full sponsorship process, including licensing, visa filing, and relocation support.
Major Hospital Networks
- Cleveland Clinic: Frequently hires foreign-trained nurses for specialized care units. Offers support for EB-3 green card processing.
- AdventHealth: Recruits international nurses across multiple U.S. states and provides housing assistance and transition programs.
- Mayo Clinic: Known for research and specialty care. Offers long-term employment with pathways to career advancement.
- Mount Sinai Health System: Based in New York, it recruits multilingual nursing staff to serve a diverse patient population.
Long-Term and Home Care Facilities
- Genesis Healthcare and ProMedica sponsor foreign nurses for nursing homes and rehabilitative care centers in underserved areas.
Government and Academic Hospitals
- State hospitals and academic medical centers in California, Texas, and New York offer consistent hiring and support for green card petitions, particularly for high-need units.
International Nurse Staffing Agencies
These agencies place nurses in hospitals and clinics nationwide and manage credentialing, visa processing, and relocation.
- Conexus MedStaff
- Avant Healthcare Professionals
- PassportUSA (Health Carousel)
- O’Grady Peyton International
- MedPro International
Agencies often provide NCLEX preparation, orientation, and temporary housing. Some require 2–3 year contracts in exchange for sponsorship and relocation benefits.
High-Demand Nursing Specialties in the USA
Certain nursing specialties are more likely to receive visa sponsorship due to critical shortages and complex care needs.
- Intensive Care Unit (ICU): High acuity patients require nurses with strong clinical judgment.
- Emergency Room (ER): Fast-paced environments in urban hospitals seek nurses who can handle trauma and diverse cases.
- Operating Room (OR): Surgical departments face chronic staffing shortages across the country.
- Geriatric and Long-Term Care: The aging population drives demand for skilled RNs in nursing homes and hospice care.
- Psychiatric and Mental Health: Shortages in behavioral health increase opportunities for foreign-trained psychiatric nurses.
- Home Health and Community Nursing: Nurses who can work independently in rural or underserved areas are in high demand.
Specializing in one of these fields improves the chances of securing long-term employment and immigration sponsorship.
Best U.S. States for International Nurses
Some states have more nurse-friendly policies, faster licensing processes, and higher visa sponsorship activity.
- Texas: Rapid healthcare expansion, no state income tax, and high demand in urban centers like Houston and Dallas.
- California: Offers the highest RN salaries nationally. High immigrant population increases demand for bilingual nurses.
- Florida: Aging population drives demand for home health and long-term care nurses.
- New York: Multilingual nurses are needed in large urban hospitals. Licensing is competitive but sponsorship is common.
- Illinois: Offers opportunities in both urban and underserved rural communities. Large immigrant populations require culturally competent care.
Each state has its own Board of Nursing. Applicants must meet state-specific licensing requirements before practicing.
How to Apply for Nursing Jobs with Sponsorship
- Credential Evaluation
- Submit your transcripts to a credentialing agency like CGFNS for verification and U.S. equivalency assessment.
- Pass the NCLEX-RN
- Apply through the state Board of Nursing.
- Take the exam at an authorized testing center. Preparation is essential.
- Secure a Job Offer
- Apply directly to hospitals or through a reputable staffing agency.
- Ensure the employer is willing to sponsor a visa and support the licensing process.
- Visa Application Process
- Employer files necessary immigration petitions (e.g., EB-3 I-140 or TN documentation).
- Follow up with required documents including passport, licenses, and proof of English proficiency.
- Relocate and Begin Orientation
- After visa approval, you’ll attend orientation programs, which may include cultural training, clinical practice updates, and state-specific regulations.
Applying through an experienced recruiter can simplify the entire process, but always verify credentials to avoid scams.
Common Challenges for International Nurses
Licensing Delays
Credential verification and licensing can take several months. Start the process early and keep documents updated.
Visa Processing Backlogs
EB-3 green cards can be delayed, especially for nurses from high-demand countries. Check the monthly Visa Bulletin and work with employers who monitor processing timelines.
Cultural and Clinical Adjustment
U.S. hospitals operate under specific clinical protocols. Many international nurses take part in U.S.-based training programs to adjust to new systems.
Communication Gaps
Language proficiency is key. Practice spoken medical English and familiarize yourself with patient communication standards in the U.S.
Contractual Obligations
Agencies may require 2–3 year service commitments. Read contracts carefully before signing, and avoid any employer that demands payment for visa processing.
Long-Term Benefits of U.S. Nursing Careers
Working as a nurse in the United States offers more than just competitive pay and modern facilities. Many international nurses report substantial professional and personal growth after relocating. The experience of working in the U.S. healthcare system is highly respected globally and opens the door to opportunities in management, education, research, and specialized clinical roles.
Nurses who secure green cards through the EB-3 route often bring their families, enroll their children in U.S. schools, and integrate into American life with long-term stability. With time, permanent residents can apply for U.S. citizenship, unlocking full legal rights and greater job mobility.
In addition to financial and immigration benefits, international nurses gain exposure to cutting-edge medical technologies and advanced nursing practices. This experience strengthens their credentials, both in the U.S. and internationally, should they choose to move again in the future.
Frequently Asked Questions (FAQ)
Do I need to pass the NCLEX before applying for jobs?
Yes. U.S. employers require proof of licensure. You must pass the NCLEX-RN to be eligible for work as a registered nurse.
Will the employer cover visa and relocation costs?
Many reputable hospitals and staffing agencies cover visa processing fees, licensing costs, flights, and temporary housing. Always confirm the details in writing.
Can I bring my family with me if I get a sponsored job?
Yes. If you’re approved for an EB-3 immigrant visa, your spouse and children under 21 are eligible for derivative green cards.
How long does the entire process take?
It varies. From credentialing to visa approval, the process typically takes 12 to 30 months depending on your country of origin, visa type, and how early you pass the NCLEX.
Is an associate degree in nursing acceptable?
In some cases, yes. While many employers prefer a Bachelor of Science in Nursing (BSN), an associate degree may qualify for licensure and sponsorship if accompanied by experience and CGFNS validation.
Can I switch employers after getting sponsored?
Switching employers is legally possible but complicated. Visa type and contract terms will determine whether and when you can change jobs. Always consult an immigration attorney before making changes.
What if I fail the NCLEX?
You can retake the NCLEX after 45 days. Most states allow multiple attempts, but passing is mandatory for licensure and employment.
Which visa is best for long-term work in the U.S.?
The EB-3 immigrant visa is the most stable and commonly used option for foreign nurses. It leads to permanent residency and eventual U.S. citizenship if desired.
Is age a barrier to getting sponsored?
No. As long as you meet educational and licensing criteria, age is not typically a restriction for sponsorship.
Conclusion
The U.S. offers a clear, structured pathway for qualified foreign nurses to pursue high-paying, meaningful careers with long-term immigration potential. From acute care hospitals to long-term facilities, the demand for international talent is high—and visa sponsorship makes it possible.
While the process can be lengthy and complex, proper planning, credentialing, and support from experienced employers or staffing agencies can make your American nursing career a reality. With the right qualifications, determination, and guidance, thousands of nurses have successfully made the transition. You can too.
