How Can a Foreign Nurse Get a Visa to Work in the U.S.?
Section 1: Green Card Options
U.S. Immigration Pathways is a section of the USCIS policy manual that deals with employment-based visas. This section provides you with the essential information you need to understand the various options for immigrating to the United States as a registered nurse.
Key Points
- Determine which pathway is best for you.
- Learn what alternatives are available.
- Discover how the new COVID-19 green card process works.
U.S. Citizenship and Immigration services (USCIS) offers foreign nurses an opportunity to work in the United States on a permanent basis by providing lawful permanent residence which can eventually lead to U.S citizenship.
From my perspective, there are two primary ways which you may qualify for a green card as a foreign nurse. The two primary options for a green card are – an employment-based visa or a family-based visa.
Employment Based Visas

The U.S.C.I.S. policy manual provides foreign nurses with a specific pathway to become a lawful permanent resident through employment.
To help provide a deeper understanding; bear in mind that there are five employment-based visa categories. It is the EB-3 category however that is the most relevant category for an international nurse.
The list of employment-based visa categories is as follows:
- First Preference EB-1
- Second Preference EB-2
- Third Preference EB-3
- Fourth Preference EB-4
- Fifth Preference EB-5
i. The Healthcare Resilience Act Reduces Backlog
The Healthcare Resilience Act reduces the amount of red-tape required for foreign nurses to work in the USA. On December 2nd, 2020 the U.S. Citizenship and Immigration Services (USCIS) announced updated instructions for determining how petitions for registered nurses are processed.
ii. The U.S. Department of Labor Waives Certifications
The updated procedures for foreign nurses exempts employers from the need to obtain permanent labor certification from the U.S. Department of Labor on a temporary basis.
- Generally, EB-2 and EB-3 employers must obtain a labor certification from DOL that verifies that there are no qualified U.S. workers available for the petition however;
- For Schedule A, DOL has pre-certified this so the petitioners do not need to obtain a labor certification from DOL.[ii]
- Schedule A petitioners must file the Form I-140, Immigrant Petition for Alien Workers, as an un-certified labor certification directly to USCIS.
Foreign Nurses Are: Third Preference - EB-3
- “Skilled workers” are persons whose jobs require a minimum of 2 years' training or experience, not of a temporary or seasonal nature. The skilled worker must meet the educational, training, or experience requirements of the job opportunity. Relevant post-secondary education may be considered as training.
- “Professionals” are persons whose job requires at least a U.S. baccalaureate or foreign equivalent degree and are a member of the professions.
Family-Based Visas

The best alternative pathway to U.S. Immigration may prove less costly, less complicated and can be easier to process. These alternative pathways are by virtue of your family relationship with a U.S citizen.
i. Applying for a Green Card As An Immediate Relative of a U.S. Citizen
Immigrating to the United States is a privilege, but U.S. citizens have the right to apply for a green card for their immediate relatives, including spouses. If you qualify as an immediate relative and meet certain eligibility requirements, you can become a lawful permanent resident and obtain a Green Card. Immigrant visas for immediate relatives of U.S. citizens are unlimited, so the visas are always available.
ii. Applying for a Green Card As An Preference Relative of a U.S. Citizen
Specific family relationships enable certain individuals who are family members of U.S. citizens and lawful permanent residents to obtain a Green Card and become lawful permanent residents under U.S. immigration law.
iii. How to Apply
As an immediate relative of a U.S. citizen, the application process for obtaining a Green Card is quite simple. If certain criteria are met, you can complete Form I-485, Application to Register Permanent Residence or Adjust Status without leaving the United States. This is known as "adjustment of status."
Supporting Documentation
- Healthcare Resilience Act Summary
- Schedule A Designation Petitions
- Green Card for Immediate Relatives of U.S. Citizen
- Applying For A Green Card As An Preference Relative Of A U.S. Citizen
- Schedule A Designation Policy Update
Forms
- USCIS Form I-140 - Immigrant Petition for Alien Worker
- USCIS Form I-485 - Application to Register Permanent Residence or Adjust Status
- USCIS Form I-130 - Petition for Alien Relative
- USCIS Form G-1450 - Authorization for Credit Card Transactions
Self-Assessment Questions #1
Which immigration pathway works best for you?
- Employment Based Visas
- Green Card As An Immediate Relative Of A U.S. Citizen
- Green Card As An Preference Relative Of A U.S. Citizen
Frequently Asked Questions
Can Foreign Nurse Apply For Green Card?
However, a foreign-born RN must pass the NCLEX examination (and sometimes the CGFNS examination), pass an English examination, obtain a VisaScreen certificate and be sponsored by a US employer in order to immigrate to the United States.
Can A Foreigner Work As A Nurse In USA?
You are eligible to work in the US if you're a Registered Nurse in your home country. Contact the Commission on Graduates of Foreign Nursing Schools (CGFNS) to see if you're qualified. When you know where in the US you'd like to work, you can apply to that state's Board of Nursing and take the NCLEX-RN.
How Do I Sponsor A Foreign Nurse?
To obtain an H-1B visa for a foreign nurse, the U.S. employer, such as a hospital or medical clinic, would file an I-129 petition with United States Citizenship and Immigration Services (USCIS). This agency decides whether or not to approve the employer's request for H-1B status for the worker.
Who Qualifies For EB-2 Green Card?
You may be eligible for an employment-based, second preference (EB-2) permanent worker visa if you are a member of a profession and you have an advanced degree or its equivalent, or if you have an exceptional ability.
Can Nurses Get H-1B Visa?
You must be a working in a nursing position that qualifies as a “specialty occupation,” which is any occupation that typically has a minimum educational requirement of a four-year Bachelor's degree.
How Long Does It Take To Get A Green Card For Immediate Relatives Of U.S. Citizen?
For those living in the U.S., the processing time is currently 14-26 months. For immediate relatives (spouse, unmarried child under 21 or parent) of a U.S. citizen living abroad, the wait times for Form I-130 are currently between 9-13 months.
How Long Does It Take For A Relative To Get A Green Card?
If your spouse is a U.S. citizen and you currently live in the United States, it takes on average 14-26 months to get a marriage-based green card. Spouses of U.S. citizens living in the United States can file their I-130 and their I-485 at the same time (also known as “concurrent filing”).
How Much Is Green Card For Immediate Relatives Of U.S. Citizen Fees?
How much does it cost to apply for a green card? The government filing fees for getting a family-based green card is $1760 for an applicant living in the United States or $1200 for an applicant living outside the United States.
What are the Eligibility Requirements for Obtaining a Registered Nurse Visa to Work in the USA?
Section 2: Eligibility Checklists

This section outlines the eligibility requirements for foreign Registered Nurses looking to work in the USA under the Schedule A Designation. The information builds on the previous chapter by explaining the specific requirements for the nurse visa.
Key Points
- Learn what you and your employer to need qualify.
- Updates on how to fulfill English test requirement.
- Get tips on how the decision to issue a US green card is made.
As a registered nurse, you may be eligible for Employment-Based Immigration under several immigrant visa categories however your education, skills and work experience are some of the factors used to determine if you qualify for a specific type of employment based visa. I have created checklists of eligibility requirements for both the petitioner and the beneficiary.
This checklist should not be submitted with your petition as it serves only as a preparation tool. Do not send original documents unless specifically requested in the form’s instructions or applicable regulations.
Employer Eligibility Requirements Checklists

To qualify for an employment-based visa in a Schedule A occupation the following requirements must be met:
I. Initial Required Documentation Checklist:
Cover Letter (Click Here to Access: Formatting Guide)
A properly filled Form I-140, with $700.00 filing fees.
An un-certified and signed Form 9089.
I-693, Report of Medical Examination and Vaccination Record.
An Application for Prevailing Wage Determination Form ETA-9141.
A list of worksite locations for the beneficiary.
II. Evidence for Beneficiary Under Schedule A Designation Checklist:
III. U.S. Employer’s Evidence of Ability to Pay Checklist:
Must include at least one of the following:
- Annual reports
- Federal tax returns.
- Audited financial statements.
Initial Evidence: Cover Letter Format
Employer submits evidence of the beneficiary's experience or training in the form of a cover letter written on behalf of current, former employer or trainer and includes:
- Name
- Address
- Title of the writer
- A specific description of the duties performed by the beneficiary or of the training received.
Ability of Prospective Employer to Pay Wage
Any petition filed by or for an employment-based immigrant which requires an offer of employment must be accompanied by evidence that the prospective United States employer can pay the proffered wage.
The petitioner must demonstrate this ability at the time the priority date is established and continuing until the beneficiary obtains lawful permanent residence. Employers of 100+ workers may be allowed to submit a statement from a financial officer of the organization regarding its ability to pay the proffered wage.
Bona Fide Offer Checklist

The United States Citizenship and Immigration Services (USCIS) requires that an employment-based visa petition be accompanied by a bona fide job offer. The aim is to prove that the offer is made in good faith and is not a sham or fraudulent. A bona fide job offer is a structured offer of employment from that meets all of the requirements of the Department of Labor and the USCIS where applicable.
A Bona Fide Offer Contains the Following Elements:
- The ability to pay the offered wage.
- The position must be paid at or above the prevailing wage.
- A full-time offer for employment.
- The details of the primary worksite location.
- The job title.
- The physical and schedule requirements of the position.
- Must have a statement that the employer will only give tasks within the employee's physical abilities, knowledge, and skill, and will provide training if necessary.
- Must define minimum level of education required.
- The position must be a Registered Nurse.
If you are an employer seeking to sponsor a foreign national for an employment-based visa, it is important to ensure that your job offer is bona fide.
New Updates that Reduce Paperwork
Because of the occupational shortage of these U.S. workers, DOL has “pre-certified” Schedule A occupations. This means that an employer who wishes to hire a person for a Schedule A occupation is not required to conduct a test of the labor market and apply for a permanent labor certification with DOL. Rather, this employer must apply for Schedule A designation by submitting an application for permanent labor certification to USCIS in conjunction with the petition.
How the Adjudication Process Works
If an employer meets all requirements for Schedule A designation and the petition is approvable, USCIS retains the ETA Form 9089 with the petition. If an employer did not meet all requirements for Schedule A designation, or the petition is not approvable, USCIS retains the permanent labor certification application with the petition. The officer does not complete Section O of the permanent labor certification.
Registered Nurse Eligibility Requirements Checklists
I. Registered Nurse Credentials Certification Checklist
USCIS approved credentialing organizations certify that foreign nurses have met the minimum requirements for education, training, licensure, experience, and English proficiency. Certification checklists items include:
Evidence of competence in oral and written English
Why is Certification Needed?
The Aim of the Certification Process Is to Verify That:
You have obtained education, training, licensing, and experience comparable to an American health care worker
Your credentials are authentic and that you qualify for an unencumbered nurse's license.
You meet all regulatory requirements for admission into the United States.
You possess the necessary level of competence in oral and written English.
You have passed NCLEX exam and have – EITHER - the:
Have a certification statement from the Commission on Graduates of Foreign Nursing Schools (CGFNS) or
Have a certification statement from an approved equivalent independent credentialing organization.
Foreign Nurses Must Acquire “A Certified Statement From the Commission On Graduates of Foreign Nursing Schools (CGFNS)” Which Is Meant to Verify That You Have:
- The requirements for an unrestricted license in the State of Florida.
- Have passed the National Council Licensure Examination (NCLEX)
- Graduated from certain English language nursing programs.
II. USCIS Registered Nurse Checklist
- Beneficiary must meet the definition of a “Professional Nurse.”
- Have a Bona Fide Job Offer from a U.S. Employer.
- Copy of Birth Certificate
- Copy of Arrival/Departure Record (Form I-94) if applicable.
- Job offer should be for a Registered Nurse or related position.
- Submit requirements for a full, unrestricted permanent nursing license.
- Submit one of the foreign education evaluation requirements:
- Certification from Commission on Graduates of Foreign Nursing Schools.
- Evidence of passing the National Council Licensure Examination for RNs.
- Possess approved USCIS English Proficiency Tests and Scores.
- Pass the state’s requirements for a background check.
- Six- Passport-style photographs
- Submit approved forms of identification
- I-693, Report of Medical Examination and Vaccination Record
Minimum Education Requirements for a U.S. Registered Nurse
The minimum requirement for professional nursing occupations is generally less than a bachelor’s degree and these occupations are therefore considered under the skilled worker classification. However, the minimum requirement for certain advanced or specialized professional nursing occupations may be a bachelor’s degree.
Approved English Proficiency Tests and Score Standards
Human Services Approved English Proficiency Tests and Scores are posted with a current list of approved tests and scores to reflect the recently approved list. (As of May 24, 2022)
Acceptable English Competency Examinations
Passport Photograph Standards
All applicants are required to upload a passport-style photograph with a white or off-white background.
Do’s
- Sized such that the head is between 1″ and 1 3/8″ from the bottom of the chin to the top of the head.
- Taken within the last six months to reflect your current appearance
- Taken in front of a plain white or off-white background
- Taken in full-face view directly facing the camera
- With a neutral facial expression and both eyes open
- Taken in clothing that you normally wear on a daily basis.
- If you normally wear prescription glasses, a hearing device or similar articles, they may be worn for your photograph.
Dont’s
- Uniforms in your photograph, except religious clothing that is worn daily.
- Hats or head coverings that obscure the hair or hairline, unless worn daily for a religious purpose. Your full face must be visible, and the head covering must not cast any shadows on your face.
- Headphones, wireless hands-free devices or similar items are not acceptable in your photograph.
- Dark glasses or non-prescription glasses with tinted lenses are not acceptable unless you need them for medical reasons (a medical certificate may be required)
- Glare on glasses is not acceptable in your photograph. Glare can be avoided with a slight downward tilt of the glasses or by removing the glasses or by turning off the camera flash.
How the Decision-Making Process Works: Behind the Scenes
To determine whether a healthcare worker is admissible into the United States, USCIS relies on the healthcare certification process to verify your credentials as a foreign nurse. USCIS also checks that you meet the necessary educational and licensure requirements.
In assessing the your educational documents, USCIS takes into account the evaluation of your education credentials by a credential evaluator and other credible information indicating the equivalence of their credentials to US college degrees.
If your specific application raises red flags for some reason or another, the USCIS may issue a Request for Evidence requesting the petitioner to provide documentation demonstrating that the you hold do meet all of the eligibility criteria.
Supporting Documentation
- English Competency Tests Requirements
- New Vaccination Criteria for U.S. Immigration
- USCIS Employment-Based Visas Process
- Schedule A Designation Policy Alert
- Permanent Worker Visa Preference Categories
Forms
Frequently Asked Questions
How can a nurse get a US visa?
Foreign nurses are welcome to work in the United States, given that they meet the basic requirements. They must pass the NCLEX for registered nurses and demonstrate the necessary level of language proficiency in oral and written English. To begin the process, a qualified employer must provide an approved job offer.
How to sponsor foreign nurses in USA?
For foreign nurses to qualify for consideration in a position in the U.S., employers must perform their due diligence to meet the criteria of Schedule A designation. This entails confirming the validity of the nurse's training and/or education, ensuring they have all qualifications needed to attain a nurse license in the state where the job is offered, offering permanent full-time employment, proving English proficiency by passing required tests, providing proof that you are able to pay the prevailing wage for that role and making a bona fide job offer before filing an I-140 form. Generally speaking, nurses with certification from CGFNS or NCLEX meet basic requirements for consideration.
Are nurses eligible for H-1B visa?
Any information resources which categorize registered nurses under the H1-B classification are displaying outdated and inaccurate data. Due to recent changes in the foreign nurse visa adjudication process, including amendments made in response to the pandemic, registered nurses are properly classified as EB-3: Schedule A Designations.
Foreign Nurse Eligibility Requirements Checklist
Form I-140, Immigrant Petition for Alien Worker
- A copy of your college/university diploma
- A copy of your college/university transcripts
- A copy of your RN license from your home country (if you have one)
- A copy of your NCLEX exam results
- A copy of your resume/CV
- A copy of letters from previous employers verifying your experience
- A copy of your Visa Screen/CGFNS Certificate
- A copy of your FCCPT / CGFNS education evaluation (if you have one)
- A copy of your Passport (ID page), visa page
- A copy of all approval notices (I-797) and I-94 cards (front and back)
- A copy of your Social Security Card
- A copy of your driver’s license
- A copy of your birth certificate
- A completed Form G-325, Biographic Form
- A completed medical examination Form I-693
- Six passport style and size photographs
Get Your Career Started: Essential Registered Nurse License Requirements
Section 3: State Licensing

Registered nurses play a vital role in this system, providing care and services to patients in a variety of settings. You may be wondering about the licensing requirements. The process can be overwhelming, but I am here to help. In this section, I will outline the steps you need to take to obtain a license as a registered nurse.
Key Points
- Learn about multi-state licenses.
- Get to know Florida's licensing requirements.
- Learn about equivalency requirements.
Steps on How to Get a Registered Nurse License in Florida

To work as a registered nurse in the United States, you must qualify for a nursing license. The process for becoming a licensed nurse in the U.S. varies from state to state, but all states require the completion of an accredited nursing program and the passing of the National Council Licensure Examination (NCLEX).
Florida State Licensing Requirements Include:
- Graduation from a Florida approved or accredited nursing education program
- Graduation from an Accreditation Commission for Education in Nursing (ACEN) or Commission on Collegiate Nursing Education (CCNE) accredited nursing program that has been issued an NCLEX code by NCSBN.
- Graduation from a nursing education program that has been issued an NCLEX code.
- Graduation from a military nursing education program that has been issued an NCLEX code by NCSBN.
- Graduation from a generic Master of Science in Nursing (MSN) or higher program that has been issued an NCLEX code.
- Graduation from a non-NCSBN jurisdiction that the board determines to be equivalent to an approved program.
- Canadian Registered Nurses who took the Canadian Nurses Association Testing Service (CNATS) Examination after August 8, 1995, must take the NCLEX Examination unless licensed in another state or territory. [iii]
- Nurses educated outside the United States or in a Non-NCSBN jurisdiction will be required to take the NCLEX exam.
- Submit to state and federal fingerprint-based criminal background check.
- Attest to not having been convicted or found guilty, or having been entered into an agreed disposition, of a felony offense under applicable state or federal criminal law.
- Attest to not having misdemeanor convictions related to the practice of nursing.
- Have a valid United States Social Security number.
- Must not be enrolled in any alternative-to-discipline programs.
Background Screenings
- Can take between 24 to 72 business hours for the Livescan service vendor to transmit the fingerprints to the Florida Department of Law Enforcement (FDLE)
- Average processing times for reviewing these screenings is 5 to 7 business days once the results are received from FDLE.
- In accordance with Chapter 435, section 408.809(4) an employer may hire an applicant that requires background screening before the screening process is completed. Below are the parameters for working prior to completion of the screening process:
- Can attend training and orientation
- No direct contact with vulnerable individuals
- Exhibits no behavior that would warrant denial or termination of employment
Licensure by Endorsement
For Licensure by Endorsement, the requirements are as follows:
- Applicants are eligible for licensure by endorsement when they hold a valid license to practice professional or practical nursing in another state or territory of the United States obtained by one of the following measures.
- Applicants are eligible for licensure by endorsement when they have successfully completed an approved or accredited nursing education program as required in Section 464.008, F.S. and the State Board Test Pool Examination (SBTPE) or the NCLEX.
OR
- Applicants are eligible for licensure by endorsement when they have actively practiced nursing in another state, jurisdiction, or territory of the United States for 2 of the preceding 3 years without any criminal history or having his or her license acted against by the licensing authority of any jurisdiction.
- An applicant who has not been in active practice of nursing within the past 5 years is required to take a remedial course as specified in Rule 64B9-3.0025, F.A.C., prior to licensure.
- Applicants who are applying for multi-state privileges and have graduated from a non-NCSBN jurisdiction, i.e. Puerto Rico or international nursing education program, must have, or have previously had, their education evaluated and determined equivalent to an approved program by the Board. It is acceptable to have confirmation provided by an exam state that this requirement was met at initial licensure. If the education evaluation indicates that the education was not completed in English, an English competency exam must also be completed.
Please see NON-NCSBN/International Grads for approved credential evaluators and English competency providers.[1]
Licensure by Examination
The requirements for licensure by examination requires:
- Graduation from a Florida approved or accredited nursing education program.
- Graduation from an Accreditation Commission for Education in Nursing (ACEN) or Commission on Collegiate Nursing Education (CCNE) accredited nursing program that has been issued an NCLEX code by NCSBN.
- Graduation from a nursing education program that is approved or recognized by the jurisdiction in which it is based and that has been issued an NCLEX code by the National Council of State Boards of Nursing (NCSBN).
- Graduation from a Master of Science in Nursing (MSN) or higher program that has been issued an NCLEX code by NCSBN. (if applicable)
Supporting Documentation
- List of English Tests and Scores for Foreign Health Care Workers
- FL Registered Nurse License by Examination
- Tips for License by Examination
- Compact Licensure Requirements
Forms
- FL Nursing License by Examination Application
- Electronic Fingerprinting Form
- Licensure Requirements for a Multi-state License
Frequently Asked Questions
How do I get a nursing license by endorsement in Florida?
Applicants are eligible for licensure by endorsement when they have successfully completed an approved or accredited nursing education program as required in Section 464.008, F.S. and the State Board Test Pool Examination (SBTPE) or the NCLEX.
How long does it take to get a Florida nursing license by endorsement?
How many hours of training is needed to apply for endorsement in the state of Florida?
2023 Green Card Processing Times for Foreign Nurses: What You Need to Know!
Section 4: Visa Processing Times
The processing time for a visa application may vary, depending on the selection of standard versus premium processing. This lesson provides a general estimate of how long each option might take.
Key Points
- Standard process times.
- Expedited process times.
- Nurse license process times.
USCIS Employment Visa Processing Times
The information provided in this section has been taken from the USCIS website which displays processing time as the number of days or months that have passed between receipt and adjudication of an application, petition, or request. Processing time is based on the average completion time of 80 percent of cases in a given six-month period.
Standard Processing Times
The current processing time for immigrant petitions for alien workers Form I-140 is 10 Months.
Premium Processing Times
The current processing time for expedited processing for Form I-907 is 15 Calendar Days.
FL State Nurse License Processing Times
Registered Nurse Licensure Compact
The current processing time for state Licensure By Examination for registered nurses is 26-28 days.
How long does it take to be approved for licensure by endorsement?
There is no set timeframe for approval of an application. We process applications in date order received. Applications are processed as quickly as possible, but timeframes vary based on the number of applications received and on the length of time it takes to receive all necessary documentation.
Supporting Documentation
Forms
Frequently Asked Questions
How long does it take to get a multistate nursing license in Florida?
How long does it take to get nursing license after passing NCLEX Florida?
How do I check the status of my RN license in FL?
Discover the True Cost of Obtaining a Green Card - Everything You Need to Know!
Section 5: Green Card Expenses
This section discusses what foreign-based nurses wanting to apply for an employment-based work visa should know related to the associated costs, who will pay for what fees, and the best practices for payment agreements and know when the fees are due.
Key Points
- The total cost of applying for a US visa.
- Unforeseen costs.
- What expenses do you negotiate?
U.S. Citizenship and Immigration Services (USCIS) charges a fee for employment- based visa applications. The purpose of this fee is to recover the costs of processing employment-based immigrant visa applications.
Foreign-based nurses applying for an employment-based visa should know the associated costs, agree with their employer who will pay for what fees, know the best practices for payment agreements with employers and understand when the fees are due.
The Employer's Cost Of Hiring A Foreign Nurse
Each employer has the discretion to take into account what the associated costs and incidentals are and demonstrate exactly how supportive and understanding they are.
Calculate Your Relocation Costs
Top employers offer a relocation package which helps pay for flights, offer accommodation, and includes dedicated support for the financial and logistical planning of your international relocation. Employers which are sensitive to the support that you require should ease the burden so that you are free to focus on your work. Some even provide a welcome package and design an extended and well-structured orientation package of essentials which could include things like:
Calculate the Costs of Proving Your Eligibility
As a recruiter, I advocate for you by negotiating the payment of certain upfront costs on your behalf that may not be feasible for you to pay for you to become eligible for the work visa. Here is an example of some of the costs usually taken care of by the candidate:
Any expenses which you cannot handle could be converted to an advance to be repaid later. Keep in mind that employers anyplace in the world simply expect workers to show up to work on day one and have little or no appreciation for the immense effort and planning it takes for you to relocate to a completely different country.
Consider the negotiation process of your relocation costs as your first insight into the organization’s culture.
Calculate How Much You Need for a Salary Advance
To recover the significant costs associated with international recruitment, some organizations insert repayment clauses into their employment contracts. This allows them to reclaim their upfront costs like travel and accommodation expenses.
If you leave your position within a certain period, employers may assert their right to recover costs. To maintain transparency, candidates should be fully informed of all aspects of their potential employment. Common courtesy dictates that health care employers provide the exact contract details in plain-writing, including salary changes, incentives, and any repayment policies.
Snapshot of the Application Costs
As a recruiter, I advocate for you by negotiating the payment of certain upfront costs on your behalf that may not be feasible for you to pay for you to become eligible for the work visa.
Here is an example of some of the costs usually taken care of by the candidate:
- N-CLEX costs,
- Language test payments,
- Passport fees,
- Travel visas,
- Airplane tickets and,
- Your initial hotel accommodation,
- Petty cash for travel expenses.
Any expenses which you cannot handle could be converted to an advance to be repaid later. Keep in mind that employers anyplace in the world simply expect workers to show up to work on day one and have little or no appreciation for the immense effort and planning it takes for you to relocate to a completely different country.
Each employer has the discretion to take into account what the associated costs and incidentals are and demonstrate exactly how supportive and understanding they are. Consider the negotiation process of your migration costs as your first insight into the organization’s culture.
Top employers offer a relocation package which helps pay for flights, offer accommodation, and includes dedicated support for the financial and logistical planning of your international relocation. Employers which are sensitive to the support that you require should ease the burden so that you are free to focus on your work. Some even provide a welcome package and design an extended and well-structured orientation package of essentials which could include things like:
- Groceries,
- Bedding,
- Cooking utensils,
- Linens
- A prepaid debit card,
- A new cell phone with a pay as you go SIM card.
- A salary advance
As a recruiter, it is my responsibility to help your new employer understand the elements that matter most to you and your family in general and on a case by case basis. Relocation costs which you are given an advance for should not be expected to be paid aggressively. Usually an 18-month salary deduction agreement should suffice. Below is a snapshot of some illustrative costs and how they may be shared between you and your prospective employer.
Final Thoughts
As a recruiter, it is my responsibility to help your new employer understand the elements that matter most to you and your family in general and on a case by case basis. Relocation costs which you are given an advance for should not be expected to be paid aggressively. Usually an 18-month salary deduction agreement should suffice. Below is a snapshot of some illustrative costs and how they may be shared between you and your prospective employer.
Employer (Petitioner Costs)
Employee (Beneficiary Costs)
To recover the significant costs associated with international recruitment, some organizations insert repayment clauses into their employment contracts. This allows them to reclaim their upfront costs like travel and accommodation expenses.
If you leave your position within a certain period, employers may assert their right to recover costs. To maintain transparency, candidates should be fully informed of all aspects of their potential employment. Common courtesy dictates that health care employers provide the exact contract details in plain-writing, including salary changes, incentives, and any repayment policies.
Frequently Asked Questions
How much does it cost to sponsor a foreigner for US work visa?
In general, a visa sponsorship costs approximately $4000 but may cost $8-9,000 if a company has more than fifty employees and 50% of those employees are foreign nationals.
Can a nurse get a work visa in the US?
You will need to obtain a Registered Nurse Immigrant Visa (“Green Card”) or H-1B visa. U.S. law requires nurses to complete a screening program before they can receive an occupational visa.
How can a nurse get a US visa?
To be eligible for an EB-3 visa as a nurse, you must have two years of education from an accredited institution and have a license to work in the country where you received your education. Additionally, you need to obtain a full and unrestricted license to practice nursing in the state where you will be working.
Do hospitals sponsor h1b for nurses?
As a foreign nurse, you will need a sponsor as per H-1B visa requirements, and in the majority of cases, a hospital will usually be your sponsor.
What's the Average Salary for a Registered Nurse? Find Out Here!
Section 6: Foreign RN Salaries
Registered nurses are in high demand and are one of the most in-demand health care professionals. They provide and coordinate patient care, educate patients and the public about various medical conditions. This subject matter covers an evidence-based approach to discovering what a registered nurse earns in the USA.
Key Points
- Decide if the process is worth it.
- Get tips on which industries pay the most.
- Learn ways to boost your income as an RN.
The average salary for a registered nurse in the United States is about $82,750 per year or $39.78 per hour.[i] This calculation is based on a Bachelor's degree for typical entry- level education. To be fair, there are variations depending on the state, type of facility, industry, specializations and years of experience.
In this section, we take a look at what registered nurses earn. My goal is to show you how much cash you can save after earnings and what factors play a role in earning higher salaries for registered nurses for those who are considering career development possibilities.
Job Outlook
Employment of registered nurses is projected to grow 6 percent from 2021 to 2031 which equates to about 203,200 new openings for registered nurses being projected each year.
States With The Highest Employment Level
A Day in the Life of a Registered Nurse
A nurse typically works 12-hour shifts with at least one day off after every two or three shift days. This means a nurse usually works only four days a week. These long shifts involve standing on your feet for extended periods of time and caring for multiple patients throughout your work hours. Nurses may even work over their planned hours as they update the incoming nurse with patient information.[ii]
How To Boost Your Income as An RN?
There are a some top specializations for registered nurses that are sure to shoot you up to the top tier of a registered nurse salary range. The differentiation in competencies are:
Industries With the Highest Levels of RNs
Top Paying Industries for Registered Nurses
Standard Employment Taxes and Withholdings
Employers are required by law to withhold employment taxes which include federal income tax, Social Security and Medicare Taxes.24
The amount of income tax your employer withholds from your regular pay depends on two things:
- The amount you earn.
- The information you give your employer on Form W–4.
To determine your withholdings use the withholding table to get an idea of what will be deducted from your salaries.
Prevailing Wages for RNs
As the number of registered nurses in the United States reaches an all-time high, so too does the demand for their services. This is especially true in the case of foreign nurse recruitment, as the nursing shortage in the United States is becoming increasingly dire.
In order to ensure that registered nurses are fairly compensated for their work, the U.S. Department of Labor has set forth a prevailing wage determination for all RN positions. The prevailing wage is the average wage paid to similar workers in the same geographic area.
The data below provides the latest update of the prevailing wage for registered nurses as at January 04, 2023.
29-1141.00 Registered Nurses
Assess patient health problems and needs, develop and implement nursing care plans, and maintain medical records. Administer nursing care to ill, injured, convalescent, or disabled patients. May advise patients on health maintenance and disease prevention or provide case management. Licensing or registration required.
How Are Prevailing Wages Determined?
Employers can obtain this wage rate by submitting a request to the National Prevailing Wage Center (NPWC), or by accessing other legitimate sources of information such as the Online Wage Library, available for use in some programs.
The requirement to pay prevailing wages as a minimum is true of most employment-based visa programs involving the U.S. Department of Labor. In addition, the H-1B, H-1B1, and E-3 programs require the employer to pay the prevailing wage or the actual wage paid by the employer to workers with similar skills and qualifications, whichever is higher.
The U.S. Department of Labor's Bureau of Labor Statistics has provided wage data collected under the Occupational Employment Statistics (OES) program for use in the foreign labor certification process since 1998. The wage data is available on the Foreign Labor Certification Data Center Online Wage Library website.
How Much Does An RN Earn in FL?
The average base salary for an RN in Florida is similar to the national average with overtime accumulating to about $10,327 per year.
South Florida Stats
Salaries By Years of Experience in Florida
Common Health Benefits for a Registered Nurse
Skills That Affect Registered Nurse’s Salary
Different skills can affect your salary. Below are the most popular skills and their effect on salary.
Typical Living Expenses
Supporting Documentation
Forms
Frequently Asked Questions
Which Registered Nurse gets paid the most?
Certified Registered Nurse Anesthetists
What is the highest-paid nurse? Certified Registered Nurse Anesthetists! Earning $195,610 annually, CRNAs earn significantly more than any other type of nurse or nursing specialty.
How can a registered nurse make 100k?
HOW TO MAKE SIX FIGURES AS A NURSE?
- Become a Certified Registered Nurse Anesthetist (CRNA) ...
- Become a Nurse Practitioner (NP) ...
- Become a Nurse Midwife. ...
- Advance in Nurse Leadership. ...
- Begin travel nursing assignment. ...
- Change Nursing specialties. ...
- Relocate to a higher paying state. ...
- Make sacrifices.
What city in Florida pays nurses the most?
Highest paying cities for Registered Nurses - Florida
- Ocala, FL. $43.53 per hour. 597 salaries reported.
- Orlando, FL. $41.89 per hour. 1.3k salaries reported.
- West Palm Beach, FL. $39.29 per hour. 597 salaries reported.
- Tampa, FL. $38.35 per hour. 1.4k salaries reported.
- Miami, FL. $38.34 per hour. ...
- Show more nearby cities.
Navigating Your Options as a Terminated Foreign Nurse on a USA Visa
Section 7: Options if Fired
A foreign nurse needs to know what options are available following termination or simply know how to transition to another employer. This section is an essential resource for all nurses whose employment may become terminated, either voluntarily or involuntarily.
I provide up-to-date information on the various options available to nurses seeking to remain in the United States, including how to extend your stay, change your visa status, and more.
Key Points
- Learn what options are available if you decide to stay in the United States.
- Know in advance the period of authorized stay following termination.
- Learn ways to begin working for a new employer - the right way.
What Options Are Available if You Are Fired?
It is not the end of the world - perhaps your boss was a jerk, perhaps you were not a good fit? If your employment is terminated, either voluntarily or involuntarily. You may have several options for remaining in the United States in a period of authorized stay based on existing rules and regulations.
There are a few options available to you as an immigrant worker seeking to remain in the United States for a period of authorized stay following termination.
Please note that not all options below provide employment authorization.
- Sixty-Day Grace Period
- Portability to a New Employer
- Change of Status
- Change of Status and Employer
- Adjustment of Status
- Period of Authorized Stay
- Expedite Criteria
- Departure from the United States
U.S. Citizenship and Immigration Services (USCIS) provides guidance for non-immigrant workers whose employment has terminated, either voluntarily or involuntarily. These workers may have several options for remaining in the United States in a period of authorized stay based on existing rules and regulations.
The following is a compilation of options that may be available to non-immigrant workers seeking to remain in the United States for a period of authorized stay following termination. Please note that not all options below provide employment authorization.
A. 60-Day Grace Period
Regulations permit a discretionary grace period that allows you to maintain your immigration status following termination for up to 60 consecutive calendar days or until the end of the authorized validity period, whichever is shorter.
During this 60-day timeframe, workers may be able to maintain their non-immigrant status if a new employer timely files a petition on their behalf with an extension of stay request.
Alternatively, workers may be able to remain in the United States for a period of authorized stay if they timely file an application to change to a new non-immigrant status or an application for adjustment of status, if eligible.
On the other hand, if you are unable to file a change of status application timely, or find a new employer who timely files a change of employer petition for the worker, you may be required to leave the country at the end of this grace period.
B. Portability to a New Employer
Portability rules permit workers currently in H-1B status to begin working for a new employer as soon as the employer properly files a new H-1B petition with USCIS, without waiting for the petition to be approved. More information about H-1B portability can be found on our H-1B Specialty Occupations page.
Also, a worker with an adjustment of status application (Form I-485) that has been pending for at least 180 days with an underlying valid immigrant visa petition (Form I-140) has the ability to transfer the underlying immigrant visa petition to a new offer of employment in the same or similar occupational classification with the same or a new employer. This is commonly referred to as “porting.”
C. Change of Status
Workers may use the up to 60-day discretionary grace period to apply to change their non-immigrant status, which may include changing status to become the dependent of a spouse.
Some individuals in a dependent non-immigrant status may be eligible for employment authorization incident to status, including spouses of E-1, E-2, E-3, or L-1 non-immigrants.
D. Change of Status and Employer
Workers may use the up to 60-day discretionary grace period to seek a new employer-sponsored non-immigrant status in the same or different status. The timely filing of a non-frivolous change of status application will prevent the accrual of unlawful presence until the application is adjudicated.
E. Adjustment of Status
Some workers may be eligible to file a self-petitioned immigrant visa petition concurrently with an adjustment of status application. Examples of immigrant classifications that are eligible for self-petitioning include EB-1 Extraordinary
Ability, EB-2 National Interest Waiver, or EB-5 Immigrant Investors. Workers with a pending adjustment application are generally eligible to remain in the United States and obtain an Employment Authorization Document (EAD).
F. Period of Authorized Stay - Compelling Circumstances Employment Authorization
Document Workers who are the beneficiary of an approved employment-based immigrant visa petition (Form I-140) may be eligible for a compelling circumstances EAD for up to one year if they:
- Do not have an immigrant visa available to them in the department of state’s visa bulletin, and
- Face compelling circumstances.
G. Expedite Criteria
Some circumstances may warrant expedited adjudication, including applications to change status to a dependent status that includes eligibility for employment authorization.[1]
H. Departure from the United States
Workers may choose to depart the United States. Once abroad applicants may seek U.S. employment and readmission to the United States.
Supporting Documentation
- Chapter 5 - Job Portability after Adjustment Filing
- Options for Non-immigrant Workers Following Termination of Employment
Forms
- FL Nursing License by Examination Application
- Electronic Fingerprinting Form
- Licensure Requirements for a Multi-state License
- USCIS Form I-485 Supplement J Request for Portability
Frequently Asked Questions
What happens if you lose your job on a work visa USA?
If sponsored employment is lost, such as being laid off, there is generally a 60-day grace period for work visa holders to find a new job before they have to leave the country.
What happens to your visa if you get fired?
If you get fired on a work visa, you will have a 60-day window to gain employment elsewhere, prepare to return to your country of origin or try to obtain another type of visa when possible.
Can you terminate an employee on visa?
To qualify, a foreign worker must be sponsored by a U.S. employer. Employers can terminate an H-1B visa worker without penalty; however, doing so causes the employee to lose status to live and work in the U.S., which triggers obligations for the employer.
Getting Started With the US Visa Application Process for Foreign Nurses
Section 8: How to Get Started?
Many foreign nurses and F-1 visa nurses are interested in working in the USA, but are unsure of how to get the visa application process started. The first step is to determine which type of visa is best for your unique situation.
The most common type of visa for foreign nurses is the EB-3 Schedule A Designation Visa. To be eligible for this visa, you must have a job offer from a U.S. employer.
Once you have determined which type of visa you need, you can start the application process. The application process for a visa can be long and complicated, so it is important to have all of the necessary documentation in order. If you are a foreign nurse interested in working in the USA, read on for more information on how to get the visa application process started.
Key Points
- Put the information learned to use.
- Start gathering your list of required evidence.
- Follow up-to-date protocols for processing visas.
Here is an overview of the required steps for foreign nurses who want to work in the United States, including information on the different types of visas available, the eligibility requirements, and the application process.
Getting Started
Before beginning the process for an Employment Based Visa as a foreign nurse:
- Complete the Eligibility Requirements Checklists.
- Get a Bona Fide Job Offer from a U.S. Employer.
Who Needs To Be Involved In the USA Visa Application Process For Foreign Nurses?
The application process for those individuals applying for nurse jobs in the U.S. requires the mandatory participation of only two parties which are:
- A U.S. Based Employer (Petitioner).
- A Registered Nurse (Beneficiary).
Prior to the introduction of the Healthcare Resilience Act, the application process required the validation from the Department of Labor (DOL) with regards to providing a Permanent Labor Certification. This is no longer needed; however the DOL form must still be submitted to the USCIS without participation of the DOL.
Optional Signatures
When applying for an employment based visa, the petitioner may delegate responsibility to other individuals for completing the application process.
Instances whereas additional persons may assist with the completion of a petition the usual profiles include:
- An Attorney
- An Accredited Representative
- An Interpreter
- A Preparer
It is prudent for any signatory to carefully read a form’s instructions before submitting paperwork to any federal agency. Employers that have agents or attorneys representing them throughout the immigration process must sign the statement on the Application for Permanent Employment Certification form accepting full responsibility for the accuracy of any representations along with the attorney or agent when applicable.[i]
When applying for a US work visa, you will need to involve different people and take a variety of actions. The most important thing is to make sure that you have all of the necessary paperwork in order and that you submit it to the correct office. You will need to collaborate closely with your employer and recruiter if applicable. Once you have done what is required everything is just a process as you will be able to start working in the US.
What Steps Need to Be Taken to Kickstart the USA Visa Application Process For Foreign Nurses??
Step #1: Employer Responsibilities
The first action of the two-part process is for the petitioner to submit all of their eligibility requirements checklist.
Step #2: Foreign Nurse Responsibilities
The second action is for the beneficiary to submit their eligibility requirements checklist to the petitioner.
A. Rules for Workers in the US
If the non-citizen worker is in the United States, they may file a Form I-485, Application to Register Permanent Residence or Adjust Status. It is only upon the filing of an I-485 that the health care worker certification is required and will be used to determine admissibility for adjustment of status.
B. Rules for Workers Outside The US
If the non-citizen worker is living outside the United States, USCIS will send the approved petition to the Department of State’s (DOS) National Visa Center (NVC), where it will remain until an immigrant visa number is available. The non-citizen worker must present the health care certification to the consular officer at the time the visa is issued.
How the Visa Approval Process Works
The USCIS will review and consider the employer’s ability to pay the offered wage. Other items for review are your qualifications, level of education, experience, licensure requirements, and training as outlined in the job opportunity. This is the usual requirement of the labor certification by the U.S. Department of Labor to determine how well your profile aligns with the preference category of Schedule A Group I requirements.
How to File
Your Employer Must:
- Read the instructions before completing and signing Form I-140, Immigrant Petition for Alien Workers;
- Submit an un-certified ETA Form 9089 directly to the USCIS,
- Pay the filing fees,
- Provide all initial evidence and supporting documentation for the beneficiary.
- Demonstrate the ability to pay the offered wage.
After You File
After the Form I-140 is Submitted:
- A receipt notice is sent confirming receipt of the application
- A biometric services notice, if applicable
- A notice to appear for an interview, if required
- A notice of a decision
[1]Cost of Living in Broward County, Florida (bestplaces.net