The demand for registered nurses in the United States is growing steadily due to the increasing healthcare needs of the population. Hospitals, nursing homes, and private clinics are searching for trained professionals who can deliver high-quality care. This demand is not limited to U.S. citizens alone. Thousands of foreign-trained nurses are needed every year to fill roles in various medical institutions across the country. Many of these jobs come with visa sponsorship benefits, allowing foreigners to work legally and build a future in America.
Registered nurse jobs in the USA with visa sponsorship offer a strong path to financial stability and long-term residency. These roles are considered essential services, which gives foreign applicants an advantage when applying for U.S. work visas. Medical institutions and recruitment agencies work with immigration lawyers to support international applicants through sponsorship programs like the H-1B and EB-3 visas.
With U.S. healthcare systems short on staff, international nurses with valid licenses and certifications are in a better position to secure job offers. Whether you are already a nurse working abroad or a recent nursing graduate, this career path is not only stable but also rewarding in terms of salary, benefits, and immigration support.
In this article, we will explain everything you need to know to get started with a nursing job in the USA, including the qualifications you need, where to apply, companies that are hiring, visa options, salary expectations, and the best regions offering competitive pay. If you’re looking to work legally in the United States with a visa and build a strong career as a nurse, keep reading.
Entry-level Skills and Experience Required
Before applying for registered nurse jobs in the USA, it is important to understand the basic qualifications that are typically required by employers. The U.S. healthcare system follows a strict licensing process, so foreign nurses must meet specific requirements to be eligible for employment and visa sponsorship.
First, every foreign nurse must have completed an accredited nursing education program equivalent to the U.S. Associate or Bachelor of Science in Nursing (BSN). Your nursing degree must be recognized in your home country, and you must provide official transcripts translated into English. U.S. employers also expect candidates to have passed the NCLEX-RN (National Council Licensure Examination for Registered Nurses), which is mandatory for all registered nurses working in America.
Besides academic qualifications, most healthcare facilities require a certain level of English proficiency. This is usually proven by passing exams such as the TOEFL or IELTS. For immigration purposes, English proficiency is not only needed for the job but also for processing your visa documents. The Commission on Graduates of Foreign Nursing Schools (CGFNS) may also evaluate your credentials before you are allowed to proceed with the licensing process in the U.S.
From a skills perspective, you should be confident in areas such as patient care, medication administration, emergency response, and record keeping. Most hospitals in the U.S. prefer nurses who have at least one to two years of recent clinical experience in a hospital setting. Although some entry-level opportunities exist for newly licensed nurses, experience can give you an edge when competing for sponsorship opportunities.
In addition to medical skills, soft skills such as clear communication, emotional resilience, teamwork, and time management are highly valued. American hospitals operate in fast-paced environments, so being adaptable and attentive is crucial for long-term success. Many employers offer orientation programs, but they still expect candidates to perform with professionalism from the start.
Having the required education, licensure, language ability, and basic experience will significantly increase your chances of being hired and sponsored by a U.S. employer. Meeting these qualifications also ensures that your visa application goes smoothly without delays or rejections.
Regions with the Highest Payment Structures
If you are a foreign nurse looking for the best-paying regions in the United States, location is a major factor. Salaries for registered nurses can vary widely depending on the state, city, and even the type of healthcare facility. Some areas offer higher pay due to the cost of living, while others may offer competitive packages to attract foreign talent to underserved communities.
California consistently ranks as the highest-paying state for registered nurses in the U.S. Cities like San Francisco, San Jose, and Oakland offer average hourly rates between $55 and $70. Nurses in these areas can earn well over $100,000 per year. However, it’s important to consider that the cost of living in California, especially in coastal cities, is among the highest in the country.
New York is another top-paying region for nurses. Hospitals in Manhattan, Brooklyn, and other boroughs frequently sponsor foreign nurses and offer generous compensation packages that may include sign-on bonuses, housing allowances, and relocation support. Registered nurses in New York often earn between $85,000 and $115,000 annually.
Massachusetts, Washington, Oregon, and Alaska also offer strong pay structures for registered nurses. In these states, healthcare facilities not only provide high salaries but also invest in long-term employment contracts for foreign workers, including assistance with green card sponsorship.
If you’re looking for competitive wages combined with a lower cost of living, consider states like Texas, North Carolina, or Florida. While these regions may not match California or New York in raw salary numbers, the cost of housing and day-to-day expenses is much more affordable. This allows nurses to save more money while enjoying visa sponsorship benefits.
Rural hospitals and government-funded healthcare centers in places like Montana, Idaho, and South Dakota are also seeking foreign nurses. These areas may offer relocation packages and extra bonuses to attract applicants to less crowded parts of the country.
Your earning potential depends not just on location, but also on your specialization. Nurses who work in critical care, surgery, labor and delivery, or oncology often receive higher pay regardless of location. Also, those who work night shifts or weekends may receive shift differentials, which boost total income.
Choosing the right region can greatly impact both your paycheck and your quality of life. Take time to research state licensing rules, local living costs, and available hospital networks before deciding where to apply.
Salary Expectations for Registered Nurses
The salary structure for registered nurses in the USA is influenced by multiple factors including state of employment, work experience, type of medical facility, and shift schedules. On average, registered nurses in the United States earn around $80,000 to $110,000 annually. For international nurses with the right qualifications and sponsorship, this can be a life-changing opportunity.
Entry-level nurses with less than two years of experience may start with salaries between $65,000 and $75,000 per year. As you gain experience and demonstrate reliability, your salary can increase quickly. Nurses who have more than five years of clinical experience, especially in specialized units such as emergency, neonatal, or surgical care, often command salaries of $90,000 and above.
In high-demand regions such as California and New York, base pay can exceed $120,000, particularly in major hospitals and specialized clinics. In addition to base salary, many employers offer attractive benefits like health insurance, paid vacation, professional development funds, and overtime pay. Hospitals may also cover the cost of visa processing, relocation, and sometimes even offer housing allowances.
Registered nurses working night shifts or weekends often receive higher hourly rates through differential pay. Some employers also offer bonuses for bilingual nurses, those who work in high-stress departments, or those who agree to work longer contracts.
Salary expectations also vary by employment type. Full-time hospital nurses earn more than part-time or home-care nurses. Travel nursing assignments can also offer higher short-term compensation, especially when covering staff shortages in rural or underserved areas.
For nurses sponsored through employer-based visas like the EB-3 or H-1B, contracts often include a fixed annual salary, job location, and duration of service. It is important to understand your offer letter before signing any agreement. Many agencies offer guaranteed minimum salaries even if your placement takes longer due to immigration delays.
With careful planning, a nursing career in the USA offers not only a stable income but also long-term financial growth. The key is to choose the right employer, location, and specialty to match your financial goals.
Companies Hiring Registered Nurses in the USA
A growing number of U.S.-based healthcare companies are hiring foreign-trained nurses and providing visa sponsorship to help fill workforce shortages. These organizations understand the value of international talent and are prepared to support skilled nurses with immigration assistance, relocation aid, and long-term job contracts.
Large hospital systems such as HCA Healthcare, Mayo Clinic, Cleveland Clinic, AdventHealth, and Kaiser Permanente are among the top employers known for recruiting international nurses. These institutions operate across multiple states and regularly partner with immigration consultants to offer job placements with visa sponsorship. They also provide structured onboarding programs, cultural training, and housing support to help international staff settle in.
Some of these employers collaborate with recruitment agencies that specialize in helping foreign nurses secure U.S. employment. Notable agencies include O’Grady Peyton International, Avant Healthcare Professionals, Adevia Health, and Worldwide HealthStaff Solutions. These agencies serve as intermediaries between U.S. employers and overseas nurses, helping candidates meet licensure requirements and complete immigration paperwork.
Government-run healthcare programs such as the Department of Veterans Affairs (VA) and certain state hospital networks also participate in international nurse recruitment, especially in areas facing critical nurse shortages. These roles may come with benefits like federal retirement plans and strong union representation.
Additionally, long-term care facilities, rehabilitation centers, and home health care agencies are now hiring more foreign nurses to serve aging populations in rural communities. These roles may be less competitive and more flexible with experience requirements, making them a good starting point for newly certified international nurses.
Some universities and teaching hospitals offer research-focused nursing jobs and are open to sponsoring nurses with advanced degrees. For candidates interested in combining clinical work with academic pursuits, these opportunities offer a unique path with additional career growth potential.
When applying to any employer, make sure to verify their sponsorship status and ask about the specific visa types they support. Employers who are familiar with the process are more likely to assist with smooth onboarding, visa documentation, and long-term stay in the United States.
Choosing a reputable employer that understands the visa process and values international staff can make your nursing journey in the U.S. more secure and successful.
Visa Types and Options for Registered Nurses
If you are planning to work as a registered nurse in the United States, choosing the right visa is just as important as getting the job offer. Different visa categories are available for foreign nurses, and each has its own eligibility criteria, processing time, and benefits. Understanding your options will help you plan your move to the U.S. properly and avoid immigration issues later.
One of the most common pathways is the EB-3 visa, which is a permanent resident (green card) category for skilled workers. Registered nurses fall under this category because of their professional qualifications. To apply for this visa, you must first secure a job offer from a U.S. employer willing to sponsor your green card. After the job offer is secured, the employer files a petition with U.S. Citizenship and Immigration Services (USCIS), and once approved, you can begin the green card process.
Another option is the H-1B visa, although it is less commonly used for nurses. The H-1B is a temporary work visa for specialty occupations. Some advanced nursing roles that require a bachelor’s or master’s degree may qualify, especially in specialized fields like nurse practitioners or nurse anesthetists. However, H-1B has strict caps and annual limits, making it harder to secure for general nursing roles.
For nurses working on temporary assignments, the TN visa is available for Canadian and Mexican citizens under the USMCA (formerly NAFTA) agreement. It allows quick entry into the U.S. with fewer restrictions. Although it is not a path to a green card, it can be renewed multiple times.
If you are applying from outside the United States, you will also need to meet VisaScreen certification requirements. This screening process ensures that your nursing education, licenses, and English language ability meet U.S. standards. Once you pass this evaluation, it becomes easier for you to apply for either a temporary or permanent work visa.
Some employers may also help you bring your family. For example, dependents of EB-3 green card holders can get visas to live and attend school in the U.S. Dependents of H-1B visa holders may also qualify for work or study permissions under certain conditions.
Visa options can be complex, so it is advisable to choose an employer or recruitment agency experienced in immigration procedures. The better your visa support, the smoother your transition into the U.S. healthcare system.
Where to Find Registered Nurse Job Opportunities
Searching for registered nurse jobs in the USA as a foreigner requires the right strategy and reliable sources. Many hospitals and recruitment agencies are actively looking for international nurses, but knowing where to look will save you time and improve your chances of success.
The best place to start is with job boards that specialize in international healthcare recruitment. Websites such as HealthCareersUSA, NurseRecruiter, Glassdoor, Indeed, and NursingJobs often post listings specifically for foreign-trained nurses. These platforms allow you to filter jobs that include visa sponsorship, helping you focus on opportunities that match your goals.
You can also explore official websites of hospital networks like Cleveland Clinic, Kaiser Permanente, or HCA Healthcare, as they often have dedicated career portals with listings for foreign applicants. Some even include information on visa sponsorship eligibility right within the job description.
Another reliable source is nursing recruitment agencies that focus on foreign applicants. Agencies like O’Grady Peyton International, Avant Healthcare, and Worldwide HealthStaff Solutions provide one-on-one guidance to help you find a sponsor, prepare your resume, and manage your visa paperwork. They maintain direct partnerships with U.S. hospitals, giving you access to openings that are not publicly advertised.
LinkedIn is also a powerful tool. Many international nurses connect with recruiters directly through LinkedIn by optimizing their profiles and engaging with healthcare recruiters in the U.S. Join groups related to U.S. nursing careers or visa sponsorship opportunities to stay updated on new job listings.
Local nursing boards and state departments of health may also post job openings, especially in states facing nurse shortages. These listings often come with incentives such as relocation bonuses or green card sponsorship.
Finally, check for job fairs, both virtual and physical, where U.S. employers and agencies scout international talent. Many U.S. institutions participate in global job fairs organized in countries like the Philippines, India, Kenya, and Nigeria, offering immediate job interviews and conditional job offers.
Using these platforms and sources consistently will increase your visibility to U.S. employers. Be sure to tailor your applications for each opportunity and keep your documents ready to respond quickly when an employer shows interest.
How to Apply for Registered Nurse Jobs as a Foreigner in the USA
Applying for registered nurse jobs in the United States as a foreigner involves multiple steps, and it’s important to follow the process carefully to avoid delays or rejections. Once you meet the basic qualifications and understand the visa options, the next step is to prepare your job application properly and reach out to employers offering sponsorship.
Start by organizing your credentials. You will need your nursing diploma or degree, an active RN license from your home country, and a valid passport. Make sure to get your credentials evaluated by the Commission on Graduates of Foreign Nursing Schools (CGFNS), which verifies your academic background and makes you eligible to sit for the NCLEX-RN exam. This is the national licensing exam required to work as a nurse in the U.S. Passing this exam is a mandatory requirement for most sponsorship-based jobs.
Once you pass the NCLEX-RN and obtain your VisaScreen certificate, you can begin applying to job openings. Most employers in the U.S. require a professional resume formatted in American style. Highlight your clinical experience, education, certifications, and any international training you have received. Add a brief but clear objective statement focused on your interest in visa-sponsored roles.
Write a custom cover letter for each employer you contact. Use the cover letter to express your readiness to relocate, your ability to adapt to new environments, and your willingness to commit to long-term employment. Employers are more likely to sponsor candidates who show dedication, especially in areas with high nurse shortages.
Apply directly through the employer’s website or through the recruitment agency handling visa sponsorship placements. If you are working with an agency, they will usually help you through the paperwork, set up interviews, and guide you on what to expect throughout the process. Be honest about your visa status and timeline. Transparency helps agencies match you with the right employer.
During interviews, be prepared to discuss your medical experience and show that you are familiar with U.S. nursing practices, such as patient rights, infection control, and electronic health records. Many U.S. employers prefer candidates who are open to training and continuing education. Show that you are willing to grow professionally and learn on the job.
After receiving a job offer, your employer or agency will begin the visa sponsorship process. This may involve filing a labor certification or a petition with the U.S. government, depending on the visa type. It can take several months to finalize, so patience is important.
Once approved, you will receive your visa and can make travel plans to relocate to the U.S. Upon arrival, your employer may offer orientation programs to help you adjust to the workplace and U.S. healthcare regulations.
Applying for nursing jobs in the U.S. with visa sponsorship is not a quick process, but it is highly rewarding. With the right preparation, documentation, and determination, you can start a successful career and eventually build a stable life in the United States.