$130,000 Registered Nurse Jobs in the USA with Visa Sponsorship

The United States faces a critical nursing shortage that has created unprecedented opportunities for international registered nurses seeking employment with visa sponsorship. Healthcare facilities across America are actively recruiting qualified foreign-trained nurses, offering competitive salaries reaching $130,000 annually for experienced professionals in high-demand specialties and metropolitan areas.

This comprehensive guide covers everything international nurses need to know about securing registered nurse positions in the USA with employer-sponsored green cards, including salary expectations, qualification requirements, the immigration process, top recruiting agencies, and step-by-step application procedures.

Why US Healthcare Employers Sponsor International Nurses in 2026

The American healthcare system confronts a severe nursing shortage projected to exceed 500,000 unfilled positions by 2030. An aging population requiring increased medical care, retiring Baby Boomer nurses leaving the workforce, and insufficient domestic nursing school capacity have created a perfect storm driving unprecedented international recruitment.

Hospitals, healthcare systems, and staffing agencies now invest significant resources in visa sponsorship programs because domestic supply cannot meet patient care demands. International nurses represent a vital solution, bringing clinical expertise, diverse perspectives, and dedication that strengthens American healthcare delivery.

For qualified international nurses, this shortage translates into exceptional career opportunities including competitive compensation packages, comprehensive benefits, permanent residency pathways, and the chance to practice nursing in world-class facilities with cutting-edge technology and professional development resources.

Registered Nurse Salary Expectations in the USA 2026

Compensation for registered nurses in the United States varies significantly based on geographic location, clinical specialty, experience level, and healthcare facility type. Understanding salary ranges helps international nurses evaluate opportunities and negotiate competitive offers.

Average RN Salaries by Experience Level

Highest-Paying States for Registered Nurses

Highest-Paying Nursing Specialties

Eligibility Requirements for International Nurses

Educational Requirements

Bachelor of Science in Nursing (BSN) or equivalent nursing degree from an accredited institution recognized by the Commission on Graduates of Foreign Nursing Schools (CGFNS). Associate Degree in Nursing (ADN) may qualify for certain positions, though BSN holders receive preferential consideration.

Nursing curriculum must include minimum hours in general education, nursing theory, and supervised clinical practice comparable to US nursing programs. CGFNS credential evaluation determines educational equivalency.

Licensure Requirements

NCLEX-RN Examination passage is mandatory for all international nurses seeking US employment. This standardized examination tests clinical competency and knowledge essential for safe nursing practice. Passing score varies by state board of nursing requirements.

State nursing license from the state where employment will occur. Each US state maintains independent licensing requirements, though the Nurse Licensure Compact allows practice across multiple member states with single license.

English Language Proficiency

Demonstrated English proficiency through approved examinations including IELTS Academic with minimum 6.5 overall and 7.0 speaking, TOEFL iBT with minimum 83 overall, or PTE Academic with minimum 53 overall. Some employers accept alternative English proficiency evidence for nurses from English-speaking countries.

Clinical Experience

Minimum 12 to 24 months post-licensure clinical nursing experience in hospital or healthcare facility settings. Recent clinical practice within past two years strongly preferred. Specialty experience in high-demand areas increases employability and compensation potential.

Additional Requirements

VisaScreen Certificate issued by CGFNS International verifying credentials, education, licensure, and English proficiency. This certificate is mandatory for all healthcare workers applying for US occupational visas.

Current nursing license in home country demonstrating good standing and authorization to practice. Criminal background check clearance required for US healthcare employment.

Visa Types for International Nurses

EB-3 Immigrant Visa (Green Card)

The EB-3 visa category provides permanent residency for skilled workers including registered nurses. This pathway offers the most stable long-term solution for international nurses, granting immediate work authorization and path to US citizenship.

Processing Timeline: 2 to 5 years depending on country of origin and visa bulletin priority dates. Nurses from Philippines, India, and China may experience longer wait times due to per-country caps.

Key Benefits: Permanent residency for nurse and immediate family members including spouse and unmarried children under 21. No employer-specific work restrictions after green card approval. Pathway to US citizenship after 5 years permanent residence.

Employer Requirements: US employer must file I-140 Immigrant Petition demonstrating permanent full-time position and ability to pay prevailing wage. Labor certification (PERM) may be required depending on specific circumstances.

H-1B Temporary Work Visa

The H-1B visa permits temporary employment in specialty occupations. While primarily used for other professions, some healthcare facilities sponsor nurses through this category for specialized positions.

Processing Timeline: Annual lottery system with limited availability. Premium processing available for 15-day adjudication at additional cost.

Duration: Initial 3-year period with 3-year extension possible, maximum 6 years. Can transition to EB-3 green card process while maintaining H-1B status.

Limitations: Employer-specific authorization requiring new sponsorship to change employers. Annual cap and lottery system create uncertainty.

TN Visa (Canadian and Mexican Citizens)

The TN visa under USMCA (formerly NAFTA) provides streamlined work authorization for Canadian and Mexican registered nurses meeting specific requirements.

Processing Timeline: Canadian citizens can apply directly at port of entry with same-day approval possible. Mexican citizens require consular processing.

Duration: 3-year initial period with unlimited renewals. No annual cap or lottery system.

Requirements: Job offer from US employer for registered nurse position. Valid RN license or eligibility for licensure in intended state of employment.

Step-by-Step Immigration Process for Nurses

Step 1: Credential Evaluation

Submit educational transcripts, nursing school curriculum, and professional credentials to CGFNS for evaluation. This process verifies your nursing education meets US equivalency standards and identifies any gaps requiring remediation.

Timeline: 8 to 16 weeks for complete evaluation depending on document availability and home country verification processes.

Cost: $350 to $500 for credential evaluation services.

Step 2: NCLEX-RN Preparation and Examination

Register with your intended state board of nursing to receive Authorization to Test (ATT). Prepare thoroughly using NCLEX review courses, practice examinations, and study materials designed for international nurses.

Timeline: 2 to 6 months preparation recommended. Examination scheduling available within 30 days of ATT receipt.

Cost: $200 examination fee plus state application fees ranging $75 to $300. Review courses cost $300 to $2,000 depending on format and duration.

Step 3: English Proficiency Testing

Complete approved English language examination meeting minimum score requirements. IELTS Academic, TOEFL iBT, or PTE Academic scores remain valid for 2 years.

Timeline: Examination scheduling typically available within 2 to 4 weeks. Results available within 2 weeks.

Cost: $190 to $275 depending on examination type.

Step 4: VisaScreen Certificate Application

Apply for VisaScreen Certificate through CGFNS after passing NCLEX-RN and English proficiency examinations. This certificate is required for visa processing and remains valid for 5 years.

Timeline: 4 to 8 weeks processing after all documentation received.

Cost: $540 for VisaScreen application.

Step 5: Secure Employment Offer

Connect with healthcare employers or recruitment agencies offering visa sponsorship. Evaluate multiple opportunities considering salary, benefits, location, facility reputation, and sponsorship terms.

Timeline: Variable depending on job market conditions and candidate qualifications. Active job search typically spans 1 to 4 months.

Step 6: Immigration Petition Filing

Employer files I-140 Immigrant Petition with USCIS to sponsor your permanent residency. Premium processing available for faster adjudication at $2,805 additional fee.

Timeline: Standard processing 6 to 12 months. Premium processing 15 business days.

Step 7: Visa Processing

After I-140 approval and priority date currency, complete immigrant visa processing through consular interview (if abroad) or adjustment of status (if in US on valid status).

Timeline: Consular processing 6 to 12 months after priority date currency. Adjustment of status 8 to 18 months.

Step 8: Arrival and Employment Commencement

Upon visa approval, coordinate relocation to the United States. Complete employer onboarding, state licensure finalization, and orientation programs before beginning clinical practice.

Timeline: 2 to 8 weeks between visa approval and employment start depending on relocation logistics.

Top Nursing Recruitment Agencies with Visa Sponsorship

O’Grady Peyton International

Track Record: Over 40 years placing international nurses in US healthcare facilities. Comprehensive end-to-end support from application through relocation.

Sponsorship: Full green card sponsorship for qualified nurses. Covers immigration legal fees and filing costs.

Benefits: NCLEX preparation support, VisaScreen assistance, relocation allowance, housing assistance, and family sponsorship for spouse and children.

Best For: Experienced nurses seeking permanent positions with established healthcare systems.

Conexus MedStaff

Track Record: Specializes in international nurse recruitment with transparent processes and ethical practices.

Sponsorship: EB-3 green card sponsorship with no upfront fees charged to nurses.

Benefits: NCLEX review courses, credential evaluation assistance, interview preparation, and comprehensive relocation support.

Best For: Nurses seeking supportive agency with strong communication throughout immigration process.

Health Carousel International

Track Record: One of largest international healthcare staffing companies with placements across all 50 states.

Sponsorship: Full visa sponsorship including legal fees. Partners with major healthcare systems nationwide.

Benefits: Competitive compensation packages, sign-on bonuses, continuing education support, and career advancement programs.

Best For: Nurses wanting variety in placement options across different geographic locations.

Avant Healthcare Professionals

Track Record: Award-winning international nurse staffing agency with high satisfaction ratings.

Sponsorship: Complete immigration support including green card sponsorship for nurses and families.

Benefits: Personalized placement matching, cultural integration support, clinical education programs, and 24/7 support services.

Best For: Nurses prioritizing supportive transition experience and cultural adjustment assistance.

WorldWide HealthStaff Solutions

Track Record: Direct placement agency connecting international nurses with permanent positions at US hospitals.

Sponsorship: Green card sponsorship with no staffing fees. Direct hire permanent placements only.

Benefits: No contractual obligations beyond standard employment terms. Transparent process without hidden costs.

Best For: Nurses seeking direct hospital employment without staffing agency intermediary arrangements.

Wayne Staffing USA

Track Record: Specializes in placing international nurses at healthcare facilities in New York City metropolitan area.

Sponsorship: Free green card sponsorship covering all legal and filing fees.

Benefits: NYC location offers highest compensation potential. Urban lifestyle with diverse cultural communities.

Best For: Nurses wanting metropolitan New York City positions with premium compensation.

Benefits Beyond Salary

Comprehensive Healthcare Coverage

Medical, dental, and vision insurance for employee and eligible dependents. Many employers offer multiple plan options with varying premium contributions and coverage levels.

Retirement Benefits

401(k) retirement savings plans with employer matching contributions typically ranging 3% to 6% of salary. Pension plans available at some healthcare systems.

Paid Time Off

Vacation leave ranging 2 to 6 weeks annually depending on experience and tenure. Sick leave, personal days, and paid holidays provide additional time off.

Relocation Assistance

Moving expense reimbursement ranging $3,000 to $15,000. Temporary housing assistance for initial weeks after arrival. Some employers provide furnished housing during transition period.

Sign-On Bonuses

Recruitment bonuses ranging $5,000 to $25,000 for high-demand specialties and locations. Retention bonuses may apply after completing specified employment periods.

Professional Development

Continuing education allowances for certifications and advanced training. Tuition reimbursement for advanced degree programs. Conference attendance and professional membership support.

Shift Differentials

Additional hourly compensation for evening, night, and weekend shifts. Premium pay rates for holiday work. Critical staffing bonuses during high-census periods.

Common Challenges and Solutions

NCLEX-RN Examination Difficulty

Challenge: International nurses often struggle with NCLEX format emphasizing critical thinking and prioritization rather than knowledge recall.

Solution: Invest in comprehensive NCLEX review programs designed for international nurses. Complete thousands of practice questions. Focus on test-taking strategies specific to NCLEX methodology.

Immigration Processing Delays

Challenge: Green card processing timelines extend multiple years for applicants from high-demand countries.

Solution: Begin process early and maintain realistic expectations. Work with experienced immigration attorneys. Consider positions in less competitive specialties or locations to expedite employer matching.

Licensure Variations

Challenge: Each US state maintains independent nursing licensure requirements creating complexity.

Solution: Research specific requirements for target employment states. Obtain licensure in Nurse Licensure Compact states enabling practice across multiple jurisdictions.

Cultural Adjustment

Challenge: Adapting to American healthcare practices, communication styles, and workplace culture requires significant adjustment.

Solution: Utilize cultural integration resources provided by recruitment agencies. Connect with established international nurse communities. Approach differences with openness and willingness to learn.

Family Separation

Challenge: Extended processing timelines may separate nurses from family members during immigration process.

Solution: Choose employers offering family sponsorship and relocation support. Maintain regular communication during separation period. Plan reunion timelines realistically.

Credential Recognition

Challenge: Some international nursing credentials may not directly translate to US requirements.

Solution: Complete credential evaluation early to identify gaps. Pursue bridge programs or additional coursework if necessary. Focus on employers familiar with your home country nursing education.

How to Evaluate Sponsorship Opportunities

Verify Employer Legitimacy

Research healthcare facility or agency thoroughly before committing. Check Joint Commission accreditation status for hospitals. Review employer ratings on Glassdoor and Indeed. Verify agency membership in Alliance for Ethical International Recruitment Practices.

Understand Contract Terms

Review employment contracts carefully before signing. Note duration requirements, geographic restrictions, and any penalties for early termination. Ensure clarity on salary, benefits, and immigration cost responsibilities.

Assess Total Compensation

Compare opportunities based on complete compensation package rather than salary alone. Factor in benefits value, cost of living in employment location, and career advancement potential.

Confirm Immigration Support

Verify employer covers all immigration filing fees and legal costs. Understand timeline expectations and employer’s track record with successful sponsorships. Clarify family sponsorship policies.

Evaluate Location Suitability

Research employment location for cost of living, climate, cultural communities, educational opportunities, and lifestyle factors important to you and your family.

Check References

Request contact information for previously sponsored nurses. Ask about their experience with immigration process, employer support, and overall satisfaction.

Application Checklist

Educational Documents

Nursing school diploma or degree certificate. Official transcripts showing courses and grades. Curriculum documentation detailing theory and clinical hours. Credential evaluation report from CGFNS.

Licensure Documents

Current nursing license from home country. NCLEX-RN score report. State nursing license or application confirmation. VisaScreen Certificate.

English Proficiency

Official score report from approved English examination (IELTS, TOEFL, or PTE). Scores must meet minimum requirements and remain within validity period.

Professional Documents

Current resume or curriculum vitae in US format. Professional reference letters from nursing supervisors. Employment verification letters from previous positions. Specialty certifications if applicable.

Personal Documents

Valid passport with minimum 6 months validity beyond intended entry date. Birth certificate for visa processing. Marriage certificate if applicable. Birth certificates for dependent children.

Immigration Documents

Completed visa application forms. Photographs meeting visa specifications. Medical examination results from approved physician. Police clearance certificates from countries of residence.

Frequently Asked Questions

How long does the entire process take from application to US employment?

Complete process typically spans 2 to 5 years including credential evaluation, NCLEX preparation and examination, VisaScreen certification, job placement, and immigration processing. Timeline varies significantly based on country of origin, visa category, and individual circumstances.

Do I need to pay fees to recruitment agencies?

Reputable agencies following ethical recruitment practices do not charge fees to nurses. All costs including immigration filing fees, legal representation, and relocation assistance should be covered by employer or agency. Be cautious of any organization requesting payment from nursing candidates.

Can my family accompany me to the United States?

Yes. EB-3 green card sponsorship includes derivative visas for spouse and unmarried children under 21. Family members receive permanent residency simultaneously with primary applicant. Some employers provide family relocation assistance.

What happens if I fail the NCLEX-RN examination?

Candidates can retake NCLEX-RN after 45-day waiting period. Most state boards allow unlimited attempts with reapplication required for each attempt. Comprehensive preparation significantly improves first-attempt pass rates.

Can I choose which state or city I work in?

Placement flexibility varies by employer and agency. Some offer location preferences while others assign placements based on facility needs. Discuss geographic preferences during recruitment process to ensure alignment.

What if I want to change employers after arriving?

Green card holders have unrestricted employment authorization and can change employers freely after receiving permanent resident status. During green card processing, changing employers may require new sponsorship and can complicate immigration case.

Are there age limits for nurse visa sponsorship?

No formal age limits exist for US nursing employment or visa sponsorship. However, practical considerations include physical demands of bedside nursing and timeline for return on employer’s sponsorship investment.

Do I need US nursing experience to qualify?

No prior US experience required. International clinical experience in hospital settings qualifies candidates for sponsorship. Specialty experience in high-demand areas increases competitiveness.

Start Your US Nursing Career Today

The American healthcare system urgently needs qualified registered nurses, creating exceptional opportunities for international nursing professionals seeking career advancement and immigration pathways. Salaries reaching $130,000 annually, comprehensive benefits packages, and permanent residency sponsorship make US nursing positions highly attractive.

Success requires thorough preparation including credential evaluation, NCLEX examination passage, English proficiency demonstration, and strategic job search targeting employers with proven sponsorship track records. The process demands patience and persistence, but rewards include professional growth, financial stability, and new opportunities for you and your family.

Begin your journey by assessing your qualifications against requirements, connecting with reputable recruitment agencies, and starting credential evaluation processes. Thousands of international nurses have successfully navigated this pathway to rewarding careers in American healthcare. Your dedication and clinical expertise can address critical healthcare needs while building the future you envision.