Nursing Jobs in USA for Foreigners | Opportunities in 2025

If you are looking for nursing jobs in the USA for foreigners, this is the time! You can now apply for nursing positions as the United States is in dire need of nurses, and various factors, including an aging population, advancements in medical treatments, and workforce shortages, are the reasons for this need. As a result of this, qualified nursing professionals in various healthcare environments, including hospitals, outpatient clinics, and long-term care centers, are needed.

Nurses who get their training abroad are needed and useful when addressing these workforce gaps. Their expertise and experiences are usually needed to fill staffing shortages, and it will enhance the quality of care, most especially in areas where healthcare is less accessible.

The U.S. healthcare system provides opportunities for foreign nurses by offering competitive pay, career growth potential, and access to specialized fields. As a foreign nurse, when you have the appropriate credentials and licensure, you can secure roles that you find fulfilling and stable in healthcare settings worldwide. You can even be lucky enough to find an employer who is ready to support you with visa sponsorship and relocation assistance, making it easier to transition into U.S. healthcare jobs.

Benefits of Nursing Jobs in USA

1. Competitive Salaries and Benefits

Nurses in the USA get good compensation, but these salaries are competitive and it varies by state, specialty, and experience level. On different occasions, employers may offer attractive benefits packages, including health insurance, retirement plans, paid time off, and bonuses. Being a nurse in the USA, you can expect to earn more than in many other countries.

2. Career Growth and Specialization Opportunities

The U.S. healthcare system put in place different pathways for career growth and specialization. Nurses can pursue even advanced roles, including Nurse Practitioners (NP), Nurse Anesthetists (CRNA), and Clinical Nurse Specialists (CNS), each with higher earning potential and increased responsibilities.

3. Access to Advanced Healthcare Technologies

Nurses in the USA work in an environment that employs the use of advanced medical technologies. These go from electronic health records (EHR) to the latest diagnostic and treatment equipment. Nurses get to use tools that improve patient care, and generally it makes easier the entire workflow. The nurses’ clinical skills are thus enhanced when they are exposed to these advanced technologies, and they are prepared for future healthcare innovations.

4. Opportunities for Further Education and Certifications

Healthcare institutions in the U.S. prioritize ongoing professional growth and encourage nurses to further their education. Programs that come with financial assistance for advanced degrees can be of great gain to nurses. There are a lot of certifications available, allowing nurses to specialize and gain expertise in areas like critical care (CCRN), gerontology, or emergency nursing. When nurses have these certifications, their knowledge is deepened. These position nurses for greater recognition and leadership roles in the healthcare field.

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Basic Requirements for Foreign Nurses

Educational Qualifications

To work as a nurse in the USA, applicants must have at least a Bachelor of Science in Nursing (BSN) or an equivalent degree from their home country. As much as some employers may accept an associate degree in nursing (ADN) from you, most employers prefer a BSN.

Equivalency of Foreign Nursing Education:

Educational credentials have to be evaluated by an accredited agency, such as the Commission for Graduates of Foreign Nursing Schools (CGFNS). This ensures that nursing education meets U.S. standards and qualifies nurses for licensure.

Licensing Requirements

National Council Licensure Examination (NCLEX-RN):

It is compulsory for foreign nurses to pass the NCLEX-RN so they can practice as RNs in the U.S. The exam is put in place to test nurses’ knowledge and skills when it comes to providing safe and effective nursing care. You can always get the preparation resources when you are ready. To make it easier, the exam can be taken at designated international locations or within the U.S.

State-Specific Licensing Requirements:

Each U.S. state has its Board of Nursing that regulates licensing. Some states may require additional steps, such as background checks, proof of work experience, or completion of specific courses. You just need to understand the specific requirements of the state in which you plan to work.

English Language Proficiency

TOEFL or IELTS Requirements for Non-Native Speakers:

Nurses who are non-native English speakers must demonstrate proficiency in English. Most states and employers require passing scores in the TOEFL (Test of English as a Foreign Language) or IELTS (International English Language Testing System). These tests assess speaking, listening, reading, and writing skills to ensure effective communication in a healthcare setting.

Visa Sponsorships

Work Visa Options (H-1B, EB-3, TN Visa for Canadians and Mexicans): Foreign nurses must secure a work visa to legally work in the U.S. Popular visa options include:

H-1B Visa: For specialized workers, including nurses in certain advanced practice roles.
EB-3 Visa: For skilled workers and professionals, commonly used for registered nurses.
TN Visa: Specifically for Canadian and Mexican nurses under the United States-Mexico-Canada Agreement (USMCA).

Many U.S. healthcare employers sponsor visas for qualified foreign nurses, making transitioning to working in the U.S. easier.

Steps to Secure a Nursing Job in the USA

Step 1: Meeting the Basic Requirements

To begin your journey to becoming a nurse in the USA, you must meet the following basic requirements:

Education: Graduate from an accredited nursing program in your home country.
Licensure: Obtain your license as a Registered Nurse (RN) in your country.
Experience: Have at least two years of work experience as an RN, which is often required by many U.S. employers and visa programs.

Step 2: Getting Your Credentials Evaluated

To have your international nursing credentials recognized in the U.S., you will need to complete an evaluation through the Commission on Graduates of Foreign Nursing Schools (CGFNS). This organization reviews your educational and professional background to confirm that it meets U.S. standards. The evaluation is typically required for obtaining both your nursing license and a work visa, ensuring that you are qualified to practice nursing in the U.S.

Step 3: Completing an English Language Proficiency Exam

You have to prove that you are fluent in English, as it is an important step for international nurses. The following exams are widely accepted, along with the typical score requirements:

International English Language Testing System (IELTS): Nurses must take the Academic IELTS, achieving an overall band score of 6.5, with a minimum of 7 in speaking, to meet U.S. immigration and licensing standards.
Test of English as a Foreign Language (TOEFL): Nurses usually need a score between 550-600 (paper-based test) or 80-90 (internet-based test, iBT), depending on the state’s requirements.
Occupational English Test (OET): This exam is tailored for healthcare professionals. Nurses must score a C+ in Reading, Writing, and listening and a B in Speaking to meet U.S. standards.
Pearson Test of English (PTE): This computer-based test requires a minimum overall score of 55, with no individual skill score below 50.

In some cases, states may exempt you from English exams if your nursing education was completed entirely in English or if you are from an English-speaking country. Always verify whether you qualify for such exemptions.

Step 4: Passing the NCLEX-RN Licensure Exam

The NCLEX-RN (National Council Licensure Examination for Registered Nurses) is the standardized exam required for RN licensure in the USA. It is designed to assess your ability to apply nursing knowledge and skills in real-world scenarios, ensuring that you can provide safe and effective patient care in the U.S. healthcare system.

When you pass the NCLEX-RN, you have proven that you meet the high standards of nursing practice in the USA. Keep in mind that the licensure application process varies by state, so it’s essential to contact the Board of Nursing in your desired state of practice to get the specific instructions and application forms.

For international nurses, the NCLEX-RN is available at testing centers in the following countries: Australia, Brazil, Canada, England, Hong Kong, India, Israel, Japan, Mexico, Philippines, Puerto Rico, South Africa, South Korea, Taiwan, and Turkey.

Step 5: Finding a Nursing Job

With your qualifications and NCLEX-RN exam completed, you are now ready to secure a nursing job in the USA! The demand for skilled nurses is high, and many U.S. healthcare institutions actively recruit international nurses to address shortages.

To improve your chances, research healthcare facilities in states with high demand for nurses, explore online job boards, and connect with staffing agencies that specialize in placing foreign-trained nurses in the U.S. Many employers also offer visa sponsorship and relocation assistance, making your transition smoother.

Step 6: Obtaining a Work Visa

Securing a work visa is a critical step to legally working as a Registered Nurse (RN) in the USA. Below are the most common visa options available for internationally educated nurses:

1. H-1B Visa (Temporary Work Visa)

The H-1B visa is a temporary work visa that allows nurses with a bachelor’s degree in nursing to work in the U.S. for 3 to 6 years. However, this visa is typically reserved for specialty nursing roles requiring advanced education and skills beyond the standard RN designation, such as nurse practitioners or clinical nurse specialists.

Nurses can also bring their spouses and children as dependents under the H-1B visa. However, the visa is highly competitive. In 2024, U.S. Citizenship and Immigration Services (USCIS) received over 750,000 registrations for the 85,000 available H-1B visas, making it challenging for U.S. hospitals that are subject to the visa cap to sponsor international nurses.

Fortunately, some nonprofit hospitals affiliated with higher education institutions are exempt from the H-1B visa cap. These employers can sponsor international nurses year-round, making it easier and faster (within a few months) for nurses from all countries to secure an H-1B visa without being affected by the cap.

2. EB-3 Green Card (Permanent Work Visa)

The EB-3 visa is a permanent work visa, allowing nurses to live and work in the U.S. as lawful permanent residents. This visa offers the opportunity for international nurses to bring their spouses and children under 21 as dependents, offering them permanent residency (Green Card) status as well.

While the EB-3 visa offers permanent residency, the process can take time. Currently, it takes nurses from most countries 2+ years to secure a Green Card through an employer. For nurses from countries like India, the waiting period can be significantly longer, often over a decade, due to visa backlogs.

In both cases, it’s important to work closely with potential employers who understand the visa process and are willing to sponsor your visa.

Step 7: Arriving in the US

Once you have successfully obtained your work visa and secured a job, it’s time to officially relocate to the United States. Upon arrival, there are a few important steps to follow before you begin your career as a Registered Nurse (RN):

1. Apply for Your Social Security Number (SSN)

One of the first things you need to do upon arriving in the U.S. is to apply for a Social Security Number (SSN). The SSN is essential for tax purposes, employment, and accessing various services. Most hospitals and employers will assist you with this process, or you can apply through your local Social Security Administration office.

2. Obtain Your Permanent RN License

After arriving, you’ll need to transition from a temporary or provisional nursing license (if applicable) to a Permanent RN License. This process involves submitting any additional required documentation to the State Board of Nursing, and in some cases, completing a final background check. Once this is completed, you’ll receive your official licensure, allowing you to practice freely in your state.

3. Begin Your Career and Thrive

With your visa, SSN, and permanent RN license in hand, you’re all set to start your nursing career in the U.S. The healthcare system offers countless opportunities for growth, specialization, and advancement. As a registered nurse in the USA, you can now thrive, contribute to high-quality patient care, and enjoy the benefits and rewards of your profession!

Job Search Strategies for Foreign Nurses

Search Online Job Portals:

Websites such as Indeed, Glassdoor, and LinkedIn often feature nursing job listings. You can filter jobs by location, specialization, or type of employment (e.g., full-time or part-time).

Utilize Healthcare-Specific Job Boards:

Utilize niche platforms like Nurse.com, Health eCareers, and the American Nurses Association (ANA) job board. These sites focus on healthcare and nursing roles, providing more tailored job opportunities.

Check Hospital and Healthcare Facility Websites:

Many hospitals and healthcare facilities post nursing vacancies directly on their websites. It’s useful to frequently check the “Careers” or “Job Opportunities” sections of prominent hospitals in your desired location.

Professional Networking:

Leverage your professional network, including contacts from nursing associations or fellow nurses who have successfully relocated to the U.S. They may have insights into job openings or know employers actively recruiting international nurses.

Recruitment Agencies:

Some staffing agencies specialize in placing international nurses. Agencies such as O’Grady Peyton International and Global Nurse Force focus on helping foreign-trained nurses find employment in the U.S.

Tips for Applying to Hospitals, Healthcare Facilities, and Staffing Agencies

Resume and Cover Letter:

Ensure your resume highlights your qualifications, experience, and any international certifications relevant to U.S. nursing standards. Customize your cover letter for each job, emphasizing your skills and experience as a foreign-trained nurse.

Meet State-Specific Requirements:

Before applying, ensure that you’ve met all of the requirements for licensure in the state where the job is located, including passing the NCLEX-RN and English proficiency exams.

Apply Directly to Healthcare Facilities:

Many hospitals prefer direct applications through their websites. Make sure to thoroughly research the facility and follow its application procedures carefully.

Work with Staffing Agencies:

If you are not sure where to start, partnering with a staffing agency that specializes in international nurse placements can simplify the process. These agencies can help you with visa sponsorship, licensing, and job placement, often matching you with employers actively seeking foreign nurses.

Prepare for Interviews:

Once you’ve applied, be ready to demonstrate your clinical skills and knowledge during interviews. U.S. healthcare employers often want to assess your communication skills, cultural adaptability, and how well you can handle clinical scenarios.

Follow Up:

After submitting applications, don’t hesitate to follow up with employers to check the status of your application. This demonstrates your enthusiasm and professionalism.

Starting your Career in Nursing in the USA

Nursing career in the USA offers opportunities for professional growth, personal satisfaction, and long-term stability. With the increasing demand for skilled nurses, foreign-trained professionals can enjoy a secure career path, competitive wages, and access to cutting-edge healthcare technologies. International nurses also have the opportunity to specialize, advance their education, and engage in ongoing professional development, ensuring a fulfilling and successful career.

Working within the U.S. healthcare system allows you to make a meaningful impact on patients’ lives, contribute to high-quality care, and work in a culturally diverse environment. The U.S. also provides excellent career advancement prospects, enabling nurses to pursue leadership roles like nurse practitioner or nurse educator as they gain experience and expertise.