The U.S. healthcare system continues to face critical nursing shortages, opening doors for international professionals seeking well-paying, long-term careers. With many hospitals and healthcare networks offering visa sponsorship and competitive salaries, international nurses have more opportunities than ever to build a rewarding future in America. Some of the best sponsorship jobs now offer packages worth up to $120,000 annually, including base salary, relocation assistance, and signing bonuses.
This guide explores the best opportunities currently available, what qualifications you need, and how to begin the application process. Whether you’re a licensed nurse abroad or in training, the American dream might be closer than you think.
Why Nursing Is in High Demand Across the U.S.
The demand for registered nurses and advanced practice nurses continues to grow. A combination of an aging population, retirement of current professionals, and increased demand for specialized care has left the healthcare system urgently seeking skilled nurses.
The U.S. Bureau of Labor Statistics projects over 200,000 openings for registered nurses each year, with median pay exceeding $80,000. But with visa sponsorships, relocation allowances, and shift differentials, many international hires can reach total compensation packages of $100,000 to $120,000, especially in underserved or high-need areas.
Top States Hiring International Nurses
Some states actively recruit foreign-trained nurses due to regional shortages. These states are more likely to sponsor work visas and offer faster onboarding processes:
- Texas: Major cities like Dallas and Houston have large healthcare networks hiring in ICU, ER, and surgical units.
- Florida: With a growing elderly population, long-term care facilities and hospitals offer relocation support.
- California: Though licensing takes longer, nurse salaries can surpass $100,000 in metropolitan areas.
- New York: Urban hospitals offer visa support and housing assistance for nurses with specialized skills.
- Minnesota and Illinois: Known for smoother credentialing processes and generous relocation benefits.
Top Sponsoring Employers Offering $120K Packages
Numerous U.S. healthcare systems are known to actively hire international nurses. Below are a few that currently offer some of the best-paying roles with sponsorship:
- HCA Healthcare
One of the largest hospital networks in the U.S., HCA Healthcare recruits registered nurses from across the globe. They offer visa sponsorship, a $10,000–$20,000 sign-on bonus, relocation assistance, and comprehensive onboarding programs. Some experienced nurses in high-demand specialties like trauma, oncology, and cardiac care can earn total packages up to $120,000.
- AdventHealth
Based in Florida and expanding nationwide, AdventHealth has built a strong international recruitment program. Nurses are hired with green card sponsorship or TN visas (for Canadians and Mexicans), and are supported with flight costs, credentialing fees, and early housing assistance. Specialties like labor and delivery or NICU nursing tend to pay more.
- Cleveland Clinic
Cleveland Clinic sponsors highly qualified nurses, particularly those with experience in cardiovascular or critical care units. Competitive salaries, relocation coverage, and continuing education support are part of the total compensation, making this one of the most attractive destinations for international applicants.
- Mayo Clinic
Ranked among the top hospitals in the U.S., Mayo Clinic offers advanced practice roles with exceptional pay. For nurse practitioners and highly experienced RNs, base salaries begin above $100,000. They support international hires with visa sponsorship and provide pathways to long-term permanent residency.
- NYU Langone Health
This New York-based hospital system actively seeks foreign-trained nurses and offers job offers that include green card sponsorship. Nurses with a bachelor’s degree and U.S. license eligibility can apply to earn competitive wages and join a diverse, multicultural workforce.
Qualifications Needed for U.S. Nursing Jobs
Before applying, international nurses must meet specific criteria. These typically include:
- Completion of a nursing degree equivalent to a U.S. associate’s or bachelor’s degree
- Valid nursing license in home country
- Passing the NCLEX-RN (National Council Licensure Examination for Registered Nurses)
- Completion of the CGFNS (Commission on Graduates of Foreign Nursing Schools) certification
- English proficiency test (TOEFL or IELTS) depending on state requirements
- Meeting state-specific licensing rules
Employers often assist with these processes, especially if they are part of a structured international hiring program.
Visa Options for Sponsored Nurses
Two main visa pathways allow international nurses to work legally in the U.S.:
- EB-3 Visa (Employment-Based Green Card): A permanent work visa. Most employers prefer this for full-time nursing hires.
- H-1B Visa: Available in limited cases, especially for advanced nursing roles like nurse practitioners or educators.
- TN Visa: For Canadian and Mexican nurses under the USMCA agreement, offering fast-tracked approval and renewability.
Many hospitals partner with recruitment agencies who handle the visa paperwork and legal processes on behalf of the applicant.
How to Apply for Sponsored Nursing Jobs in the U.S.
Getting started is often easier with guidance from reputable recruitment agencies or direct applications to hospital networks. Here are the steps:
- Evaluate Credentials: Make sure your degree and license match U.S. standards. Begin the CGFNS process early.
- Pass English Proficiency Tests: Prepare and take TOEFL or IELTS to meet immigration and licensing requirements.
- Pass the NCLEX-RN: Begin studying for this vital exam as early as possible.
- Choose Your Target Employers: Focus on healthcare systems known for international hiring and fair sponsorship.
- Apply and Interview: Submit tailored resumes and be ready to attend virtual interviews.
- Get Sponsored: If accepted, your employer begins the green card or work visa application process.
Tips to Maximize Your Earnings
To reach a $120K total package, consider the following:
- Specialize in high-demand fields like ICU, oncology, or emergency care.
- Apply to hospitals in states with higher cost-of-living wages like California or New York.
- Negotiate sign-on bonuses or housing stipends.
- Work night shifts, holidays, or overtime hours, which often have increased pay rates.
- Explore advancement paths like nurse practitioner programs or administrative roles.
Living and Working as a Nurse in the U.S.
Beyond financial benefits, the U.S. offers an environment of professional growth, safety, and a better quality of life. Many employers support nurses in bringing their families and eventually applying for U.S. citizenship. Access to free healthcare plans, continuing education, and diverse communities makes it easier for foreign nurses to settle in and thrive.
Frequently Asked Questions (FAQs)
- Do I need to be licensed in the U.S. to apply?
International nurses must pass the NCLEX-RN and meet the requirements of the state they intend to work in. - Are there age limits for sponsorship jobs?
There’s no formal age limit, but younger candidates may have an easier time adapting to immigration rules or longer-term contracts. - How long does it take to get a visa through job sponsorship?
The EB-3 process can take 12 to 18 months depending on documentation, demand, and your country of origin. - Can I bring my spouse and children?
Green card holders and some visa categories allow family members to accompany the primary applicant. - Are diploma nurses eligible for sponsorship?
In most cases, a diploma alone may not meet U.S. standards. A bachelor’s degree or its equivalent is typically preferred. - Do I need prior U.S. work experience?
While it’s a plus, many hospitals sponsor internationally-trained nurses with no previous U.S. experience.
In Summary
With salaries reaching $120,000 and full visa support, the U.S. nursing job market has never been more welcoming to international professionals. As long as you meet licensing and language requirements, you could find yourself working in a top hospital, enjoying long-term stability and career growth. Whether you’re an ICU expert or a recent graduate willing to learn, there are paths waiting for you in hospitals across America.
Start preparing today, because these roles are competitive—and the earlier you apply, the closer you’ll be to unlocking your career in the U.S.