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Nursing Jobs in USA: EB-3 Green Card & Salary Guide

The US has historically been viewed as a top place for a nurse to work due to the high level of economic development and the US's commitment to its healthcare system. With a $27+ trillion economy, the US remains the largest economy in the world and offers countless opportunities for professional advancement and the opportunity for nurses to obtain a high level of financial security.

What differentiates the US from other countries is not only its commitment to healthcare, but also that the US continues to spend more on healthcare than any other country. The US is projected to see national health expenditures (NHE) outpace GDP growth, scaling past $8.5+ trillion over the next decade to account for approximately 20 per cent of the gross domestic product (GDP). As a result of that amount of spending, nurses in the United States will have access to the latest and best medical technology and will also receive a competitive salary, making the US a desirable and worthwhile option for those looking for a long-term career in nursing.

The US recognises and appreciates nurses' contributions to the delivery of healthcare and continues to implement national policies and clinical practices to facilitate their professional growth as well as their own personal health and well-being.

USA - A Premier Destination for Nursing Professionals

The nursing job in the USA offers a vast landscape of opportunities, driven by an acute and consistent demand for healthcare services across various clinical settings. According to the Bureau of Labour Statistics (BLS) data, Registered Nurses (RNs) are expected to see continued growth in their occupation as they create more than 193,000 job openings each year because of retirements and increases in overall employment.

The increased number of chronic conditions, the ageing of the "baby boomers", and more emphasis on preventive care will all be important contributors to the growth of nursing jobs in the future. There are now many different kinds of places that an RN can work in the United States, including acute hospitals, rehabilitation centres, outpatient clinics, home health care, etc. As can be seen by the demographics of the US, specialities in nursing, such as gerontology, oncology, and critical care, will likely have the most growth in the future.

For nurses who pursue further education after entering into practice, Advanced Practice Registered Nurses (APRNs) will continue to grow rapidly. The BLS anticipates a 38% growth for Nurse Practitioners (NPs). In addition, technology is rapidly becoming integrated into the healthcare industry, which allows nurses to provide care through telehealth and digital triage. Lastly, international nurses who are interested in clinical research, nursing education, and healthcare administration will have an easy transition into academic, management, and public policy-related roles.

How to Apply as a Nurse in the USA?

Verifying Education

  • Nursing Degree: Complete a Bachelor of Science in Nursing (BSc) or equivalent degree from an accredited institution in your country of origin.
  • Credentialing: Submit your education and professional records to an approved U.S. credentialing agency such as CGFNS International or Josef Silny & Associates for a full credential evaluation.

Licensing Examination

  • To be able to legally practice as a nurse in the United States as a foreign-trained nurse, you must pass the NCLEX-RN.
  • You can apply for eligibility via the NRB in your state, and once approved, you will receive an Authorisation to Test (ATT) that will allow you to schedule when to take the exam.
  • Prepare thoroughly for the NCLEX-RN using CAT simulators to practice and using official NCLEX-RN study materials and courses.

English Proficiency Test

  • Requirement Verification: Check the language requirements your State Board of Nursing has established, since these vary by state.
  • Choose a Test: Complete an approved English language test such as an IELTS Academic or OET (Nursing).
  • Preparation and Scheduling: Obtain the required IELTS score (7.0 overall) or OET (Grade B) bands and provide the official CGFNS and your nursing board with electronically transmitted scores directly from the testing agency in a timely manner.

Job Application

  • Resume/Cover Letter: Create a professional resume that meets US formatting; demonstrates your clinical skills, bed capacity of hospitals you've worked in, average number of types of patients you have worked with, and what certifications you have.
  • Job Search: Work with global and established recruiters, utilise job sites specialising in healthcare, and participate in virtual job fairs for nurses worldwide.
  • Application Submission: Applying to US healthcare systems provides you the opportunity to provide them with all of your documents, including clinical reference letters and your case logs, for them to verify against your corporate file.

Visa Processing

  • Visa Determination: In general, international registered nurses may be eligible for an EB-3 category immigrant visa (green card) to live and work in the United States on a permanent basis.
  • Employment Offer on Firm Contract Basis: Obtain an employment offer letter from a healthcare facility in the United States, which will file Form I-140 with official documentation with USCIS for you.
  • Visa Application: To apply for the visa, your employer will submit Form I-140 to USCIS. Once approved, you will submit your Visa Screen Certificate and complete your electronic immigrant visa application (Form DS-260) via the National Visa Centre.
  • Visa Interview: Attend your mandatory U.S. Immigrant visa interview at the U.S. consulate with original civil documents and medical clearance papers. Prepare to furnish your current job offer letter at the time of the interview.

State Nursing License

  • Submitting Your Application for Licensure: You need to submit your completed application for licensure (either through examination or endorsement) to the state board of nursing of your choice.
  • Undergo A Federal Criminal Background Check: You need to complete a federal criminal background check via either live-scan (digital prints) or ink-based fingerprinting as required by applicable state statutes.
  • License Issuance: Your active RN (Registered Nurse) license will be issued by the state board after you're eligible for an RN license based on successful completion of the NCLEX-RN and English exams and approval of your criminal background check.

Basic Eligibility Criteria

  • Degree: Bachelor of Science in Nursing (BSc Nursing) or equivalent.
  • Experience: Minimum of 2 years of continuous, recent clinical experience in a tertiary care or mid-to-large-scale hospital setting.
  • Licensure: Success or active registration to sit for the NCLEX-RN exam.

Salary & Benefits Offered

  • $80,000 to $105,000 annual salary.
  • Free recruitment.
  • 3-year sponsorship is extendable for another three years.
  • EB-3 (Green Card) support.
  • Free initial accommodation.
  • Visa screening sponsored by the employer.
  • Visa and flight sponsored.
  • NCLEX/IELTS/OET/CGFNS fees reimbursed post-arrival.
  • 401k support.

Why Choose the USA for Your Nursing Career?

The opportunities for working in the nursing field in the USA are incomparable in the realm of global migration in healthcare. The USA has a reputation worldwide for having thorough protocols in place for clinical practice, as well as a strong system of providing health care with many options for RNs to pursue speciality training.

The Bureau of Labour Statistics projects that the long-term demand for RNs in the USA will lead to nearly 1.9 million total openings over the decade due to workforce exits and retirements, ensuring these jobs remain heavily insulated from typical business cycle downturns. In addition, Registered Nurses in the USA are compensated among the highest in the world and in progressive states, the nurse-to-patient ratio is protected by law, negating the risk of burnout from excessive patient assignments.

Continuing education is also available through the many developed pathways RNs can take to become either Clinical Nurse Specialists, Nurse Educators or Nurse Practitioners. The multicultural environment of the USA also provides for international healthcare professionals to integrate into rich, diverse and welcoming communities, which enhance both their personal and professional lives.

How can Dynamic Health Staff help Nurses Relocate to the USA?

Dynamic Health Staff (DHS) is a strategic partner for international healthcare recruitment. They provide relocation management for healthcare professionals looking to relocate internationally. DHS leverages the experience of their parent company, Dynamic Staffing Services, which has been in business since 1977. DHS uses the recruitment experience of Dynamic Staffing Services along with their global network of partners to ensure compliance with the complexities of transatlantic healthcare recruitment.

DHS has a structured ecosystem to support nurses looking to practice in the US and reduce the risk of international hiring. DHS has partnered with major US healthcare systems, medical groups, and major hospital systems to match candidates with facilities that will provide the best possible long-term career opportunities.

DHS manages all elements of the credentialing and immigration process. DHS also provides step-by-step assistance with the CGFNS verification process and different state licensing boards to ensure compliance with federal and state regulations. In order to reduce testing barriers, DHS uses a specialised training academy to assist candidates in meeting the benchmark requirements for the NCLEX-RN and IELTS/OET examinations.

From filing the initial EB-3 immigrant petition and obtaining the Visa Screen certificate to consulate processing and final logistics of deploying the international nurse, DHS is dedicated to being compliant and relocating international nurses to the US healthcare workforce.

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