nursing jobs in usa without ielts

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Green Card Opportunity for International Nurses Without NCLEX & IELTS

A legal path to U.S. permanent residency and career advancement

Worldwide Health staff or health staff is an international health recruitment agency that has developed a model of direct hire international nurse recruitment that best meets the priorities of their healthcare employer clients and their healthcare applicants from around the world. They offer their clients and applicants the clear benefits of a direct hire -only model. This approach provides their clients with a recruitment pipeline of experienced health staff along with financial benefits. For applicants, this means you are placed with a named, known facility in one location.

In this Article:

Solutions for Healthcare Employers

The success of your recruitment program and healthcare facility is impacted by the experience, knowledge and integrity of the recruitment firm you use. In fact, our clients routinely report that we have been able to assist them in reducing overtime and contract staffing payments while at the same time enhancing existing staff morale and retention, overall quality of care and workforce diversity. When your choice is WorldWide HealthStaff Solutions, you benefit from our:

• Over 20 years of experience in direct hire international nurse recruitment, hiring, immigration, credentialing and relocation processes – all for one flat fee!
• Principals and staff with decades of experience in healthcare management and recruitment
• Team that is well-versed in handling unique staffing and placement challenges
• Long-standing and established record of professional, ethical dealings—both with our clients and our applicants
• Experts dedicated to helping you optimize financial success and quality care
• Single point of contact model, through a designated and dedicated Case Manager

Solutions for International RNs & Healthcare Professionals

If you are an international nurse or healthcare professional looking to expand your skill set and further your career, WorldWide HealthStaff Solutions will make the process simple and stress-free. Our experienced team will help you along the way in completing the immigration and placement process. We will help you:

• Find opportunities for permanent placement with established, reputable healthcare facilities that meet your needs
• Evaluate your job offer in order to make certain the offered position fulfills your financial and placement needs
• Schedule an interview with your chosen employer
• Coordinate the immigration process, as well as licensure and certification

WorldWide HealthStaff Solutions is proud to be a member of the  Alliance for Ethical International Recruitment Practices  and  AAIHR (American Association of International Healthcare Recruitment) .

Why Trust Us?

• We have a 23 year track record in international recruitment. • We have an unblemished record of integrity, honesty and innovation. • We are the leader in DIRECT HIRE international healthcare recruitment. • We are now recruiting for Nurse Aide positions

No NCLEX? No Problem!

• Without NCLEX, international nurses are not able to apply for U.S. permanent residency as a Registered Nurse. • International nurses can, however, apply for U.S. permanent residency as a Nurse Aide. • Nurse Aides who apply for permanent residency can include their spouse and dependent children in their applications.

Your Career Path

• You will begin working in the U.S. as a Nurse Aide. • If you completed a RN education program in your home country, you can pursue a U.S. RN licensure while you are working as a Nurse Aide. • Upon attainment of RN licensure, you can fulfill your return of service commitment to your employer working as a RN.

Qualifications

• You must have completed a formal nursing education program. • You must have minimum 1 year current bedside experience. • You must have strong English speaking and writing skills.

Who Will Be My Employer?

CommuniCare Health Services

Facilities in:

How Much Will I Be Paid?

• Hourly rates of pay vary by geographic regions based on local cost of living. • On average, hourly rates of pay will be in the range of $15.00/hour • You receive exactly the same pay and benefits as all similarly qualified applicants working in the same position at your location.

What Other Benefits Will I Receive?

• Employer pays for attorney and filing fees for permanent resident application. • Employer pays for your National Visa Center Fee Bill. • Employer reimburses you for Embassy Medical Exam. • Employer pays for your one-way airfare to U.S. • Employer provides 30 days of temporary housing on arrival in U.S. • Employer pays for your Nurse Aide training and certification.

How Much Do I Need To Pay?

• Zero recruitment or placement fees. • No cost for attorney fees to include spouse and children. • You will need to pay NVC bill for accompanying family members. • You will need to pay the medical exams for accompanying family members. • You will need to pay for accompanying family members airfare to the U.S. • NO SALARY REDUCTION OR DEDUCTION EVER.

Your Commitment

In return for CommuniCare offering you a full time, DIRECT HIRE position and paying for your immigration application and more, you will be required to agree to work with CommuniCare for at least three (3) years. Failure to complete the 3 year return of service commitment will result in the applicant having to repay a portion of the fees the employer had expended in the immigration and relocation processes.

How and When to Apply

• email your resume to [email protected] •apply today as interview appointments are limited. • interviews will be held: april 26-30, may 3-7 july 26-30, august 2-6.

Click the Download Button to get access to full pdf instructional sheet

Read more on the roadmap for Nurse Aides

Immigration Road Map For Nurse Aide Applicants -USA

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Top 9 US States That Don't Require an English Proficiency Exam or Social Security Number  

Moving to the United States to start your nursing career is a promising endeavor. With the country requiring a lot of nurses and opening its doors to international nurses like you, the prospect of forwarding your nursing career in any of the country’s 50 states sounds like a dream come true. But before you attain this dream, there are still some hurdles to surpass. Passing the NCLEX, choosing which state of living in, and the inevitable job search are just a few items on your list to become part of a community of nursing professionals in the US right now. If there were only a few steps you could skip, your journey to the Land of Opportunities would be a lot faster, and that’s a few boxes on your list you don’t have to tick.  

Fortunately, there are states in the US that will no longer require you to complete at least one of these two steps: getting a Social Security Number or showing English proficiency. Opting for any of the states mentioned in this post won’t rob you of the opportunity to enjoy life in the United States while pursuing your passion for being a registered nurse. Let’s delve into these nine states that are great frontiers for the nursing profession but may give you less of a harder time getting a nursing license.  

Related Article: 2023 Career Outlook for Registered Nurses in the United States   

What is a Social Security Number?  

A social security number, or SSN, is needed for anyone who wishes to work in the US. It is a unique identifier that will report your wages to the United States government and give you social security benefits , such as retirement or disability. Luckily, many states do not require an SSN to take the NCLEX exam, as you will read about later on. The reason for this is quite simple: some states don’t see it necessary for licensure test takers to get an SSN, or at least for now, while they have not yet passed the test. Another reason for this is that denying anyone access to social security benefits can be seen as discrimination. Various laws support equality to the right of social security , which should be given whether one has an SSN or not.  

However, note that an SSN does more than just act as a unique identifier. Government numbers like the SSN are used to track down your personal records, and you may still be required to get an SSN once you start working as a registered nurse.  

Why is English proficiency a requirement to work as a US nurse?  

Foreign nurses must show passing scores for an English proficiency exam, as English is the main vernacular of the country. However, there are exemptions to this rule. For example, Canadian nurses (except in Quebec) who wish to enter the US to do nursing might no longer be required to submit passing scores in IELTS or TOEFL. This is because their nursing education was delivered using the English language. For immigrants from English-speaking countries like Australia and Great Britain, that’s one less requirement to take the NCLEX.  

Related Article: 7 Tips to Pass Your Next NCLEX Exam

What States Don’t Require An English Proficiency Exam Or Social Security Number For Nurses?  

Each state has its State Board of Nursing that may have licensure requirements unique from others. However, choosing a state that won’t require you to have an SSN or achieve a certain English proficiency score may free you up more time and lessen the pressure of getting a slot in any US hospital. We hope that this short list of US states can aid you in prepping to be an immigrant nurse practitioner:  

• Montana . Named recently as the eighth best state to be a nurse in , the Treasure State is proud to take good care of its nurses, with them proclaiming a Nurses’ Week to celebrate the contributions of their beloved nurse practitioners. To be part of this state-wide care for nurses, you don’t need an SSN or to show English proficiency. Simply take the NCLEX and other requirements as stipulated by the state.  
• South Dakota . This is another state that does not require an SSN or passing an English international test. What’s enticing about working in South Dakota is the cost of living, sitting at 4% lower than the national average . Budgeting expenses might not be complex here.  
• Connecticut . Nurse.org names nursing in Connecticut as a high-paying job , and you are surrounded by exemplary schools in case you want to pursue further studies as a registered nurse. Thus, advancing your nursing career through studies might be a good idea if you are in Connecticut.  
• New York . The Empire State is a must-go destination for every travel nurse , as it sits on the border of Canada, the Atlantic Ocean, and six other states. With the SSN and English proficiency requirements waived to get a license in New York, you might be packing your bags often to explore what’s out there while being a nurse.  
• Northern Mariana Islands . Lush greens, exciting beaches, and a generally safe and quiet destination. But wait, this island is not your next vacation spot . It is a prospective living place for aspiring immigrant nurses that also won’t require English proficiency or an SSN. If you are more attuned to rural living, consider this tropical archipelago. 
• Missouri . This is a promising state to work in. Nursing is emotionally and psychologically rewarding here, with a salary 41% higher than the national average, at $9,309 per month. While English proficiency may need to be proven (unless you are from the countries listed here ), you may use your passport number in place of an SSN when applying for the NCLEX.  
• Indiana . The Hoosier State boasts of career diversity for nurses . You can be exposed to various disciplines, from pediatrics to gerontology. Moreover, Indiana is a compact state . All 40 compact states agree that any nurse licensed in one of these states can practice in any of the 40. If you have been practicing in one of the other compact states and wish to see a change in scenery, consider Indiana in your choices.  
• Virginia . With a strong economy, low crime rates, and fantastic healthcare options , moving to Virginia may be one of the best decisions of your life. When it comes to becoming a nurse here, if your nursing program is taught in English , there is no need to show proof of English proficiency. If you don’t have an SSN , simply contact the Virginia Nursing Board before applying. Additionally, Virginia is also a compact state.  
• Kentucky . Are you the outdoorsy kind or one that enjoys going out and about in your free time? The Bluegrass State is calling you . Additionally, when it comes to beginning your nursing career, Kentucky is a viable option. Applicants taught in English need not prove proficiency , and those with no SSN yet may ask help from the Kentucky Board of Nurses . In place of SSN, you will receive a temporary ID .  

MAKE YOUR NURSING JOURNEY TO THE US EASY THROUGH PRS GLOBAL.  

Missouri, Indiana, Virginia, and Kentucky are only some states where we can help you with job placements. We are PRS Global , your staffing partner dedicated to helping international nurses like you to start your career in the US with the knowledge that you are supported, at least until you find your footing in a foreign land. Concerns with English proficiency or social security requirements? Feel free to approach us. Support with legal matters like immigration and citizenship? We could have some solutions at hand. Feeling homesick or overwhelmed being in a new environment? Don’t hesitate to talk to us. We’ve got your back because we know how tough it is to be a nurse in a foreign land.  

Ready to be the best nurse you can be? Contact PRS Global now !  

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US Nursing Jobs

Connecting Nurses Globally with Top US Nursing Opportunities.

Seeking Qualified Nurses

Our clients are seeking nurses to fill critical staffing gaps in a dynamic job market. Below are some of the most in-demand specialties, but we also have ongoing needs in other areas. If you don't see your specialty listed, we still encourage you to apply so we can help find the perfect fit for your skills and aspirations.

Top Nursing Specialties

Emergency room nurse.

Location: Needed in Multiple Locations Across the US

Shifts: Day and Night

Description: Emergency Room (ER) nursing is a fast-paced specialty providing care for diverse, urgent conditions. ER nurses quickly assess, stabilize, and treat patients, working in tightly coordinated teams. 

REQUIREMENTS

Bedside Nursing Experience

Valid NCLEX

Additional requirements may apply

Specialty also known as: Accident & Emergency (A&E) Nurse, Emergency Department (ED) Nurse, Emergency Nurse, ER Nurse, and Trauma Nurse

Medical Surgical Nurse

Shifts: Day and Night

Description: Medical Surgical (Med Surg) nursing is the largest nursing specialty in the US, providing essential care and foundational skills for treating various conditions. Med Surg nurses administer medications, monitor patient vitals, and coordinate with specialists, offering comprehensive care.

Specialty also known as: Adult Nurse, Staff Nurse, Medical-Surgical Nurse, Ward Nurse, General Nurse, General Ward Nurse

Intensive Care Unit Nurse

Description: Intensive Care Unit (ICU) nursing is a high-stakes specialty where critically ill patients receive complex interventions and round-the-clock monitoring. ICU nurses quickly assess, stabilize, and treat patients, working with advanced technology and making rapid decisions.

Specialty also known as: Critical Care Nurse, Intensive Therapy Unit Nurse, ICU Nurse

Operating Room Nurse

Description: Operating Room (OR) nursing is vital for successful surgeries, requiring specialized skills, precision, and the ability to thrive under pressure. OR nurses take on various roles, such as scrub nurses anticipating surgeons' needs and circulating nurses managing the OR environment.

Specialty also known as: Operating Theatre Nurse (OT), Perioperative Nurse, OR Nurse

Pediatric Nurse

Location: Needed in Multiple Locations Across the US

Description: Pediatric nurses provide specialized care for infants, children, and adolescents, focusing on growth milestones and alleviating family anxieties. They assess vitals, administer interventions, and use techniques to comfort anxious kids, combining clinical excellence with emotional support.

Specialty also known as: Children's Nurse, Paediatric Nurse

Labor and Delivery Nurse

Day and Night Shifts

Description: Labor and delivery (L&D) nursing is a rewarding specialty where nurses monitor the health of both mother and baby, providing vital support during childbirth. This role requires swift clinical precision and compassionate care.

Specialty also known as: L&D Nurse, Labour and Delivery Nurse, Maternity Nurse, Midwife

Other Specialties We Hire

Telemetry nurse.

Telemetry nursing involves monitoring patients' vital signs using specialized equipment. Telemetry nurses assess, interpret data, and respond to changes in patient conditions, ensuring critical care for those with heart conditions or requiring continuous observation.

Neonatal Intensive Care Unit Nurse

Neonatal Intensive Care Unit (NICU) nurses care for critically ill or premature newborns, providing life-saving interventions and round-the-clock monitoring. NICU nurses use specialized skills and equipment to support fragile infants during their critical early days.

Dialysis Nurse

Dialysis nurses provide care for patients with kidney disease, managing dialysis treatments and ensuring patient stability throughout the process. They monitor patient vitals, educate patients on kidney health, and collaborate with a multidisciplinary team to improve patient outcomes.

Psychiatric Nurse

Psychiatric nurses specialize in the care of patients with mental health disorders, offering both therapeutic support and medical interventions. They assess, treat, and monitor patients with conditions like depression, anxiety, and schizophrenia, working closely with other mental health professionals.

Skilled Nursing Facility Nurse

Skilled nursing facility (SNF) nurses provide comprehensive care for patients recovering from surgery, illness, or injury, often in long-term care settings. They monitor patient progress, manage medications, and assist with rehabilitation efforts to promote patient recovery and well-being.

Interested in Finding a Nursing Job in the USA?

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Our Job Matching Process

We understand that a fulfilling career goes beyond just securing a job—it's about finding the right fit for your skills, aspirations, and lifestyle

Preferences

Share your specific job and lifestyle preferences to guide our matching. While flexibility can increase your options, being clear helps us understand your priorities and match you effectively.

We carefully align your stated preferences with current openings, actively presenting your resume to facilities who offer the best opportunities to match your career aspirations.

Should a facility express interest in your profile, we will notify you and provide details about the potential interview. You decide if you want to move forward, ensuring you have control over which opportunities you pursue.

Once you accept a job offer, your placement is confirmed. Congratulations! From here, you can start planning your new assignment, supported by our team at every phase, from relocation assistance to onboarding.

Our Extensive Network of Nursing Opportunities

We have a vast network of healthcare facilities across the United States. Explore the different cities to learn about each one’s unique climate, community, lifestyle, and more!

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Join over 3,000 nurses who have advanced their careers with top US healthcare organizations through the PassportUSA program. Our program provides a smooth transition into US healthcare and offers dedicated support every step of the way.

WHY CHOOSE PASSPORTUSA?

Training and Support

From visa application to relocation and beyond, we guide you every step of the way.

We Cover the Costs

We pay for your visa filing and US relocation with no fees to join the PassportUSA program.

Journey with Confidence

Our experts have handled thousands of nurse immigration cases and have successfully placed them at facilities across the US.

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Nursing Jobs in USA without NCLEX

In view of the many inquiries, we have been getting on how to get Nursing Jobs in the US. Our team has compiled a list of Nursing Jobs in USA without NCLEX.

Our list is based on the search queries bordering on Jobs that take Nurses without Licenses and Nursing Jobs in the USA for foreigners.

A good number of vacancies can be applied for foreigners without the need to pass the NCLEX exams or get an NCLEX licensing.

We shall also detail other key areas that deal with finding Nursing Jobs in the United States.

What is NCLEX?

The National Council Licensure Exam or NCLEX-RN is a licensing exam that determines your eligibility to work as an entry-level Nurse in the United States.

They deploy more critical thinking and analysis in the exams than the regular licensing exam.

NCLEX is among the licenses you need to become an entry-level nurse. But, with our update today we can show you some open vacancies in the US that don’t require an NCLEX exam.

With the help of our research associates and industry experts, we were able to enlist some websites and platforms where you can get a Nursing Job in the States without NCLEX.

A good number of them will require you to have some nursing licenses and educational background but not necessarily an NCLEX licensure.

Some of them might not also be as high paying as the NCLEX licensed jobs but it is a good place to start. Especially as a foreigner coming to work in the United States for the first time.

Nursing Care Partner

The Children Hospital of the Kings and daughters are currently recruiting Nurses. The Nursing care partner will work hand in hand with the resident Nurse in delivering value and sound care services to the patients.

Requirements

• Nursing certifications.
• Sound understanding of the Job.
• NCLEX License is not mandatory

Student Nurse Program

The vacancy is for student nurses wishing to earn as patient care technicians while studying. Students will be exposed to a wide variety of clinical experience

• Must be a student nurse
• NCLEX is not mandatory

Patient Care Technician

Garnet hospital is looking for a nurse with the patient care technical abilities to work in their hospital.

• Good length of experience doing similar nursing jobs in the USA.
• This is a nursing job in the USA without NCLEX.
• Life support course completion card.

Apply Here  

Public Health Nurse

V irginia department of health is currently looking for an individual who is passionate about helping in driving positive health outcomes in patients.

• Bachelor of Science in Nursing.
• NCLEX is only required from you within 90 days after getting employed.
• Good length of experience doing similar jobs.

Websites You Can Find Nursing Jobs in USA without NCLEX

Indeed : We have narrowed the searches for Nursing Jobs in USA without NCLEX. Visit indeed Indeed.com and apply for the large pool of nursing jobs in the USA for foreigners without NCLEX.

Simplyhired : Visit  simplyhired  and apply for the wide variety of nursing jobs that don’t require NCLEX licensure in the States.

Nurse.org :  Nurse.org is popular for the array of recruitment resources it provides for foreign nurses in the US. You can equally apply for nursing jobs in the USA without NCLEX there.

How to Get a Nursing Job in the USA 

Nursing is currently one of the most lucrative jobs in the United States. Though it can be quite demanding the government compensates Nurses enough for their time and service to the nation.

If you are an immigrant coming for the first time to the states and looking at starting off as a nurse.

There are a couple of entry nursing programs available for you in addition to some of the Nursing Jobs without NCLEX.

Nonetheless, with the help of our research associates and industry experts, we have listed how best to get a Nursing Job in the US with or without NCLEX.

Meet the Educational Requirements: 

Just like many other countries, for you to be legally permitted to work as a nurse in the United States, you must meet some basic educational requirements.

Licenses you got outside the US are valid but you will need to prove that you are not just parading licenses but also have the skill and knowledge of the profession.

You will need an Associate degree in Nursing or a Bachelor of Science in Nursing in addition to being a Registered Nurse.

The United States does not accept Licensed Practical Nurses (LPN) or Licensed Vocational Nurses (LVN) as valid qualifications.

Complete a Foreign Educated Nurses (FEN) Course:

In addition to having an AND (Associate Nursing Degree) or B.sc in Nursing, a good number of the states in the United States will also require you to complete a Foreign Educated Nurses program. This is to certify your ability to work in the best standards peculiar to that state.

The course is a 120 hours classroom and 120 hours clinical practical lessons. The interesting part is that you might secure a nursing job in the USA without NCLEX with this certificate.

Pass the Proficiency Test for the English Language

Similar to other international exams for a study in the US, one needs to also sit and pass IELTS/TOEFL test to determine how effective he or she can communicate in the English Language.

This actually varies based on the country of origin. Countries like Canada, the UK, New Zealand, Australia, and Ireland are among those that are exempted from writing an IELTS/TOEFL.

Write and Pass the NCLEX-RN Examination

Having met all the previous requirements, applicants will have to sit and pass the NCLEX-RN exam in the United States. Registration for the exam is $200 in addition to other foreign fees in the country.  The exam can be registered with  NCLEX test preparatory platforms  in the US.

Obtain the CGFNS or have other Recognized Organizations evaluate your Credentials

The  Commission on Graduates of Foreign NursingSchools  (CGFNS) is an organization established by the US government to certify the readiness of foreign applicants who wants to take NCLEX exam. The core mission of the commission is to ensure sound health care for Americans and stop the exploitation of foreign nursing graduates in America.

They have three main credentialing reports.

• Credentials Evaluation Service Professionals report
• CGFNs Certification Program
• 3 Visa Credentials Assessment.

Just like we stated earlier, there are some nursing jobs in the US without NCLEX where you might not be necessarily required to bring an NCLEX license.

However, for the sake of this content, we will go ahead to highlight in detail three main credentialing reports in CGFN.

Credentials Evaluation Service Professionals Report

The report provides some statutory information for the state board of Nursing with quite a good number of states accepting it.

• Proficiency in English
• Secondary School Documents.
• Certificates of license from the home country in addition to Nursing education documents from your home country.

CGFN Certification Program

The certification shares similarities with the one mentioned earlier. It requires a $445 fee to register. CGFN like we said earlier, is the qualification exam that determines how suitable one is to take care of patients in America.

The exam is conducted three times a year in over 40 centers across the globe.

Visa Credentials Assessment

Visa credentials assessment is almost the same with CGFN. Just that this is the phase where the individual qualifies for a Work Visa upon successful completion of NCLEX.

It costs $540 fee to enroll in for Visa Credentials Assessment. A couple of other credentialing services can be cheaper and also accepted by the United States Board of Nursing.

However, it remains most imperative you consult with State Board before you make a decision on that.

Find a Nursing Sponsorship or Recruiting Agency based in the US

Experts and industry top analysts always recommend foreign nurses identify with recruiting agencies than engaging directly with hospitals. Engaging the services of the agencies brightens your chances more.

They assist in ensuring the paperwork and all needed are in place for the individual while preparing the Job.

Obtain your work or Nursing employment Visa

There are different types of visas with different attributes to them.  Each of them has a feature peculiar to it.

Before you get a nursing job in the USA without NCLEX or even with NCLEX you must have obtained either of these Visas.

Mexican and Canadian Nurses – TN Visa

It is peculiar to Mexican and Canadian citizens. Mexican and Canadian Nurses can work in the US with a TN Visa.

However, you must have obtained a license in your home country and also passed the NCLEX exam before you can be accepted to practice in the United States.

HI-1B Temporary Work Visa

If you have a 4-year degree in Nursing, you can apply for a HI-1B temporary visa. After you have obtained your temporary visa you can proceed to get a green card once stateside.

It is equally important you know that there is a limited number of temporary work visas for nurses desiring to work in hospitals especially those in underserved regions.

Permanent Work Visa

This is actually the most sought-after and is targeted at those looking at relocating permanently to the United States.

The application will have to be filled and stamped in your home country before you can be allowed a permanent stay in America.

With a permanent work visa, it tends to be even easier to find a nursing job in America without NCLEX.

Like we said earlier, your nursing employment visa to the United States is best done with reputable agencies and recruiting firms.

Find a Registered Nursing Job in America

Career experts advise nurses, especially those migrating to the US for the first time to conduct targeted searches.

If you are yet to obtain an NCLEX license, you can narrow your search to ‘nursing jobs in the US without NCLEX’ or if you are a specialist in cardiology nursing, you can equally narrow your search to cardiology nursing jobs in the US.

The purpose is to make it more specific and channel your search to your area of interest or specialization. You can visit  Nurse.org  and apply for the many vacancies for foreign nurses in the United States.

Non-Eligible Nurses for Nursing Jobs in the United States

We have discussed extensively, how to work and get a nursing job in USA without NCLEX as well as how to get an NCLEX license and obtain a nursing job in the States. However, not all foreign-educated nurses can work in the United States.

The following are not eligible to work in the US as Nurses.

• Nurses with experience of fewer than 2 years.
• Individuals with a proven criminal background.
• Nurses without a 4-year nursing degree.
• Nurses without sponsorship from a recognized and reputable nursing agency.

All the states in the United States do not work with the same regulatory standards when it comes to nursing jobs.

Nonetheless, the need for a visa applies to all nurses seeking to work in the United States. On the other hand, non-NCLEX nursing jobs in the USA can be seen in any clinic.

Ensure you at least have a sound background in nursing while applying.

When you have obtained a job and started working. We advise you to endeavor to register and obtain an NCLEX license because without it you will not go far in your nursing career in the USA.

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Chibueze Uchegbu is a certified medical physiologist with a great passion for healthy living.

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How to Work in the US as a Foreign-Educated Nurse

• Foreign Nurse Licensure Requirements
• LPN Licensure Requirements
• Nurses Not Eligible to Work in the U.S.

Looking to work in the US as a nurse from another country? This article will explain everything you need to know. Keep reading to learn more about how to work in the U.S. as an RN from anywhere else in the world, including the UK, the Philippines, India, or Australia.

How to Work in the U.S. as a Nurse From Another Country

Current U.S. immigration laws can make it difficult for foreign nurses in the U.S. to obtain jobs. Those interested in pursuing this avenue should obtain the proper visas and paperwork from the U.S. Citizenship and Immigration Services department and have the proper foreign nurse licensure requirements for the U.S. 

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GCU’s RN-BSN program is tailored to meet the needs of the RN adult learner and to maximize the strengths that the working RN already possesses. Transfer up to 90 credits and earn a BSN in as little as 12 months. GCU’s online classes allow you to study at the times that work for your schedule while still enjoying a close connection with your classmates and instructor via online discussions.

Enrollment: Nationwide

WGU's award-winning online programs are created to help you succeed while graduating faster and with less debt. WGU is a CCNE accredited, nonprofit university offering nursing bachelor's and master's degrees.

The University of Texas at Arlington’s online programs are designed to help you achieve more in your nursing practice with a Bachelor of Science in Nursing. They offer convenient, flexible options for completing your RN to BSN online, designed to fit into your busy schedule.

As a pioneer in distance learning since 1985, Liberty University’s online nursing programs are designed to prepare practicing nurses to serve with integrity by teaching advanced skills from an ethical perspective. Liberty's programs are based on industry best practices and up-to-date research – so you can get the tools you need to stay on the cutting edge of nursing care and innovation. 

• RN-to-BSN - Global Studies

Nurses Helping Nurses: Why You Can Trust Nurse.org

As the leading educational website for nurses by nurses, Nurse.org is committed to editorial integrity and data-driven analysis. 

✔ Content written by 80+ licensed, practicing nurses who are experts in their respective specialties. Learn more about our nurse contributors .

✔ Transparent, trusted data sources from the U.S. Bureau of Labor and Statistics (BLS), Payscale, ZipRecruiter and Glassdoor. Learn more about our data resources .

✔ Consistent article updates to ensure they are as relevant and accurate as possible, utilizing the latest data and information when it becomes available.

There are eight key steps foreign-educated nurses will need to take to obtain a position as an RN in a US hospital. 

• Meet the educational requirements
• Complete a foreign-educated nurses (FEN) course
• Take and pass an English language proficiency test, if mandated
• Pass your National Council Licensing Examination-Registered Nurse (NCLEX – RN)
• Obtain credential evaluation   
• Find a nursing recruiting agency or US-based employer
• Apply and obtain an RN immigrant visa/green card
• Accept an RN position

Step 1. Meet the US Education Requirements for Nurses

First and foremost, internationally educated nurses must meet basic education requirements. These include: 

• Graduation from an accredited Registered Nursing program: Associate Degree in Nursing (ADN) or Bachelor of Science in Nursing (BSN)
• Licensing as a Registered Nurse (RN)
• Experience practicing as an RN for at least two years

Step 2. Complete a Foreign-Educated Nurses (FEN) Course

While the aforementioned are required, most states also require foreign-educated nurses to complete a Foreign-Educated Nurses (FEN) refresher course.

The course consists of 120 hours in the classroom and 120 hours of clinical practice under the supervision of a licensed Registered Nurse.

Step 3. Pass English Language Proficiency Tests

After meeting the initial education requirements, some foreign-educated nurses must take and pass the Test of English as a Foreign Language (TOEFL) , the Test of English for International Communication (TOEIC) or the International English Language Testing System (IELTS) . This will vary depending on the country of origin and results are sent directly to the state nursing board. 

Nurses who went to nursing school in the United Kingdom, Australia, New Zealand, Canada (except Quebec), or Ireland are exempt as are those whose spoken language in nursing school was English and/or the nursing school textbooks were written in English.

It’s important to note that even if you speak English fluently, but your nursing program was held in another language, you will still be required to take an English competency test. There are very few test-opt options available and with increasing wait times, it is simply easier to take the exam and pass versus trying to petition the board for an exemption. 

Step 4. Pass the NCLEX-RN Examination

After ensuring you meet the education and language requirements it’s time to apply for the NCLEX   in the state of intended employment. Registration with Pearson Vue is required and costs $200 plus additional foreign fees.

According to the webpage, NCLEX examinations are currently administered in Australia, Canada, England, China, France, Israel, South Africa, Spain, Turkey, the United Kingdom, Germany, Hong Kong, India, Japan, Mexico, Philippines, Puerto Rico, and Taiwan.

Step 5. Have the CGFNS or Another Credentialing Organization Evaluate Your Credentials

The Commission on Graduates of Foreign Nursing Schools (CGFNS) is a company that is employed by State Boards of Nursing to ensure that applicants meet the basic requirements and are fit to take the NCLEX.

Established in 1977 after a thorough investigation of the immigration of foreign-born and educated registered nurses, the U.S. Department of State and Labor developed the Commission with a dual purpose: to ensure safe patient care to Americans and to help prevent the exploitation of graduates from foreign nursing schools who are employed in the United States to practice.

This company specifically will go through all nursing school transcripts and education history from your home country. While this company is the most popular and most well-known - it is expensive and each state requires different levels of credentialing. 

There are three main credentialing reports: 

Credentials Evaluation Service Professional Report

Cgfns certification program.

• Visa Credentials Assessment

This report is less involved and cheaper than the Certificate Program or VisaScreen. It provides the basic information for the State Board of Nursing and only a handful of states accept this. 

Below are the requirements you’ll need to meet:

• English Requirement
• Secondary School Documents
• Licensure Documents from your Home Country
• Nursing Education Documents from your Home Country

This evaluation is the same as above but requires the applicant to take the CGFNS Qualifying Exam.

Here are some specifics:

• Everything in a Credentials Evaluation Service Professional Report
• CGFNS Qualifying Exam 

The CGFNS Qualifying Exam helps states determine if foreign-educated nurses are well suited to care for patients in America. According to the CGFNS web page, individuals must possess a wide variety of nursing knowledge.

Applicants are required to have a minimum number of classroom and clinical hours in required fields such as pediatric nursing, psychiatric nursing, neonatal nursing , and adult medical/ surgical nursing . 

The examination is held three times a year at over 40 testing centers across the globe. Individuals may travel to other countries, if needed, in order to take the exam. 

VisaScreen: Visa Credentials Assessment

The same requirements as the CGFNS Certification Program but will qualify the individual for a Work Visa after successful completion of the NCLEX. 

You’ll also need to pay a $540 fee.

Other credentialing services could potentially be cheaper and still accepted by the State Boards of Nursing. It is important to check with the State Board before using a different credential service. Alternatives to CGFNS include:

• International Education Research Foundation 
• Educational Records Evaluation Service

Step 6: Find a Nursing Recruiting Agency or US-Based Employer

The next step is to obtain an employment visa. There are several options for these nurses but nurses must have sponsorship from a staffing agency. It is easier for foreign nurses to work with an independent staffing recruiter and agency than directly with a hospital.

Agencies are well versed in helping nurses work in the U.S. and have systems in place in order to ensure all information and paperwork is completed accurately. 

Agencies are also invested in ensuring that all documentation is properly filled and finding the best nursing position to protect your interests and that fits your nursing abilities. 

Step 7. Obtain Your Nursing Employment Visa or “Work Visa”

Types of work visas for nurses, mexican and canadian nurses - tn visa.

Mexican and Canadian nurses may work in the United States with a special TN visa if the individual has an offer of employment, a license to practice in their home country, and pass the NCLEX and state licensure requirements. 

H-1B Temporary Work Visa

Nurses who hold a four-year degree and fulfill a specialized nursing role may qualify for an H-1B temporary work visa and then apply for a green card once stateside. These specialized roles include critical care nurses, emergency room nurses, and/or cardiology nurses.

It is important to note that there is a very limited number of H-1C visas available to nurses who want to work in very specific hospitals in underserved communities. 

An EB-3 visa is also commonly referred to as a green card or permanent residency visa. To be eligible for this type of visa, you must have two years of education from an accredited institution and have a license to work in the country where you received your education. 

This visa allows nurses to work in the U.S. at a hospital or other medical facility for ten years. Additionally, with this visa, nurses can bring their spouses and children under 21 to the United States. Of note, the EB-3 visa does not require nurses to have a job offer before they come to the United States.

Step 8. Find a Registered Nursing Job in the US

Many career experts advise nurses to conduct targeted job searches through job boards specific to their area of expertise. You can start by checking out the available positions on the nurse.org job board . If there is a particular hospital you’re interested in, you may want to look on their site to see if they have any openings.

Can I Work in the U.S. as an LPN From Another Country?

Many LPNs from foreign countries want to know if they can practice in the U.S. Unfortunately, U.S. work visas are only issued to foreign RNs and APRNs. Licensed Vocational Nurses (LVNs) and Licensed Practical Nurses (LPNs) are not eligible for work visas in the U.S.

According to CGFNS International , a non-profit organization that helps foreign-educated healthcare professionals live and work in their country of choice, only nurses with a first-level degree or RN credentials (as defined by the International Council of Nurses ) have nursing license transferability in the US.  Per CGFNS, at this time, practical and vocational nurses are unfortunately ineligible for licensure in the U.S.

CGFNS reports that the minimum requirements needed to work in the U.S. as a nurse are graduation from an accredited RN program, an unencumbered RN licensure, and two years of working experience in the profession. 

Foreign Educated LPN Requirements by State

Some US state nursing websites have varying degrees of information on how LPNs can obtain work if they are licensed in a foreign country and living in the U.S. with a non-work visa . Unfortunately, much of the information is unclear.

The New York State Education Department (NYSED) website states there is an option for obtaining licensure as a foreign-trained LPN in New York, however, the Nursing Board Office at the New York State Education Department was unable to confirm that, and instead advised LPNs to see the requirements to apply for a NYS license and to take the NCLEX via email message.

Per the NYSED website , these are the instructions for applying for licensure as an LPN who graduated from a nursing school in a foreign country (outside of the U.S. and U.S. territories).

STEP 1: Complete New York State’s infection control coursework requirement.

You can find an NYSED-approved infection control course here .

STEP 2: Submit an online application for LPN licensure.

There is also a limited permit application option for those who have not taken the NLCEX-PN.

STEP 3: Have your foreign nursing credentials verified.

There are two options:

Arrange to have the Commission on Graduates of Foreign Nursing Schools (CGFNS) verify your nursing education credentials to the NYSED using CGFNS’ Credential Verification Service for New York State. You must also arrange for NYSED to receive verification of your nursing license from the licensing authority that issued it using a Verification of Foreign Professional Licensure/Certification form.

You must arrange to have your credentials verified by your foreign nursing school using a Certification of Professional Education form .

New Hampshire provides information specifically for foreign educated nurses in Quebec and other non-Candian provinces. Individuals will need to submit the following forms to the New Hampshire Board of Nursing to be eligible for endorsement. 

• Application for Licensure by Endorsement
• Declaration of Primary State of Residence
• Notarized Criminal Record Release Authorization and completed fingerprint card along with any required fee
• Request for RN/LPN Verification of Original License
• A minimum of 400 hours of active practice in the 4 years immediately prior to submitting the application  

Provide verification of 30 contact hours of continuing education in the past two years. One hour of learning equals one contact hour.

STEP 4: Pass the NCLEX if you haven’t already.

If you haven’t passed NCLEX-PN, you must register to take the NCLEX-PN with Pearson VUE .

The California Department of Consumer Affairs website California.gov offers applications for vocational nurse licensure by endorsement for foreign-educated LPNs. However, eligibility appears to be for LVNs with Special Immigrant Visas or those who are refugees and asylum seekers.

Contact your state’s individual nursing board for more information on foreign-educated LPN work if you are a foreign-educated LVN in the US with a non-work visa.

Nurses NOT Eligible To Work In The United States

Unfortunately, not all foreign-educated nurses are eligible to work in the United States. These include but are not limited to:

• Nurses with less than two years of experience
• Nurses lacking a four-year nursing degree (state dependent)
• Individuals who have committed a crime
• Nurses who lack sponsorship from a reputable nursing agency

Nurses without a visa

Next Steps for Nurses Who Want to Work in the U.S.

Due to ever-changing immigration laws, it is important for potential nurse immigrants to speak directly to staffing agencies or immigration lawyers to ensure all laws are followed. Most foreign-educated nurses work closely for several years prior to working in the United States as a registered nurse.

Those seeking additional information regarding specific immigration laws should search the U.S. Department of Homeland Services and U.S. Department of Labor .

What are foreign nurse licensure requirements in the US?

• Minimum of two years of nursing experience
• Graduation from a four year nursing degree program
• Proficiency in the english language 
• Licensure as a Registered Nurse 

Can I work as a nurse in the US without experience?

• No, in order to become a nurse in the U.S. you must have a minimum of two years of bedside nursing experience. 

How to become a nurse in the USA from the Philippines?

• Graduate from a four-year accredited nursing program.
• Pass the required nursing licensure exam. 
• Practice as a nurse for at least two years in your home country 
• Complete the required Foreign-Educated Nurses refresher course
• Pass an English proficiency exam (if from a non-english speaking country)
• Pass the NCLEX-RN exam
• Work with the Commission on Graduates of Foreign Nursing Schools (CGFNS) to evaluate credentials.
• Obtain a work visa
• Work with an employment agency to secure a nursing position 

How to become a nurse in the US from India?

How to become a nurse in the usa from the uk, how to become a nurse in the us from australia, find nursing programs.

Kathleen Gaines (nee Colduvell) is a nationally published writer turned Pediatric ICU nurse from Philadelphia with over 13 years of ICU experience. She has an extensive ICU background having formerly worked in the CICU and NICU at several major hospitals in the Philadelphia region. After earning her MSN in Education from Loyola University of New Orleans, she currently also teaches for several prominent Universities making sure the next generation is ready for the bedside. As a certified breastfeeding counselor and trauma certified nurse, she is always ready for the next nursing challenge.

Education: MSN Nursing Education - Loyola University New Orleans BSN - Villanova University BA- University  of Mary Washington

Expertise: Pediatric Nursing, Neonatal Nursing, Nursing Education, Women’s Health, Intensive Care, Nurse Journalism, Cardiac Nursing 

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Contact Us   |  About Us

Nursing Jobs in the USA for Foreigners

We guide and support foreign nurses through the process to achieve their american dreams.

Why Should a Foreign Nurse Work with Connetics USA?

The growing need for foreign nurses in the US has never been more urgent. Connetics USA, an AMN Healthcare International division, matches nurses globally with long-term positions in US healthcare facilities and hospitals to offset the shortage. Through our direct hire recruitment approach, the healthcare facility will offer you a nursing job in the USA , sponsor you and your family's Green Card or TN Visa, and give you the same pay and benefits as an American nurse. If you are a foreign educated nurse, now is the time to start your American dream.

We are helping nurses from around the world make a difference.

Get started today!

Our Recruitment Process for Foreign Nurses to the US

We know the recruitment, US immigration, licensing, and credentialing processes required for a foreign nurse to work in the USA are challenging. We're also aware of the support our nurses need preparing for arrival, starting a new job, and settling into life in the USA. At Connetics USA, we’ve broken this process down into our own special success path with a step-by-step approach to make your international journey and transition a success

Connetics USA's Circle of Support

Our Circle of Support is a way we give back to our nurses. Upon arrival, we offer an entire support system to the nurses and their families to help them adjust to their new lives in the USA.

Connetics USA Immigration Process for Foreign Nurses to the US

Let's take a look at how to start pursuing your dream job as a foreign nurse in the usa, how much does it cost to work with connetics usa.

Nothing! That’s what makes Connetics USA so great. Employers – like hospitals, rehabilitation facilities, and long-term care providers – pay our fees, not our candidates.

Where will I live?

Connetics has access to thousands of incredible nursing jobs throughout the United States and that means we have access to the largest number of nursing jobs in the USA! No matter where you want to live – near the oceans, the mountains, or in the heart of any major city, Connetics will make that dream a reality for you.

Do I need to pass the NCLEX exam?

International nurses who already meet American nursing education and experience requirements will move into the interview process so that we can get to know you. Our team will be sharing our knowledge of the immigration and visa process as well as ensuring we understand what your own goals are – and we’ll be here to answer all your questions about life and nursing careers in the United States. If you haven’t taken the NCLEX, don’t worry! While you must pass the NCLEX exam to be eligible to work in the United States, our team is here to help guide you through that process as well!

Will Connetics help me with the immigration and Green Card process?

Connetics will work with you throughout the process to ensure you have all the information and credentials you’ll need to secure your Permanent Residency Visa or even your citizenship. Your Permanent Residency Visa is also known as a EB-3 Green Card. It will also allow your spouse and any children under 21 years of age to legally work and live in the United States with you.

How do I apply?

This is your first step to your career in the United States! Once you’ve submitted your application, the Connetics team will begin to work with you and create a plan based on your education and nursing experience. Even better? Our application process is quick and easy to fill out.

Testimonials

It's amazing to think that it's already been 4 months since our move to the US! I want to take this opportunity to express my heartfelt gratitude to my AMN Connetics Family for their unwavering support since day one. A special shoutout to AMN’s language department for the free English lectures before our exam, the informative monthly seminars via Zoom at the AMN clubhouse, my dedicated case manager, Ma'am Rhea Mendez, and my onboarding specialist, Ms. Alou Brandon, for guiding me through every step of this journey. Your constant support and encouragement have truly meant the world to me and my children. Thank you, AMN Connetics! 🙏🏻🤗 ... See More See Less

Bong Siodina

Connetics USA is instrumental in fulfilling my American dream. They are exceptional and professional in delivering quality services by giving unwavering support and guidance. Kudos and many thanks to the men and women of Connetics USA and to Miss Tanya 👍👍 I am truly blessed and incredibly grateful. #trusttheprocess #InGodsperfecttime #MethodistLeBonheurHealthcareMemphisTN ... See More See Less

Jerome Angeles

"Whatever you ask for in prayer, believe that you have received it and it will be yours"-Mark 11:24 First and foremost, i would like to praise and thank the Lord for all the wonderful blessings. And of course without the great amount of help, support and guidance of Connetics USA Nursing team, my American dream would not be possible. Thank you very much and i really appreciate all your efforts all throughout the process. To my excellent and supportive case specialist Mary Jane Portallo, thank you very much. To my onboarding specialist Indra Abbas for taking time and effort to organize everything before my arrival, thank you, super appreciated. And to the rest of the Connetics/AMN team, thank you very much and God bless everyone. I would highly recommend Connetics USA - Nursing especially for us Filipino nurses for giving us great opportunities in seeking immigration support and employment in the USA. Connetics USA - Nursing is truly amazing and exceptional! 🥳 ... See More See Less

Emeka Peter

It has actually been a smooth transitioning and i must say that Connetics USA are topnotch. They will definitely fortify you with information that gives you confident and soft landing with a strong connective network of support. ... See More See Less

I am giving FIVE STARS to Connetics. I can not thank you enough Connetics for helping me reach my American dream. I am confidently recommending you to all of my colleagues and friends who want to pursue their American dreams as well. Connetics will take care of you from start to finish. Thank you Ma’am Tanya, Seiglyn, Kathryn, Anna, Clea, Joy and others, God bless you more. ... See More See Less

Joey Giron Dedel

Me and my family would like to express our sincere appreciation for Connectics USA’s service to us as one of their clients. This is going to be sort of emotional but when something’s helped you achieve a lifetime dream, you don’t hold back on thanking the people who helped you get where you are (still a fair bit to go but at least, we are in Fargo now!). I had actually started with a different agency in trying to get me and my family into that “American dream”. Unfortunately, it took me a little time to pass the NCLEX that lead to that agency to drop our case because it was taking too much time. So then I found Connetics USA. I’d like to think it was a birthday gift that I was with them when I finally passed the NCLEX. The road still wasn’t an easy one since I had to take IELTS a couple of times—even more than the NCLEX, before I passed it. The whole process was on hold because it was one of the requirements before we could proceed. Only this time, I was in better hands and Connetics USA really made sure we were going to get to where they promised to bring us. Apart from the whole Connetics USA team who’s been all patient and kind and accommodating to any kind of questions we had, there were 4 specific people who’ve made a great impact in our journey from the Philippines to the US. and I especially can’t leave them out in this thank you note. Ms. Jocelyn Butron our Case Specialist – She’s been guiding us since the start. From paper processing, to guiding us on the need to knows and requirements in our embassy interview. It was a tedious process but she’s not missed to extend a hand all the way. Ms. Indra Abbas our Onboarding Specialist – I know it is her job to help us get through the whole immigrant’s checklist but there were times (a couple and I could go on specifics but I don’t want to make this a 5-pager) she’d go the extra mile to ensure we got to where we need to be safely and we had everything we needed. Ms. Laurie Tupper our Concierge – Who welcomed us warmly and toured us around so we’d know the whats and wheres. This proved to be very helpful as we realized our move was harder than we thought it to be. The culture’s different, the way they do things here, the groceries, the how tos of the temporary apartment – she’s been so patient with all the queries. Everyone mentioned above (and others we worked with on Connetics USA) has great work ethic. They are very responsible and reliable, and their willingness to flex is much appreciated by me and my family. They made sure we were heavily equipped before they let us on our own. Actually, even when we’re now settled in, Indra and Laurie still reaches out to check on us. Which is not something you can say about all companies. Ever since we signed our contract, things have progressed waaay faster than we anticipated and I mean that in a good way. You guys in Connetics USA have provided the highest quality support every family needs on their migration journey and you are quick to resolve any issues that may arise. We really could not have done any of all this without you! Thank you for a favorable first few months of this journey, and we hope you never stop helping families get to their American dreams! Of course, none of this would be possible without Ms. Tanya freedman, CEO of Connetics USA. I can’t sing Connetics USA team praises high enough, really. Cheers to more success stories!🥂 ... See More See Less

Kat Bugayong Cabahug

Being an OFW for years I can truly say that Connetics USA is one of the best nursing agencies I came across with. They are reliably supportive all throughout. I appreciate their concern and guidance from day one we got connected and even after me and my family arrived in the US. They are taking care of us holistically, from my work adjustment to our family settling transition. Thank you so much, Ms. Ropegene, Ms. Kim and Ms. Tanya. God bless you all more and more. We will always be grateful on helping us achieve the American dream. 🙇🏻‍♀️💕🙏🏻 ... See More See Less

James Nexon

Finally I got my US Immigrant Visa! Thank you team Connetics USA - Nursing for great effort in assisting me through the whole process! I never regret choosing Connetics as my direct hire agency. Thanks Miss Sarah my recruiter and case specialist Miss January for all your effort. God bless ... See More See Less

Titina Kapongo

I highly recommend Connetics USA as they made my transition to the US as a foreign nurse as smooth as possible. Connetics USA is the best nursing agency, through them it only took less than two months for me to begin working in the US. This agency is trustworthy and truly care about your success, they were extremely helpful every step of the way. I would like to say thank you again to Tanya and Connetics USA. ... See More See Less

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