The United States continues to face a significant nursing shortage, creating a high demand for skilled international nurses. For many foreign-trained nurses, securing employment in the U.S. often requires sponsorship through specialized agencies. These agencies assist with visa processing, licensing, and job placement, making the transition smoother for international professionals. This article provides an in-depth look at agencies that sponsor nurses in the USA, offering valuable insights for those aspiring to advance their nursing careers in America.
What Does It Mean for an Agency to Sponsor Nurses in the USA?
Sponsorship involves an agency or employer facilitating the legal and professional requirements for a foreign-trained nurse to work in the U.S. This typically includes:
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Visa Sponsorship: Agencies often sponsor nurses under employment-based visas such as the EB-3 (Green Card) or H-1B, depending on eligibility and job requirements.
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Licensing Assistance: Guidance through the process of obtaining a U.S. nursing license, including preparation for the NCLEX-RN exam.
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Credentialing Support: Assistance with credential evaluations and ensuring compliance with U.S. healthcare standards.
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Relocation Services: Support with travel arrangements, housing, and acclimating to a new work environment.
By partnering with a reputable agency, international nurses can navigate the complex U.S. immigration and employment landscape more effectively.
Why Choose an Agency Instead of a Direct Hospital Job?
Opting for agency sponsorship offers several advantages over applying directly to hospitals:
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Comprehensive Support: Agencies provide end-to-end assistance, from visa processing to job placement and beyond.
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Access to Multiple Opportunities: Agencies have partnerships with various healthcare facilities, increasing the chances of finding a suitable position.
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Streamlined Processes: Experienced agencies can expedite licensing and credentialing procedures, reducing delays.
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Relocation Assistance: Many agencies offer support with housing, travel, and settling into a new community.
However, it’s essential to consider potential drawbacks, such as contractual obligations and limited flexibility in job assignments. Thoroughly reviewing agency contracts and understanding the terms is crucial before committing.
Key Qualifications Required by Sponsoring Agencies
To be eligible for sponsorship, international nurses typically need to meet the following criteria:
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Educational Background: Completion of a recognized nursing program, preferably a Bachelor of Science in Nursing (BSN).
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Licensure: Passing the NCLEX-RN exam and obtaining a state nursing license.
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Experience: A minimum of 12 months of recent clinical experience in a relevant healthcare setting.
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English Proficiency: Demonstrating proficiency through exams like IELTS or TOEFL, as required by the Commission on Graduates of Foreign Nursing Schools (CGFNS).
Meeting these qualifications ensures compliance with U.S. healthcare standards and enhances employability.
Top Agencies That Sponsor Nurses in the USA
Avant Healthcare Professionals
Avant Healthcare Professionals specializes in recruiting internationally educated nurses, offering comprehensive support throughout the transition to U.S. practice. Their services include:
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Visa Sponsorship: Assistance with obtaining an EB-3 visa for nurses and their immediate family members.
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Licensing Support: Guidance through the NCLEX-RN preparation and state licensure processes.
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Clinical Transition Program: A paid program to help nurses adapt to U.S. clinical practices.
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Relocation Assistance: Support with travel arrangements, housing, and cultural integration.
Avant emphasizes long-term career development and provides resources to ensure a smooth transition for international nurses.
O’Grady Peyton International
With over 40 years of experience, O’Grady Peyton International offers personalized support to international nurses seeking employment in the U.S. Their program features:
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Extensive Healthcare Network: Partnerships with top healthcare providers across the country.
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Licensing and Certification Assistance: Help with NCLEX-RN preparation and obtaining necessary certifications.
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Travel and Housing Support: Arrangements for travel and assistance with securing housing upon arrival.
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Day-One Benefits: Access to medical, dental, and vision insurance from the first day of employment.
O’Grady Peyton focuses on ensuring a successful transition for nurses and their families, providing resources and support throughout the process.
PassportUSA (by Health Carousel)
PassportUSA, a division of Health Carousel, is a leading international healthcare staffing agency committed to ethical recruitment practices. Their program includes:
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Free EB-3 Visa Sponsorship: Covering all legal fees associated with visa processing.
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Credentialing and Licensure Support: Assistance with obtaining U.S. licensure and completing the VisaScreen certification.
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Relocation Services: Paid airfare, temporary housing, and support with settling into the new community.
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Comprehensive Benefits: Access to health insurance, paid time off, and retirement savings plans.
PassportUSA emphasizes a smooth transition and long-term career success for international nurses in the U.S.
ADEX Medical Staffing
ADEX Medical Staffing focuses on placing international nurses in acute care facilities across the U.S. Their program offers:
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Green Card Sponsorship: Expedited processing with premium services available.
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NCLEX Review Program: Comprehensive preparation resources for the licensing exam.
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Relocation Assistance: Coverage of travel costs, free housing during orientation, and a weekly stipend.
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Clinical Training: Access to simulation labs and required certifications to ensure readiness for U.S. practice.
ADEX provides personalized support, emphasizing career advancement and integration into the U.S. healthcare system.
Key Qualifications Required by Sponsoring Agencies
Before reaching out to a sponsoring agency, international nurses should ensure they meet several key qualifications commonly required for U.S. employment:
Educational Background
Most agencies prefer candidates with a Bachelor of Science in Nursing (BSN) or an equivalent degree. A strong academic record can improve your chances of selection and sponsorship.
Passage of the NCLEX-RN
The National Council Licensure Examination for Registered Nurses (NCLEX-RN) is a standardized test required for licensing in the U.S. Many agencies offer preparatory resources or will only proceed with sponsorship after a candidate has passed the NCLEX. Information on registering for this exam can be found on the NCSBN official website.
Credential Evaluation
Foreign-trained nurses must have their academic and professional credentials evaluated by organizations like the CGFNS International. Agencies usually require a VisaScreen Certificate, which verifies that the nurse’s credentials meet U.S. standards.
English Language Proficiency
To practice in the U.S., nurses must prove their English language skills through exams such as the TOEFL or IELTS. This is especially important for visa applications and communication in clinical settings.
Work Experience and Professional Licensure
While not always mandatory, prior nursing experience and a license in your home country are usually viewed favorably. Some agencies may also ask for proof of employment or references.
Top Agencies That Sponsor Nurses in the USA
Here are some of the most reputable agencies known for sponsoring international nurses and providing support from licensing to job placement:
Avant Healthcare Professionals
Avant Healthcare Professionals is one of the leading agencies that recruits nurses from various countries. Their comprehensive sponsorship program includes NCLEX preparation, relocation assistance, and cultural orientation. They specialize in placing nurses in long-term care facilities, hospitals, and clinics across the United States.
Key Features:
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Sponsorship for the EB-3 visa and green card
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Full reimbursement for visa-related fees
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Paid relocation and transitional housing
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Clinical and cultural readiness programs
Learn more at avanthealthcare.com.
O’Grady Peyton International
With over 40 years of experience, O’Grady Peyton International is one of the oldest international nurse recruitment agencies in the U.S. They are known for their thorough and supportive approach to transitioning nurses from overseas to American healthcare facilities.
Key Features:
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Offers both direct hire and staffing models
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Specializes in recruiting from the Philippines, India, and the Caribbean
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Assistance with NCLEX and VisaScreen
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Career growth and continuing education opportunities
Visit ogradypeyton.com for more information.
PassportUSA (a division of Health Carousel)
PassportUSA provides a well-rounded experience for international nurses, from immigration paperwork to job placement and orientation. The agency is known for high transparency, strong client relationships, and a focus on ethical recruitment practices.
Key Features:
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NCLEX-RN sponsorship and training
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EB-3 visa application support
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Financial aid for exam and credentialing costs
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Cultural assimilation training and U.S. clinical integration programs
Explore their services at passportusa.com.
ADEX Medical Staffing
ADEX specializes in direct placement of international nurses with U.S. hospitals. They sponsor EB-3 green cards and provide housing assistance, licensure support, and continuing education resources.
Key Features:
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No recruitment fees for nurses
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Transparent contract terms with legal review support
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EB-3 green card process included
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Relocation and family visa assistance
Find out more at adexmedicalstaffing.com.
MedPro International
MedPro International offers a “PassportUSA-style” experience with a focus on international nurses and allied health professionals. The agency provides career development, U.S. acclimation programs, and full sponsorship services.
Key Features:
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Education and language training programs
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VisaScreen and credentialing support
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Job placement in leading hospitals and facilities
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Family integration and housing assistance
Visit medprointernational.com to get started.
Emerald Health Services (Now Epic Travel Staffing)
Emerald Health Services, now known as Epic Travel Staffing, has broadened its offerings to include travel nurse sponsorship. While it primarily recruits U.S. nurses, the agency has started onboarding international nurses through tailored sponsorship programs.
Key Features:
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Sponsorship opportunities for highly skilled nurses
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Travel and housing coordination
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State licensing support and relocation guidance
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Flexible contract options
Check them out at epictravelstaffing.com.
Step-by-Step Guide to Getting Sponsored by a Nursing Agency
Navigating the path to U.S. nursing practice through sponsorship may seem daunting, but working with a reputable agency streamlines the process. Here’s a step-by-step breakdown to help you understand what to expect:
Step 1: Research and Shortlist Agencies
Start by identifying agencies that match your career goals and visa needs. Evaluate each agency’s reputation, support services, and terms of sponsorship. Look for online reviews, testimonials, and accreditations with organizations such as the American Association of International Healthcare Recruitment to ensure legitimacy.
Step 2: Submit Your Application
Once you’ve selected an agency, apply directly through their website or recruitment portal. Be prepared to upload your resume, nursing credentials, English test results, and any proof of U.S. licensure (if already passed).
Step 3: Credential Evaluation
Your educational and professional background will be evaluated by a service like CGFNS International, which ensures your qualifications meet U.S. standards. This step is crucial for VisaScreen certification and licensure eligibility.
Step 4: NCLEX Preparation and Testing
If you haven’t passed the NCLEX-RN, many agencies offer preparation resources or will assist you in registering for the exam. Some agencies only finalize sponsorship after you’ve passed, while others help you reach this milestone first.
Step 5: Interview and Placement Matching
You’ll undergo interviews to assess your clinical knowledge and communication skills. Based on your experience and preferences, agencies match you with healthcare employers in the U.S.
Step 6: Visa Filing and Immigration Processing
Once a job match is made, the agency begins the visa application process—usually an EB-3 for nurses. This includes filing petitions, scheduling consulate interviews, and guiding you through the documentation.
Step 7: Pre-departure Orientation
Before relocation, agencies offer cultural training, clinical onboarding, and assistance with relocation logistics such as housing, travel arrangements, and airport pickups.
Step 8: Arrival and Work Start
After arriving in the U.S., you’ll report to your assigned healthcare facility. Agencies typically provide continued support for adjustment, licensing renewals, and contract compliance.
Costs Involved and What Agencies Cover
One of the biggest concerns for international nurses is the cost of migrating and getting licensed in the U.S. Reputable agencies often absorb most or all of these expenses.
What Agencies Typically Cover:
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Visa application and legal fees
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NCLEX and credentialing costs
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Travel expenses (airfare, luggage, etc.)
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Temporary housing upon arrival
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Immigration medical exams
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Licensing board fees in the U.S.
What Nurses May Need to Pay:
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English language exam fees (TOEFL/IELTS)
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Document notarization and translation
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Personal travel needs and dependents’ costs
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Local transportation and permanent housing (after the initial support)
Watch Out For Hidden Fees:
Some agencies may require you to repay expenses if you leave before your contract ends. Always review the contract for repayment clauses or penalties. It’s wise to consult a legal professional before signing any binding agreement.
Tips for Choosing the Right Agency
Choosing the right agency can significantly impact your professional journey. Here are some practical tips to make an informed decision:
1. Check for Transparency
Legitimate agencies are upfront about their services, timeline, and financial responsibilities. Be wary of recruiters who avoid specifics or pressure you to commit quickly.
2. Ask for Contracts in Writing
Never agree to anything without a formal written contract. Ensure all terms—job duties, salary, location, benefits, and penalties—are clearly spelled out.
3. Avoid Agencies That Charge Upfront Fees
In most cases, ethical recruiting agencies do not ask for upfront payments from nurses. If an agency demands large sums before beginning the process, this is a red flag.
4. Look for Supportive Services
Prioritize agencies that offer ongoing support, such as orientation programs, housing assistance, and mentorship after arrival in the U.S.
5. Connect with Past Clients
If possible, talk to other nurses who have worked with the agency. Join social media groups or forums where international nurses share their experiences.
6. Verify Legal Accreditation
Check whether the agency is licensed or recognized by labor departments and professional associations like the International Nurse Recruitment Integrity Alliance.
Frequently Asked Questions (FAQs)
Can nurses bring their families with them?
Yes, most agencies support family visa applications for spouses and children under the EB-3 program. However, it’s essential to ask about family sponsorship during your initial consultation with the agency.
How long does the sponsorship process take?
Timelines vary based on your readiness, visa category, and agency efficiency. On average, it takes 12–24 months from application to deployment, though it could be shorter for those who already passed the NCLEX and have credentials ready.
What happens after the contract ends?
Upon completion of your contract, you are generally free to work anywhere in the U.S. You can also apply for U.S. citizenship after holding a green card for five years. Some nurses renew contracts or pursue advanced studies.
Can I switch jobs or agencies during my contract?
While technically possible, switching jobs or agencies mid-contract can carry financial and legal consequences, especially if the agency paid for your relocation. Always review your agreement and consult with an immigration attorney before making such a decision.
Are there sponsorship options for travel nurses?
Some agencies, like Epic Travel Staffing, are beginning to offer hybrid models where internationally licensed nurses can work in temporary roles after fulfilling initial full-time placements. However, this is still a developing opportunity and may depend on visa conditions.
Conclusion
Pursuing a nursing career in the United States is a life-changing decision filled with challenges, opportunities, and growth. Partnering with the right sponsoring agency can make all the difference in ensuring a smooth, legal, and professionally fulfilling transition. From licensing support to visa sponsorship and cultural orientation, these agencies offer the resources and expertise international nurses need to thrive.
As you prepare for this exciting journey, take the time to research, ask the right questions, and connect with trustworthy professionals. With patience and preparation, your dream of practicing nursing in the United States can become a reality.
If you’d like help drafting outreach emails to these agencies or need a checklist for NCLEX preparation and visa processing, feel free to ask!
