There are a lot of international nursing recruitment agencies in USA. Foreign nurses are recruited in two main ways:
- By direct trusts; without any intermediaries
- Through a recruitment agency
For these international nursing recruitment agencies in USA, trusts hire an agency to identify, select and facilitate the process of hiring a nurse for a fee per nurse hired.
Apart from the fees, there are other charges such as charges for accommodation, flights, language lessons, and all other expenses of mentoring and inducting nurses.
Now you can see clearly what roles these international nursing recruitment agencies in USA play. It is not just about the money, recruiting internationally brings extra work for trusts.
This is because in some cases, they need to travel to the source country to provide extra guidance and training, particularly if there are language barriers to overcome.
So sit back and relax, while we go through some of the international nursing recruitment agencies in the USA.
The demand for nurses is rapidly increasing in the United States and this is because the bulk of the population is aging, and since the outbreak of the pandemic, nurses from other countries of the world have the opportunity to work here temporarily or permanently.
Therefore this is where the international nursing recruitment agencies in USA come in. These international nursing recruitment agencies in USA hire foreign-trained nurses to mitigate the shortage of nurses in the United States.
What Licenses do you need to work in the United States as a Nurse?
As a foreign-trained nurse, the very first step to obtaining work in the United States is to pass the NCLEX-RN exam in the state where the nurse intends to work.
You must look into the states that are part of the Nursing License Compact(NLC) and provide a multi-state license.
To determine if a nurse from other countries is ready to take and pass the NCLEX-RN examination, the Commission on Graduates of Foreign Nursing Schools(CGFNS) offers a prescreening test, so that the nurse can determine if they need a refresher course or not.
Most of these international nursing recruitment Agencies in USA offer these refresher courses.
About the NCLEX-RN examination
This is the compulsory examination that you must take to be licensed as a Nurse in the United States.
This examination is the real deal because your performance in this examination will determine a lot; whether you will be able to continue your nursing career or not.
It is a difficult examination, but at the same time not impossible.
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Possible ways to prepare for the NCLEX-RN examination
The NCLEX-RN exam is a difficult one, no doubt, while you may choose to study on your own and get ready for the exam, there are a lot of companies that have created review courses to help potential nurses prepare for this exam. If you are looking for review courses, here are the options available for you.
This option is for individuals who are self-motivated. They can simply buy an NCLEX review book and work on their own.
This review book most likely will contain a lot of practice questions as well as test-taking tips.
The online classes are very flexible. Here you sign up and take a course online. usually, there will be an online instructor who will guide you in completing the course.
These classes work like your normal nursing class. Here participants can sign up and physically attend the course. There are instructors in those classes that will help guide you through the NCLEX preparation.
Non-U.S, citizens are required to have an employer-sponsored visa to work in the United States. These international nursing recruitment agencies in the USA are well-versed in that aspect.
They are well versed in sponsoring visas for foreign-trained nurses and are willing to walk interested international nurses through the process.
However, there is a common route that most foreign nurses take, and that is the procurement of a visa by applying for a permanent work visa. This is known as the green card.
However, there are other types of visas such as the TN visa for Canadian and Mexican nurses, and a temporary H-1B visa for certain nursing specialties in underserved areas.
An international can apply for a VISA after the NCLEX-RN examination is passed.
What are the English Language Proficiency Test requirements?
As an international nurse, depending on the country that you are from, you will need to pass either 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).
The international nursing recruitment agency in the USA usually assists the nurse in determining which tests to take. The results of such tests are sent directly to the state nursing board.
Nurses originating from the United Kingdom, Australia, Canada (except Quebec), Ireland, and New Zealand are exempt from passing an English Language Proficiency Test.
Only nurses who have a four-year nursing degree from an accredited nursing school are eligible for licensure and work in the United States.
Some states require foreign-education nurses to take a Foreign Educated Nurses (FEN) refresher course that consists of classroom and clinical hours.
Foreign-educated nurses must have had at least two years of nursing experience in their home country prior to applying for work in the United States.
Those who are NOT eligible for work in the United States as a registered nurse include:
- Nurses that have less than two years of experience.
- Nurses who do not have a four-year nursing degree.
- Nurses who have committed a crime.
- Nurses who are not sponsored (visa) by a reputable, credentialed nursing staffing agency.
List of international nursing recruitment agencies in USA
Below is the list of the top international nursing recruitment agencies in USA:
- ADEX Medical Staffing
- Alda Professional Placement Services
- ASMCI USA
- CareerKnacks International Nursing Recruiters
- Cross Country Nurses
- Christine Paris Enterprises USA Inc
- Emerald Health Services
- Comprehensive Medical Staffing
- Global Healthcare Resources
- Global Nursing Recruiters
- GlobeMed Resources
- Guardian Healthcare Providers
- HealthStar International
- International MedLink
- Kennedy Healthcare Recruiting
- MedPro International
- MedPro International
- O’Grady Peyton International
- Onward Healthcare
- Pacific Link Healthcare
- PPR Travel Nursing
- Premier Healthcare Professionals
- Professional Healthcare Resources
- RCM Health Care Services
- Global Nurse Force
- Shearwater Health
- Stateside Nursing International
- Westways Staffing Services
- Wilson Staffing Network
- WorldWide HealthStaff Associates
ADEX Medical Staffing
This recruitment agency is a full-service agency that has career planning and development that includes paying careful attention to your skills and personality and assigning you to a hospital that is the very best for you. Their international nurses have received the following benefits:
- Zero cost
- 24/7 support
- They pay all legal and processing fees
- Premium processing
- One Tertiary Hospital Placement
- Free Licensure Endorsement
- Subsidized Health Insurance
- 401K Distribution plan
Alda Professional Placement Services
Alda Professional Placement Services is a division of Alda Technologies leader in medical staffing in the United States headquartered in North Texas. Their services include contract staffing, permanent placement, and executive search. They place nurses from the following countries:
- Caribbean Islands
- South Africa.
ASMCI was established in 2001 and since then has been placing international nurses, physical therapists, occupational therapists, and medical technologists under the I-140/ EB3/EB2 Immigrant Visa and the H1-B working Visa.
Throughout the years and working with a New York law firm they gained the knowledge of each state for the following:
- endorsement of license
- and all immigration processing including embassy interviews.
After arrival, their clients were interested in Green Card laws, license renewals, fiancé visas, family-based petitions, adjustment of status, reentry permits, citizenship/tests, travel, and student visas. They assist with NCLEX, IELTS, or TOEFL prep, with no agency fees.
CareerKnacks International Nursing Recruiters
This agency is one of the international nursing recruitment agencies in the USA that specializes in placing international nurses in the United States.
They are a no placement fee agency which means that they are always on your side throughout the entire recruitment process.
With more than 25 years of experience, you can rest assured that they know what they are doing and can answer any and all questions you might have throughout the entire process.
They love helping nurses further their careers and recognize their own American dream.
Cross Country Nurses
This recruitment agency helps you pursue your career and life goals, choosing to embark on new adventures in both. They offer full-service assistance.
With this agency, you will have the support and exclusive offerings of one of the top travel nurse brands in the industry.
With more than 220,000 available assignments each year at their thousands of partner facilities coast to coast, you can explore a variety of geographical locations and clinical settings.
Christine Paris Enterprises USA Inc
This is a licensed International Recruitment and Immigration Assistance Services, with their sister company, SAMPAGA IMMIGRATION CONSULTANCY, licensed and based in the Philippines.
They provide services in helping you recruit highly qualified Nurses, Physical Therapists, Occupational Therapists, Speech Pathologists, and other professional staff from foreign countries.
They have vast experience in international recruitment, job placement, immigration, and overseas education.
CPEUSAI has a strong alliance with prestigious hospitals in the U.S.A., educational institutions in the United Kingdom, and NCLEX-RN and IELTS coaching center in India which makes them exceptional from other international nursing recruitment agencies in the USA.
Emerald Health Services
Emerald Health Services is a team of healthcare staffing experts with a unique industry approach.
Founded in 2002, they’ve established themselves as a national leading healthcare staffing firm specializing in travel, interim leadership, and direct hire staffing for RNs, healthcare executives, and allied travel at top-ranked facilities throughout the U.S.
Comprehensive Medical Staffing
For more than a decade, Comprehensive Medical Staffing has ensured quality patient care.
Through our affiliate companies – CMS-HIM, CMS-Imaging, CMS-Med, and CMS-Nursing – they create customized staffing solutions based on your clinical and administrative needs.
Their approach to service was developed by clinical and staffing professionals for today’s healthcare system.
They solve your staffing problems as if they were our own.
They listen and react quickly to provide the right healthcare professional who makes a positive difference in your patient care.
Their bottom line is the same as yours: Quality Patient Care.
Global Healthcare Resources
This is one of the international nursing recruitment agencies in the USA that serve hospitals, nursing homes, rehab organizations, and other health providers through the recruitment and placement of outstanding nurses and health care professionals from around the world.
They coordinate the recruitment, credentialing, license processing, and legal, and visa processing for the placement of qualified and highly trained Nurses, Medical Technologists, Physical Therapists, and Occupational Therapists.
They subsequently match their expertise and skills with the needs of our health care clients.
Global Nursing Recruiters
This is one of the international nursing recruitment agencies in USA that help ambitious foreign-trained nurses with the dream to live and work in the United States. They are the number 1 recruiting agency for African and Caribbean trained nurses.
They make the recruitment process less hectic for you by walking you through the registration process. They equally provide you with the resources to prepare for the GRN and the NCLEX-RN examination.
They also guide you as you prepare for the National Council Licensure Examination for Registered Nurses. Their professional instructors will help you in the exam preparation process.
They also assist you in getting your nursing school transcript evaluated by the leading credential evaluation company for nurses. Of course, before you will be accepted into any nursing program, your transcripts must be evaluated.
they pay for your transcript evaluation. They pay to register you for the NCLEX-RN. They pay for your US RN license and finally support you when you finally relocate to the US.
GlobeMed Resources has successfully placed over 400 nurses from India in the United States
GlobeMed and their Partners can provide visa sponsorships to Indian nurses who have earlier approved visas but require new sponsorship.
This is done by recapturing the old priority date and moving forward in obtaining your Green Card.
If you are a Registered Nurse who has passed the NCLEX exam and has current bedside experience, GlobeMed can help you get to the U.S. and be placed in a supportive work environment.
Guardian Healthcare Providers
As a healthcare professional, you work hard to deliver personalized care with clinical excellence.
You deserve the same care when it comes to advancing your career.
Their attention to detail is unmatched in the world of healthcare staffing.
A big city or a small town, a large hospital or a home care setting, full or part-time – they find opportunities tailored for you.
HealthStar International provides recruitment assistance and immigration case management to assist U.S.-based healthcare organizations in hiring international talent to fill their skills gap needs.
This is one of the international nursing recruitment agencies in USA. They are a full-service agency.
They have successfully placed more foreign-educated healthcare professionals than any other company in their industry.
Their extensive network of nationwide clients gives us the flexibility to offer a variety of assignment options in various settings all across the U.S. to help bring your American Dream to life.
They are hiring registered nurses from around the world. Their mission is to help you establish your career as a healthcare professional in the U.S.
O’Grady Peyton International
O’ Grady Peyton International has over 40 years of experience placing nurses into rewarding careers across the United States.
They are the leading agency for International Nurses in the U.S.
They pride themselves in connecting the World’s Best nurses with some of America’s finest healthcare institutions.
They are committed to delivering on their promises to both their clients and clinicians, making an impact on every individual.
In addition to offering great pay and benefits, O’ Grady Peyton can guide you smoothly through the complex processes of RN licensure, visa screening and immigration requirements.
At Onward, they have travel nursing jobs in all 50 states which means you have more freedom to choose the right nurse position for you.
When you book a travel nurse job at one of their exclusive facilities, you’ll gain experience in the latest technology, advanced patient care and cutting-edge research.
Take your nursing career onward and upward with a travelling nurse position from Onward Healthcare.
Other recruitment agencies on Our List are:
|Pacific Link Healthcare||Full-service international recruitment agency.|
|PPR Travel Nursing||Recruitment agency with travel, permanent & international recruitment programs. |
|Premier Healthcare Professionals||A recruitment agency with travel and international programs.|
|Professional Healthcare Resources||Recruitment agency specialized in hospice care placements.|
|RCM Health Care Services||Full-service international recruitment agency.|
| Global Nurse Force ||One of the full-service international nursing recruitment agencies in the USA specialized in recruiting RNs from India.|
|Shearwater Health||A recruitment agency with a full benefits package. |
|Stateside Nursing International||One of the full-service international nursing recruitment agencies in the USA. |
|Westways Staffing Services||One of the full-service nursing international recruitment agencies in the USA. |
|Wilson Staffing Network||A recruitment agency with domestic and international recruitment programs. |
|Kennedy Healthcare Recruiting|| One of the full-service international nursing recruitment agencies in the USA. |
| WorldWide HealthStaff Associates ||A full-service agency with a domestic and international recruitment agency.|
Is the U.S. recruiting international nurses?
The United States is currently facing a shortage of nurses which can potentially be alleviated through the recruitment of international talents.
Across the country, hospitals and health systems have been struggling to fill open nursing positions for years as these professionals retire or leave the field at a rate faster than new nurses are being licensed.
According to the U.S. Bureau of Labor Statistics, this shortage will continue to widen as the number of open positions in registered nursing is expected to grow by 7% before 2029, representing one of the fastest-growing fields in the U.S.
Registered nurses are of critical importance, and this shortage presents a pressing issue to healthcare facilities across the nation. In response, many health systems are expanding internationally in their recruitment efforts.
Thousands of qualified international nurses are eager to fill these positions, and many healthcare organizations have found success recruiting nurses from overseas.
Viable pathway healthcare systems can follow to ensure that their international recruits can work legally in the U.S:
“Schedule A” Permanent Residence Process
U.S. employers can sponsor foreign national nurses directly for permanent residence in the U.S. through the “Schedule A” petition process.
The U.S. Department of Labor designates professional nursing positions as “Schedule A,” because it is established that there are not sufficient U.S. workers who are able, willing, qualified, and available in that occupation.
Therefore, health systems do not need to secure a Labor Certification from the Department of Labor when hiring foreign professional nurses on a permanent basis.
That significantly simplifies and shortens the typical employment-based process that employers must follow when hiring foreign national workers on a permanent basis.
In order to pursue this pathway to permanent residency, candidates must have a full license to practice nursing in the state they will be employed in and a certificate of completion from the Commission on Graduates of Foreign Nursing Schools (CGFNS).
Schedule A is a viable pathway to recruiting nurses for the long term.
However, it can take more than a year for this process to be completed (and in some cases significantly longer, depending on the country of birth of the individual), which presents challenges if the employer is in need of immediate help.
As discussed above, this process is also currently subject to delays due to the Department of State’s reduced consular operations.
Therefore, employers with more immediate staffing needs should look into whether an appropriate temporary or non-immigrant option is available before skipping directly to permanent residence.
Below are some of the most common non-immigrant visa types appropriate for nursing professionals.
Non-Immigrant TN Visas for Canadian and Mexican Nationals
The TN visa classification under the United States-Mexico-Canada Agreement (USMCA) (formerly North American Free Trade Agreement) offers the least complicated pathway for Canadian and Mexican Registered Nurses to secure work authorization in the U.S.
While the TN category is only temporary, it can be extended as long as the individual continues to maintain eligibility as well as the requisite non-immigrant intent.
As visa-exempt individuals, Canadian nationals can simply apply for TN-1 admission with the required documentation at a U.S. port-of-entry or preflight inspection location.
Mexican nationals are required to apply for a TN-2 visa stamp through a U.S. Consulate abroad before attempting admission.
Canadian and Mexican nurses seeking to obtain TN visa status must hold a valid passport in one of these countries, hold a state or provincial nursing license, or hold a Licenciatura Degree, where they intend to work and show proof of a job offer from a U.S. employer.
Additionally, they must acquire a Visa Screen credentials assessment from the CGFNS that proves they possess the necessary education, licenses, exam scores, and proficiency in the English language.
Non-Immigrant H-1B Visas
In order to sponsor a foreign national working for a temporary H-1B visa, a U.S. employer must show that the sponsored position is in a specialty occupation.
This generally means that the job requires at least a bachelor’s degree or equivalent in a related specialty field.
This may present a challenge for employers that do not require at least a related Bachelor’s degree or higher for their nursing positions.
USCIS has issued guidance to help evaluate which nursing jobs may qualify for an H-1B.
For positions that meet the specialty occupation criteria, an H-1B visa could be a viable option, but many employers also have to apply through the H-1B “cap” process or qualify for an exemption from it.
U.S. laws limit or “cap” the number of H-1B visas designated each year at 65,000, plus another 20,000 for individuals who hold certain U.S. advanced degrees.
Therefore, employers of nurses have to compete with other industries for these visas. When demand exceeds supply, which has been the case in recent years, USCIS conducts a randomized lottery to select the lucky 85,000 H-1B petitions that may be submitted and adjudicated.
Certain healthcare organizations may benefit from one of the exemptions to the H-1B quota.
For example, non-profit organizations affiliated with an institution of higher education – a common scenario would be a non-profit hospital that has entered into an affiliation agreement with a university or medical school to train medical professionals or to conduct research.
Another exemption applies to for-profit employers when the majority of the work will physically take place at an organization that is cap-exempt (for example, a university or an affiliated non-profit organization) and the individual’s work will directly and predominantly further the essential purpose, mission, objectives, or functions of the qualifying institution.
Importantly, foreign nationals who already hold H-1B visas that were obtained through the H-1B cap system with another employer are also exempt from it when switching employment.
Obtaining and Maintaining Necessary State Licenses
International nurses working legally in the U.S. will need to ensure they receive and hold the necessary nursing licenses for the state in which they will be working.
Receiving these licenses typically requires the international nurse to demonstrate proficiency in the required on-the-job skills, including speaking the English language.
In many states, international nurses will also need to receive a certificate of completion from the CGFNS which further validates the nurse’s ability to work in the U.S.
Nursing licenses vary from state to state, and it is essential that health systems and hospitals ensure their state’s requirements are being met.
The process for receiving these licenses varies depending on the state in which the nurse will be working and has the potential to delay an international nurse’s start date.
These licenses and potential delays must be factored into the decision process with recruiting internationally.
Do nurses get green cards in the USA?
Registered nurses may enter the U.S. directly as a lawful permanent resident (LPR) or Green Card status.
A benefit afforded to the nursing profession is that presently, the Petition for Alien Worker and the U.S. Department of Labor classifies nursing as what is referred to as a “Schedule A” occupation.
The advantage is that the oftentimes lengthy and expensive Labor Certification Process can be circumvented.
LPR status also allows a nurse and his or her family to permanently reside in the U.S. through a sponsor after meeting certain requirements.
Who may apply for Schedule A?
- Registered nurses with a job offer from a U.S. hospital or medical center;
- Physical therapists with a job offer from a U.S. employer;
- Foreign nationals qualified to work in one of the shortage occupations designated by the Department of Labor on the Schedule A list;
- U.S. companies to sponsor the Green Card application for foreign nationals on one of the shortage occupations designated by the Department of Labor on the Schedule A list.
In order for a foreign-born RN to obtain a green card, she/he must first:
- Obtain a college degree in nursing;
- Get a license abroad as an RN;
- Pass an English examination;
- Pass the NCLEX examination;
- Get an RN license in the state of intended employment;
- Obtain a VisaScreen certificate;
- Get the approval of an I-140 visa petition;
- When her priority date is current, get an immigrant visa
- abroad or, if she is lawfully present in the United States, apply for adjustment of status; and
- When the RN is interviewed for an immigrant visa (green card), her spouse and children will be interviewed and granted immigrant visas together with the RN
How to work as a Nurse in the United States|4 steps
Step 1. Meet the Basic Requirements
As a foreign-educated nurse seeking to work in the United States, make sure you follow U.S. federal immigration law and that you meet the basic educational and/or professional requirements:
In order to legally migrate to the United States, you must meet federal requirements listed in full here.
You will need to obtain a Registered Nurse Immigrant Visa (“Green Card”) or H-1B visa.
- U.S. law requires nurses to complete a screening program before they can receive an occupational visa.
- CGFNS is approved by the U.S. Department of Homeland Security to validate the credentials of nine foreign healthcare professionals for occupational visas, including registered nurses.
- Completing CGFNS’ VisaScreen®: Visa Credentials Assessment Service will satisfy the screening program requirement.
- You will need a “U.S.-based employer” that will serve as the petitioner for your visa. Your VisaScreen® certificate must be included on every visa or green card petition filed on your behalf.
- Read more about VisaScreen.
Educational / Professional
In order to seek work as a foreign-educated nurse, you must demonstrate at least some of the following:
- You graduated from an accredited nursing education program in your country of education
- You are licensed as a Registered Nurse in another country
- You’ve practiced as a Registered Nurse for at least two years before.
- Some foreign-educated nurses must demonstrate their proficiency with the English language by taking an exam such as 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). There are exemptions depending on your country of origin.
Step 2. CGFNS Evaluates your Credentials
State Boards of Nursing require that you first apply to CGFNS International, Inc. to have your academic and professional credentials evaluated to ensure that your documents are authentic and that what you’ve learned is comparable to U.S. nursing standards.
You may also be required to take the CGFNS Qualifying Exam® to satisfy State Board requirements, to satisfy immigration requirements for obtaining an occupational visa, and to determine your readiness for a licensure exam.
Find out what CGFNS program you need. Apply to CGFNS.
Step 3. Pass a Licensure Exam
In order to practice nursing in the United States, you will need to have a professional license from the state where you plan to work. Registered Nurse licenses are regulated by State Boards of Nursing with varying requirements.
You will likely need to pass a licensure exam to be registered as a nurse by your state board. Before taking the licensure exam, first-level, general nurses educated outside the U.S. may choose to apply to the CGFNS Certification Program®, which consists of:
- a credentials evaluation
- the CGFNS Qualifying Exam®, and
- an English language proficiency component.
The CGFNS Qualifying Exam® is a requirement by some state boards before you can sit for the NCLEX-RN, but it serves as an excellent predictor of how any nurse will do on that exam. Taking the Qualifying Exam may help gauge your readiness before committing to the licensure exam.
The Qualifying Exam also fulfills the U.S. federal government’s screening requirement for an occupational visa.
Step 4. Find a Registered Nursing Position
After you meet all federal immigration requirements, have had your credentials evaluated by CGFNS, meet your State Board of Nursing requirements, and have passed a licensure exam, you are ready to begin working as a registered nurse in the United States!
While it’s not required, you may choose to work with a nursing recruiter to help you find a registered nurse job. These recruiters can also act as your “U.S.-based employer” for your immigrant visa.
Check to see if your recruiter uses ethical recruiting standards by looking for the Alliance for Ethical International Recruitment Practices Certified Ethical Recruiter seal on their website.
Is NCLEX hard to pass?
According to the National Council of State Boards of Nursing, in 2017, the first-attempt NCLEX pass rate for U.S.-educated nursing students was 87%.
The second-attempt pass rate for domestically-educated students taking the test was 45.56%. These results demonstrate that it is a pretty difficult test.
How many times can you take NCLEX?
Are You Limited to Retake the NCLEX-RN Exam? If you happen not to pass the exam, you can retake it after 45 days.
And if you are wondering how often you can take the NCLEX, the NCSBN retake policy allows for a retake eight times a year, ensuring 45 exam-free days between each test.
Here is the list of the top sites for nursing jobs
Cities With the Largest Immigrant Populations
With a foreign-born population of more than 44 million, the U.S. has the largest number of immigrants in the world. In fact, research from the Pew Research Center shows that the U.S. immigrant population accounts for one-fifth of the world’s migrants. While U.S. immigrants come from almost every country in the world, Mexico is the most common country of origin for the foreign-born population.
From the period 1850 to 2020, when the most recent data is available, the foreign-born population share hit a high of 14.8% in 1900. From 1920 to 1980, the share of immigrants fell, dropping to a low of 4.7% 1980. Until recently, the immigrant share of the population had been climbing and was at a near historic high in 2019 before the pandemic. The share of immigrants dropped slightly in 2020 to 13.5%, down from the 13.7% it had stood at for the last several years.
Accounting for 24.8% of the foreign-born population, Mexico claims the largest number of U.S. immigrants. The Chinese and Indian immigrant populations are also large, making up a collective 12.2% of the foreign-born population. Pew Research Center analysis of Census Bureau data shows that about one million immigrants arrive in the U.S. each year, and the most common region for new immigrants is now Asia, which recently surpassed Hispanic countries. Find out more.
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