In 2025, the United States continues to face a significant nursing shortage. This makes it an ideal time for foreign-trained nurses to consider working in the U.S. With competitive salaries, state-of-the-art healthcare systems, and professional growth opportunities, the demand for international nursing talent has reached an all-time high. This guide explains everything foreign nurses need to know about working in the United States, from eligibility criteria to visa sponsorship, and how to avoid scams.
Thousands of foreign nurses each year migrate to the U.S. to pursue rewarding careers. If you’re a qualified nurse from another country looking to relocate, understanding the recruitment process, visa options, exams, and licensing requirements is essential. Read on for a step-by-step breakdown tailored to help you start your nursing journey in America.
Why the U.S. Is Actively Recruiting Foreign Nurses in 2025
Due to multiple factors, the U.S. healthcare system is aggressively hiring foreign nurses to bridge the staffing gap. Here are the primary reasons:
- Aging Population: With a growing elderly population, healthcare needs are surging, especially for long-term care and geriatric services.
- Domestic Nurse Shortage: The U.S. is projected to need over 200,000 new RNs annually through 2030, and domestic supply cannot meet this demand.
- Post-Pandemic Burnout: Many U.S. nurses have left the profession due to stress, burnout, and early retirement following COVID-19.
- Healthcare Expansion: New hospitals, clinics, and community healthcare programs are opening across the country, demanding more qualified staff.
- Specialized Care Needs: There is increasing demand for nurses in specialties like ICU, ER, and neonatal care.
This recruitment trend is expected to remain strong throughout the decade, offering international nurses significant job security and attractive benefits.
Top Requirements to Qualify for U.S. Nurse Recruitment
To be eligible to work as a nurse in the U.S., foreign applicants must meet the following criteria:
- Hold a Nursing Degree from an accredited institution (equivalent to U.S. RN standards).
- Have an Active Nursing License in your home country.
- Pass the NCLEX-RN (U.S. licensing exam).
- Pass an English Proficiency Test, such as IELTS or TOEFL, unless you’re from an English-speaking country.
- Credential Evaluation via a recognized service (e.g., CGFNS).
- Secure Visa Sponsorship from an employer or agency.
- Health Clearance & Background Checks as required by the state.
Visa Sponsorship Options for International Nurses
| Visa Type | Description | Key Features |
| H-1B | Specialty Occupation Visa | Typically used for specialized roles; limited availability for RNs unless advanced degree is held. |
| TN Visa | For Canadian & Mexican Citizens under NAFTA/USMCA | Fast processing; restricted to specific job roles. |
| EB-3 Visa | Employment-Based Green Card | Most common route for foreign nurses; offers permanent residency. |
| H-1C (Obsolete) | Previously for nurses in underserved areas | No longer issued. Historical interest only. |
| J-1 Visa | Exchange Visitor Program | Typically for research/education; not ideal for long-term employment. |
Benefits of Working as a Foreign Nurse in the United States
| Benefit | Description |
| High Salaries | Median RN salary in the U.S. is $82,000+, higher in metro areas. |
| Permanent Residency | Many nurses eventually obtain green cards through EB-3 sponsorship. |
| Family Immigration | Spouses and children can often accompany nurses on dependent visas. |
| Healthcare Access | Full access to U.S. health insurance and retirement plans. |
| Career Growth | Access to certifications, advanced degrees, and promotions. |
NCLEX-RN and English Proficiency Exams
Foreign nurses must pass the NCLEX-RN, a standardized exam for licensing in the U.S. Key points include:
- Register through Pearson VUE and pay the exam fee.
- Prepare using review books, online simulators, and practice questions.
- Apply to a Board of Nursing (BON) in the state you wish to work.
For English proficiency:
- TOEFL iBT: Minimum score of 83
- IELTS Academic: Minimum score of 6.5 overall, 7 in speaking
- Exemptions may apply to citizens from English-speaking nations.
Partnering with U.S.-Based Nurse Staffing Agencies
Working with a reputable staffing agency simplifies the entire process:
- Agency Applies for Your Visa: Handles paperwork and petitions on your behalf.
- Job Placement: Matches you with hospitals or clinics based on your skills.
- Licensing Guidance: Helps you complete necessary steps like credentialing.
- Relocation Support: Includes flight, housing, and orientation assistance.
- Ongoing Support: Offers help after arrival, ensuring smooth transition.
Choose agencies approved by the American Association of International Healthcare Recruitment (AAIHR) for maximum security.
Credential Evaluation and Licensing Process
Before applying for the NCLEX or a visa, you must validate your academic and professional credentials:
- Choose an Evaluating Service: CGFNS (Commission on Graduates of Foreign Nursing Schools) is the gold standard.
- Submit Transcripts: From nursing school, including course outlines.
- Provide License Verification: From your country’s licensing authority.
- Meet State Requirements: Each U.S. state may have specific additional steps.
- Get a CES Report: A Credential Evaluation Service report is mandatory for most U.S. states.
Common Problems that Foreign-Educated Nurses Face
- Long Processing Times for visa and licensing.
- Credential Mismatches with U.S. educational standards.
- Cultural Adjustment including communication and workplace norms.
- Financial Costs for exams, travel, and relocation.
- Scams and Fraudulent Recruiters posing as legitimate agents.
How to Avoid Recruitment Scams
- Never Pay Upfront: Legitimate recruiters are paid by the employer, not you.
- Check Agency Credentials: Ensure they are licensed and AAIHR members.
- Watch for Red Flags: Poor English, vague details, no website, or Gmail addresses.
- Demand a Contract: Always get a signed offer letter before paying fees.
- Consult Forums: Read reviews on trusted platforms like VisaJourney and AllNurses.
Timeline from Application to Arrival in the U.S.A
- Credential Evaluation – 3 to 6 months
- NCLEX-RN Preparation & Exam – 2 to 4 months
- Visa Sponsorship & Filing (EB-3) – 6 to 12 months
- Embassy Interview & Visa Approval – 1 to 3 months
- Relocation to the U.S. – Within 30–60 days after visa issuance
Total Timeframe: 12 to 24 months, depending on your preparedness and agency.
United States with High Demand for Foreign Nurses
- California – Especially in LA and San Francisco
- Texas – Houston, Dallas, and rural areas
- New York – Especially NYC and upstate regions
- Florida – High demand in Miami and Tampa
- Illinois – Chicago and surrounding suburbs
Fast Track Programs for International Nursing Graduates
- Bridge Programs at U.S. colleges (BSN/MSN conversion)
- State-specific Licensure Waivers during healthcare shortages
- Priority Visa Processing under EB-3 during critical shortage designation
- Partnership Programs between U.S. hospitals and international nursing schools
Opportunities for Further Education in the United States Healthcare Sector
- Advanced Practice Nursing (NP, CRNA, CNS)
- Healthcare Management Degrees (MPH, MHA)
- Nursing Education and Research
- Online Certification Courses (Critical care, gerontology, etc.)
- Tuition Reimbursement Programs from U.S. employers
FAQ Section
Q: What is the process for foreign nurses to work in the U.S?
A: The process includes credential evaluation, passing the NCLEX-RN, securing a job offer with visa sponsorship, and obtaining the appropriate U.S. visa (typically EB-3).
Q: Which visas are available for international nurses in the U.S.A?
A: The most common visa is the EB-3 immigrant visa. Others include TN (for Canadians/Mexicans) and H-1B (in special cases).Q: Are there limits on age or work experience when hiring nurses in the United States?
A: No formal age limit exists. However, nurses should have at least 2–3 years of recent work experience and meet all other qualifications.