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Last updated on
December 09, 2008
 

 

Immigration Process

Once the international nurse been issued the state nursing license and is in the process of obtaining the VisaScreen™ certificate we will start the process to match her or her with potential employers in the US.

We will forward all relevant data and information about you to your hospital so your HR department can review his or her credentials.

If both sides are interested, the international nurse will either visit your hospital so he or she can get a better idea where they might work and live (in the case of most European nurses) or we will arrange for your HR representatives to visit the home country of the nurses (Philippines).

Before we explain the process to obtain an immigrant visa as an international nurse we want to provide you with a quick update regarding the current immigration situation.

       

  

        

 

At the present time, the immigrant visa situation for international nurses is somewhat unclear.  As of July/August 2008, the immigrant visas (for international nurses as for all other professions in category Employment Based 3) are not available.  At this point, we do not know when immigrant visas specifically for nurses will become available again.  We realize this situation is frustrating.  However, our immigration attorneys monitor the situation and we will keep you updated.  We are working with a very experienced immigration law firm that specializes in immigration law for medial professions.

However, there is also some good news.  Certain health care facilities are exempt from quotas for hiring international nurses under H-1B work visas if certain conditions are met.  Please contact us if you require more information about H-1B visas.

Since immigration procedures will change over time, the information on this website is only intended as a guide to the overall procedures.  The actual process of obtaining the immigrant visa should be handled and supervised by an attorney who specializes in immigration law. 

If your hospital does not currently work with an immigration attorney please feel free to contact Larry Needle.  Larry is a very experienced attorney who specializes in immigration law for medical professions.  He can be reached in Columbia, SC at (803) 376-1203 and in Charleston, SC at (843) 579-9009.

Now let's go on to the process for immigrant visas.  If your hospital agrees to offer employment you can apply with US Citizenship and Immigration Services (USCIS) for the I-140, the first step to obtaining an immigrant visa for the international nurse and her family.

Immigrant Visas
 
Issuance of Employment-Based immigrant visas for professional nurses involves the following three steps.  First, your hospital must file forms ETA 9089 together with Form I-140 at the USCIS Service Center in Lincoln, Nebraska.  Once the Form I-140 is approved the Immigration Service will forward the petition to the National Visa Center (NVC).  How long this will take will depend on if immigrant visas in category EB3 are 'current' or if there is a backlog.  Once the NVC has processed the application the international nurse becomes eligible to apply for an immigrant visa at the US consulate in his or her home country.

More information can be found in the Employer Information Bulletin 19: Guide to Hiring Foreign Nurses (www.uscis.gov/files/article/EIB19.pdf) and by calling the employer hotline at (800) 357-2099.

Most recent updates

Following is a link to the latest visa bulletin from the US Department of State for August 2008:

http://travel.state.gov/visa/frvi/bulletin/bulletin_4310.html

As of July/August 2008, employment based immigrant visas in the employment category applicable to international nurses are unavailable.

Schedule A Labor Certification

Schedule A is a list of occupations, set forth at 20 CFR 656.15, for which the Department has determined there are not sufficient U.S. workers who are able, willing, qualified and available.  In addition, Schedule A establishes that the employment of aliens in such occupations will not adversely affect the wages and working conditions of U.S. workers similarly employed.

The occupations listed under Schedule A include Professional Nurses who have passed the National Council Licensure Examination for Registered Nurses (NCLEX—RN) exam, or hold a full and unrestricted (permanent) license to practice nursing in the state of intended employment.  The prospective employer needs to apply for a labor certification for a Schedule A occupation by filing ETA Form 9089, in duplicate directly with the USCIS Center in Lincoln, Nebraska - not with the Department of Labor.

Form I-140

Classification for a nurse will typically be in the third Employment-Based category (EB-3), either skilled worker or professional.  A registered nurse would have to work in a position that requires a bachelor’s degree in order for the registered nurse to qualify for EB-3 classification as a professional. Supporting documentation must be submitted with the immigrant petition on form I-140 and filed with the USCIS Center in Lincoln, Nebraska.  The filing fee is US$195.

Starting on August 28, 2006, the U.S. Citizenship and Immigration Service offers Premium Processing Service for Form I-140, Immigrant Petition for Alien Worker for Skilled workers and Professionals.  Nurses under Schedule A fall under these categories (www.uscis.gov/files/pressrelease/PremProc081806NR.pdf).

Premium Processing Service provides faster processing of certain employment-based petitions and applications. Specifically, USCIS provides 15 calendar days processing for an additional fee of US$1,000.  Form I-907 needs to filled out and filed with form I-140.

With Premium Processing Service, the entire process to get form I-140 approved should not take more than 3 weeks total.  However, please keep in mind that I-140 petitions will only be approved if immigrant visas in employment category EB3 are 'current' or if your application was filed before the current priority date.

We recommend that you check the Department of State Visa Bulletin frequently.

We recommend that international nurses who are interested to work in the United States obtain the state nursing license as well as the VisaScreen™ certificate regardless if immigrant visas are currently available or not.  This way, when more immigrant visas become available they are ready and a potential employer will know they are serious about coming to the United States.

National Visa Center

Once the US Citizenship and Immigration Services (USCIS) have approved the immigrant petition (form I-140), the nurse will receive a Notice of Approval (I-797).  USCIS will then send the petition to the National Visa Center (NVC).

Instructions and forms ETA 9089, I-140 and I-907 can be found here:

http://workforcesecurity.doleta.gov/foreign/pdf/9089form.pdf

http://www.uscis.gov/graphics/formsfee/forms/files/I-140.pdf

http://www.uscis.gov/graphics/formsfee/forms/files/I-907.pdf

Immigrant Visa Processing

After NVC receives the petition, they will create a case record and assign a case number. 

As the next step the NVC will send the international nurse an Agent of Choice and Address letter containing the form DS-3032 (http://foia.state.gov/FORMS/visa/ds3032.pdf). He or she must complete the form DS-3032 and follow the instructions to continue with the visa application process.

Once the NVC has received the completed form DS-3032 the international nurse will receive an instruction package (http://travel.state.gov/pdf/not_applying_in.pdf) on how to proceed. 

Form DS-230 Part I (http://foia.state.gov/FORMS/visa/ds0230.pdf) has to be filled out and send back to the NVC together with a copy of the applicant’s passport biographic data page. 

Once the NVC has received these documents it will complete the necessary administrative processing of the immigrant visa application.  Once this process is finished, the international nurse is then eligible to apply for an immigrant visa through consular processing.  This process should take around 3 weeks.

The applicant also needs to obtain certain documents required for the application for the immigrant visas.  These documents are listed in the package and need to be brought to the US Consulate at the time of the immigration interview. 

Medical Examinations

Before the issuance of an immigrant visa, every applicant, regardless of age, must undergo a medical examination.  A doctor who is designated by the consular officer will conduct the examination.  Examination costs must be borne by the applicant, in addition to the visa fees.

Visa Fees

The cost of each immigrant visa application-processing fee (per person) is US$335 plus a US$45 Security Surcharge for a total of US$380.  Fees must be paid for each intending immigrant, regardless of age, and are not refundable.  Local currency equivalents are acceptable.  Fees should not be sent to the consular office unless requested specifically.  The BCIS charges additional fees for filing petitions.

Depending on the wait times at the US Consulates in your home countries this process will take around 2 to 3 months in most Western European countries according to the information we received from various US Consulates in Western Europe.

Bringing Spouses and Children

 

International nurses may bring their spouses and unmarried children under the age of 21 to the US with them.  This is known as derivative status.  No additional petitions need to be filed, the family members just need to be mentioned on the I-140 petition being filed on behalf of the qualifying international nurse.  European Medical Staffing may also be able to help qualified spouses of international nurses to find employment in the US.

  

Legal disclaimer: None of the information provided by European Medical Staffing is intended to be or used as legal advice.

 

   

 

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