Direct hire in the US is a good option to go through if you want to work in just one particular state. Agencies can not always guarantee that you will work in the state of choice.
You will find that hospitals will more than likely petition you if you have already passed the NCLEX. I would suggest either going direct to the BON of the state you want to work and follow requirements for foreign trained nurses which may involve CGFNS or they may do their own evaluation of your transcripts.CA or states which will not issue your license without SSN ideally should be avoided (not too many of them I believe) Each state has their own requirements regarding hours in general, mental health, paeds and midwifery. CES with CGFNS will do a break down on your transcript but will not tell you if you meet requirements (that is up to state BON). Training in the UK currently does not always meet training requirements but if still at university you may be able to come to some arrangements with them to meet hours both theory and practical to aid in working abroad.
Once you have passed NCLEX that is the time to approach the hospitals HR departments and ask about petition to the US I would not use sponsorship when making enquires but petition. You individually can not apply for green card but you can use your own lawyer but the hospital has to provide the documents although during the process you will need to fill in paperwork covering yourself and any other family members. Some hospitals may offer to pay for other family members but will have some impact on your contract and terms you have to fill, ie if the hospitals pays for yourself but you pay for the rest of family you may just have to sign a contract for 2 years with x amount $$ to pay if you do not complete contract compared to hospital pays for all and you sign a contract for 3 years plus x amount $$ to pay if you do not complete contract.
Suzanne has written this regarding on how to work in the US http://allnurses.com/forums/f75/prim...us-160143.html
Be aware that the process is not a quick process and can take several months and this is the time to learn patience and be prepared for the minefield of paperwork.
Hope this helps those who want to go direct hire and please add any more comments which may be of use.
Dec 3, '06
Quote from UK-RN2409
Hello Anna. I am very interested to go to the US. I have recently passed my NCLEX and i am trying to find a hospital who can sponsor me. I want to go to California. Do you know of any hospitals that sponsor? will it be best to go through an agency?
I believe California is hard to find a hospital willing to petition you, I don't know of any hospitals but would suggest approaching HR in hospitals close to the area you want to live and see if they will petition you.
Congratulations on passing NCLEX and welcome to the site
Last edit by Silverdragon102 on Dec 3, '06
: Reason: add
May 25, '07
I started off intending to "cold call" all the hospitals in the area of Florida I wanted to live in but unbelievably I hit the jackpot with the very first one I telephoned!!
My main advice is pick a "biggie" in the area you want to live in. By that I mean one with LOADS of beds & tons of jobs that you could do if you already had the paperwork in place. Where I called I literally could have applied for 10 jobs on the first 2 pages of their recruitment site, I didn't even bother to look further on that that. My forte was that they didn't necessarily have to hold a specific job open for me because by the time my paperwork comes through they can still be pretty confident that there would be several jobs I'd be qualified for! As it happened though I did get an offer from a specific ward in the end but they know if that falls through I can still go elsewhere in the place.
Of course you must already have N-CLEX passed, a current US license & ideally your VisaScreen as that all helps.
SD & co are quite correct in saying that the hospital has to sponsor you in order for you to apply for a green card. I also had lots of local hospitals saying they would love to employ me but couldn't petition. That's why I say go for a big one. The one that's sponsoring me is the only level 1 trauma centre in the area & has over 1000 beds. That's the sort of size I think you need to look for.
Feel free to PM me if you like but I have to add that retrogression has really put them off foreign recruitment at the moment & it was only because I have years of varied experience that made them look at me at all. Hopefully the Senate will put an end to our misery soon!
Last edit by RGN1 on May 26, '07