TN Visa for Canadian Nurses
Thinking about taking your nursing career across the border? Many Canadian nurses build rewarding careers in the United States with strong pay, diverse practice settings, and opportunities for growth. This guide walks you through each step—from verifying credentials to securing your visa and U.S. license—so you can move forward with clarity and confidence.
Key takeaways:
- Understand credential verification, visa options, and state licensure
- Learn how AMN Healthcare International supports every step, from exams to relocation
- Spot common challenges early and use proven solutions to stay on track
Steps for Canadian Nurses to Work in the U.S.
Step 1: Verify Your Credentials
Before you can practice, state boards and employers must confirm your education and professional background.
Education evaluation: Many state boards require an independent review of your nursing education (for example, a course-by-course evaluation). Start this early to prevent delays.English proficiency: Most Canadian nurses educated in English meet language requirements. Check your target state’s board of nursing to confirm.
Work history and good standing: Maintain up-to-date verification of your current license, employment history, and any specialty certifications.
AMN International has decades of experience guiding international clinicians through these checkpoints, and can help you gather and submit the correct documents the first time.
Step 2: Understand Visa Requirements
Canadian nurses typically enter the U.S. to work under employment-based visa pathways. While individual situations vary, you’ll generally see:
TN status (under USMCA) is the most common option for Canadian health care workers. The requirements vary by role and employer. Ensure your job offer and documents meet the criteria and confirm whether your target facility and state align with TN requirements.
Employment-based immigrant visa (Green Card): Many nurses pursue permanent residency to work and live in the U.S. long term, often with family. AMN Healthcare International helps you navigate the full immigration process, including VisaScreen and green card steps.
Immigration steps can feel complex. Our team offers end-to-end support, from completing forms to coordinating timelines with your state board and facility.
Dive Deeper: Learn how we support you and your family with immigration.
Step 3: Secure U.S. Licensure
Each state sets licensing rules. Most states require:
NCLEX-RN: If you haven’t taken the NCLEX, schedule it as soon as your eligibility is approved. Canadian nurses who already passed the NCLEX can usually transfer their license to another state, but it’s important to check with the state's nursing board first. Some states have a more streamlined process for Canadian nurses since the NCLEX is also used in Canada.
State-specific requirements: Some states may require a criminal background check, fingerprinting, or additional documents. Review the board’s checklist and plan a realistic timeline.
VisaScreen: Many employers and states require VisaScreen certification to verify your education and licenses meet U.S. standards.
We can help you prepare for required exams and state processes, including licensure applications and VisaScreen.
Step 4: Choose the Right Opportunity
Once your licensing and visa path is underway, apply for roles matching your skills and career goals. Here's what to consider when exploring your options:
Facility types: Major academic medical centers, community hospitals, outpatient centers, and specialty units across all 50 states.
Compensation and benefits: Competitive pay, day-one medical insurance, retirement plans, and paid continuing education help you grow with confidence.
Assignment length and stability: AMN Healthcare International offers three-year contracts to provide financial stability,time to settle with your family, and opportunities thereafter
Step 5: Plan Your Move and Transition
Relocation is more than paperwork. It’s housing, family logistics, and culture. We help Canadian nurses map out details, such as:
Relocation and travel arrangements to start your new job
Temporary housing guidance and local resources
Clinical orientation and transition
Cultural orientation and continuing education to support your transition
Benefits from day one, so you can focus on your patients and your life
Common Challenges and Solutions for Canadian Nurses
Timing and sequencing: Visa, licensure, and job start dates must align. Solution: Build a timeline with your recruiter and track milestones weekly.