Job Seeker Resources December 26, 2025

Pathway to a US Green Card for Canadian Nurses

For many Canadian nurses, working in the United States is a significant career step offering diverse professional experiences and personal growth. While the TN visa, formerly known as NAFTA visa, provides a straightforward way to start working south of the border, many nurses dream of something more permanent: a U.S. Green Card. The U.S. Green Card grants lawful permanent residency, opening the door to long-term stability and a future for you and your family in the U.S.

The journey to securing a Green Card is complex, filled with visa categories, paperwork, and timelines. However, with the right guidance and an experienced partner, the path is smoother. This guide will take you through the entire process, from understanding your eligibility to navigating the final steps. We will explore the employment-based Green Card options, explain the differences between temporary visas and permanent residency, and show you how AMN Healthcare International can support your American dream.

Can Canadian Nurses Get a Green Card? 

Absolutely. Canadian nurses are highly sought after in the U.S. healthcare system, and there are established immigration pathways designed for skilled professionals from Canada. The most common route is through an employer-sponsored Green Card. Many U.S. hospitals and healthcare facilities are willing to sponsor international nurses for permanent residency to fill critical staffing needs.

The U.S. government recognizes the value of healthcare professionals and has designated specific visa categories for them. For most registered nurses, the employment-based, third preference (EB-3) visa is the primary pathway. This category is for skilled workers, professionals, and other workers. As a registered nurse, you are considered a professional, making you an ideal candidate for an employer-sponsored Green Card.

Overview of the EB-3 Visa for Canadian Nurses 

The EB-3 visa is the cornerstone of the Green Card process for many international nurses. It is an immigrant visa, meaning it leads directly to permanent residency upon approval. Unlike temporary work visas, the EB-3 visa is intended for individuals who plan to live and work in the United States indefinitely. 

To qualify for an EB-3 visa, you must have a full-time, permanent job offer from a U.S. employer. This employer will act as your sponsor and file the necessary petitions on your behalf. The process involves multiple steps with U.S. Citizenship and Immigration Services (USCIS) and the Department of Labor.

The key components of the EB-3 process include:

  1. PERM Labor Certification: Your employer must prove to the Department of Labor that there are no qualified U.S. workers available for your position.
  2. I-140 Immigrant Petition: Once the labor certification is approved, your employer files this petition with USCIS to classify you as an immigrant worker.
  3. Visa Availability: You must wait for your "priority date" (the date the PERM was filed) to become current on the State Department's Visa Bulletin.
  4. Adjustment of Status or Consular Processing: The final step is applying for the Green Card itself, either from within the U.S. or from Canada.


This employment-based Green Card process is a structured way for a Canadian citizen to achieve permanent residency through their profession.

Step-by-Step Guide: How Canadian Nurses Can Get a U.S. Green Card 

Employer sponsorship can help navigate the path to a Green Card. Let's break it down into manageable steps.

Step 1: Partner with a Recruitment Agency and Secure a Job Offer

The first step is to find a U.S. employer willing to sponsor you. This is where AMN International excels. We connect you with hospitals that sponsor Green Cards for nurses. Once you accept a full-time, permanent job offer, your employer can begin the sponsorship process.

Step 2: The PERM Labor Certification Process

Your employer, often with the help of an immigration attorney, will file a PERM Labor Certification with the U.S. Department of Labor. This step involves advertising the job to ensure no minimally qualified U.S. workers are available. For nurses, this process is often streamlined because of the recognized nationwide shortage. This application sets your priority date, which determines your place in the Green Card queue.

Step 3: Filing the I-140, Immigrant Petition for Alien Worker

After the PERM is certified, your employer files Form I-140 with USCIS. This petition officially requests for you to be classified as an immigrant worker eligible for an EB-3 visa.  

Step 4: Visa Bulletin and Priority Date

You must wait for your priority date to become current. The Department of State publishes a monthly Visa Bulletin showing which priority dates are being processed. While there can be backlogs, the wait times for Canadian-born applicants are often more favorable than for those from other countries.

Step 5: Adjustment of Status (Form I-485) or Consular Processing

This is the final stage. Your choice here depends on your location. 

Adjustment of Status: If you are already legally in the U.S. (for example, on a TN visa), you can file Form I-485 to adjust your status to a lawful permanent resident. You can often file this concurrently with the I-140 if your priority date is current. 

Consular Processing: If you are in Canada, your case will be sent to a U.S. consulate. You will attend an interview, and upon approval, you will receive an immigrant visa to enter the U.S. and receive your Green Card.

The transition from an EB-3 visa to a Green Card is the final outcome of this structured process, granting you the right to live and work permanently in the United States.

TN Visa vs. Green Card: What’s the Difference? 

Many Canadian nurses start their U.S. careers on a TN visa. It's important to understand the fundamental differences between this temporary visa and a permanent Green Card.

The TN visa is a temporary status and is explicitly tied to a specific employer and job, meaning switching jobs requires a new application. On the other hand, the Green Card offers permanent status, granting the freedom to change employers without needing to reapply after a defined period. Additionally, the TN visa does not provide a direct pathway to U.S. citizenship, whereas the Green Card serves as a direct route, allowing its holder to become a U.S. citizen after three to five years.

Family benefits also differ significantly between the two. Under the TN visa, a spouse and children receive TD (“trade dependent”) status, which does not permit them to work. Conversely, with a Green Card, the holder’s spouse and unmarried children under 21 are also granted Green Cards, allowing them to work in the United States.  

While a TN visa is an excellent tool for starting your work in the U.S. quickly, an employer-sponsored Green Card offers long-term stability and freedom.  To learn more about the TN visa, read “The TN Visa for Canadian Nurses.”

How Long Does It Take to Get a Green Card for Canadian Nurses? 

The timeline for getting a Green Card varies. Key factors include processing times at USCIS, backlogs in the Visa Bulletin, and how quickly your employer initiates the process. 

Here is a general estimate of the timeline: 

  • PERM Labor Certification: 6-12 months.
  • I-140 Petition: 2-6 months (or 15-45 days with Premium Processing).
  • Waiting for Priority Date: This is the most variable part. For Canadian citizens, the wait is often shorter than for applicants from countries with high demand. It can range from being current to a few years.
  • Adjustment of Status/Consular Processing: 6-12 months. 

On average, the entire process for a Canadian nurse can take anywhere from 1.5 to 3 years. AMN International and our legal partners will keep you informed at every stage, providing clarity on your specific timeline.

Family Benefits and Long-Term Opportunities 

One of the most significant advantages of a Green Card is the benefits it extends to your immediate family. When you are approved for an EB-3 visa, your spouse and any unmarried children under the age of 21 are also eligible to receive Green Cards as your dependents. 

This means your spouse can obtain work authorization and pursue their own career in the U.S. Your children can attend school and have access to the same opportunities as other U.S. residents. The Green Card provides a stable foundation for your entire family to build a life in a new country. 

Beyond family benefits, there are countless long-term opportunities with permanent residency. You are no longer tied to a single employer, giving you career flexibility. After five years as a Green Card holder (or three if married to a U.S. citizen), you become eligible to apply for U.S. citizenship, completing your journey from a Canadian nurse to a dual citizen.

Common Challenges for Canadian Nurses and How to Overcome Them 

While the path is well-established, Canadian nurses can face certain challenges. Being aware of them is the first step to overcoming them. 

  • Complex Paperwork: The application process involves numerous forms and requires extensive documentation. 
    • Solution: AMN International provides expert guidance. Our team, along with experienced immigration lawyers, handles the paperwork, ensuring everything is filed correctly and on time. 
  • Long Wait Times: The processing delays and visa backlogs can be frustrating. 
    • Solution: Starting on a TN visa allows you to work in the U.S. while the Green Card process unfolds. This makes the wait productive and less stressful. 
  • Financial Costs: There are significant filing fees and legal costs associated with the process. 
    • Solution: AMN International works with sponsoring hospitals that often cover most, if not all, of these costs. We believe financial barriers shouldn’t burden your dream.

How O’Grady Peyton Helps Canadian Nurses 

For over 40 years, we have been the leading international nurse recruitment agency, helping thousands of nurses achieve their American dream. We understand the journey to a Green Card for Canadian nurses better than anyone. 

Our support includes:

  • Job Placement: We have the largest selection of highest-paying international jobs and connect you with hospitals that sponsor Green Cards for nurses.
  • Immigration Support: We guide you and your sponsoring employer through every step of the EB-3 visa and Green Card process.
  • Licensure and Credentialing: We assist you with the RN licensure and visa screening requirements needed for immigration.
  • Relocation Assistance: You'll get a free flight to the U.S. and help with housing arrangements to ensure your transition is as smooth as possible.
  • Ongoing Support: Our commitment doesn't end when you arrive. We provide continuous support to help you and your family settle into your new community and thrive in your career.

The pathway to a U.S. Green Card for Canadian nurses is a journey of ambition, dedication, and partnership. If you are a Canadian nurse ready to take the next step in your career and life, AMN International is here to help. We have the experience, the connections, and the commitment to guide you every step of the way. 

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