How Canadian Nurses Can Work in the USA: A Step-by-Step Guide

If you’re a Canadian-licensed Registered Nurse (RN) looking to work in the United States, the TN visa offers a streamlined path under the USMCA (formerly NAFTA). However, the process involves key steps, from obtaining the right credentials to securing employment. Here’s what you need to do:

Step 1: Ensure You Meet the TN Visa Requirements

The TN visa is available to Canadian RNs who:

• Hold a valid nursing license in Canada.

• Have a job offer from a U.S. employer.

• Meet U.S. state board requirements for RN practice.

Step 2: Obtain a VisaScreen Certificate

Before applying for a TN visa, you must obtain a VisaScreen certificate. This certification, issued by the Commission on Graduates of Foreign Nursing Schools (CGFNS), verifies that you meet the education, licensure, and English proficiency standards required to work as a nurse in the U.S.

Step 3: Apply for State Board Endorsement

To practice in a specific U.S. state, you must apply for licensure by endorsement with that state's nursing board. Requirements vary but generally include:

• Verification of your Canadian nursing license.

• Passing the NCLEX-RN exam (if you haven’t already done so).

• Submitting transcripts and background checks.

Step 4: Secure a Job Offer

A TN visa requires an official job offer from a U.S. healthcare employer. Hospitals and staffing agencies actively recruit Canadian RNs due to high demand. When accepting an offer, ensure your employer provides the necessary TN visa support documentation.

Step 5: Apply for a TN Visa at the Border

Unlike other visa categories, you don’t need pre-approval from U.S. Citizenship and Immigration Services (USCIS). Instead, you can apply directly at a U.S. port of entry or pre-clearance airport. You’ll need:

• A valid Canadian passport.

• Your VisaScreen certificate.

• A formal job offer letter specifying your role as an RN.

• Proof of licensure and state board eligibility.

Once approved, the TN visa is valid for up to three years and can be renewed indefinitely.

How Scanscope Supports Canadian RNs

Navigating the TN visa process can be complex, but Scanscope simplifies it. We assist Canadian nurses with job placements at top U.S. hospitals, guide them through licensing and VisaScreen requirements, and ensure a seamless transition into the American healthcare system.

If you’re a Canadian nurse ready to take your career to the U.S., contact Scanscope today to start your journey!