Living and working overseas


Nursing Jobs in the USA.


Registered nurses looking for employment in the United States of America, either from a short-term or long-term perspective, and meeting the minimum requirements, can look forward to a vast array of possibilities and opportunities within the health sector there.

The U.S has long been a favoured destination for those wishing to immigrate to a new land, and nursing offers a great opportunity to settle in the U.S. permanently or even to use contract-nursing jobs to fund an extensive travelling holiday in America.

The skills brought by qualified, experienced nurses from all over the world are in high demand right across the U.S. right now, and there are many avenues that you can pursue to finding employment there from applying directly with hospitals and medical facilities, to utilizing the skills of a private agency.




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If you're from overseas and are looking for ways to approach hospitals and other organisations with a view to job possibilities, you may wish to read our 'Finding Jobs Overseas' article for ideas and strategies. Which ever way you decide to approach the task of finding nursing jobs in the U.S. however make sure that you are familiar with all the immigration and professional requirements expected of you, and that you meet those requirements before applying. For a general overview of the immigration requirements for entering the U.S., click here.

The process to apply and to work as a registered nurse in America has three distinct parts – your immigration papers, your nursing papers, and the fees involved to have them all processed. The whole process is reasonably straightforward (depending to some degree on the country you are applying from), but can be quite a lengthy process (allow anything up to 18 months) – so take your time to make sure all your paperwork and supporting documents are correct and complete, and allow sufficient time for your applications to be processed before planning a journey to the U.S.

As with most countries in the world, the U.S has a regulatory body that oversees and regulates the nursing industry in the U.S. Each state within the U.S has its own regulatory body or Board of Nursing that has legal authority over nursing regulations in that state. It is with the board in the state you wish to work that you need to obtain a license to practice as a registered nurse. Having some idea about where you wish to work and live will make that particular issue much easier.

To be considered for a licence to practice as a registered nurse in the U.S. you need to hold an appropriate nursing degree or diploma from a registered nursing school in addition to at least two years of appropriate documented work experience. Even though some countries allow registered nurses to work with suitable evidence of education and experience, the U.S. requires all nurses to undergo an evaluation examination before they can be licensed to work as a nurse. The Commission on Graduates of Foreign Nursing Schools (CGFNS) conducts this examination, and you must pass this certification to work as a nurse in the U.S. The examination itself is the culmination of the actual CGFNS certification program, and this program is intended for nurses who have been educated in countries outside the USA.

For current and complete information about the CGFNS certification program and application forms that you can download, visit the CGFNS website, here.

The CGFNS certification program consists of three main parts – A review of your credentials (education, registration and license), a one day qualifying exam, and a test of your English language ability (where required). Here's an overview of what to expect:

Review of your nursing credentials:

All documents supporting your nursing education and licencing documents must be sent directly to the CGFNS by your issuing authority or school. All the documents must be sent in English, with an accompanying letter from your licencing board that states you have a full and unrestricted licence to work as a registered nurse in your country. If your documents are not in English, then the responsibility is yours to ensure that your school and licencing authority can obtain translated documents that they will then send to the CGFNS. You are responsible for any fees that this may incur. The CGFNS authority will then determine the legality of your qualifications and your suitability to take the one-day exam.

The one-day exam:

The CGFNS one-day examination is held four times a year (dates can be obtained from the CGFNS website) in over 40 different countries. When you apply for the CGFNS certification program, and pay the appropriate fee, you will be issued a study guide for the examination. This guide will prepare you for the course, the content, and the format of the questions that you should be prepared to encounter. The guide consists of 4 practice examinations with about 1000 questions and answers. If you need to undertake further study to enhance your prospects for the exam, there are additional study resources that you can purchase here.

The actual exam itself consists of two parts: the first of 150 questions to be completed in 150 minutes, and the other of 110 questions that must be completed in 110 minutes. All questions are multiple-choice (which means you are given a number of answers from which you must choose the correct one). The questions are designed to test your knowledge about general nursing practices in the U.S.A and are not limited to any one area of expertise so you should expect to be tested across all nursing concepts. You will be notified of your test results within two months of completing the examination.




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