Healthcare in the United States is booming โ but the industry is also enduring a critical workforce shortage. According to recent labor data, the U.S. is projected to have more than 200,000 unfilled nursing assistant positions annually through the next decade due to an aging population and high turnover rates among domestic workers. This persistent demand is creating unprecedented opportunities for foreign workers interested in nursing assistant jobs in the USA with visa sponsorship.
If youโre a caregiver, healthcare aide, or nursing support professional looking for a path to work legally in the U.S., this guide will walk you through everything you need to know โ from visa types and job prospects to expected salaries, top employers, and application strategies.
What Is a Nursing Assistant?
A nursing assistant โ sometimes called a Certified Nursing Assistant (CNA), nurse aide, or healthcare assistant โ plays a vital role in patient care. These professionals work under the supervision of nurses and are essential in:
- Assisting with patientsโ daily living activities such as feeding, bathing, mobility, and grooming
- Monitoring and recording vital signs such as temperature, blood pressure, and pulse
- Maintaining safe and comfortable patient environments
- Providing emotional support and companionship to patients
- Reporting any changes in health status to nurses or doctors
This hands-on work makes nursing assistants among the most important caregivers in hospitals, nursing homes, rehabilitation centers, assisted-living facilities, and home health agencies.
Why There Are 200k+ Nursing Assistant Job Openings
1. Aging Population
The U.S. population is rapidly aging โ and with age comes increased demand for quality healthcare. Nursing homes, long-term care facilities, and in-home care services urgently need qualified aides to support daily living and patient monitoring.
2. Workforce Shortages
Domestic students are opting for higher-paying professions, leaving nursing assistance understaffed. U.S. job data estimates over 200,000 unfilled CNA roles annually through 2033, fueling international recruitment efforts.
3. Burnout and Turnover
Working in healthcare โ especially caregiving โ can be physically and emotionally demanding. Many nursing assistants leave the field, prompting employers to search globally for committed talent.
For many healthcare organizations, international recruitment with visa sponsorship is now critical to keeping facilities staffed โ and patients cared for.
Visa Options for Foreign Nursing Assistants
If youโre seeking to work as a nursing assistant in the USA, youโll need a visa that allows employment. Here are the most common work visas used by employers in this field:
1. EB-3 Green Card (Employment-Based Visa)
The EB-3 visa is one of the most popular pathways for foreign nursing assistants. It allows qualified workers to gain permanent residency (a Green Card) through employment sponsorship. Because CNAs are considered skilled or semi-skilled workers, this category fits many nursing assistant roles.
Benefits:
- Pathway to permanent residency
- Same employment protections as U.S. workers
- Can lead to higher-level nursing or healthcare careers
Considerations:
- Process involves labor certification, job offers, and sometimes long wait times
2. H-2B Temporary Work Visa
Some nursing assistant roles โ especially seasonal or temporary positions โ may be filled under the H-2B visa program. While less common than EB-3 for long-term healthcare support, H-2B remains an option for facilities needing short-term staffing assistance.
Benefits:
- Faster processing than permanent visas
- Good option for temporary or seasonal caregivers
Limitations:
- Not a direct pathway to permanent residency
3. Affiliate Programs or J-1 Exchange Visas
In rare cases, exchange visas like the J-1 can also be used for caregiving roles as part of training or professional exchange programs โ mainly for educational and cultural purposes.
Expected Salary & Benefits
The compensation for nursing assistants in the USA varies by location, experience, and employer type.
Average Salary Ranges (2025โ2026)
- Salaries typically range from $28,000 to over $50,000 annually depending on experience and job duties.
- Entry-level nursing assistants often start around $28,000 โ $34,000 per year.
- Experienced or specialized nursing assistants (e.g., rehabilitation, memory care) can earn $45,000 โ $55,000+ annually.
Additional Benefits Often Offered
Many U.S. employers who sponsor foreign healthcare workers include:
- Health, dental, and vision insurance
- Paid training and certification support
- Paid time off (PTO) and holidays
- Retirement benefits (401[k] plans)
- Relocation assistance
- Potential housing stipends or accommodations
High-Demand States for Nursing Assistants With Visa Sponsorship
Some U.S. states are particularly active in hiring foreign nursing assistants due to high demand and population trends:
California
A large healthcare system with robust demand. Salaries and sponsor options are often above the national average.
Texas
Rapid population growth and expanding healthcare facilities create opportunities for CNAs with visa support.
Florida
The stateโs significant elderly population fuels high demand for caregiving roles in nursing homes and assisted living facilities.
New York
Urban hospitals and long-term care facilities consistently seek qualified nursing assistants.
Midwest and Southern States
Rural hospitals and community health centers in states like North Carolina, Illinois, and Ohio also offer competitive opportunities โ often with relocation packages.
How to Secure a Nursing Assistant Job With Visa Sponsorship
1. Meet the Basic Requirements
Almost all U.S. employers require:
- CNA certification (or equivalent)
- High school diploma or equivalent
- English proficiency (often assessed via tests)
- Clean background and health checks
2. Build a Strong Resume and Application
Highlight caregiving experience, any additional certifications, and soft skills such as compassion and communication.
3. Target Trusted Employers
Look for healthcare systems and staffing agencies with established international recruitment pipelines. Examples include major nursing home networks and hospital systems.
4. Prepare for the Visa Process
Once you receive a job offer, your employer will handle much of the visa petition and labor certification process โ but you must gather required documents and prepare for interviews or embassy appointments.
Nursing Assistant as a Career Gateway
Starting as a nursing assistant can also be a stepping stone to higher healthcare careers. Many CNAs go on to pursue roles such as:
- Licensed Practical Nurse (LPN)
- Registered Nurse (RN)
- Healthcare administration or specialty care areas
Foreign workers can build their careers incrementally, receiving training and certifications supported by employers.
Final Thoughts: A Growing Opportunity
With over 200,000 projected nursing assistant vacancies each year and a steady influx of visa-sponsored roles, the U.S. presents significant opportunities for foreign workers who are compassionate, dedicated, and willing to meet certification and immigration requirements.
While the visa process can be complex, the demand for nursing assistants remains strong โ making this one of the most accessible healthcare job paths for foreigners interested in living and working in the United States legally.