How It Works

Start your US nursing career with the PassportUSA program.

Learn How We Support Nurses on Their Journey to the US

How It Works
The PassportUSA Program

The PassportUSA Program

Embrace your dream of working as a nurse in the US with PassportUSA, the dedicated program from Health Carousel International (HCI). We provide a clear, transparent path to career growth, connecting nurses with rewarding opportunities, competitive benefits, and the support needed to succeed—while making a lasting impact on patient care across the country.

Program requirements

Must be a nurse

Must have bedside experience

Must be proficient in English

Additional requirements may apply

Already authorized to work in the US? Jump straight to job matching opportunities here.

The PassportUSA Program

The PassportUSA Program

Embrace your dream of working as a nurse in the US with PassportUSA, the dedicated program from Health Carousel International (HCI). We provide a clear, transparent path to career growth, connecting nurses with rewarding opportunities, competitive benefits, and the support needed to succeed—while making a lasting impact on patient care across the country.

Program requirements

Must be a nurse

Must have bedside experience

Must be proficient in English

Additional requirements may apply

Already authorized to work in the US? Jump straight to job matching opportunities here.

Your Journey to the US

Step 1

Talk with a Recruiter

Connect with our Recruitment team to understand the eligibility requirements and address any questions about life and work in the US. We'll help you decide if our PassportUSA program is the right fit for your career goals.

Step 2

Prepare for Visa Filing

Once you join our program, an International Program Associate (IPA) will guide you through the necessary documents for your visa petition. We also support and cover costs for test preparation, including English exams and the NCLEX.

Step 3

Visa Filed with USCIS

Our experienced legal team will carefully review your documents prior to filing your visa petition with the United States Citizenship and Immigration Services (USCIS) to maximize your chances for approval.

Step 4

Visa Approval

After your visa is approved by USCIS, you will receive a  priority date securing your place in line to obtain your visa!

Step 5

Find Your Perfect Fit

We help you explore healthcare facilities based on your career goals and lifestyle. We submit your resume and coordinate interviews to help you secure a job offer and finalize your assignment location.

Step 6

Gather Remaining Visa Documents

You will be assigned an International Deployment Advocate (IDA) who will help gather the documents needed for the National Visa Center (NVC) submission by our legal team.

Step 7

Become Credentialed

Your IDA and our credentialing team will provide you with a list of credentials required for nursing in the US and guide you through the rest of the immigration process and embassy interview preparation.

Step 8

Become Documentarily Qualified

Once the NVC deems you “documentarily qualified” and receives your paid fee bills, you’ll be eligible for your embassy appointment.

Step 9

Complete Your Embassy Appointment

After assignment selection, you attend your embassy appointment. Your US arrival date will depend on completing credentials, state licensure, and orientation dates.

Step 10

Arrive in America

Congratulations! Our Travel and Housing Team will book your travel and assist with housing, ensuring a smooth transition into your US nursing career. An International Employee Supervisor (IES) will support you throughout your assignment.

Step 11

Advance Your US Nursing Career

During your assignment, climb our Clinical Ladder program for your professional development. Our Clinical Career Coaches will help you create a career plan and explore further growth opportunities, including our work-study program.

Receive an Employment-Sponsored Visa

With over 20 years of experience and 3,000+ success stories, PassportUSA is your trusted partner in making your American dream a reality. As your visa sponsor and employer, Health Carousel International covers all visa costs with no fees to join, providing unmatched support every step of the way.

Discover how we use our expertise to guide you through the immigration process and help you become a US RN.

LEARN MORE
Receive an Employment-Sponsored Visa

Our Commitment to You

Premium Processing

Premium Processing

If qualified, receive a USCIS decision on your visa petition in less than 14 days with Assured Premium Processing.

Bring Your Family

Bring Your Family

Bring your immediate family to the US with our support, so they can arrive with you without any required delays or waiting periods.

Get Your Place in Line

Get Your Place in Line

We will file your visa petition, even if you haven’t passed the English Proficiency Exam yet, and provide study resources with paid testing.

NCLEX Preparation

NCLEX Preparation

Prepare for the NCLEX with our study resources and covered testing fees.

Choose Your Location Preferences

Choose Your Location Preferences

Give input on where you want to be placed across HCI’s healthcare clients in the US.

Premier Placements

Premier Placements

Stand out with tailored resume and interview support for your ideal placement.

Paid US Licensure

Paid US Licensure

Secure your US nursing license with our credentialing assistance and get reimbursed for approved expenses.

Arrival Advance and Support

Arrival Advance and Support

Enjoy assistance securing housing, paid airfare, handled travel logistics, and an arrival advance to help you and your family settle into the US.

US Clinical Readiness

US Clinical Readiness

Get prepared for your role with our transition-to-practice program, orientation, and precepting at your assignment location.

In-Person Arrival

In-Person Arrival

Receive a warm welcome at the airport and help with tasks like getting a driver’s license and opening a bank account as you settle into life in the US.

Dedicated Support

Dedicated Support

Access ongoing guidance to support your success at every step before and after your assignment begins.

Career Opportunities for Life

Career Opportunities for Life

Explore endless opportunities for education, career growth, and compensation throughout your nursing career in the US.

Join the PassportUSA Program

Join the PassportUSA Program

Discover US Nursing Opportunities

Experience expert immigration assistance, tailored job placement, comprehensive relocation support, and ongoing career development by applying today.

The US offers exciting career paths for nurses like you. Learn about in-demand specialties, how we help match you with the right opportunity, and what’s next for your journey.

Experience the Full
Circle of Support

Your pathway to US RN success starts with our Full Circle of Support. Our program offers a network of resources and expert guidance, empowering you to make informed decisions and navigate every step with confidence.

English Language
Exam Support

Proficiency in English is key to your nursing career in the US. Our preparation program supports your success, whether you're taking the International English Language Testing System (IELTS), Pearson Test of English (PTE), or another recognized exam. With flexible study options both online and in person, you'll have access to essential resources.

The program includes speaking sessions via phone or Skype, hand-scored writing practice, and free chats with our “Conversational Partners” to improve your spoken English. We provide this high-value support at no cost to our healthcare professionals, with tiered courses to match different proficiency levels.

Developed by certified IELTS examiners, our curriculum works for any English exam.

VIEW RESOURCES
English LanguageExam Support

NCLEX Test Preparation

Passing the National Council Licensure Examination (NCLEX) is a key milestone in becoming a registered nurse in the United States. We understand how important this step is, which is why we offer support to help you succeed.

Passing the NCLEX not only qualifies you to work as a nurse in any US state, but your results also never expire, providing lasting flexibility in your career. We cover all exam costs, so you can focus on studying without the financial burden. In addition, we offer complimentary access to top-tier preparation resources, boosting your chances of success. Our support team will be there every step of the way, helping you achieve your goal of becoming a US-licensed nurse.

VIEW RESOURCES
NCLEX Test Preparation

Dedicated
Support Teams

Beyond mere guidance, our teams are your mentors, supporting every critical phase of your journey. From professional growth to personal milestones, you're never alone.

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Dedicated Support Teams

Platinum Benefits and Wellness Tools

Experience premium health insurance packages, employee assistance programs, and more to support your overall well-being.

LEARN MORE
Platinum Benefits and Wellness Tools

Career Advancement

Your journey with us extends beyond your initial placement. Explore how our dedicated career services can open doors to opportunities for career growth and professional development in the US.

LEARN MORE
Career Advancement

English Language Exam Support

Proficiency in English is key to your nursing career in the US. Our preparation program supports your success, whether you're taking the International English Language Testing System (IELTS), Pearson Test of English (PTE), or another recognized exam. With flexible study options both online and in person, you'll have access to essential resources.

The program includes speaking sessions via phone or Skype, hand-scored writing practice, and free chats with our “Conversational Partners” to improve your spoken English. We provide this high-value support at no cost to our healthcare professionals, with tiered courses to match different proficiency levels.

Developed by certified IELTS examiners, our curriculum works for any English exam. Unlimited practice tests let you track progress and choose the best time to take your official exam, so you feel ready and confident.

VIEW RESOURCES
English Language Exam Support

NCLEX Test Preparation

Passing the National Council Licensure Examination (NCLEX) is a key milestone in becoming a registered nurse in the United States. We understand how important this step is, which is why we offer support to help you succeed.

Passing the NCLEX not only qualifies you to work as a nurse in any US state, but your results also never expire, providing lasting flexibility in your career. We cover all exam costs, so you can focus on studying without the financial burden. In addition, we offer complimentary access to top-tier preparation resources, boosting your chances of success. Our support team will be there every step of the way, helping you achieve your goal of becoming a US-licensed nurse.

VIEW RESOURCES
NCLEX Test Preparation

Dedicated support teams

Beyond mere guidance, our teams are your mentors, supporting every critical phase of your journey. From professional growth to personal milestones, you're never alone.

LEARN MORE
Dedicated support teams

Platinum Benefits and Wellness Tools

Experience premium health insurance packages, employee assistance programs, and more to support your overall well-being.

LEARN MORE
Platinum Benefits and Wellness Tools

Career Advancement

Your journey with us extends beyond your initial placement. Explore how our dedicated career services can open doors to opportunities for career growth and professional development in the US.

LEARN MORE
Career Advancement

Inspiring Stories of Nurses Like You

Witness the positive outcomes of our program through real success stories and testimonials!

From Military Med Tech to Pediatric Oncology Nurse: Judy's Inspiring US Nursing Journey

August 29, 2025

From Military Med Tech to Pediatric Oncology Nurse: Judy's Inspiring US Nursing Journey

Judy’s journey into nursing is one of resilience, transformation, and heartfelt purpose. From her early dreams of being a meteorologist to serving in the Canadian Armed Forces as a medical technician, her path was far from linear—but always rooted in care. After raising her children and keeping a promise she made following her son’s recovery, Judy pursued a career in nursing that now finds her in a high-tech pediatric hematology-oncology unit in the southern U.S. There, she supports children through complex treatments with compassion and expertise. With the support of Health Carousel International and PassportUSA, Judy successfully transitioned to the U.S. healthcare system and now serves as a leader, preceptor, and APHON-certified specialist. Her story reflects the deep emotional strength required of internationally educated nurses and the lasting impact they make on patients and families alike. Judy’s message to future nurses is clear: trust the process, hold onto your dreams, and remember that even the smallest patients carry the biggest hearts.

Read the full story

Health Carousel’s Executive Earl Dalton inducted as Fellow of the American Academy of Nursing

August 28, 2025

Health Carousel’s Executive Earl Dalton inducted as Fellow of the American Academy of Nursing

Health Carousel proudly announces the induction of Earl Dalton, Chief Clinical Officer and VP of Clinical Services, into the 2025 Class of the American Academy of Nursing (FAAN). With over 28 years of nursing leadership, Dalton’s contributions to clinical excellence, workforce development, and global healthcare transformation are now recognized by one of the most prestigious honors in the profession. His recognition underscores Health Carousel’s commitment to elevating ethical recruitment and advancing nurse leadership on a global scale.

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Florence Jane G. and Kathreen Niña Q. Named as June 2025 Employees of the Month

July 2, 2025

Florence Jane G. and Kathreen Niña Q. Named as June 2025 Employees of the Month

Health Carousel International proudly celebrates the June 2025 Employees of the Month, Florence Jane G. (RN, Maryland) and Kathreen Niña Q. (RN, Ohio). Both nurses exemplify resilience, compassion, and the values of international nursing. Florence, with over four years of Mother-Baby experience, highlights the role of dignity and empathy in caring for vulnerable mothers. Kathreen Niña, specializing in obstetrics and emergency care, emphasizes listening and emotional validation as cornerstones of patient care. Their recognition reflects HCI’s commitment to supporting globally trained nurses who bring both skill and heart to U.S. healthcare.

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June 2025 Employee of the Month Nominees: Honoring Nurses

July 1, 2025

June 2025 Employee of the Month Nominees: Honoring Nurses

The June 2025 Employee of the Month nominees at Health Carousel International showcase the courage, resilience, and compassion of globally trained healthcare professionals. From emergency rooms to mother-baby units, these nominees have overcome challenges, embraced cultural adaptation, and continued to elevate patient care in the U.S. Their stories—from perseverance through retrogression delays to redefining success through humility, gratitude, and patient impact—highlight the values that define global nursing excellence.

Read the full story

Milaneth T. and Rica N. Named as May 2025 Employees of the Month

June 3, 2025

Milaneth T. and Rica N. Named as May 2025 Employees of the Month

Health Carousel International proudly names Rica N., RN, and Milaneth T., RN, as May 2025 Employees of the Month. Rica, now practicing in Maine, embodies resilience and growth as she adapts to U.S. healthcare with compassion and professionalism. Milaneth, with 16 years of experience and a specialty in NICU, continues to thrive in Maryland as a mentor and advocate for her smallest patients. Their stories highlight courage, adaptability, and purpose—reminding us that international nurses bring not only skill but also heart to every shift.

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May 2025 Employee of the Month Nominees: Honoring Nurses

June 2, 2025

May 2025 Employee of the Month Nominees: Honoring Nurses

Health Carousel International proudly introduces the May 2025 Employee of the Month nominees. These inspiring clinicians—Rica N., Arcelle B., Gretchel A., Mary Anne A., Milaneth T., Nadia P., and Christy M.—embody resilience, adaptability, and purpose as they advance their careers in the U.S. healthcare system. Their stories highlight how internationally educated nurses and allied health professionals transform challenges into growth while staying rooted in compassion and service. Each nominee demonstrates how global perspectives enrich patient care and strengthen the nursing profession.

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A Nurse’s Calling: Honey Reyes’ Journey to Excellence in the U.S.

May 9, 2025

A Nurse’s Calling: Honey Reyes’ Journey to Excellence in the U.S.

This inspiring spotlight follows the journey of Honey Reyes, a compassionate and award-winning nurse from the Philippines who now thrives in the U.S. as a certified Medical-Surgical and Gerontology Nurse. From her roots in Manila to earning the Nurse Excellence Award in New Jersey, Honey’s story is one of purpose, perseverance, and passion for patient care. Her message to fellow nurses is a heartfelt call to continue making a difference—one act of care at a time.

Read the full story

The Journey to Nursing: No Two Paths Are the Same

May 6, 2025

The Journey to Nursing: No Two Paths Are the Same

In celebration of Nurses Week, this blog honors the diverse and deeply personal journeys that bring individuals into the nursing profession. From grief and fear to resilience and triumph, these powerful stories reflect the heart, strength, and purpose behind every nurse’s path. Health Carousel International is proud to support nurses at every step of their professional journey, helping them grow, thrive, and continue writing their unique story.

Read the full story

Shayla Lorraine S. and Lilian S. Named April 2025 Employees of the Month

May 5, 2025

Shayla Lorraine S. and Lilian S. Named April 2025 Employees of the Month

Health Carousel International proudly celebrates April 2025 Employees of the Month, Shayla Lorraine S., RN and Lilian S., RN. Shayla, a dedicated nurse in Iowa with five years of experience, has grown into a confident leader who finds strength in gratitude and daily victories. Lilian, a Medical-Surgical nurse in Georgia, transformed her dream of working in U.S. healthcare into reality through persistence and purpose. Their recognition highlights resilience, compassion, and the quiet strength that drives internationally educated nurses to thrive in the U.S. healthcare system.

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April 2025 Employee of the Month Nominees: Honoring International Nurses

May 1, 2025

April 2025 Employee of the Month Nominees: Honoring International Nurses

Health Carousel International proudly announces the April 2025 Employee of the Month nominees, each representing resilience, adaptability, and leadership in U.S. healthcare. From diverse clinical specialties—including Emergency, Pediatrics, Medical-Surgical, Dialysis, OR, and Mother-Baby—these nurses showcase how global perspectives enrich patient care. Their stories highlight perseverance, cultural adjustment, and a shared commitment to professional growth. Together, they reflect the courage and compassion that define internationally educated nurses as they find purpose, one step at a time.

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Honoring Compassionate Care: Celebrating HCI’s Daisy Award Winners in Tribute to Pat’s Day of Joy

April 24, 2025

Honoring Compassionate Care: Celebrating HCI’s Daisy Award Winners in Tribute to Pat’s Day of Joy

In tribute to Pat’s Day of Joy, Health Carousel International honors its 2024–2025 DAISY Award recipients—extraordinary nurses who have demonstrated unmatched compassion, clinical excellence, and a profound impact on patients and families. From heartfelt nomination stories to moving award ceremonies, this post celebrates the spirit of the DAISY Foundation and HCI’s unwavering commitment to nurse recognition. Featuring quotes from HCI leadership, this reflection is a powerful reminder of the difference nurses make every day.

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March 2025 Employees of the Month: Honoring International Nurses and Medical Technologists

April 1, 2025

March 2025 Employees of the Month: Honoring International Nurses and Medical Technologists

Health Carousel International honors its March 2025 Employee of the Month nominees—nine exceptional healthcare professionals from around the world—who embody resilience, leadership, and compassionate care in the U.S. Each nominee, from nurses to medical technologists, shares a unique story of overcoming challenges, embracing growth, and delivering exceptional patient care. Their journeys reflect the strength and purpose that define HCI’s international healthcare community.

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Beyond the Bedside: How Hall of Fame Nurses Are Transforming Healthcare

March 18, 2025

Beyond the Bedside: How Hall of Fame Nurses Are Transforming Healthcare

Toye C. and Guadalupe M., two outstanding nurses inducted into the Health Carousel Hall of Fame for their remarkable impact on healthcare. Toye C. is celebrated for his advocacy and mentorship, supporting international nurses through challenges while continuing to deliver exceptional patient care. Guadalupe M. is recognized for her dedication to mentorship, her role in improving nurse orientation programs, and her commitment to guiding international nurses through PassportUSA. Both nurses exemplify compassion, leadership, and dedication beyond the bedside. Their stories demonstrate how nurses can transform healthcare through mentorship, education, and advocacy.

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Czarina Mae G. and Bibilyn T. Named March 2025 Employees of the Month

March 4, 2025

Czarina Mae G. and Bibilyn T. Named March 2025 Employees of the Month

Health Carousel International proudly recognizes Czarina M., RN and Bibilyn T., RN as the March 2025 Employees of the Month. Czarina, a globally experienced nurse based in Maine, and Bibilyn, a dedicated nurse practicing in Virginia, exemplify the resilience and leadership that define internationally educated healthcare professionals. From overcoming visa delays to growing in confidence and skill, both honorees reflect Health Carousel's commitment to total well-being and professional excellence in U.S. healthcare. Their journeys are a testament to perseverance, purpose, and impact.

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Clarissa O. Named February 2025 Employee of the Month: A Journey of Growth and Impact

March 4, 2025

Clarissa O. Named February 2025 Employee of the Month: A Journey of Growth and Impact

Health Carousel International proudly names Clarissa O. as the February 2025 Employee of the Month for her unwavering compassion, adaptability, and leadership. Clarissa’s journey from the Philippines to the U.S. began with courage and a deep sense of purpose. Through the support of HCI and the PassportUSA program, she seamlessly transitioned into a new healthcare system, where she quickly adapted to cultural and clinical differences while building strong, meaningful connections with her team. Clarissa’s success goes beyond clinical excellence. She has become a role model for other internationally educated nurses, turning challenges into opportunities and demonstrating that growth often starts with vulnerability. Her story is a powerful example of how resilience, humility, and community shape the international nursing journey.

Read the full story

While we welcome applications from nurses worldwide, we respect source countries by following their laws and avoiding harm to their healthcare infrastructure.

Your Journey Begins Here

Ready to embark on your US RN journey? Take the first step by applying to the PassportUSA program today.

Learn about in-demand nursing specialties, our matching process, and what career opportunities await you.