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How to Become a USRN: A Step-By-Step Guide for International Nurses

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February 19, 2024

Healthcare Heartbeat is a show produced by Avant Healthcare Professionals for international healthcare professionals and hospital leaders. In this podcast, we provide tips and guidance on how to become a United States Registered Nurse, share valuable insights from Avant Healthcare Professionals’ subject-matter experts, and you’ll learn how Avant Healthcare Professionals transforms the lives of international healthcare professionals, hospitals, patients, and communities.

In This Episode...

In this week's episode, host Ross Herosian sits down with Sara Rose Tamir, a Senior Manager of Global Development at Avant Healthcare Professionals, to discuss a healthcare professional's step-by-step journey to becoming a USRN. You’ll learn about the nuances of applications, interviews, offers, and licensure and learn everything you need to know on how to apply with Avant Healthcare Professionals. Check out this episode if you have any questions surrounding the process of applying to be an international healthcare professional with Avant Healthcare Professionals and how you can get started working in the U.S. and on your American dream.

0:00 - Welcome & Meet Sara Rose

03:39 Step 1: Apply Online

08:04 Step 2: Interview

15:53 Step 3: Offer and Docs

23:22 Step 4: Licensure & NCLEX

29:34 Step 5: Green Card

34:19 Step 6: Arrival and Training

37:43 Step 7: Beginning Work

40:37 Step 8: Enjoying your American Dream

41:20 How To Apply

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Topics We Cover

The Avant Healthcare Professionals Process

In this insightful conversation, Ross Herosian and Sara Rose Tamir will explore the eight crucial steps essential for international healthcare professionals aspiring to become nurses in the U.S. With each step, Sara Rose will personally guide you through the most important information to ensure a smooth and informed journey. 

The initial stage is the application process, a pivotal step that doesn't automatically bind you but serves as the starting point. The recruitment team at Avant Healthcare Professionals, understanding the gravity of your decision, dedicates the necessary time for each applicant. Sara Rose emphasizes the significance of honesty and authenticity during the application, urging you to express yourself genuinely. Feel free to ask questions and voice any concerns, as Avant values transparency throughout the process.

Ross and Sara Rose express their enthusiasm for discussing the details of how international nurses like yourself can successfully apply to work in the U.S. Ross underlines Avant Healthcare Professionals' extensive 20-year experience, assuring you that the process has been refined and perfected over time. The focus is on providing the best support and guidance for international healthcare professionals during this transformative journey.

“If there's a really high volume of applicants all at once, we do our best to get to everyone as quickly as possible. But this is a very serious process. These are people's lives, we're not going to rush through the work just to get through it quickly, we really need to be intentional and take our time to give everyone the proper care and attention.”

-Sara Rose Tamir (Senior Manager of Global Development, Avant Healthcare Professionals)

The Application Process for a USRN

Moving into the second segment, the focus shifts to the application process, particularly the essential steps an international healthcare professional needs to take when applying to work in the U.S. Sara Rose shares insights into the application requirements, emphasizing the simplicity of the process. She underlines the key documents you need, such as resumes or CVs, and highlights additional questions about nursing education, work history, and proficiency exams. Ross emphasizes the sincerity required during interviews with Avant, encouraging you to be authentic while professionally articulating your motivations, experiences, and career goals.

They stress the importance of individuality and advise you to showcase your unique personalities and aspirations during the interview. Ross & Sara Ross emphasize the collaborative nature of the process, aiming to ensure a good fit for both the healthcare professionals and Avant Healthcare Professionals. The hosts also suggest gathering the most important documents early on as some documents take a long time to get. For additional guidance, Sara Rose explains that Avant provides extensive support for healthcare professionals, not just in resources but also in constant check-ins and personalized assistance.

What You Need to About Applying

Entering the final segment, let's explore the crucial steps following your interview – the offer and document collection stage. Sara Rose will walk you through the meticulous review process undertaken by Avant before extending an offer to you, as an international healthcare professional. Once the offer is made, you will receive detailed documentation electronically, including the contract.

In this stage, it's crucial to acknowledge the two-way commitment embedded in the contract, underscoring the seriousness of this step. Transitioning to licensure and NCLEX, Sara Rose will stress the necessity of passing the NCLEX exam for practicing nursing in the U.S. She'll outline the comprehensive support Avant provides during the NCLEX review, covering the cost and offering a six to seven-month intensive program. The hosts stress the importance of transparency, urging you to ask questions and seek clarification during these critical stages of their journey with Avant Healthcare Professionals.

“Be open minded, enjoy the learning process and keep learning new things about yourself about the new people around you about nursing. The U.S. is such a cool place to learn about different technology advancements and healthcare advancements. Embrace it and enjoy it. 

-Sara Rose Tamir (Senior Manager of Global Development, Avant Healthcare Professionals)

Healthcare Heartbeat is On Youtube

Healthcare Heartbeat Is Also Available on YouTube.

Related Links and Resources

6 Steps to Become a Nurse in the U.S. with Avant Healthcare Professionals

5 Reasons Nurses Choose Avant Healthcare Professionals

5 Reasons Why Moving to The U.S. is Worth it

About Avant Healthcare Professionals

Need nurses? Avant Healthcare Professionals is the premier staffing specialist for internationally educated registered nurses, physical therapists and occupational therapists. Avant has placed thousands of international healthcare professionals across U.S. facilities to help improve the continuity of their care, fill hard-to-find specialties, and increase patient satisfaction, revenue and HCAHPS scores. Avant is a Joint Commission accredited staffing agency and founding member of the American Association of International Healthcare Recruitment (AAIHR). Avant Healthcare Professionals is a member of the Jackson Healthcare® family of companies.


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Avant Healthcare Professionals is a member of the Jackson Healthcare family of companies.