International nurse recruitment for U.S. hospitals
Direct-hire EB-3 Schedule A and TN visa nurse recruitment, delivered by the agency that filed the federal lawsuit defending international hiring against the $100,000 H-1B fee.
Key facts for procurement
- • 20+ years of operating history (founded 2000)
- • 20,000+ nurses placed; 250+ partner hospitals worldwide
- • Lead plaintiff in GNF v. Trump (4:25-cv-08454, N.D. Cal.)
- • Compliant with the WHO Code; listed on NHS Ethical Recruiters List
- • Approved supplier on HealthTrust Europe Framework (UK)
- • Typical savings: $100K+ per nurse over 3 years vs travel nursing
Why hospitals choose GNF
A workable international hiring pathway — even now
EB-3 Schedule A: not affected by the H-1B fee
Most agencies relied heavily on H-1B sponsorship. With the $100K supplemental fee in effect, that pathway is economically unworkable. EB-3 Schedule A — the immigrant visa route — continues normally and is now GNF's primary placement vehicle for non-Canadian nurses.
Material cost-per-hire reduction vs travel nursing
Long-term reliance on travel nurses runs $150-200/hr in many markets. Direct-hire international RNs at standard market salary deliver typical savings exceeding $100,000 per nurse over a 3-year period — plus stability and retention.
20-year track record + ethical compliance
Founded 2000. Continuously operating. Compliant with the WHO Global Code, listed on the NHS Ethical Recruiters List (UK), approved supplier on HealthTrust Europe TWS framework. The audit trail your compliance team will appreciate.
Specialty coverage
Specialties we routinely place in the U.S.
Engagement process
From discovery call to first shift
- 1
Discovery call (30 min)
Specialty needs, target arrival timeline, visa-pathway preference (EB-3 vs TN), compliance posture.
- 2
MSA + commercial terms
Master Services Agreement, retention guarantees, cost structure, candidate-replacement policy.
- 3
Candidate slate within 14 days
GNF presents 5-10 candidate profiles matching your specialty mix. CVs, NCLEX status, visa eligibility, English-proficiency proof.
- 4
Hospital interviews via Zoom
Your clinical leadership interviews selected candidates. Hospitals retain full hiring authority.
- 5
Offer + I-140 filing (EB-3)
Hospital files Form I-140 Immigrant Petition (Schedule A) with USCIS via your or GNF-coordinated immigration counsel.
- 6
Visa Bulletin wait + consular processing
Priority date current → consular interview at U.S. embassy → immigrant visa issued.
- 7
Relocation + onboarding
GNF coordinates travel, housing, banking, SSN, state license endorsement, first 90-day onboarding support.
- 8
First shift + retention support
Ongoing GNF check-ins through the first year. Replacement guarantee per MSA terms.
Compliance & credentials
The credentials your compliance team will ask for
WHO Global Code of Practice
Compliant with the World Health Organization Code on the International Recruitment of Health Personnel.
NHS Ethical Recruiters List
Listed in the UK National Health Service Employers Code of Practice ethical-recruitment list.
HealthTrust Europe TWS framework
Approved supplier on the Total Workforce Solutions framework (UK B2B nurse procurement standard).
Companies House (UK) registered
UK subsidiary registered as company number 15198430 (Global Nurse Force UK Limited).
Zero candidate-side fees
Hospitals pay all recruitment costs. Candidates pay nothing. WHO Code requirement.
Named leadership team
CEO Lalit Pattanaik; VPs in UK, US, India, GCC operations — full leadership traceable on /about-us.
For procurement
Frequently asked by hospital partners
- How does Global Nurse Force place internationally educated nurses with U.S. hospitals?
- We source NCLEX-passed registered nurses globally (primarily from India, Philippines, and other major nursing-source countries), verify CGFNS / VisaScreen credentials, match them to your hospital's specialty needs (Med-Surg, ICU, OR, ER, etc.), and coordinate the EB-3 Schedule A immigrant visa or TN visa pathway end-to-end. Your hospital sponsors as the employer of record. Most placements are completed within 12-18 months from job offer to first shift.
- What does it cost the hospital?
- Pricing is negotiated per MSA and varies by volume, specialty mix, and retention guarantees. Our cost structure is significantly more economical than long-term reliance on travel nurses — typical savings exceed $100,000 per nurse over a 3-year period. Detailed proposals available on request. The candidate pays zero placement fees (mandated by the WHO Code; hospital pays all recruitment costs).
- Is GNF affected by the $100,000 H-1B fee?
- We are the lead plaintiff in *Global Nurse Force v. Trump*, No. 4:25-cv-08454 (N.D. Cal.), the federal lawsuit challenging the September 2025 presidential proclamation that imposed the $100,000 fee. While the case is litigated, we place candidates via the EB-3 Schedule A immigrant visa (the U.S. green card route, not affected by the fee) and via TN visa for Canadian RNs (also unaffected). This is precisely why we filed: to defend a workable pathway for international nurse recruitment that hospitals can afford.
- What retention rates do GNF placements achieve?
- Retention data is shared under NDA with serious hospital partners. Aggregate: our 12-month retention rates materially exceed travel-nurse retention and meet or exceed direct-hire domestic recruitment benchmarks. The EB-3 Schedule A pathway specifically incentivizes long-term retention because the nurse becomes a U.S. permanent resident sponsored by your hospital.
- Which U.S. states does Global Nurse Force place nurses in?
- We place nurses in every U.S. state where our partner hospitals operate, including all 50 states for compact-license RNs. We coordinate with state Boards of Nursing for license endorsement and verification. We work with health systems in Texas, California, Florida, New York, Georgia, North Carolina, Missouri, Ohio, Pennsylvania, and many others.
- What ethical-recruitment frameworks does GNF comply with?
- Global Nurse Force is compliant with the WHO Global Code of Practice on the International Recruitment of Health Personnel and listed on the UK NHS Ethical Recruiters List. We do not recruit from source countries on the WHO Health Workforce Support and Safeguards List in ways that violate the Code, and we pay all candidate-side costs ourselves.
- How do we start an engagement?
- Request a discovery call via the form on this page or email partnerships@globalnurseforce.com. Initial step is a 30-minute conversation to understand your specialty needs, target arrival timeline, and visa pathway preference (EB-3 vs TN). We typically present 5-10 candidate profiles within 14 days of MSA execution.
Ready to talk about a workable pipeline?
Most discovery calls take 30 minutes. We come prepared with specialty availability, target timelines, and a cost structure tailored to your volume.