What Changed for TN RNs (and why it’s not a big deal)
In mid-2025, USCIS clarified elements of the TN program under USMCA. For our clients, it’s truly business as usual:
- Employment with a U.S. entity: Offers must be issued by a U.S. employer. We’ve always structured contracts this way.
- Clear documentation alignment: License, education, and RN duties must match the TN classification — our standard checklist covers this.
- New TN filing for material changes: Changes to duties, worksite, or employer require a new application. We already track and manage this.
Bottom line: The changes are minor and reinforce best practices we’ve long followed. No new hurdles for well-prepared employers.
Why TN Still Delivers Strategic Value
- Speed to hire Border (Canada) or consular (Mexico) processing enables starts in weeks, not months.
- Cost efficiency Lower overhead than many alternative visa pathways.
- Operational flexibility Three-year terms, renewable while the role remains temporary in nature.
Best Practices for Hospital Leaders
- Issue offers from a U.S. entity and align titles/duties with the RN role.
- Keep documentation airtight license verification, degree/credential evals (if applicable), and a precise job description.
- Plan renewals early to avoid last-minute disruption to patient care.
- Prepare nurses for entry with clear instructions and border coaching.
How IntelliStaff Medical Makes It Easy
We remove friction so your team can focus on care — not paperwork.
- TN-compliant offer letters: We draft offers that meet immigration expectations.
- Full document pre-flight: Credentials and support letters are verified before travel.
- Border coaching: Nurses arrive prepared and confident for POE/consular interactions.
- Proven weekly TN flow: We support nurses using the TN visa every week without issues.
Talent on deck: We have 1,100+ engaged Canadian and Mexican RNs who are ready to work in the U.S. under the latest guidelines.
Next Steps
If you’re facing RN vacancies, TN is still one of the most practical, low-overhead solutions. Partner with IntelliStaff Medical for a streamlined, compliant process from offer to first shift.
