How International Nurses Use Canada as a Pathway to the U.S.—and What That Means for Hospitals

October 15, 2025

Across the globe, thousands of internationally educated nurses dream of working in the United States. For many, that dream doesn’t start with a direct move—it begins in Canada. Countries like the Philippines and India have a long history of sending skilled nurses abroad, and many of these professionals strategically choose to immigrate to Canada first because of its easier and more accessible immigration process.

Canada: The Gateway to North America

Canada’s immigration system offers permanent residency pathways that are simpler and faster compared to many other countries. Once in Canada, internationally trained nurses gain valuable Canadian healthcare experience, adapt to North American culture and standards, and often become Canadian citizens.

That citizenship unlocks an incredible opportunity—the TN Visa, a streamlined work authorization that allows Canadian and Mexican citizens to work in the United States as Registered Nurses. For many Filipino and Indian nurses, this route has become part of a long-term strategic plan:

  1. Move to Canada for easier immigration and a high-quality life.
  2. Gain licensure and work experience in the Canadian healthcare system.
  3. Obtain Canadian citizenship.
  4. Transition to the United States through a TN Visa for career advancement and long-term settlement.

Why This Matters for U.S. Hospitals

For hospitals facing persistent nursing shortages, this trend represents a reliable, long-term staffing opportunity. Nurses who pursue this route are often deeply motivated—they’ve already invested years in building their professional and immigration pathways.

Through IntelliStaff Medical, many of these internationally educated and Canadian-trained nurses are now seeking direct-hire positions in the U.S. They bring not only strong clinical skills but also the dedication and stability hospitals need.

Unlike EB-3 sponsorships—where nurses often obtain their green card before starting and may leave within six months—TN Visa nurses are committed for the long term. They must remain with their sponsoring hospital until their green card is approved, a process that typically takes 2 to 12 years.

The Difference: Long-Term Commitment

  • Hospitals gain workforce stability. Nurses on TN visas are invested in maintaining employment until their permanent residency is finalized.
  • Nurses achieve their American dream. Many are motivated by the goal of eventually sponsoring their families to join them in the U.S.
  • Patients benefit from consistency. Continuity of care improves when hospitals can retain skilled, experienced RNs for multiple years.

How IntelliStaff Medical Supports This Pipeline

At IntelliStaff Medical, we specialize in connecting hospitals with this unique group of internationally trained and Canadian-experienced Registered Nurses. Our candidates have already navigated the rigorous Canadian system, hold North American work experience, and are ready for long-term U.S. placements under TN sponsorship.

We understand what motivates these nurses—and we help hospitals leverage that motivation to build stronger, more stable teams.


Bottom line: Partnering with IntelliStaff Medical means partnering with committed professionals who see your hospital as more than just a job—it’s a crucial step in achieving their long-term goals, ensuring years of dedicated service and continuity of care.

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