Every January starts the same way; fresh calendar, strong coffee, and the same question many registered nurses ask themselves:
“Is this the year I actually change something?”
For most nurses, the goals are practical, not fluffy. Below are the goals we hear most often; and how IntelliStaff Medical helps nurses reach them through direct-hire U.S. nursing jobs using the TN visa.
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Goal #1; Make More Money (Without Burning Out)
The numbers matter
- IntelliStaff Medical has placed RNs earning $32–$76 USD per hour; that’s approximately $43.50–$103.40 CAD per hour (conversion varies with exchange rates).
- Average RN wage in Canada is about $44–$45 CAD per hour, with a typical range of roughly $29–$51 CAD, depending on province and experience.
- Average RN wage in Mexico (Enfermero/a Registrado/a or Licenciado/a en Enfermería) works out to roughly $2–$6 USD per hour (about $3–$8 CAD per hour), depending on region and employer.
- California and Oregon frequently sit at the higher end of U.S. RN pay ranges; many RNs earn six figures USD depending on experience, specialty and region.
How IntelliStaff Medical helps
- We use the TN visa to get qualified Canadian and Mexican RNs into the U.S. fast and efficiently
- Most RN jobs are direct-hire and paid in USD
- Many client hospitals offer green card or permanent residency sponsorship, sometimes starting as early as the 6-month mark, based on performance
- We help nurses compare pay against cost of living so higher wages actually improve daily life
Higher income isn’t about working more shifts; it’s about being paid properly for the experience you already bring.
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Goal #2; Get Control of Debt (Fast)
Debt is one of the most common stressors nurses mention; student loans, education costs, and relocation expenses can linger longer than they should.
How IntelliStaff Medical helps
- Many client hospitals offer substantial sign-on bonuses
- Nurses often use bonuses to eliminate large chunks of debt immediately
- Some positions include temporary housing assistance, reducing upfront costs
- USD earnings can stretch further when converted back to CAD or MXN
Less debt usually means more options; and better sleep.
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Goal #3; Buy a House (Or At Least Get Closer)
Housing reality check
- Homeownership in Canada sits around 66–68 per cent, with affordability challenges in many cities
- U.S. homeownership is about 65 per cent, with much wider regional price variation
- Income and job stability matter more than geography when qualifying for a mortgage
How IntelliStaff Medical helps
- Higher USD income improves savings and borrowing power
- Direct-hire roles provide employment stability, not short contracts
- Nurses plan strategically to buy either in the U.S. or back home with stronger financial footing
Sometimes progress isn’t buying immediately; it’s finally getting within reach.
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Goal #4; Get Serious About Retirement (Without Panic)
Retirement planning often gets delayed in nursing careers; debt, schedules, and life tend to win.
How IntelliStaff Medical helps
- Sign-on bonuses can provide an early boost to long-term savings or a nest egg
- Higher earnings allow nurses to save more consistently
Important cross-border note
Canada and the U.S. have a Totalization Agreement that allows nurses to combine U.S. Social Security and Canadian CPP/OAS credits to meet eligibility requirements in either country.
This can significantly impact long-term planning; speak with a cross-border accountant or financial advisor to understand how it applies to your situation.
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Goal #5; Fix the Schedule (Yes, That One)
This is a major difference nurses notice
- Canadian nurses often work DDNN rotations
- Rotating schedules are tough on sleep, energy, and long-term health
- U.S. hospitals typically staff straight days or straight nights
How IntelliStaff Medical helps
- Most roles offer permanent day or permanent night schedules
- Predictability supports better sleep and real routines
- Nurses regularly tell us this alone improves quality of life
Sleep should not feel like a workplace perk.
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Goal #6; Change Specialties Without Starting Over
Many nurses want to pivot specialties; for growth, longevity, or income.
How IntelliStaff Medical helps
- Many client hospitals support training into new specialties
- We focus on employers willing to invest in experienced nurses
- Nurses grow skills while remaining fully employed
Changing direction doesn’t require starting from zero.
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Goal #7; Experience a New Place and Actually Belong
We focus on long-term, direct-hire placements; not short-term travel nursing.
What that means for nurses
- Typical RN jobs last 1–3 years
- Registered nurses become embedded in the hospital and the community
- More stability, easier housing, and stronger professional relationships
- You experience a region like a resident, not a temporary visitor
It’s less about collecting destinations and more about building a life somewhere new.
The Bottom Line
Nurses come to IntelliStaff Medical with real goals:
- Earn more in USD
- Pay down debt faster
- Escape rotating schedules
- Move closer to homeownership
- Plan realistically for retirement
- Grow into new specialties
- Live somewhere new; long enough to matter
If this is the year you want your nursing career to feel intentional instead of reactive, IntelliStaff Medical is ready to help you plan the next step; clearly, legally, and efficiently.



