Our approach to international nurse recruitment
International staffing solutions built for long-term success.
At Espirita, we understand that every healthcare provider has unique workforce challenges. Our tailored direct hire model enables healthcare organisations to build a loyal, long-term workforce while providing international nurses with a structured pathway to making the US their home.
What is direct hire?
Direct hire means that nurses are permanently employed by your healthcare organisation, receiving the same pay, benefits and career progression as your locally hired staff.
Espirita’s direct hire model goes beyond recruitment — it’s a full-service, end-to-end solution. We handle everything: attraction, recruitment, credentialing, licensure, immigration, relocation, settlement and ongoing support. The only difference? You become the direct employer and visa petitioner, securing a committed, long-term workforce with stronger retention and stability.
Why choose direct hire for international staffing?
Direct hires feel greater loyalty, fostering stability and continuity of care.
We match nurses to your values and workplace culture for a seamless transition.
Lower turnover rates and recruitment expenses, saving an average of $40,000 per nurse per year compared to temporary staffing solutions.
A fully staffed team allows for better training, career growth and improved care outcomes.
Direct hires integrate quickly and require onboarding only once — reducing disruptions.
Why direct hire is superior to contract staffing
Direct hire offers long-term workforce stability, making it the preferred staffing solution for healthcare organisations looking to build a committed, highly skilled nursing team. Unlike contract staffing, which provides temporary solutions that can lead to frequent turnover and inconsistent care provision, direct hire ensures that nurses fully integrate into your team, align with your culture and grow within your organisation.
Global nurse recruitment: A smarter approach to workforce planning
Our comprehensive international recruitment process ensures a smooth, compliant and efficient hiring experience, allowing you to access skilled nurses from around the world.
Our recruitment process
1. Understanding your needs
We assess your workforce gaps, local community and facility needs to identify the best-fit candidates.
2. Sourcing and hiring
- Identifying and recruiting top international healthcare professionals.
- Coordinating interviews with hiring teams.
- Managing conditional employment offers.
3. Credentialing and licensure
- Ensuring all nurses meet US state and national licensing requirements (NCLEX, English proficiency, credential evaluations).
- Full compliance with state and federal regulations.
4. Visa sponsorship & immigration support
We provide full support for four primary visa routes:
- PERM Labor (EB-3)
- Schedule A I-140 (EB-3)
- H-1B
- TN
5. Relocation and onboarding support
- Financial and practical assistance with travel, accommodation and community integration.
- Support with key appointments (Social Security, fit test, drug screening).
- Welcome pack, SIM card and settling-in guidance.
6. Start date and ongoing support
Nurses are ready to work from day one, with continuous check-ins to ensure job satisfaction, community integration and workplace retention.
Ethical recruitment unlocks global talent
At Espirita, we believe ethical, sustainable recruitment is the key to building high-quality, engaged healthcare teams.
By ensuring equitable pay, fair working conditions and transparent hiring practices, we help international nurses feel valued and committed — which leads to stronger, more cohesive healthcare teams that deliver exceptional care.
- 20+ years of international staffing expertise
- 100% compliance with US employment laws
- Proven success in workforce retention
Get in touch
Let’s work together to improve workforce stability, reduce staffing costs and support quality of care.