How to find the best international nursing recruitment agencies for the USA

USA
Published 7 May 2025
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In the ever-evolving landscape of healthcare, the demand for skilled nursing professionals remains paramount. For those seeking opportunities across borders, the best international nursing recruitment agencies in the US play a crucial role in bridging the gap between talent and need. These agencies not only facilitate the placement of nurses in top-tier medical institutions but also ensure a seamless transition for professionals embarking on their international careers.  

In our guide, you’ll discover insights on: 

What is an international nursing agency? 

An international nursing agency is a recruitment organisation that helps healthcare providers such as hospitals and care homes in hiring qualified nurses from abroad. These agencies guide nurses through various stages including recruitment, placement, ongoing support and relocation. Utilising an international nursing agency can be particularly beneficial as different countries have varying requirements which can be challenging to navigate, especially for those who have never relocated before or are moving with family. In the United States, for instance, there are 500,000 immigrant nurses among the 3.5 million registered nurses employed

What makes a good international recruitment agency for nurses?

When choosing an international nursing agency, consider the following factors: 

  • Accreditation and reputation 
  • End-to-end service 
  • Effective communication 
  • Ongoing support 
  • Legal and ethical practices 
  • Expertise and experience 
  • Feedback from placed nurses 
  • Strong partnerships and networks

Challenges faced by international nurses 

Moving to the US to work brings many exciting opportunities, but the process isn’t always smooth. You may encounter some challenges or learning curves, such as: 

  • Wellbeing and home sickness 
  • Transitions from public to private healthcare systems 
  • Communication difficulties 
  • Cultural differences

Things to avoid when searching for a nursing agency  

When selecting an international nursing agency for your job search and relocation, avoid these common pitfalls: 

  • Skipping research: Always check the agency’s reputation and reviews online. 
  • No to little financial transparency: Make sure the agency answers your questions about pay, benefits and reimbursement of fees openly, because moving to the US can be costly.
  • Overlooking credentials: Choose agencies that work with hospitals who are accredited by recognised bodies like The Joint Commission
  • Lack of support: Look for agencies that advocate for their nurses and negotiate contract terms. 
  • Unrealistic expectations: Focus on finding an agency that meets most of your needs. 
  • Neglecting contract details: Review job location, duration and benefits carefully.

5 questions to ask yourself when looking for an international nursing agency 

When researching international recruitment agencies, make sure to ask yourself these questions to ensure that you get the support you need. 

1. Is this nurse staffing agency reputable? 

International nursing agencies should be legitimate and ethical. Moving to the US as a registered nurse involves:

  • Significant fees and costs 
  • Paperwork  
  • Understanding of the US healthcare system

If not handled correctly, you may experience additional delays and unexpected costs.  

Espirita has access to a wealth of experience from Acacium Group’s 40-year history. We offer a relocation journey that is comprehensive and transparent every step of the way. Our experts will take your lifestyle and needs into consideration during your job search, offering valuable support throughout.

2. Do they require me to pay any fees? 

Some international nursing agencies require nurses to pay admin fees to help cover the substantial costs of relocating to the US. It’s always best to do your research before signing up with any agency to understand if you’ll be required to make any payments. 

Espirita prides itself on our transparent approach to recruitment and relocation. We help nurses move to the USA without asking for any admin fees whilst offering bespoke relocation packages. Relocating to a different country can be a stressful process, and we believe that charging no admin fees to nurses helps relieve additional pressure.  

3. What support do they offer during the relocation process? 

Some agencies do a really good job of helping you get your dream role but may not offer every service. For example, they may not help you find any accommodation before you move. Or some agencies may focus on providing support to specific roles or people from specific countries.  

Espirita offer a full service no matter what country you’re from. Our team will help you: 

  • Find and secure a job 
  • Guide you through the visa and licensure process 
  • Book and pay for your travel 
  • Help you find suitable accommodation 
  • Support your transition into the local community 

Nurses relocating to the US encounter challenges that can be difficult to navigate without proper support. That’s why we’re committed to placing and continuously uplifting nurses throughout their time in the United States. We’ll be with you from when you make your application to your first day at work, and beyond. 

4. What types of contracts do they offer? 

In the United States, nurses typically work in one of the following arrangements: 

  • Direct hire (permanent) 
  • Contract (temporary) 
  • Per diem (shift) 
  • Travel nursing 

Be mindful that not all international nursing agencies will offer every contract type and certain agencies may specialise in only one job type. Make sure you research each agency before deciding who to apply with.  

At Espirita, we offer a range of job types to help suit your needs. Whether you’re looking for a permanent job or one that is fixed term, we have flexible roles across the US available for you to apply to. 

5. Do they offer ongoing support? 

Most international nursing agencies support nurses throughout the recruitment process but offer little to no support once you start your job. Supporting candidates before, during and after relocation makes them feel valued and respected, keeping them engaged in the role and helping them settle in their new environment. 

At Espirita, we’re with you every step of the journey, helping you excel in your career even after you start your first day at work. Our relocation team is always available to provide: 

  • Operational support: Managing onboarding and integration for new employees.
  • Pre-arrival support: Creating personalised relocation plans, offering guidance on setting up bank accounts and finding accommodation.
  • Arrival coordination: Welcoming new arrivals at the airport, assisting with initial settling in and obtaining necessary credentials like Social Security Numbers.
  • Continuous support: Maintaining ongoing relationships with employees, fostering positive work environments and providing continuous support.

Start your US journey with Espirita 

Whether you’re still considering or ready to make the leap, Espirita’s relocation experts are here to advise and connect you with exciting job opportunities in the United States. Register your interest to get exclusive insights and discover your potential. 

Register for US jobs

Apply now

Take a look at our international opportunities and take that first step in what’s sure to be an exciting new journey with us.

In the ever-evolving landscape of healthcare, the demand for skilled nursing professionals remains paramount. For those seeking opportunities across borders, the best international nursing…

Espirita is a trading name of Pulse Healthcare Ltd (03156103) a limited company registered in England and Wales and with its registered office address at 9 Appold Street, London, United Kingdom, EC2A 2AP.
Favorite Healthcare Staffing, LLC, a Kansas limited liability company, d/b/a Espirita™, with principal offices located at 9800 Metcalf Ave, Overland Park, KS 66212. Espirita is a trademark of Indigo Bidco Ltd., an affiliate of Espirita.