There are two main approaches to nursing recruitment: direct hire and contract/agency hire.
Direct hire, also known as permanent placement, offers advantages for both employers and nurses. In this model, the healthcare organization directly sponsors the nurse’s visa, with our assistance. Upon arrival in the USA, nurses are employed as permanent staff members of the organization. Employers maintain full control over hiring, firing, and other personnel decisions. Nurses hired through this model receive the same pay, benefits, and scheduling considerations as other full-time staff.
Contract hire, often referred to as temporary or temp-to-perm hire, involves nurses being employed by a staffing agency rather than the healthcare facility itself. The agency manages the nurses’ visa process and contracts their services to different medical facilities. Nurses in this arrangement have limited control over their work location or schedule and often receive less favorable assignments compared to permanent employees. Additionally, healthcare employers must pay extra fees and markups to the staffing agency for this service.
As a healthcare employer, direct hire is beneficial over contract hire because direct hire nurses are your nurses. The international candidate begins, at the time of sourcing, to establish a permanent relationship and bond with your healthcare organization. When a candidate has the ability, early on, to bond with the organization and identify with the mission , direct hire arrangements lead to a stronger working relationship due to identification with the organizational culture, and higher retention once in the USA. Additionally, the Direct Hire model allows your organization to fill core staff needs with permanent solutions rather than costly contract positions. Thus delivering the fastest return on your international investment.
As an international candidate, the model benefits you by giving you the highest level of control over your future. In the Direct Hire model, your employer acts as both your employer and visa sponsor. Your job offer is permanent and full-time, and you will live and work in the specific city and facility specified in your offer. You cannot be transferred to another location without your consent. You select the place you will live and work and your future is more stable with a 2-4 year contract. Moreover, you will have the same benefits and pay as other candidates with similar qualifications and experience, unlike the agency/staffing hire model. A Direct Hire arrangement provides greater stability, allowing you to settle in one location and have your spouse and children find stable work and schools in your local community.
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