FAQ

Getting Started
•    What is Madison Healthcare migration program about?
•    What are the requirements. Do I qualify?
•    How do I apply?
   
Prerequisite examinations
•    What is the necessary documentation in order to work in the USA as a nurse?
•    How do I qualify for Registered Nurse licensure?
•    What is the NCLEX-RN?
•    What is the passing score for the NCLEX-RN exam?
•    Where is the NCLEX-RN exam administered?
•    Does Madison Healthcare provide any study aids to prepare for any of the requisite examinations?
•    What is the VISA SCREEN certificate?
   
Obtaining the appropriate visa to travel and work in the USA
•   Under what visa category will I travel to and work in the United States?
•    How will Madison Healthcare assist me with the visa process?
•    Is there a contractual agreement as part of the process of migrating to the USA?
•    How long is my commitment to the new employer in the USA?
    
Destination: The United States
•    Do I get a choice of employment location?
•    What will my salary be?
•    What are the benefits of pursuing a nursing career in the USA?
•    What benefits will I receive?
•    What happens when I complete my initial employment term?

 

Getting Started

What is Madison Healthcare migration program about?
Madison Healthcare provides complete migration program to all qualified, English speaking, internationally trained nursing professionals, wishing to explore their career prospects in the United States. Madison Healthcare assists each candidate in the process of credentialing, prerequisite exams preparation, licensing, immigration, and final assimilation with a new culture and carefully selected working environment.
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What are the requirements? Do I qualify?
•    You must have been trained and graduated from a recognized program from your country. Your training should have included at least a minimum of 3-4 years of theoretical instruction and clinical practice in the areas of Medical-Surgical Nursing, Pediatrics, Maternity/Obstetrics-Gynecology, Community Health and Psychiatry Nursing.
•    You must have been licensed to practice your profession in your home country. This license must be current, with no restrictions.
•    You must have at least 2 years of current working experience in a clinical/hospital setting, preferably in the acute care areas.
•    You should be able to speak, read and write English to a professional level.
•    Good patient care skills.
•    Willing to undergo all necessary prerequisite examinations.
•   Must be eligible for US visa.
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How do I apply?
Click here for ways to apply.
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Prerequisite examinations

What is the necessary documentation in order to work in the USA as a nurse?
Madison Healthcare will help you complete all the paperwork and obtain all the documents you'll need to work as a Registered Nurse in the United States, which include a U.S. RN license and an appropriate visa to work.
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How do I qualify for Registered Nurse licensure?
An application form must be filed with the respective Board of Nursing in a state in which you desire to practice your profession. Each Board of Nursing may have different requirements. Madison Healthcare will assist you throughout the process.
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What is the NCLEX-RN?
•    NCLEX-RN examination is developed and administered by The National Council of State Boards of Nursing Incorporated in conjunction with the Pearson Professional Testing.
•    NCLEX-RN tests (a candidate) for a minimum nursing competence according to a national standard.
•    It’s a national exam. Application procedure and licensing requirements are determined by each State Board of Nursing and may differ from state to state.
•    NCLEX-RN examination is conducted in Computer Adaptive Test (CAT) format: The examination is computerized. It is called “adaptive” because the computer estimates the candidate’s ability after each question. The next question is chosen based on the candidate’s estimated ability thus far in the test. The test is therefore “adapted” for each candidate, thus the process is “customized”.
•   The test format will be a multiple-choice questions/answer format. In addition, according to the latest blueprint, some of the questions will be of alternate type. This may include: multiple correct answers, fill-up the blanks, click on the graphics, responding to a chart, etc. types of questions.
•   Number of questions: 75 – 265 including about 15 “tryout questions” which are not scored. These tryout questions, which are not identified to the test taker as such, are being field tested for use on future exam. They are not calculated in the overall score.
•   Types of questions:

The examination covers the following Nursing Process:
•  Assessment
•  Analysis
•  Planning
•  Implementation and Evaluation/Outcome Criteria.

The client needs tested include:
•  Safe, Effective Care Environment
•  Physiological Integrity
•  Psychosocial Integrity
•  Health Promotion and Maintenance.
•   Timing: Maximum time allowed for the exam is 5 hours. There is no time limit for each question. A 10-minute mandatory break will be given after 2 hours of testing and an optional 10-minute break after 3 ½ hours of testing.
•   The test will stop when the computer has made the pass/fail determination or the maximum number of questions has been exhausted or 5 hours has passed after the exam start.
•   The examination results will be communicated directly by the testing agency to the respective State Board of Nursing, which will then inform the candidate about the examination outcome. If a passing score was achieved, a certification of licensure will be issued.
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What is the passing score for the NCLEX-RN exam?
There is no minimum passing score for the NCLEX-RN exam. There is only pass or fail result based on the computer´s continuous evaluation of your answer choices.
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Where is the NCLEX-RN exam administered?
As of now, the NCLEX-RN exam is administered throughout the United States and its territories.
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Does Madison Healthcare provide any study aids to prepare for any of the requisite examinations?
Yes, Madison Healthcare provides nurse applicants with its in-house, customized, training program.
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What is the VISA SCREEN certificate?
US immigration requires that for healthcare professionals, including RNs, complete a screening program in order to qualify for an occupational visa. This process is called Visa Screen. This is administered by ICHP (International Commission on Healthcare Professionals). This Visa Screen ensures the integrity of the occupational visa sought by the nurse. The Visa Screen Certification process comprises of three parts:
•    Passing scores on:
Option #1: TOEFL: 540 (or 207 computerized) TWE: 4.0 TSE: 50
Option #2: TOEIC: 725 TWE: 4.0 TSE: 50
Option #3: IELTS (Academic Module ONLY): 6.5 IELTS Spoken Band: 7.0

Please note that certain English speaking countries are exempt from the above requirements. Please check with us to receive the most current & accurate information.
•    Passing either the NCLEX-RN exam or obtaining the CGFNS Certificate.
•    Credential evaluation.
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Obtaining the appropriate visa to travel and work in the USA

Under what visa category will I travel to and work in the United States?
The most suitable visa for internationally trained nursing graduates is Employment Based Third Preference Immigrant Visa (EB-3), commonly known as "Green Card."
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How will Madison Healthcare assist me with the visa process?
Madison Healthcare and its client facility will sponsor you, your spouse and children under 21 for a Permanent Residency Visa (green card) after you pass the NCLEX-RN or obtain the CGFNS Certificate.
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Is there a contractual agreement as part of the process of migrating to the USA?
Yes. Given the complexity of the process and the amount of time involved, it is a standard practice for both the parties (you and the sponsor/Madison Healthcare) to enter into an agreement of what the expectations are from both sides.
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How long is my commitment to the new employer in the USA?
You will be required to complete a a minimum of two to three year contract at the client facility site.
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Destination: The United States

Do I get a choice of employment location?
Madison Healthcare will provide you with several placement options after assessing your location preference, clinical skills and experience. Based on the needs of our client facilities, we will make a match between your skills & expectations and the facility’s personnel needs. Of course, the final choice is yours to make!
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What will my salary be?
Your salary will depend entirely on your qualifications, certifications (specialty), and acquired experience. Additionally factors, such as geographical locations, shift assignments and premiums will also determine your overall hourly salary + benefits. You will be provided a prevailing wage that is in effect. This ensures a fair treatment of all the employees.
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What are the benefits of pursuing a nursing career in the USA?
A nursing career in the U.S.A. will offer you with endless opportunities to master your patient care and critical thinking skills, help you expand your status of educational achievements, explore a new country and culture, improve your family lifestyle, while earning exceptional salary and benefits.
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What benefits will I receive?
Please click here for benefits details.
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What happens when I complete my initial employment term?
After completing your contractually obligated term of two to three years, you have an option of continuing with the same facility or moving to another location of your choice. Whatever be your decision, Madison Healthcare is there to support you.
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