Choosing Between A Staffing Agency Versus A Direct Hire Agency For USRN Applicants?

A commonly asked question that Medliant receives is, “is Medliant a Staffing Agency? Or a Direct Hire Agency?” Medliant is an employment based contract-to-hire agency, and is NOT a direct hire agency. As an employment based contract-to-hire agency, Medliant is able to support you throughout your entire journey to becoming a USRN! This means that Medliant supports you from your initial application, to helping you meet all immigration requirements, sponsoring your married spouse and unmarried children under 21 years of age as dependents on your Green Card Visa, greeting you and your family when you arrive in the USA to help you settle into your new home, and continuing to support you throughout your entire employment while under your 2.5 year contract with Medliant.

As an employment based contract-to-hire agency, there are no upfront costs or fees to you, the employee. Medliant will pay for and sponsor your EB3 Green Card Visa as your sponsoring employer. Medliant has also introduced an NCLEX Sponsorship Program to pay for your NCLEX Review (our review program promotes a 90% pass rate for the NCLEX) and to pay for your NCLEX Exam. Medliant will also reimburse you the cost of your Academic IELTS English Assessment once you present proof of passing as a part of our NCLEX Sponsorship Program as well. 

The advantages of choosing an employment based contract-to-hire agency and becoming a Medliant USRN are clear. With Medliant you will know the exact hospital and location that you will be working at, often 2-3 months in advance before you arrive in the USA. This allows you to better plan for immigrating to the USA with your family, knowing that you will begin working immediately when you arrive, and not have to wait an extended period of time to begin working, which can happen with a direct hire agency. Our agency is dedicated to matching you with a hospital based on your skills, experience, and expertise before you arrive in the USA, to ensure you are successful in all aspects of becoming a USRN!

With a direct hire agency, your employer and green card sponsor is a healthcare facility itself, and not the agency. If your position is filled while you are in the process of immigrating to the USA or if it is simply not a good fit, your Green Card sponsor would need to be recaptured by another healthcare facility or hospital. This can take months and be difficult to obtain. With Medliant, an employment based contract-to-hire agency, you avoid this concern as we are the employer and your green card sponsor, allowing you to transfer healthcare facilities or hospitals without impacting your Green Card or delaying your immigration process.


With a direct hire agency, you may not always have a job arranged for you the moment you arrive in the USA. At times, nurses may even arrive to find themselves waiting in the USA for days, weeks, or even months, until a job can be matched with you. With Medliant, this does not happen, as you will have already interviewed with the hospital that you will work at, and you and your family can plan to arrive knowing that you will have full-time employment as a USRN when you do!


As your Green Card Sponsor and employer, Medliant is able to support you throughout your career. If you choose to extend your contract or work at another hospital at the conclusion of your contract, you can choose to remain with Medliant and have us provide you with the options, resources, education, and support that will help you find success, or you can choose to work for any other employer in the USA.


Medliant has helped more than 11,500 international applicants immigrate to the USA successfully for more than 30 years since 1991, so you can trust our expertise and experience in being a leading Green Card Sponsor and employer in your journey to become a USRN!

If you would like to apply to become a Medliant USRN and have Medliant begin helping you prepare for the NCLEX-RN Exam, please email your resume to nursebrennan@medliant.com today!

Brennan Belliveau

Nurse Brennan Belliveau is an internationally educated Registered Nurse born in Edmonton, Alberta, Canada. Brennan immigrated to San Francisco, California, USA in 2019 and has since then helped support thousands of international Registered Nurses in their journey of also becoming a USRN.

Brennan created the The Adventurous Nurse shortly after immigrating to the USA for the international nursing community. He continues to work as a USRN in pediatric cardiology and heart-lung transplant care and previously wrote NCLEX preparation questions for publishers. Today Brennan advocates for and creates content for international nurses all across the world to support them in their journey of becoming a USRN with Medliant too.

In 2023 Brennan was named a Distinguished Alumni by MacEwan University in Canada and later in 2024 he was named to Marquis Who’s Who in America for his work in supporting international Registered Nurses and their family’s in achieving their American Dream too.

https://www.linkedin.com/in/brennanbelliveau
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February 2022 USCIS Visa Bulletin Update

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