The Solution
A Turn-Key Pipeline. Permanent Results.
From global sourcing to your unit floor — every stage managed, every milestone tracked, every risk contractually mitigated. Here is exactly how it works.
The Legal Framework
The EB-3 Schedule A Visa — Explained Without the Jargon
The EB-3 Schedule A designation is the single most important legal mechanism behind our programme. Understanding it takes three minutes and changes how you think about international nurse recruitment.
What is EB-3?
EB-3 is a US immigrant visa category for skilled workers. It creates a pathway to a permanent green card — not a temporary work visa. Nurses placed through our programme arrive as permanent residents, not agency contractors on expiring visas.
What is Schedule A?
Schedule A is a permanent Department of Labor designation for occupations in chronic national shortage. Registered nursing has held this designation continuously. It means the DOL has pre-certified that no qualified US workers are being displaced — so the lengthy PERM Labour Market Test is bypassed entirely.
Why does bypassing PERM matter?
The standard EB-3 PERM process takes 12–18 months before a visa petition can even be filed. Schedule A eliminates that layer. We file the I-140 immigrant petition directly, compressing the overall timeline by up to 18 months compared to standard international recruitment pathways.
What does this mean for your hospital?
Your facility sponsors the visa as the petitioning employer. We manage every filing, every USCIS interaction, and every consular step. Your legal exposure is limited to signing the I-140 petition — a standard employer sponsorship document. No immigration law expertise is required from your team.
The Five-Stage Pipeline
From Sourcing to Your Unit Floor
Global Sourcing
Weeks 1–4Our Nairobi-based recruitment team identifies candidates through direct partnerships with Kenya's premier tertiary hospitals — Kenyatta National, Aga Khan University Hospital, and MP Shah Hospital. We do not use job boards or cold outreach. Every candidate enters the pipeline through an established institutional relationship or verified professional referral.
Your action
None required at this stage.
Vetting & Credentialing
Weeks 4–12Every candidate undergoes a full document audit (nursing degree, transcripts, employment records, NCLEX results), a structured clinical competency interview conducted by our nursing leadership team, two verified supervisor references, and independent IELTS Academic or OET examination. Only candidates clearing all four gates advance. CGFNS VisaScreen Certificate status is confirmed before any dossier is compiled.
Your action
Review and approve candidate dossiers presented by Brites Global. Typically 30–60 minutes per dossier for your credentialing team.
Visa & Immigration Filing
Months 3–14We prepare and file the I-140 Immigrant Petition for Alien Workers under EB-3 Schedule A on behalf of your facility. We manage all USCIS correspondence, respond to Requests for Evidence (RFEs), track National Visa Center (NVC) queue progression, and coordinate the DS-260 immigrant visa application and consular interview scheduling at the US Embassy in Nairobi.
Your action
Sign the I-140 petition as the sponsoring employer. Provide standard HR documentation (job description, prevailing wage confirmation). Estimated 3–5 hours of internal time across the full immigration phase.
Pre-Arrival Preparation
Months 14–17Following visa issuance, we manage Michigan LARA licensure endorsement, coordinate international travel logistics, arrange temporary housing support for the first 30 days, and conduct a structured pre-arrival orientation covering US clinical protocols, Michigan-specific compliance requirements, and your facility's onboarding expectations.
Your action
Confirm start date and unit assignment. Prepare standard new-hire onboarding materials. No immigration or logistics coordination required.
Hospital Onboarding
Weeks 1–4 post-arrivalThe nurse arrives as a direct employee of your health system — not an agency contractor. Your standard new-hire onboarding process applies. We provide a 30-day post-arrival support contact for the nurse and a dedicated account manager for your HR team to address any transition questions. The 90-day continuity guarantee period begins on the first day of employment.
Your action
Standard new-hire onboarding. The nurse is your direct employee from day one.
Milestone Timeline
What Happens, and When
The typical end-to-end timeline from signed engagement to nurse on the floor is 13–18 months. The primary variable is USCIS processing times, which we monitor and report on throughout.
Engagement agreement signed. Sourcing and vetting begins.
Candidate dossiers presented and approved by your credentialing team.
First milestone payment due. I-140 petition filed with USCIS.
USCIS adjudication of I-140 petition. We manage all correspondence.
National Visa Center processing. DS-260 filed. Consular interview scheduled.
Second milestone payment due. Visa issued at US Embassy Nairobi.
Pre-arrival preparation: LARA endorsement, travel, housing, orientation.
Nurse arrives. Final placement payment due. 90-day guarantee period begins.
Fee Structure
Performance-Driven. Milestone-Gated.
Sponsoring international talent through federal channels can feel administratively overwhelming for healthcare teams. Our Michigan-based LLC acts as your dedicated immigration steward, managing 100% of the legal, USCIS tracking, credential verification, and international transit logistics. To eliminate risk to your clinical operating budget, our fees are structured entirely around performance milestones:
Milestone 1
Selection & Legal Launch
Invoiced only after your clinical team interviews and formally accepts a candidate's dossier. This triggers the immediate initiation of the federal immigration file.
Milestone 2
Form I-140 Visa Approval
Invoiced strictly when USCIS issues an official Approval Notice (Form I-797), legally locking the nurse into your facility's pipeline.
Milestone 3
Successful US Arrival
Invoiced on the nurse's first official day of employment (Start Date) at your Michigan facility.
All milestone invoices are issued against verified federal documentation. No fees are payable until each milestone is independently confirmed.
Relocation & Ethical Mandates
To maintain absolute compliance with international ethical recruitment frameworks (such as the WHO Global Code of Practice), our agency coordinates and books a one-way economy ticket from Nairobi to Michigan to align perfectly with your pre-scheduled corporate orientation dates, billed back to the hospital as a pass-through expense.
Your Responsibilities
What Your Team Actually Has to Do
We are explicit about this because it matters to your leadership team. Here is the complete list of actions required from your hospital across the entire programme.
Total estimated internal time across the full 13–18 month programme: 8–12 hours per placed nurse. Everything else is managed by Brites Global.
Risk Mitigation
Every Risk, Contractually Addressed
90-Day Continuity Guarantee
If a placed nurse departs for any reason within the first 90 days of employment, we source and process a replacement candidate at no additional placement fee. The replacement undergoes the full vetting protocol.
Milestone-Gated Payments
You never pay for a promise. Each payment is triggered by a verified, documented federal legal milestone or confirmed physical arrival. No milestone reached means no payment due.
Zero Immigration Liability
We manage all USCIS filings, RFE responses, NVC correspondence, and consular coordination. Your facility's legal exposure is limited to signing the I-140 as the sponsoring employer — a standard document your employment counsel will recognise immediately.
Credential Verification on File
Every credential — NCLEX registration, CGFNS VisaScreen, IELTS/OET results, employment records — is independently verified and held on file. Your credentialing team receives a complete, auditable dossier for every candidate.
See the Programme Applied to Your Vacancy Profile
In a 15-minute executive briefing, we will map the pipeline to your specific unit vacancies, walk through a sample candidate dossier, and confirm the timeline and fee structure for your system.