Introduction
Navigating the labor certification process is a crucial journey for immigrant healthcare workers looking to build a career in the United States. This complex procedure not only protects job opportunities for American workers but also opens the door for foreign professionals seeking permanent residency. As the demand for skilled healthcare personnel grows, understanding the ins and outs of labor certification is vital.
Have you ever felt overwhelmed by the immigration process? What challenges might you face along the way? It’s essential to know that you’re not alone. Many aspiring healthcare workers encounter obstacles, but there are effective ways to overcome them and secure your future. We’re here to fight for you.
Understand Labor Certification Basics
The labor certification process is a crucial step for U.S. employers who want to hire foreign workers for permanent positions. It ensures that no qualified American workers are available for the job, protecting the wages and working conditions of U.S. employees. For many healthcare professionals seeking to work in the U.S., this approval is a key requirement for employment-based green card applications. Understanding the labor certification process is vital for immigrant healthcare personnel, as it significantly impacts their job and residency opportunities in the United States.
Have you ever felt overwhelmed by the complexities of labor certification? Here’s what you need to know:
- Employer Sponsorship: Your employer must commit to sponsoring you.
- Job Offer: A permanent, full-time job offer is essential.
- Hiring Process: Employers need to demonstrate efforts to attract U.S. workers for the position, ensuring they meet employment standards.
- Prevailing Wage Determination: Employers must offer at least the prevailing wage for the role, as set by the Department of Labor (DOL).
In 2026, the number of employment approvals granted to healthcare professionals highlights the ongoing demand for skilled individuals in this field. Notably, California and Texas account for 30% of PERM approvals, reflecting a significant workforce need in these states. Successful employment approvals demonstrate the importance of careful planning and compliance with the labor certification process. As immigration law expert Adan G. Vega puts it, "An employer-sponsored Green Card opens doors. It gives you freedom to build a career. But the procedure requires careful planning. One mistake can delay everything by months or years."
The labor certification process shows that the approval rate for well-prepared PERM applications exceeds 95%, while the denial rate for the fiscal year 2024 was just 4.7%. This demonstrates the reliability of the program. Understanding the basics, including the typical PERM processing time of six to nine months and the associated costs, such as the $8,000 for PERM services including legal assistance, is crucial for navigating the labor certification process.
Remember, you’re not alone in this fight. We’re here to support you every step of the way. Your future matters to us. Yo Peleo - We Fight.

Determine Eligibility for Labor Certification
To qualify for the labor certification process, immigrant healthcare workers face specific challenges that can feel overwhelming. But understanding the criteria can empower you to take the next steps confidently. Here’s what you need to know:
- Professional Qualifications: You must have the necessary education, training, and experience relevant to your job. For healthcare roles, this usually means holding the right degrees and licenses.
- Job Offer: A valid job offer from a U.S. employer is crucial. The position should be permanent and full-time to comply with the labor certification process standards.
- Licensure: It’s essential to obtain the appropriate state licensure to practice where you’ll be employed, ensuring you comply with local regulations.
As part of the labor certification process, employers need to show that there are no qualified U.S. employees available for the position. This often involves a thorough recruitment process, including job advertisements and candidate interviews.
Gathering records that verify your qualifications and licensure is vital for the employment application process. Recent trends show that a significant percentage of immigrant healthcare personnel successfully meet these certification requirements, highlighting their essential role in the U.S. healthcare system. As of 2024, foreign-born individuals make up 19.2% of the U.S. civilian workforce, underscoring their contributions. According to Madeline Zavodny, "The many contributions of foreign-born workers to health care delivery and infrastructure in the United States are particularly remarkable given that the country does not have any visa categories reserved for health care workers."
Remember, you’re not alone in this fight. We’re here to support you every step of the way.

Navigate the Labor Certification Application Process
Navigating the labor certification process can feel overwhelming, but understanding the steps can make a world of difference. Here’s a clear breakdown:
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Prevailing Wage Determination: First, employers need to reach out to the Department of Labor (DOL) to find out the prevailing wage for the position. This step is crucial - especially in healthcare - where competitive salaries matter. Right now, you can expect prevailing wage determinations for healthcare roles to come through in about four months, which is a positive sign of improved processing times.
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Recruitment Efforts: Next, employers must conduct a thorough recruitment process to assess the job market. This usually means advertising the position across various platforms and keeping detailed records to show that no qualified U.S. workers are available. It’s about ensuring fairness and transparency.
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Filing the labor certification process: Once the recruitment phase wraps up, the employer submits the labor certification application (Form ETA-9089) to the DOL. This form needs to include the job description, employer details, and applicant qualifications, all while adhering to DOL regulations.
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Awaiting Approval: After submission, the DOL will review the application, which can take several months. If approved, the employer can file an immigrant petition (Form I-140) for the worker, bringing them closer to permanent residency. Keep in mind that recent federal government shutdowns may have caused delays, so staying updated on DOL news is essential.
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Replying to Requests for Evidence: If the DOL requests more information, it’s vital for the employer to respond quickly to any Requests for Evidence (RFEs). This helps avoid unnecessary delays in the process.
Experts stress the importance of early preparation and strategic planning to tackle the complexities of the employment approval process. Clear communication and thorough documentation throughout these steps are key for both employers and applicants. Remember, you’re not alone in this fight - we’re here to support you every step of the way.

Overcome Challenges in the Labor Certification Process
Navigating the employment verification process can be tough for immigrant healthcare professionals. Here’s a look at common hurdles and effective strategies to tackle them:
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Documentation Errors: Accuracy is everything. Make sure all forms are filled out completely, paying close attention to job titles, addresses, and qualifications. Inconsistent information can lead to delays or denials, so double-checking is crucial.
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Recruitment Challenges: If your initial recruitment efforts don’t yield results, it’s time to broaden your approach. Consider using diverse job boards or adjusting job requirements to attract a wider pool of candidates. Remember, local workforce market conditions can greatly impact recruitment outcomes, so flexibility is key.
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Long Processing Times: Brace yourself for lengthy processing times, which currently average around 472 days. Keep an eye on your application status and maintain open communication with the Department of Labor (DOL) to stay updated on any changes or potential delays.
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Requests for Evidence (RFEs): If the DOL issues an RFE, respond quickly and thoroughly. Provide all requested documentation and clarify any unclear points to avoid further complications.
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Legal Assistance: Hiring an immigration lawyer who understands employment validation can be a game-changer. They can help you navigate complex issues, ensure compliance with regulations, and boost your chances of a successful application.
By proactively addressing these challenges, immigrant healthcare workers can significantly enhance their chances of success in the labor certification process. Remember, you’re not alone in this fight-we’re here to support you every step of the way.

Conclusion
Mastering the labor certification process is crucial for immigrant healthcare workers who want to secure permanent employment in the United States. This process not only protects the job market for American workers but also opens doors for skilled professionals to make meaningful contributions to the U.S. healthcare system. Understanding the ins and outs of labor certification - from employer sponsorship to prevailing wage determinations - is key to navigating this complex journey successfully.
Have you ever felt overwhelmed by the immigration process? You’re not alone. Throughout this article, we’ve highlighted essential points, like the necessity of a valid job offer and the importance of meeting professional qualifications. The statistics show a high approval rate for well-prepared applications, underscoring the significance of thorough planning and compliance with regulations. By tackling common challenges such as documentation errors and lengthy processing times, immigrant healthcare workers can significantly boost their chances of a successful application.
Ultimately, the labor certification process is a vital pathway for foreign healthcare professionals looking to establish their careers in the U.S. It’s a journey that demands diligence, preparation, and the right support. Remember, you’re not in this alone. By staying informed and proactive, you can overcome obstacles and make a significant impact on the healthcare landscape in the United States. Embrace this opportunity and take the necessary steps to ensure a successful transition into this rewarding field. We’re here to fight for your family and your future. Yo Peleo - We Fight.
Frequently Asked Questions
What is the purpose of the labor certification process?
The labor certification process ensures that no qualified American workers are available for a job, protecting the wages and working conditions of U.S. employees, and is essential for U.S. employers who want to hire foreign workers for permanent positions.
Why is labor certification important for healthcare professionals?
Labor certification is a key requirement for employment-based green card applications for healthcare professionals seeking to work in the U.S., significantly impacting their job and residency opportunities.
What are the key requirements for labor certification?
The key requirements include employer sponsorship, a permanent full-time job offer, demonstrating efforts to attract U.S. workers, and offering at least the prevailing wage for the role as set by the Department of Labor.
What does the labor certification process entail for employers?
Employers must commit to sponsoring the foreign worker, provide a permanent full-time job offer, and show that they have made efforts to hire U.S. workers while meeting employment standards.
What is the prevailing wage determination?
The prevailing wage determination requires employers to offer at least the prevailing wage for the job role as set by the Department of Labor.
What has been the trend in employment approvals for healthcare professionals?
In 2026, a significant number of employment approvals were granted to healthcare professionals, with California and Texas accounting for 30% of PERM approvals, indicating a strong demand for skilled individuals in these states.
What is the approval rate for well-prepared PERM applications?
The approval rate for well-prepared PERM applications exceeds 95%, while the denial rate for the fiscal year 2024 was just 4.7%.
How long does the PERM processing typically take?
The typical PERM processing time ranges from six to nine months.
What are the associated costs of the PERM process?
The associated costs for PERM services, including legal assistance, can amount to approximately $8,000.
How can individuals find support during the labor certification process?
Individuals can seek support from organizations and experts who can guide them through the labor certification process and help them navigate the complexities involved.