J-1 Waiver Physician Job Change, Employment Termination Transfer, Relocation Request

J-1 Waiver Physician Job Change/Employment Transfer

We frequently receive requests to evaluate the possibility of a J-1 visa waiver transfer and what reasons may justify a transfer. In most instances, the affected physician needs to transfer his/her H-1B waiver to another J-1 waiver location as well as the I-140/National Interest Waiver Application.

Whether the physician is transferring from a hospital setting to a practice group or vice-versa, here is a list of the issues that I discuss with affected physicians one or more of which might form a basis for successful J-1 Waiver Transfer request:

  •  Prevailing Wage: Whether the employer is paying the J-1 physician the salary or actual wage prescribed by the contract of employment as well as the Physician’s H-1B Visa application;
  • LCA Compliance: Whether the employer is paying the J-1 physician prevailing wage as required by the H-1B and LCA filings.
  • Incentive Pay: Whether the employer is also making timely incentive payments earned by the J-1 physician since the employer is required to pay the higher of the prevailing or actual wage which includes incentives.
  • Malpractice and Staffing: Whether the employer is maintaining the required malpractice insurance as well as adequate medical supplies and staffing to assist the J-1 physician in completing the assigned duties without undue exposure to malpractice concerns.
  • Working Conditions: Whether the employer is requiring the J-1 physician to operate in an unsafe condition or exposing the physician to possible malpractice claim by failing to provide adequate support and staffing.
  • Employer Finances: Whether the employer’s poor financial state creates instability in the J-1 physician’s practice.
  • Patient Base: Whether the employer provides sufficient patient base to permit the J-1 physician to meet the J-1 waiver full-time work requirement on a weekly basis.
  • Physician Termination: Whether the employer has simply terminated the J-1 physician’s contract or otherwise fired the J-1 physician.
  • Compliance with Waiver Requirements: Whether the employer is violating any terms of the J-1 Waiver Agreement with the sponsoring Conrad 30 state, Department of Health & Human Services (HHS), Appalachian Regional Commission (ARC) or Department of Veteran’s Affairs (VA).
  • Personal Circumstances: Whether the personal circumstances of the J-1 physician have changed significantly such as a marriage, engagement, birth/adoption of a child, illness, disability or such changed personal situation necessitating a relocation.

We evaluate the listed factors as well as any others that are unique to the physician’s situation to assess what factors will be submitted in support of the J-1 waiver transfer and job change.


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