Immigrating to Canada as a nurse is a pathway drawing growing interest from Vietnamese nurses, as Canada faces a severe shortage of healthcare workers and consistently prioritizes the healthcare sector in its invitation rounds. This guide walks through the process step by step, from credential assessment and language testing to choosing the right program. My Second World’s team has compiled this content based on the current official process to help you clearly picture the road ahead.
Why Canada needs foreign nurses
Canada is facing an aging population and a prolonged nursing shortage in most provinces. Demand for nurses is rising sharply across public hospitals, nursing homes and home care facilities alike.
As a result, Canada has opened many doors for international nursing talent. According to employment data from Job Bank Canada, Registered Nurses are rated as having good job prospects nationwide.
In addition, the federal government has placed the healthcare sector into a separate priority selection category. This gives nurses a significant advantage over many other occupations when it comes to scoring and invitation frequency.
Overview of the pathway to immigrating to Canada as a nurse
Immigrating to Canada as a nurse is not a single procedure but a chain of successive steps. You need to prepare several parts in parallel to shorten the overall timeline.
Overall, the pathway consists of the following main stages:
- Assessment and recognition of nursing credentials (through NNAS and the provincial regulatory body).
- Passing an English or French language test at the required threshold.
- Creating a profile and account in Canada’s selection system.
- Choosing the right program: federal Express Entry or a Provincial Nominee Program (PNP).
- Receiving an Invitation to Apply (ITA) and completing the permanent residence application.
Each step has its own timeline and cost. Therefore, planning ahead helps you avoid being caught off guard if one stage takes longer than expected.
Step 1: Credential assessment through NNAS and the provincial body
This is the foundational step and usually the most time-consuming one. Most foreign-trained nurses must apply through the National Nursing Assessment Service (NNAS) to have their education and experience evaluated.
NNAS collects your credentials, transcripts, and proof of licensure, and prepares an Advisory Report. This report is sent to the nursing regulatory body of the province where you intend to work.
After that, the provincial regulatory body decides which group you fall into: fully recognized, required to complete additional education, or required to pass a licensing exam. Each province has its own rules, so results may vary.
Finally, to practice officially, most candidates need to pass a licensing exam such as the NCLEX-RN. You should identify your target province early so you can prepare in the right direction from the start.
Step 2: Passing the required language test
Language is a factor that determines both your ability to practice and your immigration score. For English, you typically take IELTS (General Training) or CELPIP; for French, TEF or TCF.
The score threshold required to practice nursing is usually higher than the minimum needed to submit an immigration application. As a result, many nurses need to study seriously to reach a score that satisfies both licensing requirements and optimizes their CRS score.
In addition, the higher your language score, the better your ranking score. This is one of the few factors you can proactively improve to increase your chances of being invited.
Step 3: Understanding Express Entry and the healthcare priority category
Express Entry is Canada’s main system for managing skilled-worker immigration applications. This system coordinates three programs, of which nurses typically fit the Federal Skilled Worker Program.
Each profile is scored using the Comprehensive Ranking System (CRS), based on age, education, experience and language proficiency. Candidates with higher CRS scores are prioritized for invitations.
Notably, according to Immigration, Refugees and Citizenship Canada (IRCC), the system holds category-based invitation rounds, one of which covers healthcare and social services occupations. Nurses fall into this category and so may be invited at a lower CRS score than in general rounds.
Therefore, having the nursing occupation correctly classified under the right NOC code is very important. An accurate occupation code helps your profile fall into the right priority group when an invitation round occurs.
Step 4: Considering a Provincial Nominee Program (PNP)
Besides the federal route, provincial nomination is a very strong option for nurses. Each province has its own Provincial Nominee Program with streams dedicated to healthcare workers currently in short supply.
A provincial nomination adds 600 points to your CRS score, almost guaranteeing you will be invited in the next round. This is a huge advantage for those who have not yet reached a high score through Express Entry alone.
According to guidance from Immigration, Refugees and Citizenship Canada (IRCC) on the Provincial Nominee Program, each province sets its own criteria and list of eligible occupations. Some streams require you to already have a job offer in that province.
Notably, the Atlantic provinces and several other provinces have dedicated streams for healthcare workers in short supply. If your profile fits a specific province, this is often a faster and more reliable route.
Therefore, you should monitor both Express Entry and healthcare-specific PNP streams at the same time. This parallel approach significantly increases your chances of receiving a nomination or an invitation.
Step 5: Receiving the ITA and completing the permanent residence application
Once you meet the requirements, you will receive an Invitation to Apply (ITA). This is an important milestone that opens the official permanent residence application stage.
After receiving the ITA, you typically have about 60 days to submit the complete application. The package includes a police certificate, medical exam, proof of funds, passport and documents proving work experience.
Government fees are charged according to the current fee schedule published on the IRCC portal. You should check the updated fee amounts before submitting, as these figures are adjusted periodically.
Finally, the application is reviewed by IRCC before permanent residence confirmation is issued. Once complete, you and your family can move to Canada to live, work and enjoy benefits like local residents.
Tips for a smoother nursing application
A strong nursing application needs careful preparation from the very start. Here are a few points you should pay special attention to:
- Start the NNAS process early, since collecting and verifying documents from Vietnam can take a long time.
- Keep the originals and notarized translations of all diplomas, licenses and proof of experience.
- Invest in your language score, since it is a factor that determines both your ability to practice and your CRS score.
- Identify your target province first, since credential recognition rules differ between provinces.
- Track category-based invitation rounds for the healthcare sector to time your application well.
In addition, hands-on work experience in the field is always a plus. The more transparent and complete your application, the faster and less risky the review process will be in terms of additional document requests.
In addition, you should keep yourself updated regularly, since credential recognition rules and selection criteria can change from year to year. Staying on top of updates early helps you steer your application in time, avoiding the wrong stream or missing a favorable invitation round for the nursing profession.
Summary
Immigrating to Canada as a nurse is a long but clear journey, comprising five main steps: credential assessment through NNAS, language testing, creating an Express Entry profile, considering provincial nomination, and completing the permanent residence application. Each step requires early and properly ordered preparation.
Your next step should be to identify your target province and start the credential recognition process, in parallel with language test preparation. These two steps take the most time, so the earlier you start, the better.
If you would like your personal profile analyzed and a pathway built to fit your specific circumstances, My Second World’s team of immigration consultants is always ready to accompany you on this journey.


