The new healthcare reform law covers a lot of ground, measuring in at about 2,400 pages, and twice as long as “War and Peace.”

Much attention this week has focused on big-ticket provisions such as a national exchange for buying insurance, an end to excluding people with preexisting medical conditions.

But scattered throughout the law are also a number of provisions that focus on prevention of illnesses and keeping people fit. And, some healthcare experts say, this is where the real action will be in years ahead.  What jobs will be in demand to service this need?

If you’re considering switching careers, or are just starting to think about where to begin yours, this is the list for you:

#1  Registered Nurse: One of the most in-demand careers in the entire US, registered nurses are projected to generate over 580,000 new jobs by 2016. This does not count the hundreds of thousands of jobs that will become available when older nurses retire. Those following the path toward becoming a registered nurse will find abundant job prospects and ample opportunities.  Call your representatives and tell them to pass the W Visa for nurses that will provide a temporary nonimmigrant category for nurses.  Also tell them to tackle legal immigration first to get the nurses in waiting in the EB-3 category moving forward, given that this is a pre-certified shortage occupation.

#2  Home Health Aide: Home health aides function as caregivers to the many people who are unable to leave their homes or live on their own. Home health aides may check vital signs, administer medicines, and help with daily tasks. The job outlook for home health aides is excellent, especially as baby boomers age and home health aides retire or advance into other careers.

2006 employment: 767,000
2016 projection: 1,156,000
Percent growth: 50.6
Salary range: Less than $21,220
Education/training: On-the-job training

#3  Medical Assistant: Medical assistants perform administrative and clinical tasks in a variety of work settings. A staple of the healthcare industry, medical assistants are in demand all over the US. Employment for medical assistants is estimated to grow much faster than average, and job opportunities should be abundant for medical assistants with formal training or certification.

#4  Pharmacy Technician:  Pharmacy technicians help pharmacists in providing medication and health care products to patients. Because there is currently few state, and no Federal, requirements for formal training, many employers have on-the-job training, which is appealing to individuals who want to further their education without attending multiple years of school.

2006 Employment: 285,000

2016 projection:  376,000

Percent growth:  32

Salary range:  $21,260 – $30,560

Job outlook:  The demand for pharmacy technicians will increase along with the elderly population.  Pharmacies looking to cut costs will shift more responsibilities form pharmacists to technicians

#5  Medical Secretary: Employment is expected to grow faster than average, and job opportunities should be especially good for those who are certified. Employment in hospitals and physician’s offices will continue to grow significantly.

#6  Dental Assistant: Dental assistants are the most in-demand job in the field of dentistry.  Here are the stats:

2006 employment: 280,000
2016 projection: 362,000
Percent growth: 29.2
Salary range: $21,260 – $30,560
Education/training: Moderate on-the-job training
Job outlook: As dental health among older generations improves, routine preventive care is needed more than ever before. Also, younger dentists entering the field are more likely to work with assistants.

#7  Healthcare Administrators; As the backbone of healthcare systems, healthcare administrators take on the duties of overseeing vast expanses of medial personnel. As the structure and financing of the healthcare industry changes, healthcare administrators must be able to adapt to new environments. However, administrators are still in great demand despite the evolving industry.

#8  Medical Records and Health Information Technicians: Medical records and health information technicians maintain the millions of documents the healthcare industry produces. Paperwork includes x-rays, medical histories, lab tests, and treatment plans. Every patient has detailed medical records, and it is necessary that these records be kept organized and confidential. Even with the proliferation of online and electronic health records, the medical records field is expected to grow considerably.

#9  Physical Therapist:  Physical therapy is a growing occupation, especially for those who was interested in pursing an advanced medical degree but do not want to be physicians. Currently, the number of physical therapy jobs is greater than practicing physical therapists because many physical therapists hold more than one job – such as having a private practice and also working part time at another healthcare facility.  Call your representatives and ask them to tackle legal immigration reform first so that the backlog of PTs waiting for green-cards (a pre-certified shortage occupation along with RNs), get moving forward for foreign PTs.

2006 employment: 173,000
2016 projection: 200,000
Percent growth: 27.1
Salary range: $46,360 or more
Education/training: Master’s degree
Job outlook: The growing elderly and disabled population will push demand for physical therapy, an industry that’s constantly expanding its scope.

#10  Physician Assistants:

2006 employment: $66,000
2016 projection: 83,000
Percent growth: 27
Salary range: $46,360 or more
Education/training: Master’s degree
Job outlook: As health care facilities, particularly in rural and inner-city areas, increasingly use physician’s assistants to address physician shortages and save money, job demand will grow.

More on this in the News:

• We link to an article in the LAT:  http://www.latimes.com/sns-health-growing-health-occupations,0,6656383.photogallery

• Healthcare Finance News: http://www.healthcarefinancenews.com/news/healthcare-hiring-could-boom-2010

• Healthcare Reform:  How it Might Work for Real People:

http://www.cnn.com/2010/HEALTH/03/23/health.care.scenarios/index.html

The United States and Immigration Services (USCIS) has increased the maximum period of time a TN professional worker from Canda or Mexico may remain in the United States before seeking readmission or obtaining an extension of stay. The final rule changes the initial period of admission for TN workers from one to three years, making it equal to the initial period of admission given to H-1B professional workers.

Please remember — with the immigrant visa (“green card”) annual quota currently backlogged thereby resulting in a long waiting list, and H-1B visas generally being unavailable for nurses, the search continues for faster ways for nurses to enter the United States to commence employment in their professions. Fortunately, under the North American Free Trade Agreement (“NAFTA”), nurses and physical therapists who are citizens of Canada and Mexico have a possible solution. The TN classification or visa pursuant to NAFTA is quicker and easier than the green card process, is not subject to annual quotas and is not subject to prevailing wage and other labor condition application (“LCA”) requirements.

Please note that TN’s are also available for Physicians, PTs, OTs, Pharmacists, Med Techs, Nutritionists & Dentists.

A VisaScreen certificate is required for nurses, PTs, OTs and Med Techs. All TN non-immigrants are subject to the laws of the state of intended employment regarding professional licenses but will not need to acquire the relevant license prior to admission to the US. However, the TN applicant must obtain the appropriate professional license from the state of intended employment prior to commencing employment.

A Canadian citizen may present the application package described above directly to an immigration officer at a US port of entry at the time of entry. The immigration officer will make the determination as to whether the applicant is admissible as a TN. No prior petition approval is required. No visa is required from a US consulate. Upon admission to the US, the Canadian citizen will be issued a Form I-94 for a period not exceeding 1 year which will be marked “multiple entry” and can be used for future entries to the US during its validity.

A Mexican citizen submits the application package described above directly to a US consulate as part of an application for a TN visa. The consul makes the determination as to whether the applicant is eligible for a TN visa. Upon admission to the US, the applicant will be given a “multiple entry” Form I-94 for a period not exceeding 1 year.

Other Details for NAFTA-TN Classification for Citizens of Canada and Mexico:

• Spouses and unmarried children under the age of 21 will receive TD dependent status.
• Children can attend school, spouses are not accorded work authorization
• Green-Card Process (Permanent Residency) is available to TNs, and the 3-year periods of stay will offer greater flexibility for those who wish to pursue their green-cards while continuing to work in the USA

For more information on the TN Solution and how it will alleviate the high costs associated with the employment of temporary and travel nurses and other healthcare workers, please contact us today.

 Frequently Asked Questions on TN Admission Period