A Checklist for Healthcare Employers Sponsoring Overseas Staff

Australia’s healthcare sector relies heavily on internationally trained doctors, nurses, midwives, and allied health professionals — especially in regional and rural areas. For clinics, hospitals, aged care facilities, and private practices, sponsoring overseas staff is often the most effective way to fill persistent workforce shortages.

However, visa sponsorship comes with strict requirements under Australian immigration law. Employers must follow compliance rules, maintain accurate documentation, and provide appropriate workplace conditions.

To help streamline the process, we’ve created a comprehensive checklist for healthcare employers looking to sponsor overseas staff through visas such as the Subclass 482, Subclass 186, or regional visas like the Subclass 494.

Let’s walk through everything you need to know.


1. Confirm the Occupation Is Eligible

Before sponsoring someone, ensure the position is on an approved skilled list:

Most healthcare roles are eligible, including:

  • General Practitioners & Specialists
  • Registered Nurses & Midwives
  • Physiotherapists, Psychologists, Sonographers
  • Allied Health Practitioners (OT, Speech Pathology, Radiography, Dietetics, etc.)

2. Become an Approved Standard Business Sponsor

To sponsor staff under the 482 visa, employers must be approved as a Standard Business Sponsor (SBS).

Apply here:
👉 Becoming an Approved Sponsor – Home Affairs

Requirements include:

  • Proving your business is legally operating
  • Showing a genuine need for an overseas worker
  • Maintaining compliant HR and payroll systems

3. Undertake Labour Market Testing (LMT)

Before nominating a worker, employers must show they tried to hire Australian citizens or permanent residents.

LMT requires:

  • At least two advertisements posted for 28 days
  • Ads that meet specific Home Affairs criteria
  • Evidence kept on file for 5 years

Exceptions may apply under:

  • DAMA agreements
  • Some Labour Agreements

More on DAMAs here:
👉 DAMA Information


4. Offer Market Salary and Meet TSMIT

Sponsored workers must be paid:

  • At or above the market salary rate, AND
  • Above the TSMIT (Temporary Skilled Migration Income Threshold)

This ensures overseas workers receive the same pay and conditions as Australian staff.

Employers must comply with:

  • Fair Work legislation
  • Superannuation requirements
  • Leave entitlements

5. Nominate the Worker for the Correct Visa

Select the visa that matches the worker’s background and your organisation’s needs:

**• Subclass 482 (Temporary Work)

• Subclass 186 (Permanent Residency)
• Subclass 494 (Regional Provisional → PR)**

Compare visa options here:
👉 Visa Finder Tool – Home Affairs


6. Support the Worker’s Registration Requirements

Healthcare professionals cannot work without proper registration.

Depending on the profession, the worker may need to complete:

  • AHPRA registration
    👉 AHPRA Website
  • Primary Source Verification (PSV) through AMC/EPIC
    👉 AMC Verification
  • Nursing/Midwifery ANMAC skills assessment
  • Allied health assessments via the relevant authority

Many employers also support staff with exam preparation (AMC, OET, PESCI, etc).
You can direct IMGs to exam support services such as:
👉 IMG SOS (AMC MCQ & Clinical preparation)


7. Provide Onboarding, Supervision, and Workplace Support

Skilled visas — especially 482 and 494 — require employers to:

  • Ensure the worker performs the nominated occupation
  • Provide appropriate supervision, especially for IMGs
  • Offer a safe workplace
  • Assist with induction and compliance training

For doctors requiring supervision, documentation must align with AHPRA supervision levels.


8. Meet Ongoing Sponsorship Compliance Obligations

Sponsors must:

✔ Keep all employment records
✔ Notify Home Affairs of changes (termination, role changes, business details)
✔ Cooperate with monitoring or audits
✔ Pay return travel costs if required
✔ Ensure the worker works only in the nominated occupation

Failure to comply can lead to:

  • Fines
  • Loss of sponsorship approval
  • Visa cancellations

9. Explore Regional Sponsorship & Financial Incentives

Regional employers often have priority access to skilled visas and incentives.

Find regional healthcare vacancies and incentives here:

Regional pathways also offer:

  • Faster processing
  • Labour Agreement concessions
  • PR pathways (491, 494, 186 transitions)

🤝 How MedMigration Helps Healthcare Employers

At MedMigration, we support medical employers by providing:

  • Guidance on SBS approval and sponsorship obligations
  • Assistance with nomination applications
  • Skilled worker matching (doctors, nurses, allied health)
  • Labour Agreement & DAMA pathway support
  • Compliance education and document management
  • Visa assistance for 482, 186, and 494 pathways

We make the process easier, faster, and fully compliant — so employers can focus on delivering patient care.


Final Thoughts

Sponsoring overseas healthcare workers is one of the most effective ways to build a stable, skilled workforce — but it requires careful planning, compliance, and ongoing support.

With this checklist, your organisation can navigate the sponsorship process with confidence and clarity.

For expert guidance on hiring and sponsoring international healthcare professionals, visit:
👉 MedMigration.com.au

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