Migrate to Australia as a Registered Nurse (Community Health) (ANZSCO 254414) — 2026 Pathway Guide

This is a working migration guide for Registered Nurses (Community Health) under ANZSCO 254414 in 2026. Community-based RN practice — RN registration via NMBA.

For costs and timelines see the 254414 cost & timeline case study. For ANMAC, see the skills assessment guide.

What 254414 covers

ANZSCO 254414 covers community RN practice:

• District nursing / Hospital-in-the-Home (HITH)
• Chronic disease management at home
• Community wound care
• Community palliative care
• Mental health community nursing
• Immunisation outreach
• Aboriginal Community Controlled Health Services
• School nursing (some overlap)
• Refugee health

Visas open to 254414

See Subclass 189, 190, 491, 186, 494, and 482.

ANMAC + NMBA registration

Standard sequence:

1. ANMAC Skills Assessment (8-12 weeks)
2. NMBA RN registration application via AHPRA
3. Visa lodge / grant
4. Take community RN role

Required: BSc Nursing + origin-side RN registration + English (OET B / IELTS 7.0 each / PTE 65 each).

Sponsors that hire 254414

• State health community services — NSW Health, Vic Health (community health centres), QLD Health
• HITH services — substantial demand for hospital-in-the-home nurses
• Bolton Clarke / RDNS — major community nursing providers
• Aboriginal Community Controlled Health Services — substantial demand
• Regional community health — substantial 491 / 494 sponsorship

Common mistakes

• English test too old. OET / IELTS validity ~2-3 years
• Origin-side RN registration restrictions. Unrestricted essential

Tools

• Eligibility wizard
• ANZSCO search — verify 254414 vs other RN codes
• Document checklist
• Visa fee calculator

Where to verify

• ANMAC
• NMBA / AHPRA
• Australian College of Nursing

Next step

Want help mapping your community RN profile to ANMAC + NMBA? Book a 30-minute free strategy call.