anzsco.com.au
ANZSCO 254425Subclass 491Provisional

Registered Nurse (Paediatrics) — Subclass 491 Pathway

Skilled Work Regional (Provisional) visa · 5 years provisional → PR pathway via Subclass 191

At a glance

Visa
Subclass 491Skilled Work Regional (Provisional) visa
Points test
Yes — points-tested via SkillSelect
Sponsor
State nomination or eligible family sponsor
Eligibility list
MLTSSLSTSOLROLCSOL
Base fee
from $4,640 (check immi.gov.au for current fee)
Processing time
~8-15 months (median)

Key facts at a glance

Data compiled from official sources. Always verify on the relevant authority’s website before acting.

SkillSelect points cutoff(Subclass 189)
75 pointsNovember 2025 roundView all rounds →
Skills assessment fee
AUD 400–500via Australian Nursing and Midwifery Accreditation Council· ~8-16 weeks processing

All figures are indicative. Fees and points cutoffs change frequently — always verify on immi.gov.au and the relevant state/authority website before lodging.

Skills assessment for this occupation

Assessing Registered Nurse (Paediatrics) for migration purposes is handled by: ANMAC.

Each occupation has a single designated assessing authority — refer to the occupation page for the body that assesses it.

Registered Nurse (Paediatrics) × Subclass 491 — pathway overview

Registered Nurses (Paediatrics) under ANZSCO 254425 may be sponsored under the Subclass 491 Skilled Work Regional (Provisional) visa. This occupation is listed on the Medium and Long-term Strategic Skills List (MLTSSL), and state and territory governments in regional areas with children's health facilities often nominate paediatric nurses. The 491 is a points-tested provisional visa requiring nomination from a state or territory government or from an eligible relative in a designated regional area. Holders must commit to living and working in the designated regional area for at least three years. After meeting income and residency requirements, permanent residence through the Subclass 191 visa becomes accessible. A positive ANMAC skills assessment is required. NMBA registration is mandatory. Points are earned through age, English proficiency, work experience, and qualifications. State nomination adds five points. Health and character checks are required. For advice tailored to your individual circumstances, always consult a registered MARA migration agent.

Content last generated: 2026-06-26

Key requirements

High-level criteria for Subclass 491. Verify every requirement on immi.gov.au before applying.

  • Under 45 years of age at invitation
  • Competent English (IELTS 6 or equivalent)
  • Positive skills assessment in a nominated occupation
  • State/territory nomination OR eligible regional family sponsor
  • Live, work, and study only in a designated regional area
  • Health and character requirements

Other visa pathways for Registered Nurse (Paediatrics)

State nominations for Registered Nurse (Paediatrics)

States currently nominating this occupation — see the dedicated pages for state-specific criteria.

Visa pathway data last reviewed by editorial team: