San Marino is a very small state with a small health sector, so nursing openings are limited and the route is tightly controlled. Nursing is regulated, so recognition and registration with the San Marino health authority (ISS) are still required.

In short: San Marino has few nursing vacancies; to work there you need your qualification recognised by the San Marino health authority (ISS), Italian language skills, a job offer, and a work and residence permit, entered through Italy and the Schengen area. Set realistic expectations, as positions are scarce.

Recognition and Registration

Your qualification is assessed by the San Marino health authority (ISS), usually in accordance with European recognition principles, and you must register before you can practise. Expect to submit your diploma, transcripts, and proof of experience in certified translation.

The Work Route

The usual immigration route is a work and residence permit, entered through Italy and the Schengen area. Because the health sector is small, most people secure a concrete job offer first and then complete recognition and the immigration steps.

What Makes San Marino Different

San Marino is landlocked within Italy, so you reach it through the Schengen area, and its health service is small. Italian is the working language, and a concrete job offer usually comes before recognition and the steps for obtaining residency.

Avoiding Scams

Be especially careful where vacancies are scarce. Legitimate employers and agencies never charge a nurse upfront placement fees; if anyone asks you to pay to be placed, treat it as a likely scam and verify the employer and the San Marino health authority (ISS) through official channels.

Official Sources

Confirm the current rules with the San Marino health authority (ISS) and the San Marino immigration authority, as the small system means requirements can be specific and subject to change.