Registered Nurse (Medical): ANZSCO 254418 explained

Registered Nurse (Medical), ANZSCO 254418

Registered Nurse (Medical) is ANZSCO code 254418, skill level 1.

The job covers nursing care for patients with conditions such as infections, metabolic disorders, and degenerative conditions. Work happens across health, aged care, and community settings where medical intervention is needed. The ABS definition is the official source for this scope.

This code belongs to the Registered Nurses group (2544).

---

Who assesses this occupation

The assessing authority for 254418 is AHPRA (Australian Health Practitioner Regulation Agency), operating through the Nursing and Midwifery Board of Australia (NMBA). Assessment requirements, fees, and documentation differ depending on where you trained. The occupation page on anzscofinder carries the current authority detail and links through to AHPRA directly.

---

Which visa lists include this code

Registered Nurse (Medical) sits on two Australian skilled occupation lists, both current as of 2025-12-15:

• Medium and Long-term Strategic Skills List (MLTSSL): this opens pathways to several visa subclasses, including the 189 independent skilled visa and the 190 state-nominated visa. Check the Home Affairs skill occupation list page for the exact subclasses linked to MLTSSL membership.
• Core Skills Occupation List (CSOL): this is the list used for the Skills in Demand visa (subclass 482) under the Core Skills stream. CSOL membership does not mean an employer is required to sponsor you, and it does not guarantee assessment success. It means the occupation is eligible for that stream.

On shortage: the 2025 Occupation Shortage List (released October 2025) carries a current rating for nursing occupations. We have not reproduced a specific rating here because these ratings are updated and vary by region. You can check the current rating for 254418 on the occupation page or directly on the Jobs and Skills Australia shortage list.

List membership and shortage rating are separate things. Being on MLTSSL or CSOL opens a visa pathway. The shortage rating is a separate, point-in-time read of labour market conditions. Both matter for different reasons.

---

Near-miss codes to check

The Registered Nurses group (2544) has several specialist codes. Two that are often confused with 254418:

• Registered Nurse (Critical Care and Emergency) 254411: covers ICU, CCU, and emergency nursing, not general medical ward work.
• Registered Nurse (Developmental Disability) 254412: covers nursing care for people with developmental disabilities, a distinct clinical scope from medical nursing.

If your work crosses settings or specialties, check whether one of the other Registered Nurses codes (2544) fits better than 254418.

---

Find your exact code

Browse all ANZSCO 2022 codes at anzscofinder.com/en/anzsco/2022/. If you are unsure which code matches your actual role and qualifications, the CV matcher at app.anzscofinder.com can suggest the closest codes based on your experience.

For advice on which visa pathway fits your situation, speak with a registered migration agent. Information only: we find codes, we do not advise on applications.