The Specified Skilled Worker visa (特定技能 or Tokutei Gino) is a visa category established by the Japanese government to attract foreign workers with specific skills to work in Japan. This visa was introduced to address labor shortages in various industries, particularly in nursing care. The visa is divided into two types: Tokutei Gino Type 1 and Tokutei Gino Type 2, each with unique requirements and eligibility criteria across different fields.
Tokutei Gino Type 1: This visa allows skilled workers to work in 16 industries, including nursing care (介護). To qualify, workers must demonstrate their skills through a series of exams assessing professional expertise and Japanese language proficiency. Type 1 visas are valid for up to 5 years but do not allow family sponsorship.
Tokutei Gino Type 2: This visa requires higher skills and experience and currently applies to only 11 industries, excluding nursing care.
The nursing care sector in Japan is integral to its healthcare and social care systems. As Japan’s population ages rapidly, there is a severe shortage of personnel in this field, creating a strong demand for foreign workers.
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Workforce Demand in Nursing Care: Japan currently lacks hundreds of thousands of workers in the nursing care field. Facilities for elderly care, hospitals, and nursing homes require substantial staffing to support the health and daily living needs of older adults. The Specified Skilled Worker visa in nursing care was thus designed to attract foreign workers with suitable skills to meet this demand.
Roles of Nursing Care Workers: Nursing care workers in Japan not only provide health support but also assist in various aspects of daily life for the elderly, such as:
- Helping with meals, hygiene, and mobility

Professional Skill Requirements: To be granted a Specified Skilled Worker visa in the nursing care field, candidates must pass the Nursing Care Skills Evaluation Test (介護技能評価試験), which assesses essential nursing care skills, from care routines to supporting the elderly and patients in daily life.
Japanese Language Proficiency Requirements: In addition to professional skills, Japanese language proficiency is crucial. Candidates must pass the Nursing Care Japanese Language Evaluation Test (介護日本語評価試験) or have a JLPT N4 certificate or higher. This requirement ensures that workers can communicate effectively and understand job requirements in Japanese healthcare settings.
To obtain the Specified Skilled Worker visa in nursing care, candidates must pass two exams: the Nursing Care Skills Evaluation Test and the Nursing Care Japanese Language Evaluation Test. These exams assess the practical skills and language abilities necessary for work in the field.
Nursing Care Skills Evaluation Test (介護技能評価試験):
Nursing Care Japanese Language Evaluation Test (介護日本語評価試験):
Holding a Specified Skilled Worker visa in nursing care grants workers several rights:
However, visa holders are also obligated to comply with Japanese labor regulations, including adherence to workplace rules, visa renewal requirements, and labor laws.

The general application process involves these steps:
The Specified Skilled Worker visa in nursing care presents a valuable opportunity for foreign workers interested in contributing to Japan’s healthcare environment. Given the high demand for labor in nursing care, this pathway allows foreign workers not only to develop a career but also to play a significant role in enhancing the quality of care in Japan. However, to take advantage of this opportunity, candidates must thoroughly prepare their professional skills and Japanese language abilities while adhering to Japan’s labor and visa regulations.