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University hospital · Stockholm

Karolinska University Hospital Careers, Salaries & Jobs

Karolinska University Hospital in Stockholm employs about 16,500 people and was ranked 4th in Newsweek's World's Best Hospitals 2026. To work there clinically you need a Swedish licence and Swedish at C1.

Karolinska University HospitalWorking in Sweden

Last reviewed against the sources listed below.

About Karolinska

Karolinska University Hospital (Karolinska Universitetssjukhuset) is the university hospital of Region Stockholm, working with Karolinska Institutet.

It runs two main sites, in Solna and in Huddinge (Flemingsberg), and says it has about 16,500 staff in around 150 professions. In 2025 it reported 1.6 million outpatient visits, 89,250 inpatient episodes and 61,999 operations.

Karolinska describes itself as a provider of highly specialised care, with centres for cancer, heart and vascular disease, neurology and neurosurgery, transplantation and advanced cell and gene therapies, and the Astrid Lindgren Children's Hospital. In Newsweek's World's Best Hospitals 2026 it was ranked 4th in the world, and the hospital says it was best in Europe for the third time.

For an internationally trained doctor, nurse, midwife or other licensed health professional, Karolinska is clear about what it needs before it can offer you a clinical post: a Swedish licence from Socialstyrelsen, Swedish at CEFR level C1 or higher, and the right to live and work in Sweden. Its working language is Swedish and its vacancies are advertised in Swedish.

There is one route in English: the Clinical Fellowship Program, for licensed doctors and residents affiliated with institutions outside Sweden, which lets fellows work clinically under supervision for 6 to 12 months. It is a training placement, mostly self-financed or funded by the sending institution, not a route to permanent employment.

Founded
2004, when Huddinge University Hospital and Karolinska Hospital merged; the Karolinska Hospital in Solna was inaugurated in 1940
Run by
Region Stockholm
Leadership
  • Christophe Pedroletti, Sjukhusdirektör (hospital director)
  • Ylva Pernow, Chefläkare (chief medical officer)
Awards and rankings
  • Newsweek World's Best Hospitals 2026: ranked 4th in the world (Newsweek); the hospital says it was best in Europe for the third time.
  • Newsweek World's Best Smart Hospitals 2025: ranked 13th, as published in Karolinska's news.
Switchboard
+46 8 123 700 00

What it is known for

  • Cancer care

    A Comprehensive Cancer Center and a Breast Center, listed among the hospital's specialised care areas.

  • Heart and vascular care

    The Heart and Vascular Center, including minimally invasive heart and aortic surgery.

  • Neurology and neurosurgery

    Advanced neurosurgery, an Epilepsy Surgery Center, a Movement Disorders Center and Gamma Knife treatment.

  • Astrid Lindgren Children's Hospital

    Karolinska's children's hospital, part of the university hospital.

  • Transplantation

    Organ transplantation, including liver transplantation.

  • ATMP Center

    A centre for advanced therapy medicinal products: cell and gene therapies.

  • ECMO and trauma care

    Extracorporeal membrane oxygenation (ECMO) and trauma care are among the services the hospital lists.

International recruitment

  • Karolinska does not describe an international recruitment programme for licensed clinical staff. Its page for people with a foreign degree says that, as well as a Swedish licence, it needs Swedish at C1 or higher on the CEFR scale and Swedish citizenship or an approved residence permit and work permit before it can offer you a job. The working language is Swedish.
  • All vacancies longer than six months are advertised, on karolinska.se and on Region Stockholm's shared jobs site, in Swedish. You apply to a specific post; there is no general register for overseas applicants.
  • The hospital does not offer clinical training placements (praktik) to students at foreign universities; placements are for students at universities in Stockholm. Socialstyrelsen's clinical training step (praktisk tjänstgöring) is a separate thing that you arrange as part of the licence route.
  • For doctors already licensed abroad, the Clinical Fellowship Program offers 6 to 12 months of supervised clinical work for licensed doctors, residents and specialists seeking subspecialty training. English is the working language for fellows (Swedish is an advantage), most fellowships are self-financed or funded by the sending institution, and some departments offer paid positions. In October 2026 the hospital said only gastroenterology was accepting applications and other specialties would open in January 2027.

What you need before you can be hired

  • Swedish licence (legitimation). Doctors, nurses, midwives and the other regulated professions need a licence from the National Board of Health and Welfare (Socialstyrelsen). With a degree from outside the EU and EEA, Socialstyrelsen's route has five steps: education assessment, a proficiency test (kunskapsprov), a course in Swedish laws and regulations, clinical training (praktisk tjänstgöring) and the licence application. Socialstyrelsen says the route usually takes two to four years.

  • Swedish at C1. Karolinska asks for Swedish at CEFR C1 or higher. For the licence itself, Socialstyrelsen accepts Swedish 3 or Swedish as a Second Language 3, a C1 test in Swedish, Danish or Norwegian, or certain other proof.

  • Work permit. Non-EU citizens need a work and residence permit before starting. The employer starts the application with the Swedish Migration Agency. Since 1 June 2026 the salary must normally be at least 90 per cent of the median, but the Migration Agency lists doctors, dentists and nurses with foreign qualifications who are working towards a Swedish licence as exempt; they need at least 75 per cent of the median (SEK 28,725 a month for applications from 16 June 2026), and pay must still match the collective agreement.

  • EU and EEA qualifications. If you trained in the EU or EEA you apply to Socialstyrelsen as EU-educated, and many doctors, nurses and midwives are recognised automatically. You still need Swedish at the level Karolinska requires.

How to apply

  1. Start your Swedish licence

    Apply to Socialstyrelsen to have your education assessed, then follow its steps: proficiency test, law course and clinical training. You do not need Swedish to apply for the assessment, but later steps are in Swedish.
  2. Reach Swedish C1

    Plan for Swedish at C1 on the CEFR scale. Karolinska lists this as a condition of employment, and Socialstyrelsen needs proof of Swedish with your licence application.
  3. Search Karolinska vacancies

    Vacancies are at karolinska.se/jobba-hos-oss/lediga-jobb and on Region Stockholm's shared jobs site, in Swedish. Posts longer than six months are always advertised.
  4. Apply with full documents

    Complete the application form and attach every certificate the advert asks for. Karolinska says applications without the required documents may not go further.
  5. Interview and checks

    Interviews usually last 45 to 60 minutes, or about 3.5 hours for group interviews. Karolinska checks your licence and work permit before hiring.
  6. Work permit

    If you are not an EU citizen, Karolinska starts your work permit application with the Migration Agency once you have an offer; you complete your part online.

Pay

Sweden has no single published pay scale for hospital staff. Pay for regional employees is set individually within collective agreements between the regions and the unions, so salaries are agreed with each employee. We do not quote per-hospital figures. National average salaries from Statistics Sweden are on our Sweden country page.
Role or gradePay
Doctors (AT, ST and specialists)Individual salary setting within the regional collective agreement.Set by agreement or employerIndividual salary setting within the regional collective agreement.
Registered nurses and specialist nursesIndividual salary setting within the regional collective agreement.Set by agreement or employerIndividual salary setting within the regional collective agreement.
MidwivesIndividual salary setting within the regional collective agreement.Set by agreement or employerIndividual salary setting within the regional collective agreement.
Before you hold a Swedish licenceA post that does not need a licence usually pays less; for a work permit, pay must still match the collective agreement.Set by agreement or employerA post that does not need a licence usually pays less; for a work permit, pay must still match the collective agreement.

Questions

Not in a regular clinical post. Karolinska asks for Swedish at C1 or higher and says its working language is Swedish. The exception is the Clinical Fellowship Program, where English is the working language and Swedish is an advantage.

For a licensed role such as doctor, nurse or midwife, yes. Karolinska says you must apply to Socialstyrelsen for a licence if you hold a non-Swedish diploma.

In Sweden the employer starts the work permit application with the Migration Agency once it has offered you a job. Karolinska lists a valid work and residence permit as a requirement before employment starts.

Karolinska says most fellowships are self-financed or funded by your sending institution, and some departments offer paid positions.

On karolinska.se/jobba-hos-oss/lediga-jobb and on Region Stockholm's shared jobs site, in Swedish.

Karolinska says all vacancies longer than six months are advertised, so apply to a specific post.

Socialstyrelsen says its five-step route for qualifications from outside the EU and EEA usually takes two to four years.

Swedish pay is set individually within collective agreements, so there is no published hospital scale. Ask about the salary in the advert or at interview.

Sources