This chapter explores the role of organizational level sensemaking in qualified immigrants’ (QIs’) work integration. A sensemaking perspective on organizations uncovers the social processes through which discriminatory practices in workplaces and work-related institutions become acceptable and are maintained over time. We also explore the effect of these practices on QIs’ sensemaking of their work options, experiences, and trajectories. To do this, we identify and examine different organizations involved in QIs’ work integration, the influence of organizational goals, structures, and scripts, and the ways in which organizations can rethink how they facilitate QIs’ successful work integration.