E-3 Visa Clinical Case Review Jobs
Clinical Case Review roles qualify as E-3 visa specialty occupations when tied to a clinical or health sciences degree. Australian professionals can secure sponsorship without competing in an H-1B lottery, and the visa renews every two years with no cap on how many times you can extend.
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As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, integrity, quality and trust that are integral to our mission. EO/AA
This position is responsible for maintaining the financial integrity of both the patient and the organization through the provision of quality based patient care focusing on the medical necessity and efficiency of the delivery of such care; achieved via managing the cost of care while providing timely and accurate information to third party payers and medical care team. This position may be required to access and administer medications within their scope of practice and according to state law.
Corporate Overview: The University of Utah is a Level 1 Trauma Center and is nationally ranked and recognized for our academic research, quality standards and overall patient experience. Our five hospitals and eleven clinics provide excellence in our comprehensive services, medical advancement, and overall patient outcomes.
Responsibilities
Essential Functions
- Applies approved utilization criteria to monitor appropriateness of admissions with associated levels of care and continued stay review.
- Communication to third-party payers for initial and concurrent clinical review.
- Reviews patient chart to ensure patient continues to meet medical necessity.
- Documentation of all actions and information shared with care team members or third-party payer.
- Alerts and discusses with physician/provider and case manager/discharge planner when patient no longer meets medical necessity criteria for the inpatient stay.
- Discusses with physicians the appropriateness of resource utilization.
- Tracks length of stay (LOS) and resource utilization to identify at risk patients.
- Refers to UR committee any case that surpasses expected LOS, expected cost, or over/under-utilization of resources.
- Performs verbal/fax clinical review with payer as determined by nursing judgment and/or collaboration with the payer per university contractual obligation.
- Participant in UR Committee as needed.
- Collects data on variances in LOS, avoidable days, costs/barriers to discharge/transition and denied days.
- Prepares appeals on denied cases when appropriate.
- At the discretion of department operational and patient care needs, this position is required to work rotating schedules, which may include variable hours, weekends, nights, and holidays to meet the staffing and patient care demands of a 24/7 complex health system. Regular, reliable, and punctual attendance during assigned shifts is considered an essential function of the role.
Knowledge / Skills / Abilities
- Demonstrated availability to work variable and rotating shifts, including nights, weekends, and holidays, in a 24/7 patient care environment.
- Ability to perform the essential functions of the job as outlined above.
- Demonstrated team leadership, relationship building, critical analysis, and written and verbal communication skills.
- Demonstrated knowledge of payers, payer systems, cost effective utilization management and InterQual criteria.
- The ability to demonstrate knowledge of the principles of life span growth and development and the ability to assess data regarding the patient's status and provide care as described in the department's policies and procedures manual.
- Ability to work autonomously and as a team member.
Qualifications
Required
One year Utilization Review or Case Management experience.
Licenses Required
Current license to practice as a Registered Nurse in the State of Utah, or obtain one within 90 days of hire under the interstate compact if switching residency to State of Utah. Must maintain current Interstate Compact (multi-state) license if residency is not being changed to Utah.
Additional license requirements as determined by the hiring department.
Qualifications (Preferred)
Preferred
- Basic Life Support Health Care Provider card.
- Proficiency in application of InterQual Criteria, knowledge of ICD-9, DRG's and CPT Codes.
- Utilization Review Certification designation.
- Knowledge of CMS Regulations.
Working Conditions and Physical Demands
Employee must be able to meet the following requirements with or without an accommodation.
This is a sedentary position in an office setting that may exert up to 10 pounds and may lift, carry, push, pull or otherwise move objects. This position involves sitting most of the time and is not exposed to adverse environmental conditions. This position does not provide care to patients.
Physical Requirements
Color Determination, Listening, Manual Dexterity, Sitting, Speaking, Standing, Walking
Multi-lingual Candidates Welcomed
To inquire about this posting, email: careers@hsc.utah.edu
EEO Statement
University of Utah Health Hospitals and Clinics, a part of The University of Utah, values candidates who have experience working in settings with students and patients from all backgrounds and possess a strong commitment to improving access to higher education and quality healthcare for historically underrepresented students and patient populations.
All qualified individuals are encouraged to apply. Veterans’ preference is extended to qualified applicants, upon request and consistent with University policy and Utah state law. Upon request, reasonable accommodations in the application process will be provided to individuals with disabilities.
University of Utah Health Hospitals and Clinics, a part of The University of Utah, is an Affirmative Action/Equal Opportunity employer and does not discriminate based upon race, ethnicity, color, religion, national origin, age, disability, sex, sexual orientation, gender, gender identity, gender expression, pregnancy, pregnancy-related conditions, genetic information, or protected veteran's status. The University does not discriminate on the basis of sex in the education program or activity that it operates, as required by Title IX and 34 CFR part 106. The requirement not to discriminate in education programs or activities extends to admission and employment. Inquiries about the application of Title IX and its regulations may be referred to the Title IX Coordinator, to the Department of Education, Office for Civil Rights, or both.
To request a reasonable accommodation for a disability, please contact the University of Utah Health Hospitals and Clinics Human Resources office at 801-581-6500. If you or someone you know has experienced discrimination or sexual misconduct including sexual harassment, you may contact the Director/Title IX Coordinator in the Office of Equal Opportunity (OEO). More information, including the Director/Title IX Coordinator's office address, electronic mail address, and telephone number can be located at: www.utah.edu/nondiscrimination/
Online reports may be submitted at eoe.utah.edu/
The University is a participating employer with Utah Retirement Systems (“URS”). Eligible new hires with prior URS service, may elect to enroll in URS if they make the election before they become eligible for retirement (usually the first day of work). Contact Hospitals and Clinics Human Resources at (801) 581-6500 for information. Individuals who previously retired and are receiving monthly retirement benefits from URS are subject to URS’ post-retirement rules and restrictions. Please contact Utah Retirement Systems at (801) 366-7770 or (800) 695-4877 or Hospitals and Clinics Human Resources at (801) 581-6500 if you have questions regarding the post-retirement rules.
This position may require the successful completion of a criminal background check and/or drug screen.
Requisition Number 83889
Reg/Temp Regular
Employment Type Full-Time
Shift Day
Work Schedule 0800-1630 M-F; rotating holidays/weekends
Location Name 525 Plaza
Workplace Set Up Hybrid
City Salt Lake City
State UT
Department UUH CST 27N Utilization Review
Category Nursing
Workplace Set Up Hybrid
Overview
As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, integrity, quality and trust that are integral to our mission. EO/AA
This position is responsible for maintaining the financial integrity of both the patient and the organization through the provision of quality based patient care focusing on the medical necessity and efficiency of the delivery of such care; achieved via managing the cost of care while providing timely and accurate information to third party payers and medical care team. This position may be required to access and administer medications within their scope of practice and according to state law.
Corporate Overview: The University of Utah is a Level 1 Trauma Center and is nationally ranked and recognized for our academic research, quality standards and overall patient experience. Our five hospitals and eleven clinics provide excellence in our comprehensive services, medical advancement, and overall patient outcomes.
Responsibilities
Essential Functions
- Applies approved utilization criteria to monitor appropriateness of admissions with associated levels of care and continued stay review.
- Communication to third-party payers for initial and concurrent clinical review.
- Reviews patient chart to ensure patient continues to meet medical necessity.
- Documentation of all actions and information shared with care team members or third-party payer.
- Alerts and discusses with physician/provider and case manager/discharge planner when patient no longer meets medical necessity criteria for the inpatient stay.
- Discusses with physicians the appropriateness of resource utilization.
- Tracks length of stay (LOS) and resource utilization to identify at risk patients.
- Refers to UR committee any case that surpasses expected LOS, expected cost, or over/under-utilization of resources.
- Performs verbal/fax clinical review with payer as determined by nursing judgment and/or collaboration with the payer per university contractual obligation.
- Participant in UR Committee as needed.
- Collects data on variances in LOS, avoidable days, costs/barriers to discharge/transition and denied days.
- Prepares appeals on denied cases when appropriate.
- At the discretion of department operational and patient care needs, this position is required to work rotating schedules, which may include variable hours, weekends, nights, and holidays to meet the staffing and patient care demands of a 24/7 complex health system. Regular, reliable, and punctual attendance during assigned shifts is considered an essential function of the role.
Knowledge / Skills / Abilities
- Demonstrated availability to work variable and rotating shifts, including nights, weekends, and holidays, in a 24/7 patient care environment.
- Ability to perform the essential functions of the job as outlined above.
- Demonstrated team leadership, relationship building, critical analysis, and written and verbal communication skills.
- Demonstrated knowledge of payers, payer systems, cost effective utilization management and InterQual criteria.
- The ability to demonstrate knowledge of the principles of life span growth and development and the ability to assess data regarding the patient's status and provide care as described in the department's policies and procedures manual.
- Ability to work autonomously and as a team member.
Qualifications
Required
One year Utilization Review or Case Management experience.
Licenses Required
Current license to practice as a Registered Nurse in the State of Utah, or obtain one within 90 days of hire under the interstate compact if switching residency to State of Utah. Must maintain current Interstate Compact (multi-state) license if residency is not being changed to Utah.
Additional license requirements as determined by the hiring department.
Qualifications (Preferred)
Preferred
- Basic Life Support Health Care Provider card.
- Proficiency in application of InterQual Criteria, knowledge of ICD-9, DRG's and CPT Codes.
- Utilization Review Certification designation.
- Knowledge of CMS Regulations.
Working Conditions and Physical Demands
Employee must be able to meet the following requirements with or without an accommodation.
This is a sedentary position in an office setting that may exert up to 10 pounds and may lift, carry, push, pull or otherwise move objects. This position involves sitting most of the time and is not exposed to adverse environmental conditions. This position does not provide care to patients.
Physical Requirements
Color Determination, Listening, Manual Dexterity, Sitting, Speaking, Standing, Walking
Multi-lingual Candidates Welcomed
To inquire about this posting, email: careers@hsc.utah.edu
EEO Statement
University of Utah Health Hospitals and Clinics, a part of The University of Utah, values candidates who have experience working in settings with students and patients from all backgrounds and possess a strong commitment to improving access to higher education and quality healthcare for historically underrepresented students and patient populations.
All qualified individuals are encouraged to apply. Veterans’ preference is extended to qualified applicants, upon request and consistent with University policy and Utah state law. Upon request, reasonable accommodations in the application process will be provided to individuals with disabilities.
University of Utah Health Hospitals and Clinics, a part of The University of Utah, is an Affirmative Action/Equal Opportunity employer and does not discriminate based upon race, ethnicity, color, religion, national origin, age, disability, sex, sexual orientation, gender, gender identity, gender expression, pregnancy, pregnancy-related conditions, genetic information, or protected veteran's status. The University does not discriminate on the basis of sex in the education program or activity that it operates, as required by Title IX and 34 CFR part 106. The requirement not to discriminate in education programs or activities extends to admission and employment. Inquiries about the application of Title IX and its regulations may be referred to the Title IX Coordinator, to the Department of Education, Office for Civil Rights, or both.
To request a reasonable accommodation for a disability, please contact the University of Utah Health Hospitals and Clinics Human Resources office at 801-581-6500. If you or someone you know has experienced discrimination or sexual misconduct including sexual harassment, you may contact the Director/Title IX Coordinator in the Office of Equal Opportunity (OEO). More information, including the Director/Title IX Coordinator's office address, electronic mail address, and telephone number can be located at: www.utah.edu/nondiscrimination/
Online reports may be submitted at eoe.utah.edu/
The University is a participating employer with Utah Retirement Systems (“URS”). Eligible new hires with prior URS service, may elect to enroll in URS if they make the election before they become eligible for retirement (usually the first day of work). Contact Hospitals and Clinics Human Resources at (801) 581-6500 for information. Individuals who previously retired and are receiving monthly retirement benefits from URS are subject to URS’ post-retirement rules and restrictions. Please contact Utah Retirement Systems at (801) 366-7770 or (800) 695-4877 or Hospitals and Clinics Human Resources at (801) 581-6500 if you have questions regarding the post-retirement rules.
This position may require the successful completion of a criminal background check and/or drug screen.
Requisition Number 83889
Reg/Temp Regular
Employment Type Full-Time
Shift Day
Work Schedule 0800-1630 M-F; rotating holidays/weekends
Location Name 525 Plaza
Workplace Set Up Hybrid
City Salt Lake City
State UT
Department UUH CST 27N Utilization Review
Category Nursing
Workplace Set Up Hybrid
See all E-3 Visa Clinical Case Review Jobs
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Get Access To All JobsTips for Finding E-3 Visa Sponsorship in Clinical Case Review
Align your credentials to specialty occupation requirements
Your degree must directly support the Clinical Case Review role, not just healthcare broadly. A bachelor's in nursing, health informatics, or a clinical field carries more weight than a general science degree when your employer files the LCA.
Target employers with active clinical review programs
Health insurers, managed care organizations, and hospital utilization management departments hire case reviewers regularly and have established E-3 filing infrastructure. Smaller clinics often lack the HR processes to navigate DOL certification requirements.
Use Migrate Mate's E-3 filing service to manage your LCA
The Labor Condition Application must be certified before your visa interview. Use Migrate Mate's E-3 filing service to handle your LCA and visa paperwork so nothing stalls after you receive your offer letter.
Clarify your clinical licensure status before applying
Some case review roles require an active U.S. RN or state clinical license. Confirm with the employer whether your Australian registration satisfies requirements or whether a U.S. credential is mandatory before investing time in the sponsorship conversation.
Negotiate your start date around LCA processing windows
DOL typically certifies LCAs within seven business days, but your employer still needs internal approvals before filing. Build at least three to four weeks between your offer acceptance and your intended start date to avoid a gap in your timeline.
Request an employer attestation confirming specialty occupation status
Consular officers occasionally scrutinize whether case review roles meet the specialty occupation standard. Ask your employer to document in writing why the role requires a specific degree field, which strengthens your DS-160 package at the Australian consulate.
E-3 Visa Clinical Case Review: Frequently Asked Questions
How do I find Clinical Case Review jobs with E-3 visa sponsorship?
Migrate Mate is the most direct way to search for Clinical Case Review roles where employers are open to E-3 sponsorship. Because the E-3 requires employer cooperation on the LCA and visa paperwork, targeting companies already familiar with the process saves significant back-and-forth during the offer stage.
How much does it cost to get an E-3 visa?
Migrate Mate's E-3 filing service covers the entire process for $499, including the Labor Condition Application, visa document preparation, and consulate appointment guidance. Traditional immigration lawyers charge $2,000–$5,000+ for the same work. The E-3 has less paperwork than most work visas, so paying thousands for legal help is usually unnecessary.
Does a Clinical Case Review role qualify as a specialty occupation for E-3 purposes?
It depends on how the role is defined. A Clinical Case Review position that requires a bachelor's degree or higher in nursing, health informatics, or a clinical science field qualifies as a specialty occupation. Roles where any bachelor's degree is acceptable, regardless of field, are harder to support. Your employer's job description and internal hiring standards carry significant weight when the consular officer assesses the petition.
How does the E-3 compare to the H-1B for Clinical Case Review professionals?
The E-3 has no lottery and no annual cap, so Australian professionals can apply at any time after receiving an offer rather than waiting for an April registration window. H-1B selection is randomized, meaning qualified candidates are routinely excluded regardless of credentials. For Clinical Case Review roles, the E-3 is straightforwardly the more reliable path for Australians since access is determined by eligibility, not chance.
What happens to my E-3 status if my clinical case review contract ends early?
Your E-3 status is tied to the specific employer named in your LCA and visa. If your contract ends before the visa expiry, you're not automatically out of status, but you need to either secure a new employer willing to file a fresh LCA or depart the U.S. The USCIS grace period for E-3 holders is generally 10 days after employment ends, so moving quickly on a new offer matters.