E-3 Visa Utilization Management Nurse Jobs
Utilization Management Nurses reviewing medical necessity, managing care transitions, and working with insurance teams hold specialty occupation status under the E-3 visa, making U.S. employer sponsorship straightforward. The E-3 has no lottery and renews every two years, so your career in the U.S. isn't limited to a single registration cycle.
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Get Access To All JobsUtilization Review RN
Work Schedule: Thursday - Sunday; (4) 10-Hour Day Shifts
WHY UT SOUTHWESTERN?
With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the No. 1 hospital in Dallas-Fort Worth according to U.S. News & World Report, we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you'll discover a culture of teamwork, professionalism, and a rewarding career!
JOB SUMMARY
Conduct medical certification review for medical necessity for acute care facility and services. Use nationally recognized, evidence-based guidelines approved by medical staff to recommend level of care to the physician and serve as a resource to the medical staff on issues related to admission qualifications, resource utilization, national and local coverage determinations and documentation requirements.
BENEFITS
UT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include:
- PPO medical plan, available day one at no cost for full-time employee-only coverage
- 100% coverage for preventive healthcare - no copay
- Paid Time Off, available day one
- Retirement Programs through the Teacher Retirement System of Texas (TRS)
- Paid Parental Leave Benefit
- Wellness programs
- Tuition Reimbursement
- Public Service Loan Forgiveness (PSLF) Qualified Employer
Learn more about these and other UTSW employee benefits!
EXPERIENCE AND EDUCATION
Required
Education
Graduate of accredited nursing program and holds an active unrestricted RN license in the State of Texas.
Experience
5 years experience to include 2 years of clinical experience and minimum of 3 years of recent utilization review experience.
Prior experience with Epic CCM.
Licenses and Certifications
(RN) REGISTERED NURSE holds an active unrestricted RN license in the State of Texas.
Preferred
Experience
Acute care experience preferred.
JOB DUTIES
- Collaborates with the Central Scheduling Department (CSD) team to provide accurate and complete clinical information in order to obtain authorization.
- Conducts admission reviews for Medicare and Medicaid beneficiaries as well as private insurance members and self-pay patients utilizing evidence-based guidelines.
- New admission reviews are done concurrently at the point of entry when the admission order is placed and necessary clinical information is available in the medical record.
- Communicate with admitting physicians and physician advisors when documentation does not appear to support hospital level of care.
- Use hospital approved medical necessity tool to determine level of care for inpatient or observation/outpatient services based on physician documentation, H&P, treatment plan, potential risks, and basis for expectation of a two-midnight stay.
- Keeps current on all Federal, State and local regulatory changes that affect delivery or reimbursement of acute care services within the scope of Utilization Management. Uses knowledge of national and local coverage determinations to appropriately advise physicians.
- Proactively collaborates with admitting physician to provide accurate level of care determination at the time of review.
- Escalates identified progression-of-care/patient flow barriers to appropriate departments.
- Actively participates in daily huddles, departmental meetings and education offerings.
- Identifies and records episodes of preventable delays or avoidable days due to failure of progression-of-care processes.
- Educates members of the patient's care team on the appropriate access to and use of various levels of care.
- Promotes use of evidence-based protocols and/or order sets to influence high-quality and cost-effective care.
- Serves as a resource person to physicians, care coordinators, physician offices and billing office for coverage and compliance issues.
- Completes all reviews within department established policies and best practice standards. Meets department quality standards as established for the department, ie: Inter-rater Reliability audits, completing all initial reviews within established time frames, completes concurrent and discharge reviews to meet department and industry standards.
- Performs other duties as assigned.
Knowledge, Skills and Abilities
- Actively participates in the department's performance improvement initiatives.
- Basic computer skills and knowledge.
- Expert knowledge of hospital approved, evidence based medical necessity tool and knowledge of local and national coverage determinations.
- Identifies avoidable days (quality and risk issues), makes appropriate referrals. Confers with Manager and/or Medical Director as appropriate.
- Identifies the need for professional growth and seeks out appropriate development opportunities.
- Evaluates outcomes data to identify trends and areas for improvement (i.e. avoidable days, denial information).
- General good health and stress coping ability.
- Ability to speak and hear, to allow discussions with physicians, patients, and other members of the healthcare team.
- Possess near vision acuity for accurate reading of computer screens and recording on patient charts.
PHYSICAL REQUIREMENTS/WORKING CONDITIONS
Physical Requirements
Talking
Working Conditions
Office Setting
Salary Information
Salary is commensurate with education, skills, and relevant experience.
SECURITY AND EEO STATEMENT
Security
This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information.
EEO
UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.
Utilization Review RN
Work Schedule: Thursday - Sunday; (4) 10-Hour Day Shifts
WHY UT SOUTHWESTERN?
With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the No. 1 hospital in Dallas-Fort Worth according to U.S. News & World Report, we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you'll discover a culture of teamwork, professionalism, and a rewarding career!
JOB SUMMARY
Conduct medical certification review for medical necessity for acute care facility and services. Use nationally recognized, evidence-based guidelines approved by medical staff to recommend level of care to the physician and serve as a resource to the medical staff on issues related to admission qualifications, resource utilization, national and local coverage determinations and documentation requirements.
BENEFITS
UT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include:
- PPO medical plan, available day one at no cost for full-time employee-only coverage
- 100% coverage for preventive healthcare - no copay
- Paid Time Off, available day one
- Retirement Programs through the Teacher Retirement System of Texas (TRS)
- Paid Parental Leave Benefit
- Wellness programs
- Tuition Reimbursement
- Public Service Loan Forgiveness (PSLF) Qualified Employer
Learn more about these and other UTSW employee benefits!
EXPERIENCE AND EDUCATION
Required
Education
Graduate of accredited nursing program and holds an active unrestricted RN license in the State of Texas.
Experience
5 years experience to include 2 years of clinical experience and minimum of 3 years of recent utilization review experience.
Prior experience with Epic CCM.
Licenses and Certifications
(RN) REGISTERED NURSE holds an active unrestricted RN license in the State of Texas.
Preferred
Experience
Acute care experience preferred.
JOB DUTIES
- Collaborates with the Central Scheduling Department (CSD) team to provide accurate and complete clinical information in order to obtain authorization.
- Conducts admission reviews for Medicare and Medicaid beneficiaries as well as private insurance members and self-pay patients utilizing evidence-based guidelines.
- New admission reviews are done concurrently at the point of entry when the admission order is placed and necessary clinical information is available in the medical record.
- Communicate with admitting physicians and physician advisors when documentation does not appear to support hospital level of care.
- Use hospital approved medical necessity tool to determine level of care for inpatient or observation/outpatient services based on physician documentation, H&P, treatment plan, potential risks, and basis for expectation of a two-midnight stay.
- Keeps current on all Federal, State and local regulatory changes that affect delivery or reimbursement of acute care services within the scope of Utilization Management. Uses knowledge of national and local coverage determinations to appropriately advise physicians.
- Proactively collaborates with admitting physician to provide accurate level of care determination at the time of review.
- Escalates identified progression-of-care/patient flow barriers to appropriate departments.
- Actively participates in daily huddles, departmental meetings and education offerings.
- Identifies and records episodes of preventable delays or avoidable days due to failure of progression-of-care processes.
- Educates members of the patient's care team on the appropriate access to and use of various levels of care.
- Promotes use of evidence-based protocols and/or order sets to influence high-quality and cost-effective care.
- Serves as a resource person to physicians, care coordinators, physician offices and billing office for coverage and compliance issues.
- Completes all reviews within department established policies and best practice standards. Meets department quality standards as established for the department, ie: Inter-rater Reliability audits, completing all initial reviews within established time frames, completes concurrent and discharge reviews to meet department and industry standards.
- Performs other duties as assigned.
Knowledge, Skills and Abilities
- Actively participates in the department's performance improvement initiatives.
- Basic computer skills and knowledge.
- Expert knowledge of hospital approved, evidence based medical necessity tool and knowledge of local and national coverage determinations.
- Identifies avoidable days (quality and risk issues), makes appropriate referrals. Confers with Manager and/or Medical Director as appropriate.
- Identifies the need for professional growth and seeks out appropriate development opportunities.
- Evaluates outcomes data to identify trends and areas for improvement (i.e. avoidable days, denial information).
- General good health and stress coping ability.
- Ability to speak and hear, to allow discussions with physicians, patients, and other members of the healthcare team.
- Possess near vision acuity for accurate reading of computer screens and recording on patient charts.
PHYSICAL REQUIREMENTS/WORKING CONDITIONS
Physical Requirements
Talking
Working Conditions
Office Setting
Salary Information
Salary is commensurate with education, skills, and relevant experience.
SECURITY AND EEO STATEMENT
Security
This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information.
EEO
UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.
See all E-3 Visa Utilization Management Nurse Jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new E-3 Visa Utilization Management Nurse Jobs.
Get Access To All JobsTips for Finding E-3 Visa Sponsorship as an Utilization Management Nurse
Align your credentials with U.S. licensure requirements
Your Australian nursing registration won't automatically satisfy state licensure boards. Get your NCLEX-RN pass confirmed and verify your state's endorsement process before applying, since employers need proof of active U.S. licensure to file a valid LCA.
Target health systems with existing LCA filing history
Large hospital networks and managed care organizations that already hold certified LCAs for nursing roles process E-3 visa sponsorship faster. Search DOL's FLAG portal to confirm a prospective employer has filed LCAs for RN or utilization review positions before you invest in the application.
Distinguish UM Nurse roles from general staff nursing
Employers sometimes misclassify utilization management positions as non-specialty roles, which complicates LCA certification. Make sure your offer letter specifies clinical decision-making duties tied to your nursing degree, not administrative coordination tasks that a non-degreed hire could perform.
Use Migrate Mate's E-3 filing service for end-to-end processing
Once you have an offer, use Migrate Mate's E-3 filing service to handle your LCA and visa paperwork from certification through consulate preparation. This matters most when your start date is tight and your employer's HR team has no prior E-3 experience.
Confirm prevailing wage compliance before accepting the offer
The DOL requires your offered wage to meet the prevailing wage for your SOC code and work location. Request the LCA draft from your employer before signing any offer letter, so wage-level disputes don't stall your visa filing at the certification stage.
Prepare telehealth role documentation for remote or hybrid positions
UM nurses often work remotely, but your LCA must list a certified worksite location. If your role is hybrid or fully remote, confirm with your employer which state address USCIS and DOL will treat as your primary worksite, since this affects prevailing wage calculations.
E-3 Visa Utilization Management Nurse: Frequently Asked Questions
How do I find Utilization Management Nurse jobs that offer E-3 visa sponsorship?
Search Migrate Mate to filter Utilization Management Nurse roles by employers that actively support E-3 visa sponsorship. Many UM positions are posted without explicit visa language, so Migrate Mate surfaces roles at organizations with documented sponsorship history, saving you from applying to employers who will decline to file an LCA.
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 Utilization Management Nurse role qualify as a specialty occupation for E-3 purposes?
Yes. Utilization Management Nurse positions require at minimum a Bachelor of Science in Nursing and active RN licensure, satisfying the E-3 specialty occupation standard. The role's core duties, including clinical necessity reviews and care coordination, are directly tied to nursing education, which is what consular officers and DOL reviewers look for when certifying the LCA.
How does the E-3 visa compare to the H-1B for Australian UM Nurses?
The E-3 is significantly more practical for this role. There's no annual lottery, so your employer files and you schedule your consulate appointment without waiting for a random selection result. The E-3 is also renewable in two-year increments indefinitely, whereas H-1B visa holders face a single fixed period unless they're in a green card queue. For Australian nurses, the E-3 is the standard path.
Can I switch employers or move to a remote UM Nurse role while on an E-3?
You can change employers, but each new employer must file a fresh LCA and you'll need a new E-3 visa stamp if you travel internationally. For remote roles, your new employer must certify an LCA listing the correct prevailing wage for your primary worksite state. Starting this process before your current job ends avoids gaps in authorized employment status.