E-3 Visa Utilization Management Specialist Jobs
Utilization Management Specialist roles qualify for E-3 visa sponsorship as specialty occupations requiring a relevant bachelor's degree in health administration, nursing, or a related clinical field. The E-3 has no lottery and no annual cap, making it a reliable path for Australian healthcare professionals pursuing U.S. employment.
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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 Specialist Jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new E-3 Visa Utilization Management Specialist Jobs.
Get Access To All JobsTips for Finding E-3 Visa Sponsorship as an Utilization Management Specialist
Translate your Australian credentials for U.S. employers
Australian three-year bachelor's degrees in health administration or nursing are generally accepted as equivalent to U.S. four-year degrees for E-3 visa purposes. Get a credential evaluation from a NACES-approved body before your first interview to prevent delays during the LCA stage.
Target insurers and health systems with LCA history
Search the DOL's Office of Foreign Labor Certification disclosure data to identify health insurers, hospital networks, and managed care organizations that have previously filed LCAs for utilization management or care coordination roles. Prior LCA history means the employer already understands the process.
Search for E-3 sponsorship roles on Migrate Mate
Migrate Mate filters job listings specifically for E-3 visa sponsorship, so you're not cold-applying to employers unfamiliar with the process. Use Migrate Mate's E-3 filing service to handle your LCA and visa paperwork once you have an offer confirmed.
Clarify the specialty occupation basis upfront
Utilization management roles that blend administrative and clinical duties can raise specialty occupation questions during consular review. Confirm with your employer that the position description explicitly requires a bachelor's degree in a specific field, not just preferred or equivalent experience.
Align your offer letter with DOL prevailing wage levels
The LCA your employer files with the DOL must certify that your offered wage meets the prevailing wage for your role and location. Ask your employer to verify the wage level before submitting the LCA to avoid a rejection that resets the filing timeline.
Book your consulate appointment before giving notice in Australia
E-3 visas are issued at Australian consulates in Sydney, Melbourne, and Perth, with appointment availability varying by location and season. Confirm your appointment date is secured before resigning from your current role, since visa processing adds time beyond the employer's filing timeline.
E-3 Visa Utilization Management Specialist: Frequently Asked Questions
How do I find Utilization Management Specialist jobs with E-3 visa sponsorship?
Migrate Mate is the most direct way to find Utilization Management Specialist roles where employers are already open to E-3 sponsorship. Standard job listings rarely specify visa type, so filtering by sponsorship intent upfront saves you from pursuing employers who won't engage with the process once they learn you need an E-3.
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 Specialist role qualify as a specialty occupation for the E-3?
Yes, provided the position requires a bachelor's degree in a specific field such as health administration, nursing, social work, or a related clinical discipline. Roles that accept any degree or substitute experience freely can face scrutiny at the consulate. The job description should make the degree requirement explicit, not just preferred.
How does the E-3 compare to the H-1B for Utilization Management Specialist roles?
The E-3 is available only to Australian citizens, but it has no annual lottery and no cap, so you can apply at any time of year and start as soon as your visa is approved. H-1B visa registrations are capped at 85,000 per year with a lottery that runs once annually in March. For Australians, the E-3 is a more predictable and faster path to the same type of employer-sponsored work authorization.
Can I switch employers after starting work on an E-3 as a Utilization Management Specialist?
Yes, but each new employer must file a fresh LCA with the DOL and you must obtain a new E-3 visa before you can begin work for them. You can't port your existing E-3 status to a new employer the way some other visa categories allow. Plan for a four-to-eight-week transition window to cover LCA certification and consulate scheduling.