Green Card Clinical Case Review Jobs
Clinical Case Review roles attract EB-2 and EB-3 green card sponsorship from health plans, managed care organizations, and hospital systems that need credentialed professionals to evaluate medical necessity and treatment decisions. PERM labor certification is the standard sponsorship pathway, requiring your employer to document that no qualified U.S. worker is available before filing your I-140 petition.
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Get Access To All JobsINTRODUCTION
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
Let's face it, no industry is moving faster than health care. And no organization is better positioned to lead health care forward than UnitedHealthcare, part of the UnitedHealth Group family of businesses. In this role, you'll discuss cases with treating physicians and other health care professionals to ensure our members receive the proper health services. You'll also stay in touch with acute long-term care, acute rehabilitation or skilled nursing facilities to help patients through their care plan. It's an exciting opportunity to bring your skills to a truly inspired organization.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
PRIMARY RESPONSIBILITIES:
- Perform clinical coverage review services, which require interpretation of state and federal mandates, applicable benefit language and consideration of relevant clinical information
- Communicate all types of benefit determinations, including decisions regarding coverage guidelines, contractual limitations and reimbursement determinations
- Speak to health care providers and/or members to explain benefit coverage determinations and to obtain additional clinical information
- Act as a resource for others with less experience
- It feels great to have autonomy and there's also a lot of responsibility that comes with it. In this role, you'll be accountable for making decisions that directly impact our members. And at the same time, you'll be challenged by leveraging technologies and resources in a rapidly-changing, production-driven environment
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
REQUIRED QUALIFICATIONS:
- Current unrestricted RN license in the state of residency
- 3+ RN years of experience, including experience in an inpatient/acute setting
- Designated homework space and access to install secure high-speed internet via cable/DSL
PREFERRED QUALIFICATIONS:
- Bachelor's Degree
- Background involving utilization review for an insurance company or experience in case management
- Ability to use your diverse knowledge and experience to make health care work better for our patients
- Familiarity with Milliman Care Guidelines
All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $29.00 - $52.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
APPLICATION DEADLINE: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone - of every race, gender, sexuality, age, location and income - deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
INTRODUCTION
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
Let's face it, no industry is moving faster than health care. And no organization is better positioned to lead health care forward than UnitedHealthcare, part of the UnitedHealth Group family of businesses. In this role, you'll discuss cases with treating physicians and other health care professionals to ensure our members receive the proper health services. You'll also stay in touch with acute long-term care, acute rehabilitation or skilled nursing facilities to help patients through their care plan. It's an exciting opportunity to bring your skills to a truly inspired organization.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
PRIMARY RESPONSIBILITIES:
- Perform clinical coverage review services, which require interpretation of state and federal mandates, applicable benefit language and consideration of relevant clinical information
- Communicate all types of benefit determinations, including decisions regarding coverage guidelines, contractual limitations and reimbursement determinations
- Speak to health care providers and/or members to explain benefit coverage determinations and to obtain additional clinical information
- Act as a resource for others with less experience
- It feels great to have autonomy and there's also a lot of responsibility that comes with it. In this role, you'll be accountable for making decisions that directly impact our members. And at the same time, you'll be challenged by leveraging technologies and resources in a rapidly-changing, production-driven environment
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
REQUIRED QUALIFICATIONS:
- Current unrestricted RN license in the state of residency
- 3+ RN years of experience, including experience in an inpatient/acute setting
- Designated homework space and access to install secure high-speed internet via cable/DSL
PREFERRED QUALIFICATIONS:
- Bachelor's Degree
- Background involving utilization review for an insurance company or experience in case management
- Ability to use your diverse knowledge and experience to make health care work better for our patients
- Familiarity with Milliman Care Guidelines
All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $29.00 - $52.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
APPLICATION DEADLINE: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone - of every race, gender, sexuality, age, location and income - deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
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Get Access To All JobsTips for Finding Green Card Sponsorship in Clinical Case Review
Document your clinical credentials before applying
PERM requires your employer to verify your qualifications match the job requirements exactly. Gather your nursing license, clinical certifications, and degree transcripts early so the labor certification audit trail reflects your credentials accurately from day one.
Target managed care employers with PERM history
Health insurers and managed care organizations file PERM applications regularly for utilization review and case management roles. Search OFLC disclosure data to identify which employers have certified Clinical Case Review positions in the past three years.
Clarify whether the role qualifies for EB-2 or EB-3
If the position requires only a bachelor's degree in nursing or health administration, it typically lands in EB-3. Roles requiring a master's degree in clinical informatics, health services, or a related field may qualify for EB-2, affecting your priority date timeline.
Use Migrate Mate to find sponsoring employers fast
Sorting through OFLC filings manually takes hours. Migrate Mate filters Clinical Case Review roles by employers with active green card sponsorship history, so you apply only where PERM sponsorship is a realistic outcome.
Confirm the PERM job description mirrors your actual duties
DOL audits compare the certified job description against what you actually do on the job. Before signing an offer, ask your employer to confirm the PERM description reflects real daily responsibilities, not a generic posting, to avoid a denial or revocation later.
Understand concurrent filing if your priority date is current
If your country of birth and your EB category have a current priority date in the USCIS Visa Bulletin, your employer can file the I-140 and your I-485 adjustment of status application simultaneously, cutting months off your wait for permanent residency.
Green Card Clinical Case Review: Frequently Asked Questions
Do Clinical Case Review employers commonly sponsor green cards?
Yes. Managed care organizations, hospital systems, and health insurers regularly sponsor EB-2 and EB-3 green cards for clinical case reviewers, utilization review nurses, and medical necessity analysts. These roles require specialized clinical judgment that employers document through PERM labor certification to justify sponsoring a foreign professional over a U.S. applicant.
How does EB-3 green card sponsorship differ from H-1B for this role?
H-1B visa is a temporary nonimmigrant status subject to an annual lottery, capped at 85,000 registrations each fiscal year. EB-3 green card sponsorship through PERM leads to lawful permanent residency with no annual lottery. The PERM process takes longer upfront, typically one to two years before the I-140 is approved, but the outcome is permanent status rather than a renewable temporary visa.
What credentials do I need for a Clinical Case Review green card sponsorship to succeed?
Most PERM-certified Clinical Case Review positions require a registered nursing license, a relevant bachelor's degree, and clinical experience in a specialty such as utilization management, case management, or medical necessity review. Some EB-2 roles add a master's degree requirement. Your credentials must match the PERM job description precisely, and DOL may audit supporting documentation during the labor certification process.
Where can I find Clinical Case Review jobs that offer green card sponsorship?
Migrate Mate aggregates Clinical Case Review roles from employers with documented PERM and I-140 filing history, so you can filter specifically for positions where green card sponsorship is already part of the employer's hiring process rather than something you need to negotiate from scratch.
Can my employer start PERM while I'm working in the U.S. on another visa status?
Yes. PERM labor certification is employer-driven and can begin regardless of your current immigration status, whether you're on H-1B, OPT, or another nonimmigrant status. USCIS requires only that you be admissible and eligible to adjust status at the time you file Form I-485, not at the time PERM is filed.