Green Card Clinical Director Jobs
Clinical Director roles qualify for EB-2 and EB-3 green card sponsorship through the PERM labor certification process, which requires employers to document recruitment efforts before filing an I-140 immigrant petition. Health system employers and large medical groups regularly sponsor foreign-trained clinical leaders, making sponsorship achievable for candidates with the right credentials and experience.
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INTRODUCTION
Explore opportunities with Heart N Home Hospice, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together.
ROLE AND RESPONSIBILITIES:
As the Clinical Director, you will assist the Executive Director in all functions of clinical oversight of the provider. This includes oversight of the eligibility of patients referred to hospice services and services provided to patients and supervising their care; maintaining administrative practices, agency philosophy, goals, and policies which assure compliance with applicable state and federal regulations; enhancing the profitability of the agency while maintaining quality of care; and providing motivation and retention of qualified staff.
Primary Responsibilities:
- Responsible for compliance with all hospice regulations, laws, policies and procedures, including regulations related to the Medicare and Medicaid hospice benefit, as well as any requirements related to private or managed care insurance
- Ensures that the hospice agency employs only qualified hospice personnel
- Present on-site during business hours or immediately available by telephone when off-site conducting agency business and available after hours, as needed
- Directs the day-to-day clinical operations of the agency including training and orientation, regulatory compliance, interdisciplinary group effectiveness, growth, and education regarding hospice services
- Oversees all patient care activities to ensure compliance with current standards of accepted nursing and medical practice and regulatory standards on a constant basis
- Promotes hospice education to referral sources and the community at large
- Works closely with agency hospice physicians as well as community physicians to drive clinical excellence for patients facing end-of-life
- Ensures that patient care services are provided according to the plan of care, as ordered by the physician
- Provides clinical oversight and supervision according to licensure type, scope of practice, and state regulatory guidelines
- May participate as a member of the hospice agency Governing Body and facilitates Governing Body meetings that support review and discussion of the hospice agency activities regarding clinical care and quality oversight
- Acts as liaison between staff, patients, families, the hospice management team and the hospice Governing Body
- Provides oversight of hospice billing processes to ensure billing practices meet regulatory requirements and reflect patient care provided
- Ensures adequate staffing through recruitment and retention activities
- Ensures timely completion of assigned hospice agency staff evaluations
- Identifies education needs and ensures adequate clinical and process education for clinical staff
- Reviews monthly financials and cost management reports with Executive Director/Executive Administrator relative to all aspects of the operation to ensure that quality patient care is delivered in the most cost effective manner
- Assists with oversight of the hospice agency quality assurance performance improvement program, to include use of objective data to improve performance in the areas of improved patient/family care and activities related to patient health and safety
- Specific performance improvement activities include, but are not limited to, root cause analysis and development of action plans and focused performance improvement projects
- Ensures that staff personnel files are maintained according to state and federal guidelines, as well as accreditation standards, if applicable
- Completes required courses through LHC Group learning management system and attends in-services, when applicable
- Functions as a preceptor to new hires as needed, and according to discipline-specific licensure guidelines, if applicable
- Oversees and/or directly investigates all patient complaints, and alleged or real violations involving mistreatment, neglect, or verbal, mental, sexual, and physical abuse of a patient
- Oversees and/or directly investigates all patient-related sentinel events
- Serves as the infection control contact for the agencies, is responsible for the direction, provision, and quality of infection control services, and effectively enforces infection control practices among agencies to include infection control and isolation protocols according to the CDC, OSHA, and LHC policy
- Acts as Emergency Coordinator during emergencies ensuring appropriate plan execution
- May act as back-up to the agency Executive Director/Executive Administrator
BASIC QUALIFICATIONS:
- Current and unrestricted RN licensure in the state of practice
- Current CPR certification required
- Current Driver's License and vehicle insurance, and access to a dependable vehicle, or public transportation
PREFERRED QUALIFICATIONS:
- 3+ years of experience in a hospice, home health, or other health care service delivery system setting
- 2+ years of healthcare leadership
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). The salary for this role will range from $67,392 to $101,088 annually based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.
UnitedHealth Group and its affiliated brands are 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 and its affiliated brands are 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 Director
Verify your degree meets EB-2 standards
Clinical Director positions typically require a master's degree or higher in healthcare administration, nursing, or a clinical specialty. Confirm your foreign credential has been evaluated for U.S. equivalency before targeting EB-2 roles, since PERM audits often scrutinize degree-field alignment for senior clinical leadership.
Map your credentials to O*NET job requirements
Pull the O*NET occupation profile for Clinical Directors and match your experience to the listed knowledge areas and tasks. Employers use this framework when writing PERM job descriptions, so aligning your resume language now reduces the risk of a misclassification that stalls your I-140.
Target health systems with multi-site licensing structures
Large health networks operating across multiple states maintain dedicated immigration counsel and process PERM filings routinely. Facilities with accreditation obligations and federally funded programs face stricter staffing requirements, giving foreign clinical leaders stronger leverage when negotiating sponsorship as a condition of employment.
Search green card sponsoring employers on Migrate Mate
Filter by Clinical Director roles at employers with active EB-2 and EB-3 filing history using Migrate Mate. This surfaces health systems that have already completed PERM recruitment cycles for comparable roles, cutting your search time and focusing your applications where sponsorship is a known practice.
Negotiate PERM filing timing before accepting an offer
Ask directly whether the employer will file the PERM within the first six months of your start date. Delays past twelve months are common in healthcare, and securing a written commitment in your offer letter protects your priority date strategy, especially if your country faces EB-3 backlog years.
Confirm the employer's DOL prevailing-wage compliance upfront
Use the OFLC Wage Search to look up the prevailing wage for Clinical Director in the employer's county before your first interview. If the offered salary falls below the DOL Level III or IV threshold for that location, PERM certification is at risk before the process even starts.
Green Card Clinical Director: Frequently Asked Questions
Does a Clinical Director role qualify for EB-2 or EB-3 sponsorship?
Clinical Director positions typically qualify for both categories. EB-2 applies if the role requires a master's degree or higher, or if you hold an advanced degree in a clinical or healthcare administration field. EB-3 covers roles with a standard bachelor's or professional degree requirement. Most health system employers classify Clinical Director under EB-2 given the supervisory and academic credentials the role demands.
How does green card sponsorship differ from H-1B sponsorship for Clinical Directors?
H-1B visa sponsorship is temporary, capped at 85,000 annually, and subject to a lottery. PERM-based green card sponsorship has no annual cap at the petition stage and results in permanent residency rather than a renewable nonimmigrant status. For Clinical Directors from most countries, EB-3 priority dates are current, meaning the path from PERM certification to I-485 approval can move significantly faster than navigating H-1B lottery uncertainty cycle after cycle.
What does the PERM process look like for a Clinical Director position?
Your employer files a PERM application with DOL after completing a mandatory recruitment period, typically 30 to 60 days, to demonstrate no qualified U.S. workers are available. DOL reviews the application and, if certified, the employer files an I-140 immigrant petition with USCIS. Once your priority date becomes current, you file I-485 to adjust status to lawful permanent resident. The full process from PERM filing to green card approval averages one to three years for most nationalities.
How do I find Clinical Director jobs where the employer already sponsors green cards?
Search for Clinical Director roles specifically filtered by EB-2 and EB-3 filing history using Migrate Mate. This approach targets employers who have already completed PERM cycles for similar roles, rather than applying broadly and raising sponsorship during negotiations. Health systems with active federal contracts or Joint Commission accreditation tend to sponsor most consistently and have HR infrastructure to manage the filing process.
Can my employer start the green card process while I'm on an H-1B or other work visa?
Yes. PERM labor certification can begin at any point during your employment, regardless of your current visa status. Many Clinical Directors initiate the PERM process while maintaining H-1B status, then use AC21 portability rules to switch employers after the I-140 is approved without losing their priority date, provided the new role is in the same or similar occupational classification.