Green Card Clinical Operations Director Jobs
Clinical Operations Director roles at U.S. health systems and CROs qualify for EB-2 and EB-3 green card sponsorship through PERM labor certification. Employers document recruitment efforts, file an I-140, and sponsor your permanent residency. Processing timelines and priority date backlogs vary by country of birth.
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Director Clinical Operations
Location: Burr Ridge, IL
Position: Hospice Director of Clinical Operations Registered Nurse
Job ID: 2026-87664
Remote/Virtual Position: No
Coverage Area: South Chicagoland - Chicago south and southwest suburbs, Aurora, Naperville, MacNeal
Find Your Passion and Purpose as a Director of Clinical Operations
Salary: $120,000 - $140,000 / year
Schedule: M-F / Limited On call support as needed
Competitive Health Benefits
- Generous PTO, Matching 401k
- Mileage Reimbursement
IL RN License Required
Inpatient Center or recent hospital/Acute Care setting experience as a floor manager strongly preferred
Caring for others is more than what you do — it’s who you are. At AccentCare, you’ll join a purpose-driven, collaborative culture that sets the standard for excellence and gives you the trust and tools to do your best work. You’ll belong to a team that cares deeply for patients and each other; a team committed to consistently providing exceptional care. We’re proud to be named one of America’s Greatest Workplaces 2025 by Newsweek — a reflection of our shared commitment to excellence, integrity and compassion as we shape the future of aging in place. When you thrive, so does the community of care we’re building together.
If you meet these qualifications, we would love to meet you:
- Bachelor’s degree or commensurate work experience accepted
- 5 years of home based care experience preferred
- Role may require travel up to 80% of business days in supported territory
- Comprehensive knowledge of theories, concepts and practices and ability to use in complex, difficult and/or unprecedented situations
- Licensed to practice as a registered nurse in the state of agency operation
- Must be a licensed driver who can travel to all business locations
Responsibilities:
As a Director of Clinical Operations, you will:
- Supervise all direct patient/family care team members, including nurses, Supportive Care, home health aides and counselors, in collaboration with Site Leadership.
- Be responsible for oversight of and/or scheduling, payroll and other administrative duties.
- Assure that all initial assessments and required reassessments are conducted by qualified team members within required time frames, including documentation completion, submission and/or synchronization.
- Ensure that all patient/family services comply with federal, state(s) and local regulatory requirements and with accepted professional standards.
- Ensure protocols are utilized to guide operations and promote adherence to regulatory and internal process requirements.
- Monitor expenses related to patient/family services to ensure budgetary compliance in collaboration with IDG and Site Leadership.
- Serve as a resource person and liaison for the Social Worker, Volunteer, Music Therapy and Bereavement Departments.
Our benefits include:
- Medical, dental and vision coverage
- Paid time off and paid holidays
- Professional development opportunities
- Company-matching 401(k)
- Flexible spending and health savings accounts
- Wellness offerings such as an employee assistance program, pet insurance and access to Calm, a meditation, sleep and relaxation app
- Programs to celebrate achievements, milestones and fellow employees
- Company store credit for your first AccentCare-branded scrubs for patient-facing employees
- And more!
Come As You Are
At AccentCare, you’re part of a community that cares — for patients and each other. You can rest assured we offer equal employment opportunities regardless of race, ethnicity, sex, sexual orientation, gender identity, religion, national origin, age or disability.
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Get Access To All JobsTips for Finding Green Card Sponsorship in Clinical Operations Director
Translate your clinical credentials for PERM
PERM requires your employer to define a minimum education and experience standard for the role. If your degree came from outside the U.S., get a credential evaluation from a NACES-approved service before applications begin so your qualifications map cleanly to the job requirements.
Target employers with PERM filing history
Health systems and large CROs that regularly sponsor green cards have established relationships with immigration counsel and understand the PERM recruitment timeline. Use Migrate Mate to filter Clinical Operations Director openings by employers with active green card sponsorship history.
Check prevailing wage before salary negotiations
DOL sets a prevailing wage for your job title and location before PERM is filed. Use the OFLC Wage Search to look up the wage level your employer is likely to certify at, so you negotiate an offer that meets or exceeds that threshold from the start.
Clarify EB-2 versus EB-3 eligibility with your employer
Clinical Operations Director roles typically require an advanced degree, which can support EB-2 classification and skip the PERM process if you qualify for a National Interest Waiver. Ask your employer's immigration counsel to evaluate both categories before the petition is filed.
Confirm your priority date and visa bulletin timing
Your country of birth determines how long you wait after I-140 approval before you can file for adjustment of status. Check the USCIS visa bulletin monthly and ask your employer to file the I-140 as early as possible to lock in the earliest priority date.
Audit the PERM job description for specialty occupation fit
PERM labor certification requires the posted job description to match your actual duties. Review the O*NET occupation profile for Clinical Operations Director to confirm the listed tasks and degree requirements align with your background before your employer submits the application to DOL.
Green Card Clinical Operations Director: Frequently Asked Questions
Does a Clinical Operations Director role qualify for EB-2 or EB-3 sponsorship?
Most Clinical Operations Director positions qualify for EB-2 because they require a master's degree or higher in a health-related or scientific field. If your employer defines the role at the bachelor's degree level, EB-3 applies instead. In either case, the employer must complete PERM labor certification before filing the I-140 petition with USCIS, unless you pursue an EB-2 National Interest Waiver and self-petition.
How does green card sponsorship differ from H-1B for this role?
H-1B visa is a temporary status tied to your employer and renewed in three-year increments, with an annual lottery that caps new petitions at 85,000. EB-2 and EB-3 green card sponsorship leads to permanent residency with no lottery and no cap on employment-based petitions. The tradeoff is time: PERM labor certification alone takes six months or more before USCIS even reviews your I-140, and priority date backlogs can extend the total timeline significantly depending on your country of birth.
Which employers actually sponsor green cards for Clinical Operations Directors?
Large academic medical centers, integrated health systems, and contract research organizations are the most consistent sponsors because they have in-house immigration programs and recurring hiring needs at the director level. Smaller CROs and specialty clinics do sponsor but less predictably. Use Migrate Mate to search Clinical Operations Director openings filtered specifically by employers with employment-based green card sponsorship history, which cuts out the guesswork of cold outreach.
Can my employer start PERM while I'm on OPT or H-1B status?
Yes. PERM labor certification is employer-driven and can be filed regardless of your current nonimmigrant status. Starting PERM early is strategically important because it locks in your priority date. If your I-140 is approved and you've maintained status for more than 180 days, you may also gain job portability protections under AC21, which lets you change employers in the same or similar occupation without losing your place in the green card queue.
What happens if my priority date is backlogged after I-140 approval?
If your country of birth has a backlogged priority date, you can't file for adjustment of status or an immigrant visa until the USCIS visa bulletin shows your date as current. During that wait, you need to maintain valid nonimmigrant status, typically H-1B or H-1B extensions under AC21 portability. Your employer should file the I-140 as early as possible to secure the earliest priority date and minimize the gap before you can file Form I-485.