Utilization Management Nurse Green Card Jobs
Utilization Management Nurse roles qualify for EB-2 and EB-3 green card sponsorship through the PERM labor certification process. Employers file on your behalf, covering clinical necessity review, prior authorization, and discharge planning. Sponsorship leads to permanent residency, not a temporary status that expires.
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Get Access To All JobsWe’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
Position Information
Schedule: Monday–Friday 8:00am-5:00pm EST
Location: 100% Remote (U.S. only)
About us
American Health Holding, Inc. (AHH), a division of Aetna/CVS Health, is a URAC-accredited medical management organization founded in 1993. We provide flexible, cost-effective care management solutions that promote high-quality healthcare for members.
Position Summary
Join a team that’s making a difference in the lives of patients facing complex medical journeys. As a Utilization Management (UM) Nurse Consultant specializing in Medical Review, you’ll play a vital role in ensuring members receive timely, medically necessary care through thoughtful clinical review and collaboration with providers.
This fully remote position offers the opportunity to apply your clinical expertise in a fast-paced, desk-based environment where precision, communication, and compassion intersect.
Key Responsibilities
- Utilizes clinical experience and skills in a collaborative process to implement, coordinate, monitor and evaluate medical review cases.
- Applies the appropriate clinical criteria/guideline and plan language or policy specifics to render a medical determination to the client.
- Applies critical thinking, evidenced based clinical criteria and clinical practice guidelines. Med Review nurses use specific criteria to authorize procedures/services or initiate a Medical Director referral as needed.
- Assists management with training new nurse reviewers/business partners or vendors to include initial and ongoing mentoring and feedback.
- Actively cross-trains to perform reviews of multiple case types to provide a flexible workforce to meet client needs.
- Recommends, tests, and implements process improvements, new audit concepts, technology improvements, etc. that enhance production, quality, and client satisfaction.
- Must be able to work independently without personal distractions to meet quality and metric expectations.
Remote Work Expectations
- This is a 100% remote role; candidates must have a dedicated workspace free of interruptions.
- Dependents must have separate care arrangements during work hours, as continuous care responsibilities during shift times are not permitted.
Required Qualifications
- Active, unrestricted RN license in your state of residence with multistate/compact licensure privileges. Ability to obtain licensure in non-compact states as needed.
- Minimum 3 years of clinical experience.
- 5 years demonstrated to make thorough independent decisions using clinical judgement.
- 5 Years proficient use of equipment experience including phone, computer, etc. and clinical documentation systems.
- 1+ Year of Utilization Review Management and/or Medical Management experience.
- Commitment to attend a mandatory 3-week training (Monday–Friday, 8:30am–5:00pm EST) with 100% participation.
Preferred Qualifications
- Experience with interpreting Plan Language, Policies, and Benefits to determine medical necessity.
- MCG Milliman, CPB or other criteria guideline application experience is preferred.
Education
- Associate's degree in nursing (RN) required, BSN preferred.
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$26.01 - $56.14
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
Additional details about available benefits are provided during the application process and on Benefits Moments.
We anticipate the application window for this opening will close on: 05/04/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
Position Information
Schedule: Monday–Friday 8:00am-5:00pm EST
Location: 100% Remote (U.S. only)
About us
American Health Holding, Inc. (AHH), a division of Aetna/CVS Health, is a URAC-accredited medical management organization founded in 1993. We provide flexible, cost-effective care management solutions that promote high-quality healthcare for members.
Position Summary
Join a team that’s making a difference in the lives of patients facing complex medical journeys. As a Utilization Management (UM) Nurse Consultant specializing in Medical Review, you’ll play a vital role in ensuring members receive timely, medically necessary care through thoughtful clinical review and collaboration with providers.
This fully remote position offers the opportunity to apply your clinical expertise in a fast-paced, desk-based environment where precision, communication, and compassion intersect.
Key Responsibilities
- Utilizes clinical experience and skills in a collaborative process to implement, coordinate, monitor and evaluate medical review cases.
- Applies the appropriate clinical criteria/guideline and plan language or policy specifics to render a medical determination to the client.
- Applies critical thinking, evidenced based clinical criteria and clinical practice guidelines. Med Review nurses use specific criteria to authorize procedures/services or initiate a Medical Director referral as needed.
- Assists management with training new nurse reviewers/business partners or vendors to include initial and ongoing mentoring and feedback.
- Actively cross-trains to perform reviews of multiple case types to provide a flexible workforce to meet client needs.
- Recommends, tests, and implements process improvements, new audit concepts, technology improvements, etc. that enhance production, quality, and client satisfaction.
- Must be able to work independently without personal distractions to meet quality and metric expectations.
Remote Work Expectations
- This is a 100% remote role; candidates must have a dedicated workspace free of interruptions.
- Dependents must have separate care arrangements during work hours, as continuous care responsibilities during shift times are not permitted.
Required Qualifications
- Active, unrestricted RN license in your state of residence with multistate/compact licensure privileges. Ability to obtain licensure in non-compact states as needed.
- Minimum 3 years of clinical experience.
- 5 years demonstrated to make thorough independent decisions using clinical judgement.
- 5 Years proficient use of equipment experience including phone, computer, etc. and clinical documentation systems.
- 1+ Year of Utilization Review Management and/or Medical Management experience.
- Commitment to attend a mandatory 3-week training (Monday–Friday, 8:30am–5:00pm EST) with 100% participation.
Preferred Qualifications
- Experience with interpreting Plan Language, Policies, and Benefits to determine medical necessity.
- MCG Milliman, CPB or other criteria guideline application experience is preferred.
Education
- Associate's degree in nursing (RN) required, BSN preferred.
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$26.01 - $56.14
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
Additional details about available benefits are provided during the application process and on Benefits Moments.
We anticipate the application window for this opening will close on: 05/04/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
See all 69+ Utilization Management Nurse jobs
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Get Access To All JobsTips for Finding Green Card Sponsorship as an Utilization Management Nurse
Target health systems with UR department infrastructure
Large hospital systems and managed care organizations regularly file PERM for Utilization Management Nurses because they have dedicated HR and legal teams. Prioritize employers whose UM departments operate across multiple payers, not single-facility clinics.
Confirm the prevailing wage tier before accepting an offer
Run your target job title and location through the OFLC Wage Search before negotiating. PERM requires your offered salary to meet the prevailing wage, and a Level I or Level II designation affects your long-term compensation floor.
Search green card sponsoring UM roles on Migrate Mate
Filter by EB-2 or EB-3 sponsorship and Utilization Management Nurse to surface employers who have already filed PERM for this exact role. Migrate Mate surfaces that employer history so you're not guessing at willingness.
Understand how EB-3 filing protects your priority date
Once your employer files the I-140, your priority date is locked in even if you change jobs under AC21 portability. Request that your employer file the I-140 concurrently with PERM approval to bank that date as early as possible.
Ask employers whether they use E-Verify before your PERM starts
Some states and federal contractors require E-Verify enrollment, which affects onboarding timing. Confirming this before PERM is filed prevents work authorization gaps if your adjustment of status takes longer than expected.
Utilization Management Nurse jobs are hiring across the US. Find yours.
Find Utilization Management Nurse JobsUtilization Management Nurse Green Card Sponsorship: Frequently Asked Questions
Do Utilization Management Nurse roles qualify for EB-2 or EB-3 green card sponsorship?
Most Utilization Management Nurse positions qualify under EB-3, which covers skilled workers and professionals requiring a bachelor's degree or its equivalent. Candidates with a master's degree in nursing or a clinical specialty, or those with strong credentials and substantial experience, may qualify under EB-2. Your employer's immigration attorney determines the appropriate category based on the job description and your qualifications.
How is green card sponsorship different from H-1B sponsorship for this role?
Green card sponsorship through PERM and I-140 leads to permanent residency, with no annual renewal or status expiration. H-1B is temporary and subject to annual lottery uncertainty. EB-3 green card filings face no annual cap at the petition level, though visa number availability by country affects final adjustment timelines. For many applicants, the green card path offers greater long-term stability.
What does the PERM labor certification process involve for a Utilization Management Nurse?
Your employer files a PERM application with DOL certifying that no qualified U.S. worker was available for the role at the prevailing wage. This requires the employer to conduct recruitment steps, including job postings, before filing. PERM approval typically takes six to eighteen months, after which the employer files I-140 with USCIS to petition for your classification.
Where can I find Utilization Management Nurse jobs that offer green card sponsorship?
Migrate Mate lets you filter job listings specifically by EB-2 or EB-3 sponsorship and job title. Because many employers do not prominently advertise green card sponsorship in standard postings, searching a platform that indexes actual PERM filing history gives you a far more accurate picture of which employers are genuinely willing to sponsor.
Can I change employers during my green card process as a Utilization Management Nurse?
Yes, under AC21 portability, you can change to a same or similar occupation after your I-140 is approved and your I-485 has been pending for at least 180 days. Utilization Management Nurse roles generally fall within the same O*NET occupational group, so a move to another UM position at a different employer typically qualifies without losing your priority date.
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