Green Card Utilization Review Nurse Jobs
Utilization Review Nurse 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. Clinical experience, state licensure, and RN credentials all factor into which preference category fits your case.
Find Green Card Utilization Review Nurse JobsOverview
Showing 5 of 21+ Utilization Review Nurse jobs
See all Utilization Review Nurse Jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new Utilization Review Nurse roles.
Get Access To All JobsMajor Responsibilities:
- Documents utilization review activity per department and medical center standards in a timely manner. Performs and documents accurate and timely concurrent and retrospective reviews based on approved established criteria.
- Communicates effectively with the healthcare team. Works closely with medical staff, hospital departments and ancillary services as part of Outcome Facilitation Team/Multidisciplinary Team in expediting care delivery to avoid delays in timely service provision and implementing and reporting utilization management (UM) activities, as applicable.
- Collaborates with managers, physicians, medical directors, advisory groups and treatment teams for issues related to physician practices and best practices for the patient’s plan of care. Refers cases to physician advisor as needed to ensure accurate status and compliance with regulatory guidelines.
- Remains knowledgeable in issues of healthcare regulations, reimbursement issues, impact on length of stay and community resources. Provides clinical updates to payers and/or external review organizations, collects data, coordinates denial activity, supports UM activity, and manages avoidable delays.
- Develops and maintains productive relationships with community-based agencies and networks by representing Aurora Health Care in a positive manner working collaboratively, internally and externally, to meet patient/family needs.
- Serves as an educator and expert resource to medical and hospital staff regarding admission status and acute care criteria, utilization management issues, and relevant regulatory requirements.
- Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served. Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the department's policies and procedures. Age-specific information is developed further in the departmental job standards.
Licensure, Registration, and/or Certification Required:
Registered Nurse license issued by the state in which the team member practices.
Education Required:
Bachelor's Degree (or equivalent knowledge) in Nursing.
Experience Required:
Typically requires 3 years of experience in clinical nursing, utilization and/or quality management.
Knowledge, Skills & Abilities Required:
- Must have working knowledge in the use of Microsoft Office (Excel, Outlook, PowerPoint and Word) or similar products.
- Knowledge of the components of quality and acute care patient care needs specifically related to the area/function in which care management will be performed.
- Demonstrates working knowledge of Utilization Review criteria as demonstrated by achieving 80% or greater on the annual InterRater Reliability (IRR) competency exam.
- Utilizes critical thinking skills to analyze and synthesize clinical scenarios as it relates to application of medical necessity criteria.
- Excellent analytical and interpersonal communication skills necessary to interact with families, patients, physicians, and third party payers.
- Ability to manage conflict appropriately, seeking a win-win outcome by communicating issues in accordance with the Aurora Service commitments.
- Promotes effective professional relationships with physicians and other professionals in a direct and positive manner.
- Takes responsibility for self-development by seeking out opportunities for professional growth and development and being an active participant in department, hospital, and system initiatives.
Physical Requirements and Working Conditions:
- Must be able to sit for approximately 50 percent of the workday; stand and walk for the equivalent of several blocks at a time.
- Must lift up to 10lbs. continuously and up to 20 lbs. frequently.
- Manual dexterity required for operation of computer and calculator.
- Visual acuity required for facilitating review of written documents/computer screens, medical records, and to record information accurately.
- Clear verbal communications and hearing acuity required for receiving instructions and converse on standard telephone.
- Functional speech and hearing to allow for effective communication of instructions and conversation over the telephone.
- Exposed to normal office environment; including usual hazards related to operating electrical equipment.
- Operates all equipment necessary to perform the job.
- May be exposed to mechanical, electrical, chemical, and radiation hazards as well as blood and body fluids; therefore, personal protective equipment must be worn as necessary.
This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.
Major Responsibilities:
- Documents utilization review activity per department and medical center standards in a timely manner. Performs and documents accurate and timely concurrent and retrospective reviews based on approved established criteria.
- Communicates effectively with the healthcare team. Works closely with medical staff, hospital departments and ancillary services as part of Outcome Facilitation Team/Multidisciplinary Team in expediting care delivery to avoid delays in timely service provision and implementing and reporting utilization management (UM) activities, as applicable.
- Collaborates with managers, physicians, medical directors, advisory groups and treatment teams for issues related to physician practices and best practices for the patient’s plan of care. Refers cases to physician advisor as needed to ensure accurate status and compliance with regulatory guidelines.
- Remains knowledgeable in issues of healthcare regulations, reimbursement issues, impact on length of stay and community resources. Provides clinical updates to payers and/or external review organizations, collects data, coordinates denial activity, supports UM activity, and manages avoidable delays.
- Develops and maintains productive relationships with community-based agencies and networks by representing Aurora Health Care in a positive manner working collaboratively, internally and externally, to meet patient/family needs.
- Serves as an educator and expert resource to medical and hospital staff regarding admission status and acute care criteria, utilization management issues, and relevant regulatory requirements.
- Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served. Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the department's policies and procedures. Age-specific information is developed further in the departmental job standards.
Licensure, Registration, and/or Certification Required:
Registered Nurse license issued by the state in which the team member practices.
Education Required:
Bachelor's Degree (or equivalent knowledge) in Nursing.
Experience Required:
Typically requires 3 years of experience in clinical nursing, utilization and/or quality management.
Knowledge, Skills & Abilities Required:
- Must have working knowledge in the use of Microsoft Office (Excel, Outlook, PowerPoint and Word) or similar products.
- Knowledge of the components of quality and acute care patient care needs specifically related to the area/function in which care management will be performed.
- Demonstrates working knowledge of Utilization Review criteria as demonstrated by achieving 80% or greater on the annual InterRater Reliability (IRR) competency exam.
- Utilizes critical thinking skills to analyze and synthesize clinical scenarios as it relates to application of medical necessity criteria.
- Excellent analytical and interpersonal communication skills necessary to interact with families, patients, physicians, and third party payers.
- Ability to manage conflict appropriately, seeking a win-win outcome by communicating issues in accordance with the Aurora Service commitments.
- Promotes effective professional relationships with physicians and other professionals in a direct and positive manner.
- Takes responsibility for self-development by seeking out opportunities for professional growth and development and being an active participant in department, hospital, and system initiatives.
Physical Requirements and Working Conditions:
- Must be able to sit for approximately 50 percent of the workday; stand and walk for the equivalent of several blocks at a time.
- Must lift up to 10lbs. continuously and up to 20 lbs. frequently.
- Manual dexterity required for operation of computer and calculator.
- Visual acuity required for facilitating review of written documents/computer screens, medical records, and to record information accurately.
- Clear verbal communications and hearing acuity required for receiving instructions and converse on standard telephone.
- Functional speech and hearing to allow for effective communication of instructions and conversation over the telephone.
- Exposed to normal office environment; including usual hazards related to operating electrical equipment.
- Operates all equipment necessary to perform the job.
- May be exposed to mechanical, electrical, chemical, and radiation hazards as well as blood and body fluids; therefore, personal protective equipment must be worn as necessary.
This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.
See all Green Card Utilization Review Nurse Jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new Green Card Utilization Review Nurse Jobs.
Get Access To All JobsTips for Finding Green Card Sponsorship as an Utilization Review Nurse
Verify your RN credentials transfer cleanly
Foreign nursing credentials often require CGFNS certification or a state board equivalency review before USCIS will accept them for EB-3 classification. Get your credential evaluation done before targeting employers so you can confirm eligibility upfront.
Target health systems with PERM filing history
Large hospital networks and managed-care organizations regularly sponsor UR nurses because the role is hard to fill domestically. Search OFLC disclosure data to identify employers who have filed PERM applications for similar RN job titles in the past two years.
Understand where EB-2 versus EB-3 applies
Most Utilization Review Nurse roles qualify under EB-3 as skilled workers requiring a bachelor's degree and licensure. If you hold a master's in nursing or health administration, ask employers whether the job duties support an EB-2 advanced-degree filing instead.
Use Migrate Mate to find sponsoring employers faster
Searching by job title alone won't filter for green card sponsorship. Migrate Mate surfaces UR Nurse roles at employers with documented EB-3 sponsorship history, so you spend time on applications that can actually lead to permanent residency.
Negotiate PERM timeline into your offer conversation
Ask prospective employers whether they use in-house immigration counsel or a third-party firm for PERM filings, and what their typical timeline looks like from hire date to I-140 approval. DOL analyst review currently averages over 12 months for PERM, so knowing the employer's process matters.
Confirm the offered role meets DOL prevailing wage
Your employer must pay at least the DOL prevailing wage for a Utilization Review Nurse in your work location before USCIS will approve the I-140. Run the offered salary against the OFLC Wage Search to confirm it meets at least a Level II wage before signing anything.
Green Card Utilization Review Nurse: Frequently Asked Questions
Do Utilization Review Nurse roles qualify for EB-3 green card sponsorship?
Yes. Utilization Review Nurse positions typically qualify under EB-3 as skilled worker roles requiring both an RN license and a bachelor's degree or equivalent. Because the role involves clinical judgment and insurance protocol expertise that cannot be filled by a worker with general training, employers can document the specialty occupation requirement in the PERM process.
How does green card sponsorship differ from H-1B sponsorship for this role?
EB-3 green card sponsorship leads to permanent residency, not a temporary work period, and there is no annual lottery. The PERM process does take longer than H-1B visa filing since DOL must certify the employer's recruitment before USCIS adjudicates the I-140 petition, but you're building toward a green card rather than renewing status every few years. For nationals from countries without a significant EB-3 backlog, the overall timeline is often comparable to multiple H-1B renewal cycles.
What credentials do I need to present for a PERM-sponsored UR Nurse position?
You'll need an active RN license in the state where you'll work, NCLEX passage documentation, and a foreign credential evaluation if your nursing degree is from outside the U.S. CGFNS certification or a state board equivalency letter is often required. Some employers also ask for proof of utilization management experience, particularly familiarity with InterQual or Milliman criteria, to satisfy the PERM job description requirements.
How do I find employers who actively sponsor green cards for Utilization Review Nurses?
Not every hospital or insurance company that posts UR Nurse jobs is willing to sponsor a PERM case. Migrate Mate filters job listings specifically for employers with employment-based green card sponsorship history, so you can target your search toward organizations that have successfully sponsored similar RN roles rather than cold-applying and asking later in the process.
Can I switch employers after my I-140 is approved?
Yes, under AC21 portability rules, you can change employers once your I-140 is approved and your I-485 adjustment of status application has been pending for at least 180 days, provided the new role is in the same or a similar occupational classification. A Utilization Review Nurse moving to a related case management or quality assurance RN role at a new employer will generally satisfy this requirement.