H-1B Visa Care Manager Jobs
Care Manager roles qualify for H-1B visa sponsorship as specialty occupations requiring at least a bachelor's degree in social work, nursing, or a related health field. Employers in hospital systems, managed care organizations, and home health agencies regularly file LCAs for this title. The 85,000-slot annual cap and lottery apply, so timing your job search around the April registration window matters.
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Position Summary:
Department: LMH Care Management
Status: Full-time
Schedule: Days
Title: Registered Nurse, Care Manager
Orlando Health Lake Mary Hospital
Orlando Health Lake Mary Hospital represents Orlando Health’s continued commitment to the Seminole County community, which we have proudly served for 40 years. As a comprehensive acute care facility, the hospital offers a full scope of medical and surgical services, including cardiovascular, general surgery, orthopedics, and women’s services with labor and delivery, alongside a future NICU. Opening with 124 beds, the 455,000 square foot hospital will be able to expand to up to 240 beds. State-of-the-art facilities include operating rooms, catheterization labs, interventional radiology, a vascular lab, an ICU and a full-service emergency department.
For labor and delivery, the hospital features six private suites thoughtfully designed to make you feel at home while providing exceptional medical care. Each suite includes a hydrotherapy tub for laboring, shower, recliner, adjustable bed with a squat bar, wireless and waterproof heart rate monitors for mom and baby, a smart board that integrates patient and nurse information from Epic, WiFi, and televisions. These modern amenities ensure a comfortable and supportive environment for every patient.
Features include:
- Center for Women and Babies
- Six state-of-the-art operating rooms
- Three catheterization labs with a dedicated interventional radiology and vascular lab
- Comprehensive cardiovascular care
- 16 ICU beds
- Observation unit
- Imaging
- Lab
- Orlando Health Scripts pharmacy
- Dining and café
- Chapel
Top Reasons to Choose Orlando Health – Lake Mary Hospital:
- BEST Place to Work for 6 years!
- As a new hospital, Orlando Health Lake Mary offers unique opportunities for career advancement, leadership roles, and professional development.
- Benefits Package that begins on day one (Full-Time & Part-Time only).
- Flexible Schedules
- Tuition Reimbursement of up to $5,000 a year.
Responsibilities:
Essential Functions
- Initially and concurrently assesses all patients within assigned population to include, but not limited to:
- Accurate medical necessity screening and submission for Physician Advisor review
- Care coordination that includes admitting diagnosis/medical history, current treatments, age, payment source, resources, support systems, anticipated needs, expected length of stay, appropriate level of service, special/personal needs, and other relevant information.
- Assignment of initial DRG to determine GMLOS, while concurrently monitoring and managing LOS and transition planning as appropriate through assessment and reassessment and the application of InterQual guidelines.
- Leading and facilitating multi-disciplinary patient care conferences
- Managing concurrent disputes
- Making appropriate referrals to other departments
- Identifying and referring complex patients to Social Work Services
- Communicating with patients and families about the plan of care
- Leading and facilitating Complex Case Review
- Identification and documentation of potentially avoidable days
- Identification and reporting over and underutilization
- Ensures compliance with all regulatory standards including Federal, State, Local and Joint Commission with review requirements for Managed Contracts, Medicare, Medicaid, and Campus related to admission and continued stay approval.
- Adheres to Utilization Management Plan.
- Integrates National standards for care management scope of services including:
- Utilization Management supporting medical necessity and denial prevention
- Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction
- Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence and appropriate level of care
- Education provided to physicians, patients, families, and caregivers.
- Communicates appropriately and timely with the interdisciplinary team and third-party payers.
- Prioritizes activities in assigned areas to focus on high risk, high cost, and problem prone areas.
- Develops collaborative relationships with patient business, nursing, physicians, and patient/family to facilitate efficient movement through the continuum of care.
- Monitors and evaluates data, fiscal outcomes, and other relevant information to develop and implement strategies for improvement.
- Forwards identified quality and/or risk issues appropriately.
- Maintains positive relationships with outside/onsite reviewers and other payer representatives.
- Identifies cultural, socio-economic, religious, and other factors that may impact treatment.
- Involves patient’s family in the development of the treatment plan as appropriate while explaining procedures, therapies, systems treatment plans, and discharge plans in age/developmental/educational specific terms to patient/family.
- Reviews patient’s discharge plan at multidisciplinary meetings and/or staffing to facilitate communication with other healthcare team members.
- Prioritizes workload to manage multiple priorities while using problem-solving skills to meet goals.
- Enhances professional growth by participating in educational programs, current literature and/or workshops.
- Possesses excellent interpersonal skills and ability to work in a team environment.
- Respects the rights and privacy of others and holds staff member information in strict confidence.
- Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards.
- Maintains compliance with all Orlando Health policies and procedures.
Qualifications
Education/Training
- Graduate of an approved school of nursing.
Licensure/Certification
- Must hold and maintain a current Florida RN license.
- Handle with Care (HWC) Certification is required for the Behavioral Health Unit within 90 days of hire. The Handle with Care training and education will be provided onsite to all team members.
Experience
Three (3) years of experience in chronic disease management, care management, care coordination, utilization management, or acute clinical care.
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Get Access To All JobsTips for Finding H-1B Visa Sponsorship as a Care Manager
Verify your degree meets specialty occupation
H-1B approval for Care Manager roles depends on your degree field matching the job directly. A bachelor's in social work, nursing, or public health satisfies this. A general business degree typically won't, and USCIS has issued RFEs on this exact point.
Target employers with LCA filing history
Search the OFLC Wage Search for certified LCAs under the SOC code for Care Managers. Employers who've filed before know the process and are less likely to back out mid-offer when legal costs or timelines surprise them.
Search H-1B sponsoring employers on Migrate Mate
Use Migrate Mate to filter Care Manager roles by employers with verified H-1B filing history. This removes the awkward early-stage conversation about whether a company sponsors and lets you focus interviews on fit, not eligibility.
Get your credentials evaluated before applying
If your degree is from outside the U.S., get a credential evaluation from a NACES-recognized agency before you start interviewing. Employers filing an LCA will need to confirm your degree equivalency, and delays here can push your petition past the April registration window.
Ask employers about cap-exempt facility status
Hospitals affiliated with nonprofits or universities may qualify as cap-exempt H-1B employers. If you're hired by one, your petition bypasses the lottery entirely, and you can start on H-1B status at any point in the year, not just October 1.
Confirm the LCA wage level matches your role
Before signing an offer, check whether the LCA wage level posted by your employer aligns with your actual duties. Care Managers placed at Level I when supervising complex cases can face RFEs or, in egregious cases, DOL wage audits after hire.
H-1B Visa Care Manager: Frequently Asked Questions
Does a Care Manager role qualify as an H-1B specialty occupation?
Yes, Care Manager qualifies as a specialty occupation when the position requires a bachelor's degree or higher in a specific field such as social work, nursing, public health, or healthcare administration. USCIS looks at whether the job description makes that degree a minimum requirement, not just a preference. Listings that say 'bachelor's preferred' without making it a requirement can weaken the petition, so the job offer letter matters as much as your credentials.
Which types of employers sponsor H-1B visas for Care Managers?
Hospital systems, managed care organizations, insurance companies with utilization management teams, home health agencies, and large integrated health networks regularly sponsor H-1B visas for Care Managers. Employers with in-house immigration counsel or an established HR process for sponsored roles are more likely to follow through after an offer. Migrate Mate shows which employers have active LCA filing history for this role, so you can focus your applications on proven sponsors.
How does the H-1B lottery affect Care Manager job seekers?
Care Manager H-1B petitions are subject to the annual 85,000-slot cap and the April lottery registration window. If your petition isn't selected, you can't start on H-1B status until the next fiscal year at the earliest. Targeting cap-exempt employers, such as nonprofit hospitals or university-affiliated health systems, is one way to avoid the lottery entirely and begin work at any time of year.
What happens to my H-1B status if I change Care Manager employers?
Changing employers while on H-1B requires your new employer to file an H-1B transfer petition before you start work. Under portability rules, if you've been in H-1B status for more than 180 days and your original petition is still pending or approved, you can begin working for the new employer once USCIS receives the transfer petition, without waiting for approval. Confirm your new employer is prepared to file immediately upon offer acceptance.
What prevailing wage level applies to Care Manager H-1B petitions?
The DOL requires employers to pay at least the prevailing wage for the Care Manager role in the specific geographic area where the work is performed. Most petitions fall at wage Level II or Level III depending on supervisory responsibilities and years of experience required. You can cross-reference the wage level your employer has certified on the LCA against the OFLC Wage Search to confirm it reflects your actual duties and seniority before the petition is filed.