H-1B Visa Care Navigator Jobs
Care Navigator roles sit at the intersection of clinical knowledge and social services coordination, which qualifies them as specialty occupations under H-1B visa standards. Most sponsoring employers are large health systems, managed care organizations, and federally qualified health centers that file LCAs under SOC code 21-1094 or 29-1141 depending on whether your background is social work or nursing.
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Get Access To All JobsPURPOSE AND SCOPE:
Responsible for coordination and management of evaluation of kidney transplant patients in the pretransplant phase. TECN will work in collaboration with their TECN Scheduler to schedule, confirm and execute testing. TECN will review results of testing (see responsibilities) and compile all testing once complete to submit to transplant center. TECN will review all testing and elevate abnormal testing to designated Transplant Center physician. TECN will also collaborate with the Transplant Center team to accomplish pre transplant evaluation where appropriate. TECN will attend meetings with Transplant Center when needed and present patients at selection conference for decisioning on candidacy.
PRINCIPAL DUTIES & RESPONSIBILITIES
Clinical Review & Referral Management
- Review incoming referrals to ensure they meet Transplant Center Evaluation Guidelines
- Request and place orders for referral testing per protocol for acceptable candidates
- Consent patients and secure consent for transplant evaluation per Transplant Center Protocol
- Provide CMS transplant education per Transplant Center Policy
Health Maintenance Screening
- Assist patients in completing health maintenance screening tests not on the standard UNOS-required list
- Schedule health screening tests with hospital services and external partners
- Identify local partners (e.g., radiology centers, cardiology clinics) to perform necessary testing
- Assist patients in obtaining dental care as needed per Transplant Center policy
- Develop clear algorithms for special-case scenarios (e.g., commercially insured patients requiring testing at the parent hospital)
Results Review & Anomaly Management
- Review results and discuss abnormal findings with the designated Transplant Center physician or designee
- Maintain a real-time tracking system for test completion, results collection, and anomaly review
- Maintain a clear communication pathway with the Transplant Center MD for escalating abnormal results
- Coordinate communication of abnormal results to patients per pre-agreed procedures
- Track and follow up on missing or incomplete tests
- Guide management of patients who repeatedly miss scheduled appointments
Scheduling & Patient Coordination
- Confirm patient intent and attendance with the dialysis clinic social worker (MSW)
- Communicate with the FKC MSW regarding patients who are difficult or impossible to schedule
- Escalate scheduling barriers to the attending nephrologist to assess candidacy or psychosocial obstacles
Billing & Reimbursement
- Coordinate billing and reimbursement for testing with the Transplant Center Financial Coordinator
- Ensure testing is billed through the Transplant Center and not directly to the patient
- Distinguish initial screening testing (billable to transplant center) from follow-up testing (billable to patient insurance)
- Participate in periodic audit trails of billing documentation
Stakeholder Relations & Reporting
- Arrange lobby/practice days with Transplant Center personnel as appropriate
- Coordinate joint population-level reviews between practices, clinics, and transplant centers
- Solicit feedback from patients, referring physicians, and transplant center staff on TCN operations
- Provide continuous updates to Operations Management regarding the clinical posture of assigned centers
- Perform other related duties as assigned
PHYSICAL DEMANDS & WORKING CONDITIONS
The physical demands and work environment described here are representative of those encountered while performing the essential functions of this role. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
- Remote/work-from-home position
- Day-to-day work involves desk and computer work, with interaction with patients, facility staff, and physicians
- Travel between assigned centers required; travel to organizational meetings may be required
SUPERVISION
This position has no direct supervisory responsibilities.
EDUCATION & CREDENTIALS
- Graduate of an accredited School of Nursing; RN BSN required — advanced degree preferred
- Current appropriate state licensure
- One multistate license with the ability to practice in all compact states
EXPERIENCE & SKILLS
- Minimum 5 years of experience in pre-transplant intake, patient education, ICU, or similar clinical setting
- Solid understanding of the relationship between healthcare providers and regulatory agencies
- Ability to analyze complex issues and propose alternative solutions
- Experience in quality management, risk management, case management, and infection control
- Excellent verbal and written communication and interpersonal skills
- Exemplary customer service orientation
- Proficiency with Microsoft Office Suite (Word, Excel, PowerPoint); medical database software required
- Proficiency with EPIC preferred
Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.
EOE, disability/veterans
PURPOSE AND SCOPE:
Responsible for coordination and management of evaluation of kidney transplant patients in the pretransplant phase. TECN will work in collaboration with their TECN Scheduler to schedule, confirm and execute testing. TECN will review results of testing (see responsibilities) and compile all testing once complete to submit to transplant center. TECN will review all testing and elevate abnormal testing to designated Transplant Center physician. TECN will also collaborate with the Transplant Center team to accomplish pre transplant evaluation where appropriate. TECN will attend meetings with Transplant Center when needed and present patients at selection conference for decisioning on candidacy.
PRINCIPAL DUTIES & RESPONSIBILITIES
Clinical Review & Referral Management
- Review incoming referrals to ensure they meet Transplant Center Evaluation Guidelines
- Request and place orders for referral testing per protocol for acceptable candidates
- Consent patients and secure consent for transplant evaluation per Transplant Center Protocol
- Provide CMS transplant education per Transplant Center Policy
Health Maintenance Screening
- Assist patients in completing health maintenance screening tests not on the standard UNOS-required list
- Schedule health screening tests with hospital services and external partners
- Identify local partners (e.g., radiology centers, cardiology clinics) to perform necessary testing
- Assist patients in obtaining dental care as needed per Transplant Center policy
- Develop clear algorithms for special-case scenarios (e.g., commercially insured patients requiring testing at the parent hospital)
Results Review & Anomaly Management
- Review results and discuss abnormal findings with the designated Transplant Center physician or designee
- Maintain a real-time tracking system for test completion, results collection, and anomaly review
- Maintain a clear communication pathway with the Transplant Center MD for escalating abnormal results
- Coordinate communication of abnormal results to patients per pre-agreed procedures
- Track and follow up on missing or incomplete tests
- Guide management of patients who repeatedly miss scheduled appointments
Scheduling & Patient Coordination
- Confirm patient intent and attendance with the dialysis clinic social worker (MSW)
- Communicate with the FKC MSW regarding patients who are difficult or impossible to schedule
- Escalate scheduling barriers to the attending nephrologist to assess candidacy or psychosocial obstacles
Billing & Reimbursement
- Coordinate billing and reimbursement for testing with the Transplant Center Financial Coordinator
- Ensure testing is billed through the Transplant Center and not directly to the patient
- Distinguish initial screening testing (billable to transplant center) from follow-up testing (billable to patient insurance)
- Participate in periodic audit trails of billing documentation
Stakeholder Relations & Reporting
- Arrange lobby/practice days with Transplant Center personnel as appropriate
- Coordinate joint population-level reviews between practices, clinics, and transplant centers
- Solicit feedback from patients, referring physicians, and transplant center staff on TCN operations
- Provide continuous updates to Operations Management regarding the clinical posture of assigned centers
- Perform other related duties as assigned
PHYSICAL DEMANDS & WORKING CONDITIONS
The physical demands and work environment described here are representative of those encountered while performing the essential functions of this role. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
- Remote/work-from-home position
- Day-to-day work involves desk and computer work, with interaction with patients, facility staff, and physicians
- Travel between assigned centers required; travel to organizational meetings may be required
SUPERVISION
This position has no direct supervisory responsibilities.
EDUCATION & CREDENTIALS
- Graduate of an accredited School of Nursing; RN BSN required — advanced degree preferred
- Current appropriate state licensure
- One multistate license with the ability to practice in all compact states
EXPERIENCE & SKILLS
- Minimum 5 years of experience in pre-transplant intake, patient education, ICU, or similar clinical setting
- Solid understanding of the relationship between healthcare providers and regulatory agencies
- Ability to analyze complex issues and propose alternative solutions
- Experience in quality management, risk management, case management, and infection control
- Excellent verbal and written communication and interpersonal skills
- Exemplary customer service orientation
- Proficiency with Microsoft Office Suite (Word, Excel, PowerPoint); medical database software required
- Proficiency with EPIC preferred
Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.
EOE, disability/veterans
See all 36+ H-1B Visa Care Navigator Jobs
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Get Access To All JobsTips for Finding H-1B Visa Sponsorship in Care Navigator
Verify your degree supports specialty occupation
Care Navigator roles can be filed under social work or nursing SOC codes. Confirm your degree field directly maps to the job description before applying, since a mismatch is the most common RFE trigger for this title.
Look up prevailing wages before negotiating
Use the OFLC Wage Search to find the Level I through Level IV wage for your specific SOC code and metropolitan area. Your offered salary must meet the certified LCA wage, and going in underprepared costs you leverage at the offer stage.
Target employers already filing LCAs for this role
Use Migrate Mate to filter for employers with verified H-1B LCA filing history specifically for care coordination and navigator roles, so you're applying to organizations that have already cleared the DOL compliance steps for this job.
Prioritize cap-exempt employers to skip the lottery
Nonprofit hospitals, federally qualified health centers, and university health systems are often cap-exempt, meaning your H-1B petition bypasses the annual 85,000-slot lottery entirely. Focus your search on these employer types to eliminate lottery risk.
Get your credentials evaluated before the offer stage
If your nursing or social work degree is from outside the U.S., obtain a credential evaluation from a NACES-member organization before your employer files the LCA. USCIS scrutinizes foreign degree equivalency for clinical roles, and delays here can push your start date past the October 1 cap date.
Clarify who covers premium processing in your offer
USCIS premium processing shortens adjudication to 15 business days. Confirm in writing whether your employer covers this fee, since Care Navigator roles often have urgent hiring timelines tied to patient caseload requirements that make standard processing risky.
H-1B Visa Care Navigator: Frequently Asked Questions
Does a Care Navigator role qualify as a specialty occupation for H-1B purposes?
Care Navigator qualifies as a specialty occupation when the position requires at least a bachelor's degree in a directly related field such as social work, public health, or nursing. Employers typically file under SOC code 21-1094 or 29-1141. If the job description accepts any bachelor's degree regardless of field, USCIS may issue an RFE challenging specialty occupation status, so the posting language matters.
Which types of employers sponsor H-1B visas for Care Navigator positions?
Large health systems, managed care organizations, insurance companies with care management divisions, and federally qualified health centers are the most consistent sponsors. Many of these employers are cap-exempt nonprofits or government-affiliated entities, which means your petition bypasses the H-1B lottery. You can find employers with verified LCA filing history for this role on Migrate Mate.
How does the H-1B prevailing wage requirement apply to Care Navigator roles?
Your employer must certify through the DOL that your offered salary meets the prevailing wage for the specific SOC code and work location listed on the LCA. Care Navigator roles are filed under different SOC codes depending on the clinical discipline, and the prevailing wage varies by level and metropolitan area. Use the OFLC Wage Search to check the applicable wage before you receive an offer.
Can I transfer my H-1B to a new Care Navigator employer without losing status?
Yes. Under H-1B portability rules, you can start working for a new employer as soon as they file an H-1B transfer petition, as long as your prior status was maintained and you're moving to a role in the same or a related specialty occupation. Your new employer files a new I-129 and LCA. You don't need to wait for USCIS approval to begin work after the transfer petition is received.
What documentation should I prepare to support an H-1B petition for a Care Navigator role?
You'll need official transcripts showing a degree in a qualifying field, a credential evaluation if your degree is from outside the U.S., any relevant state licensure or certification such as an LSW, LCSW, or RN license, and employment verification letters from prior Care Navigator or case management roles. Your employer's attorney will also need a detailed job description that establishes the specialty occupation requirement for USCIS review.