H-1B Visa Client Care Manager Jobs
H-1B visa jobs for Client Care Managers sit at the intersection of healthcare or service operations and degree-level management. Sponsoring employers file a Labor Condition Application with DOL and an I-129 petition with USCIS, certifying that your role meets specialty occupation standards and prevailing wage requirements for each worksite.
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Client Care Manager (CCM) RN
Bay Area, CA • Full-Time • Exempt • Reports to Care Management Director
About the Role
The Client Care Manager (CCM) is a Registered Nurse who serves in a dual-function capacity across two Care Indeed entities:
- Care Indeed Home Care: As a player/coach pod leader, carrying a direct client caseload supported by Virtual Care Coordinators who handle scheduling and administrative tasks. The CCM’s RN licensure brings clinical assessment capability to the non-medical home care model.
- AskVanessa Geriatric Care Management: As the licensed RN clinical lead for Tier 3 (“The Trusted Advocate”) clients, providing comprehensive geriatric care management including medical appointment attendance, hospital discharge planning, specialist coordination, medication reconciliation, crisis intervention, and detailed monthly clinical reports to families. The CCM also provides clinical support for Tier 4 (“Vanessa Personally”) clients under Vanessa’s direct oversight and case leadership.
This dual-function role positions the CCM/RN at the intersection of non-medical home care operations and clinical geriatric care management, two complementary services that serve the same client population. The CCM’s deep clinical knowledge of pod clients creates a natural pathway for families who need or grow into AskVanessa’s higher-acuity care management services.
ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES
FUNCTION 1: CAREINDEED HOME CARE LEADERSHIP
A. Direct Client Care (Player)
- Conducts comprehensive medical/non-medical assessments for assigned clients: functional status, ADL/IADL needs, cognitive status, home environment, safety risks, psychosocial factors.
- Develops individualized service plans based on comprehensive geriatric assessments, client preferences, and family input.
- Serves as primary contact for assigned clients and families, providing updates and adjusting plans as needs change.
- Conducts supervisory home visits; uses RN clinical judgment to identify health changes and initiate appropriate referrals or escalations.
- Ensures all documentation for assigned cases meets Care Management Policies and Procedures, ALCA and CDSS standards.
B. Pod Leadership (Coach)
- Directly supervises Virtual Care Coordinators who provide scheduling and administrative support for the pod caregiver-client matching, shift coverage, documentation, and coordination tasks.
- Coordinates with Virtual Care Coordinators on caregiver-client matching, shift coverage, and service continuity.
- Manages pod census and triggers Virtual Care Coordinator additions as caseload grows.
- Facilitates pod team meetings; provides the Care Management Director with regular pod performance reports.
C. Service Plan Oversight & Quality
- Reviews and ensures quality and compliance of all service plans across pod clients.
- Monitors client outcomes: service plan adherence, satisfaction trends, incident frequency, caregiver performance patterns.
- Partners with QA/PI Program Manager on compliance documentation, quality audits, and corrective actions within the pod.
D. Caregiver Coordination (Matrix)
- Provides daily clinical and operational direction to caregivers assigned to the pod, supported by Virtual Care Coordinators for scheduling and administrative coordination.
- Communicates caregiver performance observations and training needs to CG Success Supervisors.
- Escalates caregiver performance concerns to the CG Success Manager/Supervisors for formal HR action.
- Participates in new caregiver introductions for pod clients.
FUNCTION 2: ASKVANESSA GERIATRIC CARE MANAGEMENT
AskVanessa is Care Indeed’s geriatric care management service line offering four subscription tiers. The CCM/RN serves as the licensed clinical lead for Tier 3 (“The Trusted Advocate”) clients and provides clinical support for Tier 4 (“Vanessa Personally”) under Vanessa’s direct case leadership.
E. Tier 3 “The Trusted Advocate” Primary Clinical Lead
Target client: Complex medical situations with multiple diagnoses; families experiencing high anxiety or guilt, often following a recent or pending hospitalization or history of readmissions.
- Provides licensed RN clinical oversight for every Tier 3 client interaction and care decision — clinical judgment is present at every touchpoint, not just on escalation.
- Attends all medical appointments with or on behalf of the client: primary care visits, specialist consultations, diagnostic appointments, and follow-up visits. Serves as the clinical interpreter between providers and family.
- Leads hospital discharge planning and coordination: reviews discharge orders, reconciles medications, coordinates follow-up appointments, arranges home care adjustments, and ensures the transition home is clinically safe and supported.
- Provides 24-hour on-call access for Tier 3 families for urgent clinical concerns — enabling real-time triage, guidance, and intervention when situations arise outside business hours.
- Manages specialist referral and coordination: identifies when specialist involvement is needed, facilitates referrals, prepares clinical summaries for receiving providers, and follows up to ensure recommendations are implemented.
- Conducts medication reconciliation after every care change, hospitalization, specialist visit, or new prescription — ensuring the medication regimen is accurate, safe, and understood by the client and family.
- Provides crisis intervention and stabilization support: responds to acute clinical changes, medical emergencies, family distress, or care breakdown situations with clinical assessment, triage, and action planning.
- Prepares and delivers a detailed monthly clinical report to the family: current clinical status, changes observed, appointments attended, medications reconciled, care plan adjustments, and recommendations. This report is a core deliverable of the Tier 3 subscription.
- Maintains comprehensive clinical documentation for each Tier 3 client in the AskVanessa system, separate from CareIndeed Home Care records, in compliance with HIPAA and organizational standards.
F. Tier 4 — “Vanessa Personally” Clinical Support
Vanessa serves as the personal GCM for Tier 4 clients. The CCM/RN provides clinical support under Vanessa’s direction.
- Provides clinical support to Vanessa for Tier 4 clients as directed: attending medical appointments when Vanessa is unavailable, conducting clinical assessments, performing medication reconciliation, and preparing clinical documentation.
- Serves as Vanessa’s clinical backup for Tier 4 clients during Vanessa’s absence, vacations, or concurrent scheduling conflicts.
- Prepares clinical briefing materials and reports for Vanessa’s family briefings and care orchestration meetings.
- Supports Vanessa with specialist coordination, discharge planning, and crisis response as delegated.
- Maintains clinical documentation for Tier 4 clients under Vanessa’s case leadership.
G. AskVanessa Client Pathway & Cross Coordination
- Identifies Care Indeed Home Care pod clients whose clinical complexity, family dynamics, or care trajectory suggest they would benefit from AskVanessa’s geriatric care management services and communicates these opportunities to the Care Management Director and/or AskVanessa intake.
- Ensures continuity between CareIndeed home care services and AskVanessa care management for clients who receive both: the home care service plan and the GCM care plan are aligned and mutually reinforcing.
- Maintains clear documentation boundaries between Care Indeed Home Care records (non-medical, CDSS/ACHC) and AskVanessa GCM records (clinical care management).
- Participates in AskVanessa case conferences and quality reviews as scheduled.
POSITION QUALIFICATIONS
Education & Licensure
- Active California RN license in good standing required.
- BSN preferred; ADN with relevant experience considered.
- Certified Geriatric Care Manager (CMC, C-ASWCM) or willingness to obtain within 12 months preferred.
- CPR/BLS certification required.
Experience
- 3+ years clinical nursing experience with significant geriatric, home care, or community-based experience.
- 1+ year supervisory or team lead experience.
- Experience attending medical appointments with/on behalf of clients and communicating with multidisciplinary provider teams.
- Experience with hospital discharge planning and care transitions.
- Experience with medication reconciliation and polypharmacy management in elderly populations.
- Familiarity with Care management, CMC, CDSS HCO licensing, and geriatric care management standards preferred.
- Experience working with families navigating complex medical situations, high anxiety, grief, or guilt preferred.
Knowledge, Skills & Abilities
- Dual-function capability manages pod operations AND delivers high-touch clinical care management without compromising either.
- Strong clinical assessment skills: identifies condition changes, medication interactions, and care gaps in complex geriatric patients.
- Exceptional communication: translates clinical information into language families understand. Writes detailed clinical reports that are both accurate and accessible.
- Composure under pressure: manages crisis situations, hospital discharges, and family distress with clinical clarity and emotional intelligence.
- Comfortable serving as clinical advocate in medical settings — communicates effectively with physicians, specialists, hospital teams, and pharmacists.
- Player/coach mindset — carries personal caseload while managing and developing a pod team.
- Comfortable in a matrix environment — directs caregiver tasks within the pod while respecting centralized HR authority.
- Empathy, dignity, and respect for client autonomy in all interactions.
HOW TO APPLY
Submit your resume and brief cover letter. We respond promptly to qualified candidates.
Care Indeed is an equal opportunity employer.
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Get Access To All JobsTips for Finding H-1B Visa Sponsorship as a Client Care Manager
Align your degree to management duties
Client Care Manager roles qualify as specialty occupations when the position requires a bachelor's degree in healthcare administration, social work, psychology, or a directly related field. Pull the O*NET occupation profile and match your degree field to the listed knowledge requirements before applying.
Search employers with active LCA filings
Use the OFLC Wage Search to look up certified LCAs under SOC code 11-9111 (Medical and Health Services Managers) or 11-1021. Employers with recent certifications have already navigated DOL requirements and are structurally positioned to sponsor again.
Find verified H-1B sponsors on Migrate Mate
Targeting employers who have sponsored H-1B visas for client care or care management roles narrows your search to organizations already familiar with the filing process. Migrate Mate lists employers with verified H-1B visa LCA sponsorship history, searchable by role and location.
Clarify multi-site coverage before signing
If your role covers multiple care facilities or client locations, each worksite requires its own certified LCA. Confirm with your prospective employer whether their I-129 petition and LCA cover all locations where you'll regularly work before accepting an offer.
Document supervisory and clinical scope early
USCIS scrutinizes Client Care Manager petitions where duties mix administrative and direct-service tasks. Gather performance reviews, org charts, and position descriptions that show degree-level judgment, program oversight, and staff supervision as the primary functions of your role.
Plan your timeline around cap selection changes
H-1B cap selection rules have changed recently, affecting when registrations open and how employers must act. Confirm your start date and petition filing window with your employer's immigration counsel well before the registration period opens each year.
H-1B Visa Client Care Manager: Frequently Asked Questions
Does a Client Care Manager role qualify as an H-1B specialty occupation?
It depends on how the position is structured. When a Client Care Manager role requires a bachelor's degree in healthcare administration, social work, psychology, or a directly related field as a minimum requirement, it typically qualifies as a specialty occupation. Employers strengthening an H-1B petition document that degree-level knowledge is essential to the role's core duties, not incidental to them.
How do I find employers who sponsor H-1B visas for Client Care Manager positions?
Start by reviewing certified LCAs filed under care management SOC codes through the OFLC Wage Search, which shows which employers have recently satisfied DOL prevailing wage requirements for similar roles. Migrate Mate also surfaces employers with verified H-1B sponsorship history for care and client management positions, so you can focus your search on organizations that have already committed to the filing process.
What prevailing wage level applies to Client Care Manager H-1B petitions?
DOL assigns prevailing wages at four levels based on experience, supervision, and complexity. Client Care Manager roles with supervisory responsibility over clinical or case management staff typically fall at Level II or Level III. Use the OFLC Wage Search to check the current prevailing wage for your specific SOC code and geographic area before evaluating any offer.
Can my H-1B cover Client Care Manager duties across multiple facility locations?
No. Each worksite where you regularly perform H-1B duties requires its own certified LCA. If your employer assigns you to multiple care facilities or satellite offices, they must file a separate LCA for each location and maintain a copy of the LCA posting at each site. Confirm this with your employer before your start date to avoid compliance gaps.
How long does H-1B status last for a Client Care Manager?
USCIS grants H-1B status for an initial period of up to three years, which your employer can extend to a maximum of six years. Extensions beyond six years are possible only if you have an approved immigrant petition or a pending PERM labor certification that meets specific timing thresholds. Plan your long-term employment timeline with these caps in mind.