H-1B Visa Lead Case Manager Jobs
Lead Case Manager jobs with H-1B visa sponsorship sit at the intersection of social services and administrative leadership, typically requiring a bachelor's degree in social work, psychology, or a related field. Sponsoring employers file a certified LCA with DOL before your I-129 petition reaches USCIS, locking in your prevailing wage and worksite.
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Lead Case Manager (ATS)
- Schedule: Full-time, Tuesday - Saturday, 9:00am to 5:00pm; weekend coverage required
- Status: Hourly, non-exempt
- Reports To: Clinical Director, ATS
- Department: Behavioral Health - ATS
- Location: Sewall Building (Acute Treatment Service), 41 Dimock St, Boston, MA 02119
Summary/Objective
The Lead Case Manager is part of the clinical team at the Acute Treatment Service (ATS), providing clinical guidance and administrative oversight to the case management team in compliance with Bureau of Substance Addiction Services (BSAS) requirements. The Lead Case Manager carries a caseload while serving as a resource and point of contact for case managers, with a particular focus on supporting the weekend case managers. This role helps ensure high-quality, coordinated care for individuals receiving substance use treatment.
Essential Functions
- Provide clinical guidance and consultation to case managers on care planning, referrals, and complex patient situations.
- Provide administrative oversight of case management operations, including coverage, documentation standards, and workflow.
- Provide on-site support for the weekend case managers and ensure weekend coverage meets BSAS requirements.
- Carry a caseload and provide case management services, including assessment of needs, strengths, and barriers, and individualized service planning with the treatment team.
- Facilitate referrals and linkages to community resources, including housing, employment, benefits, medical care, and behavioral health services.
- Coordinate care with outside programs, primary care providers, and medical and behavioral health specialists.
- Review case management documentation for accuracy, timeliness, and compliance with Joint Commission, Dimock, and regulatory standards.
- Support discharge and aftercare planning in coordination with the Aftercare Coordinator and clinical team.
- Assist the clinical team in crisis management.
- Participate in staff meetings, case consultation, and trainings, and help orient and train new case managers.
- Maintain professional and respectful boundaries with patients and maintain confidentiality at all times.
- Adhere to all organizational, federal, and state regulations, guidelines, and contractual obligations.
- Perform other duties as assigned.
Competencies
- Strong verbal and written communication skills.
- Ability to provide guidance, coaching, and support to colleagues.
- Ability to relate to a substance use treatment population in a sensitive manner.
- Ability to manage difficult or emotional patient situations.
- Ability to prioritize responsibilities and make sound clinical judgments.
- Works collaboratively as part of a team and takes initiative in suggesting improvements to services.
- Interest and willingness to work in a multicultural setting.
- Adheres to center and departmental policies, procedures, and regulations.
Knowledge/Skills
- Intermediate computer skills (Word, Excel, PowerPoint) and comfort with electronic health records.
Work Environment
This position works on-site in the Acute Treatment Service at the Sewall Building in Boston.
Physical Demands
Duties may require sitting, standing, and walking for extended periods. Must be able to perform duties with or without assistance.
Required Qualifications
- Bachelor's degree in human services, psychology, sociology, health services, or a related field, or relevant experience.
- Experience working in a substance use program.
- Experience in case management or care coordination.
- Availability to work weekends.
Preferred Qualifications
- Prior experience providing guidance or oversight to other staff.
- Experience working with individuals with co-occurring substance use and mental health conditions.
- Bilingual (English/Spanish, English/Cape Verdean Creole, or English/Haitian Creole).
Other Duties
This job description is not intended to cover a comprehensive listing of duties or responsibilities and may change at any time with or without notice.
EEO Statement
The Dimock Center values diversity and is committed to equal employment opportunity regardless of age, race, color, national origin, ethnicity, religion, gender, sexual orientation, disability, veteran status, or any other status protected by law.
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Get Access To All JobsTips for Finding H-1B Visa Sponsorship as a Lead Case Manager
Align your degree to specialty occupation standards
Lead Case Manager roles qualify as specialty occupations when the position explicitly requires a bachelor's degree in social work, psychology, counseling, or a directly related field. Pull the O*NET profile for your target SOC code and confirm the degree requirement matches your credentials before applying.
Verify prevailing wages before salary negotiations
Your employer's LCA must certify a wage at or above the DOL prevailing wage for your specific worksite county. Use the OFLC Wage Search to look up the Level I through Level IV wage tiers for case management roles in your target city before you receive an offer.
Target employers with active LCA filing history
Find Lead Case Manager roles at employers who have already filed certified LCAs for case management positions. Migrate Mate shows employers with verified H-1B sponsorship history by role and location, so you're not cold-applying to organizations that have never navigated the process.
Confirm each worksite gets its own certified LCA
If the role involves multiple office locations or client sites across counties, each worksite needs a separately certified LCA before you can work there. Ask HR during the offer stage whether your position covers multiple sites and whether their counsel has filed worksite-specific certifications with DOL.
Front-load credential documentation for your petition
USCIS scrutinizes case management roles closely, so gather your degree transcripts, official translations if applicable, and any state licensure credentials before your employer files the I-129. A credential evaluation from a NACES-member organization strengthens the specialty occupation argument if your degree title isn't an exact field match.
Understand the cap timeline's effect on your start date
H-1B cap selection rules have changed recently, so confirm with your sponsoring employer's immigration counsel how the current process affects your projected start date. Status is initially granted for up to three years, with extension possible to a six-year maximum under standard rules.
H-1B Visa Lead Case Manager: Frequently Asked Questions
Does a Lead Case Manager role qualify as an H-1B specialty occupation?
Yes, when the employer defines the position as requiring at least a bachelor's degree in social work, psychology, counseling, or a closely related field. USCIS evaluates the specific job duties and degree requirement in the employer's petition, so the offer letter and I-129 must both specify the degree requirement clearly. Generic descriptions that allow any bachelor's degree weaken the specialty occupation argument.
Which employers sponsor H-1B visas for Lead Case Manager positions?
Hospitals, behavioral health networks, nonprofit social service agencies, managed care organizations, and government contractors are the most active sponsors for case management roles. These employers typically have established immigration processes and file LCAs regularly. Migrate Mate lists employers with verified H-1B sponsorship history for case management positions, searchable by city and role type.
What documents do I need to support the H-1B petition for this role?
Your employer's immigration attorney will need your official degree transcripts, a credential evaluation if your degree is from outside the United States, any relevant state licensure or certification documents, and a detailed job description showing the role requires a specific bachelor's degree field. USCIS may issue a Request for Evidence if the specialty occupation connection isn't immediately clear from the initial filing.
Can I work at multiple client sites or offices on a single H-1B?
Not without worksite-specific LCAs. DOL requires a certified LCA for each worksite location where you'll perform work, identified by county and address. If your Lead Case Manager role involves regular work at satellite offices, community centers, or client facilities in different counties, your employer must file separate LCA certifications covering each location before you work there.
How long does H-1B status last for a Lead Case Manager position?
USCIS initially grants H-1B status for up to three years, tied to the certified LCA and approved petition. Your employer can file an extension petition before the initial period expires, and the standard maximum is six years total. Extensions beyond six years are possible if a permanent residency process, such as PERM labor certification or an approved I-140, is already underway with USCIS.