H-1B Visa Nurse Manager Jobs
Nurse Manager roles qualify for H-1B visa sponsorship as specialty occupations requiring a Bachelor of Science in Nursing or higher. Hospital systems, health networks, and long-term care operators regularly file LCAs for these positions. The 85,000-slot annual cap applies, but many healthcare employers hold cap-exempt status through teaching hospital affiliations.
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INTRODUCTION
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
Position Summary
- Location: Work From Home – Flexible, Travel Required: 25 – 50% (Wayne and Macomb Counties)
- Schedule: Standard business hours Monday-Friday 8:00am-5:00pm EST
- No evenings, weekends, or major holidays
- 4 day/10-hour schedule available after training
Our Mission
The LTSS RN Case Manager is responsible for comprehensive assessment, care planning, coordination, implementation, and monitoring of Long-Term Services and Supports (LTSS) for dual-eligible Medicare and Medicaid members. This role ensures members receive appropriate waiver and community-based services to promote safety, independence, and improved health outcomes while maintaining regulatory compliance. This position includes in-home visits to complete functional assessments, evaluate eligibility for waiver services, and develop person-centered service plans.
Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and social determinant needs. Join us in this exciting opportunity as we grow and expand dually eligible members to change lives in new markets across the country. Our Care Managers are frontline advocates for members who cannot advocate for themselves. They are responsible for assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member’s overall wellness.
Key Responsibilities
- Conduct comprehensive in-home LTSS assessments to determine eligibility for waiver and community-based services.
- Complete and submit required waiver documentation in accordance with state Medicaid and health plan guidelines.
- Develop and implement individualized, person-centered plans of care addressing medical, behavioral, functional, and social determinant needs.
- Apply clinical judgment to identify risk factors, prevent avoidable hospitalizations, and reduce barriers to care.
- Coordinate services across interdisciplinary teams including providers, home health agencies, behavioral health, and community organizations.
- Review claims data, clinical records, and assessment tools to evaluate member needs and benefit utilization.
- Monitor member progress and reassess needs based on changes in condition or level of care.
- Present cases at interdisciplinary team (ICT) meetings and collaborate with supervisors and stakeholders to ensure goal attainment.
- Ensure compliance with Medicaid waiver requirements, CMS regulations, state LTSS guidelines, and company policies.
- Document all case management activities in accordance with regulatory and accreditation standards.
- Educate members and caregivers regarding benefits, services, and available community resources.
Remote Work Expectations
- This is a remote role with 25-50% travel required, candidates must have a dedicated workspace free of interruptions.
- Dependents must have separate care arrangements during work hours, as continuous care responsibilities during shift times are not permitted.
Required Qualifications
- Active, unrestricted Registered Nurse (RN) license in the state of Michigan.
- Associate or Bachelor of Science in Nursing (BSN preferred).
- Minimum of 2 years of clinical nursing experience.
- Minimum of 1 year of experience in case management, care coordination, home health, hospice, or long-term care.
- Experience working with Medicare, Medicaid, or dual-eligible populations.
- Knowledge of Long-Term Services and Supports (LTSS), home and community-based services (HCBS), and waiver programs.
- Experience conducting in-home assessments and developing person-centered service plans.
- Strong understanding of social determinants of health and community resource navigation.
- Ability to travel 25–50% within assigned counties, including completion of in-home field visits; reliable transportation is required.
- Proficient in electronic medical records and care management platforms.
Preferred Qualifications
- Certified Case Manager (CCM) or willingness to obtain within 2 years.
- Experience in managed care or health plan environment.
- Knowledge of Michigan Medicaid waiver programs and state LTSS regulations.
- Experience presenting cases in interdisciplinary team (ICT) settings.
- Bilingual skills preferred.
Competencies
- Strong clinical assessment and critical thinking skills
- Excellent communication and member engagement skills
- Ability to manage a high-risk, complex caseload
- Regulatory and compliance knowledge
- Independent decision-making in a remote environment
- Ability to work independently
- Effective computer skills including navigating multiple systems and keyboarding
- Demonstrates proficiency with standard corporate software applications, including MS Word, Excel, Outlook, and PowerPoint
Business Overview
At Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.
We are committed to maintaining a diverse and inclusive workplace. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$60,522.00 - $129,615.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
Additional details about available benefits are provided during the application process and on Benefits Moments.
We anticipate the application window for this opening will close on: 11/20/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
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Get Access To All JobsTips for Finding H-1B Visa Sponsorship as a Nurse Manager
Verify your BSN meets specialty occupation
USCIS requires a directly related bachelor's degree for H-1B approval. A Nurse Manager role supported only by an ADN plus experience creates RFE risk. Confirm your BSN credential evaluation is on file before applications go out.
Target cap-exempt healthcare employers first
Hospitals affiliated with universities or nonprofit research institutions can file H-1B petitions outside the annual lottery. Search specifically for academic medical centers and teaching hospitals, where cap-exempt filings let you start without waiting for an October 1 start date.
Search LCA filing history on Migrate Mate
Filter employers by DOL Labor Condition Application data to confirm which health systems have actively sponsored Nurse Manager roles. This shows you real filing patterns, not self-reported claims, before you invest time in an application.
Check prevailing wage tier before negotiating
The LCA must certify your offered wage at or above the DOL prevailing wage for your work location. Run the OFLC Wage Search for SOC code 11-9111 in your target metro before negotiating an offer so you know the compliance floor your employer must meet.
Confirm NCLEX licensure transfers across state lines
Your H-1B petition must name a specific work location. If the employer operates across a compact-state system, clarify which state license covers the petition address. A mismatch between your active license state and the LCA work site location can stall filing.
Ask about I-140 portability before signing
If your employer has filed or will file a PERM-based green card petition, an approved I-140 gives you AC21 portability after 180 days, protecting your status during a future employer change. Clarify this with HR during the offer stage, not after onboarding.
H-1B Visa Nurse Manager: Frequently Asked Questions
Does a Nurse Manager role qualify as an H-1B specialty occupation?
Yes. USCIS classifies Nurse Manager positions as specialty occupations when the employer requires a Bachelor of Science in Nursing or higher as a standard hiring criterion. The O*NET profile for SOC code 11-9111 supports this classification. Roles that accept an ADN as the minimum qualification face higher RFE exposure, so degree requirements in the job posting matter significantly.
Which types of healthcare employers are most likely to sponsor H-1B visas for Nurse Managers?
Academic medical centers, large hospital systems, and nonprofit health networks are the most active H-1B sponsors for clinical management roles. Many of these employers hold cap-exempt status through university affiliations, which means they can file petitions year-round without competing in the annual lottery. You can verify active LCA filing history for specific employers on Migrate Mate before targeting your applications.
How does the H-1B lottery affect Nurse Manager job seekers?
The 85,000-slot annual cap applies to most private-sector employers, and unselected registrations mean no petition can be filed that year. However, hospitals affiliated with universities or nonprofit research institutions are cap-exempt, allowing filings at any time. Prioritizing cap-exempt health systems significantly reduces lottery dependency for Nurse Manager candidates.
Can a Nurse Manager on H-1B change employers mid-visa?
Yes, through H-1B portability. Once USCIS receives a new employer's H-1B petition filed on your behalf, you can start the new Nurse Manager role before approval, as long as your current status is valid and the petition is non-frivolous. Your existing visa period carries over, and the new employer's LCA must certify a prevailing wage for the new work location.
What documents should a Nurse Manager prepare before an employer starts the H-1B filing process?
You'll need your BSN degree certificate and official transcripts, a foreign credential evaluation if your degree is from outside the U.S., an active RN license for the state where the role is located, and a current CV detailing clinical management experience. USCIS may also request evidence of the employer's specialty occupation requirements, so retaining documentation showing the BSN is a standard minimum for the specific role strengthens the petition.