H-1B Visa Registered Nurse Case Manager Jobs
Registered Nurse Case Managers coordinate patient care across acute, post-acute, and community settings, a role USCIS consistently classifies as a specialty occupation requiring a BSN or higher. Employers who sponsor H-1B visas for this title file an LCA with the DOL certifying prevailing wage compliance before your petition can proceed.
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Certification/Licensure Required:
- Preferred experience in Case Manager or Acute Care Nursing (2-4 years of experience is ideal).
- BSN or ADN degree from an accredited school or college of nursing
- Current RN licensure in appropriate state(s) of employment
- Fargo: Basic Cardiac Life Support (BCLS) not required
INTRODUCTION
Essentia Health is an integrated health system serving patients in Minnesota, Wisconsin, and North Dakota.
Headquartered in Duluth, Minnesota, Essentia Health combines the strengths and talents of more than 15,000 employees, including more than 2,200 physicians and advanced practitioners, who serve our patients and communities through the mission of being called to make a healthy difference in people’s lives.
Essentia Health, which includes many Catholic facilities, is guided by the values of Quality, Hospitality, Respect, Joy, Justice, Stewardship, and Teamwork. The organization lives out its mission by having a patient-centered focus at 14 hospitals, 78 clinics, six long-term care facilities, six assisted living and independent living facilities, 7 ambulance services, 27 retail pharmacies, and one research institute.
Employee Benefits at Essentia Health:
At Essentia Health, we’re committed to supporting your well-being, growth, and work-life balance. Our comprehensive benefits include medical, dental, vision, life, and disability insurance, along with supplemental options to fit your needs. We offer a 401(k) plan with employer contributions to help you plan for the future, and we invest in your professional development through training, tuition reimbursement, and educational programs. To help you thrive both at work and at home, we provide flexible scheduling, generous time off, and wellness resources focused on your physical, mental, and emotional health. Please note that benefit eligibility may vary. For full details, refer to your benefit summary or contact our HR Service Center at (218) 576-0000.
The shift starts at 8am and the shift ends at 4:30pm. The weekend requirement is Limited.
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Get Access To All JobsTips for Finding H-1B Visa Sponsorship as a Registered Nurse Case Manager
Verify your credentials meet specialty occupation standards
USCIS requires a directly related bachelor's degree for H-1B approval. A BSN satisfies this; an ADN typically does not. If you hold an ADN, complete a BSN bridge program before applying, or your petition risks an RFE or denial.
Check LCA filings using OFLC Wage Search
Search the OFLC Wage Search tool by SOC code 29-1141 and your target metro area to see which hospitals and health systems have certified LCAs for RN case manager roles. This confirms active sponsorship history before you apply.
Target payers and managed care organizations directly
Insurance companies, MCOs, and ACOs hire RN case managers in non-clinical settings and sponsor H-1B visas. These employers are often overlooked but file LCAs regularly and face less cap pressure than large hospital systems with lottery-dependent timelines.
Find H-1B sponsoring employers on Migrate Mate
Filter by Registered Nurse Case Manager on Migrate Mate to see employers with verified H-1B LCA filing history for this specific role. This cuts the research time of manually cross-referencing DOL disclosure data against open positions.
Negotiate your offer letter before I-129 filing begins
The LCA locks in your job title, SOC code, and work location before USCIS sees your petition. Confirm that your written offer matches the LCA exactly, title, duties, and worksite, since discrepancies between the offer and I-129 are a common RFE trigger.
Account for cap-gap timing if you're on OPT
If you're on F-1 OPT when your H-1B is selected in the lottery, cap-gap extends your work authorization through September 30. Your employer must file the I-129 by April 1 so USCIS receipt covers you if your EAD expires before October 1.
H-1B Visa Registered Nurse Case Manager: Frequently Asked Questions
Does an RN case manager role qualify as an H-1B specialty occupation?
Yes, provided the position requires a BSN or higher in nursing or a directly related field. USCIS evaluates the job duties and degree requirement, not just the title. Case manager roles that accept an ADN plus experience without requiring a bachelor's degree can face RFEs, so confirming the employer's minimum education requirement before applying matters.
Which employers sponsor H-1B visas for RN case manager positions?
Health systems, managed care organizations, insurance payers, and ACOs are the most active sponsors. You can verify filing history by checking DOL LCA disclosure data or searching Migrate Mate, which filters employers by role and H-1B filing activity. Hospital systems with large care coordination departments tend to file the most petitions for this title.
How does the prevailing wage requirement affect RN case manager H-1B petitions?
The DOL sets four wage levels for each SOC code and metro area. Your employer must pay at least the Level I prevailing wage for SOC code 29-1141 in your worksite location, and this wage is certified on the LCA before USCIS sees your petition. You can look up the applicable wage using the OFLC Wage Search tool by entering your job's SOC code and location.
Can I switch employers mid-H-1B as an RN case manager?
Yes. H-1B portability under AC21 lets you change employers after your petition has been pending for 180 days, as long as the new role is in the same or a substantially similar occupational classification. For RN case managers, moving between a hospital, an MCO, and a payer-side role generally qualifies, but your new employer must file an H-1B transfer petition before you start.
Does the NCLEX or state RN license affect my H-1B petition?
State licensure is a prerequisite for employment, not a formal USCIS requirement, but you must hold an active RN license in the state where you'll work before your I-129 is approved. If you're licensed in one state and the role is in another, you'll need to apply for licensure by endorsement first. Employers typically confirm active state licensure before filing the LCA.