H-1B Visa Transition Of Care Jobs
Transition of Care roles coordinate patient handoffs across care settings, and most positions require a clinical or healthcare administration degree that qualifies as a specialty occupation under H-1B visa rules. Employers in hospital systems, managed care organizations, and health plans have an established track record of H-1B sponsorship for these roles.
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We are seeking a Texas licensed RN to act as a Transition of Care Coach supporting our TX Medicaid members who have recently been admitted to this hospital. The TOCC will partner with the hospital discharge team and support the member to ensure a successful transition from inpatient to discharge to either a nursing facility or back to their home. The position is a combination of phone call outreach and in person meetings with the members while still inpatient. Excellent computer skills and attention to detail are very important to multitask between systems, talk with members on the phone, and enter accurate contact notes. This is a fast-paced position and productivity is important. Preferred candidates will have previous case management, managed care, or inpatient hospital experience. Experience in a behavioral health setting would be a plus.
TRAVEL in the field to designated hospitals in the local service delivery area to meet with the members. Mileage is reimbursed as part of our benefit package.
Schedule: Monday through Friday 8:00AM to 5:00PM CST (No weekends, no nights, no holidays, no call.)
Job Summary
Provides support for care transition activities. Facilitates transitional care processes and coordination for member discharge from hospital admission to all other settings. Strives to ensure that best possible services are available to members at time of hospital discharge, and focuses on goal to reduce member readmissions. Contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
- Follows member throughout a 30 day program that starts at hospital admission and continues oversight through transitions from acute setting to all other settings, including nursing facility placement/private home, with the goal of reduced readmissions.
- Ensures safe and appropriate transitions by collaborating with the hospital discharge planner, as well as collaborating with hospitalists, outpatient providers, facility staff, and family/support network.
- Ensures member transitions to setting with adequate caregiving and functional support, as well as medical and medication oversight support.
- Works with participating ancillary providers, public agencies or other service providers to make sure necessary services and equipment are in place for safe transition.
- Conducts face-to-face visits of all members while in the hospital and, home visits high-risk members post-discharge as needed.
- Coordinates care and reassesses member needs using the Coleman Care Transition model post-discharge.
- Educates and supports member focusing on seven primary areas (Transition of Care Pillars): medication management, use of personal health record, follow-up care, signs and symptoms of worsening condition, nutrition, functional needs and or home and community-based services, and advance directives.
- Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts.
- Assesses for barriers to care, provides care coordination and assistance to member to address concerns.
- Facilitates interdisciplinary care team meetings (ICT) and collaboration.
- Provides consultation, recommendations and education as appropriate to non-behavioral health care managers.
- 40-50% local travel may be required (based upon state/contractual requirements).
Required Qualifications
- At least 2 years experience in health care, with at least 1 year of experience in hospital discharge planning, care management or behavioral health setting, or equivalent combination of relevant education and experience.
- Registered Nurse (RN). License must be active and unrestricted in state of practice.
- Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.
- Knowledge of or experience using the Care Transitions Intervention (CTI) or similar model.
- Background in discharge planning and/or home health.
- Demonstrated knowledge of community resources.
- Proactive and detail-oriented.
- Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.
- Ability to work independently, with minimal supervision and demonstrate self-motivation.
- Responsive in all forms of communication, and ability to remain calm in high-pressure situations.
- Ability to develop and maintain professional relationships.
- Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.
- Excellent problem-solving, and critical-thinking skills.
- Excellent verbal and written communication skills.
- Microsoft Office suite/other applicable software program(s) proficiency.
Preferred Qualifications
- Transitions of care sub-specialty certification and/or Certified Case Manager (CCM).
- Hospital discharge planning or home health experience.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $26.41 - $51.49 / HOURLY
Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
JOB DESCRIPTION
We are seeking a Texas licensed RN to act as a Transition of Care Coach supporting our TX Medicaid members who have recently been admitted to this hospital. The TOCC will partner with the hospital discharge team and support the member to ensure a successful transition from inpatient to discharge to either a nursing facility or back to their home. The position is a combination of phone call outreach and in person meetings with the members while still inpatient. Excellent computer skills and attention to detail are very important to multitask between systems, talk with members on the phone, and enter accurate contact notes. This is a fast-paced position and productivity is important. Preferred candidates will have previous case management, managed care, or inpatient hospital experience. Experience in a behavioral health setting would be a plus.
TRAVEL in the field to designated hospitals in the local service delivery area to meet with the members. Mileage is reimbursed as part of our benefit package.
Schedule: Monday through Friday 8:00AM to 5:00PM CST (No weekends, no nights, no holidays, no call.)
Job Summary
Provides support for care transition activities. Facilitates transitional care processes and coordination for member discharge from hospital admission to all other settings. Strives to ensure that best possible services are available to members at time of hospital discharge, and focuses on goal to reduce member readmissions. Contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
- Follows member throughout a 30 day program that starts at hospital admission and continues oversight through transitions from acute setting to all other settings, including nursing facility placement/private home, with the goal of reduced readmissions.
- Ensures safe and appropriate transitions by collaborating with the hospital discharge planner, as well as collaborating with hospitalists, outpatient providers, facility staff, and family/support network.
- Ensures member transitions to setting with adequate caregiving and functional support, as well as medical and medication oversight support.
- Works with participating ancillary providers, public agencies or other service providers to make sure necessary services and equipment are in place for safe transition.
- Conducts face-to-face visits of all members while in the hospital and, home visits high-risk members post-discharge as needed.
- Coordinates care and reassesses member needs using the Coleman Care Transition model post-discharge.
- Educates and supports member focusing on seven primary areas (Transition of Care Pillars): medication management, use of personal health record, follow-up care, signs and symptoms of worsening condition, nutrition, functional needs and or home and community-based services, and advance directives.
- Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts.
- Assesses for barriers to care, provides care coordination and assistance to member to address concerns.
- Facilitates interdisciplinary care team meetings (ICT) and collaboration.
- Provides consultation, recommendations and education as appropriate to non-behavioral health care managers.
- 40-50% local travel may be required (based upon state/contractual requirements).
Required Qualifications
- At least 2 years experience in health care, with at least 1 year of experience in hospital discharge planning, care management or behavioral health setting, or equivalent combination of relevant education and experience.
- Registered Nurse (RN). License must be active and unrestricted in state of practice.
- Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.
- Knowledge of or experience using the Care Transitions Intervention (CTI) or similar model.
- Background in discharge planning and/or home health.
- Demonstrated knowledge of community resources.
- Proactive and detail-oriented.
- Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.
- Ability to work independently, with minimal supervision and demonstrate self-motivation.
- Responsive in all forms of communication, and ability to remain calm in high-pressure situations.
- Ability to develop and maintain professional relationships.
- Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.
- Excellent problem-solving, and critical-thinking skills.
- Excellent verbal and written communication skills.
- Microsoft Office suite/other applicable software program(s) proficiency.
Preferred Qualifications
- Transitions of care sub-specialty certification and/or Certified Case Manager (CCM).
- Hospital discharge planning or home health experience.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $26.41 - $51.49 / HOURLY
Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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Get Access To All JobsTips for Finding H-1B Visa Sponsorship in Transition Of Care
Verify your degree meets specialty occupation standards
Transition of Care roles sit at the intersection of nursing, social work, and health administration. Pull your O*NET profile for this occupation and confirm your degree field directly corresponds to the job's listed education requirements before applying.
Target employers with LCA filing history
Search Migrate Mate to filter Transition of Care roles by employers who have certified Labor Condition Applications with DOL. This tells you which organizations have already cleared the sponsorship infrastructure, not just those that say they're open to it.
Confirm E-Verify enrollment before accepting offers
H-1B employers must be enrolled in E-Verify. Ask HR during late-stage interviews, not after an offer letter arrives. Smaller post-acute or home health employers sometimes lack enrollment, which blocks the petition entirely.
Request prevailing wage documentation from your employer
Your employer's offered wage must meet DOL prevailing wage levels for the exact geographic area of the role. Cross-check their offer against the OFLC Wage Search using the correct Standard Occupational Classification code for care coordination.
Time your application around the H-1B cap filing window
USCIS opens H-1B cap registration each March for an October 1 start date. Transition of Care positions at nonprofit hospitals or government health agencies may qualify as cap-exempt, which lets your employer file outside that window year-round.
Document clinical licensure and care coordination credentials early
Employers filing your H-1B petition need certified copies of any nursing licenses, CCM credentials, or social work certifications upfront. Delays in credential verification are a leading cause of missed USCIS filing deadlines for healthcare petitions.
H-1B Visa Transition Of Care: Frequently Asked Questions
Does a Transition of Care role qualify as a specialty occupation for H-1B purposes?
Yes, provided the position requires at least a bachelor's degree in a specific field such as nursing, social work, health administration, or a related clinical discipline. Generalist roles where any degree suffices typically don't qualify. Employers strengthen the petition by documenting that the complexity of care coordination across settings demands specialized academic training.
Which types of employers sponsor H-1B visas for Transition of Care positions?
Hospital systems, integrated health networks, managed care organizations, and home health agencies are the most active sponsors. Nonprofit hospitals and federally qualified health centers often qualify as cap-exempt H-1B employers, meaning they can file petitions year-round without waiting for the annual lottery. Use Migrate Mate to identify employers in this role category who have active LCA filing history.
How does the H-1B prevailing wage requirement apply to Transition of Care jobs?
DOL requires your employer to pay at least the prevailing wage for your specific occupation and work location, determined by the OFLC Wage Search. For care coordination roles, the applicable wage level depends on your job duties and whether the position maps to a nursing, social work, or health administration occupational code, so the exact figure varies by geography and role definition.
Can I transfer my H-1B to a new Transition of Care employer if I switch jobs?
Yes. Under H-1B portability rules, you can start working for a new sponsor as soon as the new petition is filed with USCIS, without waiting for approval, as long as you're maintaining valid H-1B status. The new employer must file a transfer petition, obtain a fresh LCA certification from DOL, and confirm the role still meets specialty occupation standards.
What documents should I gather before a Transition of Care employer files my H-1B petition?
You'll need academic transcripts and degree certificates, any active clinical licenses such as an RN license or LCSW, professional credential certifications like a CCM, and your current I-94 record. Employers also need your complete employment history if prior H-1B status is being carried over. Assembling these before the petition process starts prevents delays during the USCIS filing window.