H-1B Visa Utilization Review Nurse Jobs
Utilization Review Nurses assess medical necessity and coordinate care approvals, making the role a recognized specialty occupation for H-1B visa classification. Employers in managed care, health insurance, and hospital systems routinely sponsor H-1B visas for RNs in UR roles, particularly those with BSN credentials and clinical experience in case management or prior authorization.
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Get Access To All JobsWe are so glad you are interested in joining Sutter Health!
Organization
ABSMC-Alta Bates Herrick Campus
Position Overview
Accumulates, interprets, and documents timely information to justify acute hospital admission, need for continued stay, and proper utilization of physician, nursing, and ancillary services. Responsible for concurrent review on specific patients. Develops, coordinates and monitors systems for the appeal/denial process, tracks and trends data, and coordinates utilization management activities for the assigned area. Collaborates with hospital administration, medical staff, patient registration and representatives of review organizations and others to ensure effective utilization of services and appropriate service reimbursement. Monitors and acts as a liaison between external payers, internal business office, admissions staff, and clerical unit staff to assure that quality care is delivered at the appropriate level of service and that documentation of care meets appropriate standards. Interfaces with hospital administration and unit medical doctors and provides data related to the current management of resources. Adheres to all local/state/federal regulations, codes, policies and procedures to ensure privacy and safety while delivering optimal patient care.
Job Description
DEPARTMENT REQUIRED EDUCATION
Department, Behavioral Health: Master’s in Social Work or related field
Skills And Knowledge
- Working knowledge of medical terminology, including general knowledge of illnesses, current treatments and their physical and psychosocial sequelae
- Knowledge of alternate levels of care including criteria required for payment and applications processes
- Ability to interpret a variety of data and instructions, furnished in written, oral, diagram, or schedule form
- Possess written and verbal communications skills to communicate with fellow team members, supervisors, patients, and other hospital personnel
- Well-developed time management and organizational skills, including the ability to prioritize assignments and work within standardized policies and procedures to achieve objectives and meet deadlines
- Demonstrated knowledge of computer applications, such as Crystal Report writing, Midas Plus, Excel, Sunrise, MS Word, PCIS, and InterQual
- Work independently, as well as be part of the team, including accomplishing multiple tasks in an environment with interruptions
- Identify, evaluate and resolve standard problems by selecting appropriate solutions from established options
- Ensure the privacy of each patient’s protected health information (PHI)
- Build collaborative relationships with peers and other staff members to achieve departmental and corporate objectives
Job Shift
Days
Schedule
Full Time
Shift Hours
8
Days Of The Week
Monday - Friday
Weekend Requirements
None
Benefits
Yes
Unions
No
Position Status
Non-Exempt
Weekly Hours
40
Employee Status
Regular
Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $48.78 to $73.17 / hour
The posted pay range is based on the position's primary work location. Candidates who reside and work outside of that location may be subject to a different pay range based on their work location. Candidate starting salaries consider multiple factors, including, but not limited to a candidate’s experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health’s comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.
We are so glad you are interested in joining Sutter Health!
Organization
ABSMC-Alta Bates Herrick Campus
Position Overview
Accumulates, interprets, and documents timely information to justify acute hospital admission, need for continued stay, and proper utilization of physician, nursing, and ancillary services. Responsible for concurrent review on specific patients. Develops, coordinates and monitors systems for the appeal/denial process, tracks and trends data, and coordinates utilization management activities for the assigned area. Collaborates with hospital administration, medical staff, patient registration and representatives of review organizations and others to ensure effective utilization of services and appropriate service reimbursement. Monitors and acts as a liaison between external payers, internal business office, admissions staff, and clerical unit staff to assure that quality care is delivered at the appropriate level of service and that documentation of care meets appropriate standards. Interfaces with hospital administration and unit medical doctors and provides data related to the current management of resources. Adheres to all local/state/federal regulations, codes, policies and procedures to ensure privacy and safety while delivering optimal patient care.
Job Description
DEPARTMENT REQUIRED EDUCATION
Department, Behavioral Health: Master’s in Social Work or related field
Skills And Knowledge
- Working knowledge of medical terminology, including general knowledge of illnesses, current treatments and their physical and psychosocial sequelae
- Knowledge of alternate levels of care including criteria required for payment and applications processes
- Ability to interpret a variety of data and instructions, furnished in written, oral, diagram, or schedule form
- Possess written and verbal communications skills to communicate with fellow team members, supervisors, patients, and other hospital personnel
- Well-developed time management and organizational skills, including the ability to prioritize assignments and work within standardized policies and procedures to achieve objectives and meet deadlines
- Demonstrated knowledge of computer applications, such as Crystal Report writing, Midas Plus, Excel, Sunrise, MS Word, PCIS, and InterQual
- Work independently, as well as be part of the team, including accomplishing multiple tasks in an environment with interruptions
- Identify, evaluate and resolve standard problems by selecting appropriate solutions from established options
- Ensure the privacy of each patient’s protected health information (PHI)
- Build collaborative relationships with peers and other staff members to achieve departmental and corporate objectives
Job Shift
Days
Schedule
Full Time
Shift Hours
8
Days Of The Week
Monday - Friday
Weekend Requirements
None
Benefits
Yes
Unions
No
Position Status
Non-Exempt
Weekly Hours
40
Employee Status
Regular
Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $48.78 to $73.17 / hour
The posted pay range is based on the position's primary work location. Candidates who reside and work outside of that location may be subject to a different pay range based on their work location. Candidate starting salaries consider multiple factors, including, but not limited to a candidate’s experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health’s comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.
See all 31+ H-1B Visa Utilization Review Nurse Jobs
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Get Access To All JobsTips for Finding H-1B Visa Sponsorship as an Utilization Review Nurse
Verify your UR role qualifies
USCIS requires specialty occupation status, meaning your position must typically require a BSN or higher. Confirm your job description explicitly states a specific nursing degree, not just "healthcare background," before applying to H-1B-sponsoring employers.
Check prevailing wages before negotiating
Use the OFLC Wage Search to look up Level I through Level IV wages for Registered Nurses in your target metro area. Your offered salary must meet the certified LCA wage, so knowing the floor protects you during offer negotiations.
Target managed care and insurance employers
Health insurers and utilization management organizations file H-1B petitions for UR nurses more consistently than staffing agencies. Search Migrate Mate to find employers with verified H-1B LCA filing history specifically in UR and case management roles.
Gather your NCLEX and licensure documents early
Your employer's immigration counsel will need your active RN license, NCLEX pass documentation, and BSN transcripts for the H-1B petition. Multi-state compact licenses simplify remote UR roles but confirm your license covers the employer's filing state.
Ask about cap-exempt employer options
Hospitals affiliated with nonprofit research institutions or universities may qualify as cap-exempt H-1B sponsors, letting you start without waiting for the April lottery. UR nurses employed by academic medical centers should ask HR whether the facility holds cap-exempt status.
Clarify remote work LCA requirements at offer
Remote UR roles require the employer to file a separate LCA for each state where you work. Before accepting a fully remote offer, confirm your employer is prepared to certify worksite locations with DOL, since incomplete LCA coverage is a common compliance issue.
H-1B Visa Utilization Review Nurse: Frequently Asked Questions
Does a Utilization Review Nurse role qualify as a specialty occupation for H-1B purposes?
Yes, if the position requires a BSN or higher as a minimum entry requirement. USCIS evaluates specialty occupation status based on the degree requirement attached to the specific role, not the job title. Ensure your offer letter and the employer's internal job description both specify a bachelor's degree in nursing, not a more general healthcare credential, to support the petition.
Which types of employers sponsor H-1B visas for Utilization Review Nurses?
Health insurers, managed care organizations, hospital systems with in-house UR departments, and third-party utilization management vendors are the most active H-1B sponsors for this role. Staffing agencies can also file H-1B petitions but require a valid end-client employer relationship. Browse Migrate Mate to identify employers with confirmed LCA filing history in UR and case management occupations.
Can I work remotely as a Utilization Review Nurse on an H-1B visa?
Yes, but your employer must certify a Labor Condition Application that covers every state where you perform work. For fully remote UR roles, DOL requires a separate LCA for each physical worksite location, including your home address. If you relocate or work from multiple states, your employer must update the LCA accordingly to remain compliant.
Does my RN license need to match the state where my H-1B employer is based?
Your license must cover the state where work is actually performed, not necessarily where the employer is incorporated. For remote UR positions, that means your home state. Nurses holding a Nurse Licensure Compact license cover most member states automatically, but you'll need individual state licenses for non-compact states. Confirm your license coverage before signing an offer for a remote role.
How does the H-1B lottery affect my timeline for starting a Utilization Review Nurse position?
Cap-subject H-1B petitions are filed in April for an October 1 start date, meaning a job offer accepted in early spring won't translate to authorized work until the following fiscal year. If your target employer is a nonprofit hospital or academic medical center with cap-exempt status, this delay doesn't apply and employment can begin as soon as USCIS approves the petition.