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 JobsLocation: UCHealth Poudre Valley Hospital, CO, Fort Collins
Department: IP Behavioral Unit
Work Schedule: PRN, 0.00 hours per pay period (2 weeks)
Shift: Days
Pay: $29.54 - $44.31 / hour. Pay is dependent on applicant's relevant experience
This position is an onsite role and does not offer a hybrid or remote option
Summary
Facilitates coordination of reimbursement processes for all levels of care to include authorizations, data collection and tracking, internal and external communications.
Responsibilities:
- Manages and tracks reimbursement for treatment via certification and authorization processes. Completes data tracking to monitor authorization status, complete reports, denials and notes.
- Completes initial authorization for Partial Hospitalization Program (PHP), Intensive Outpatient Program (IOP). Completes concurrent reviews and assists with admission authorizations.
- Ensures appropriate Release of Information (ROI) are in place for all patients for insurance coordination.
- Facilitates communication related to authorization information and challenges/items needed between payors and clinical team members.
- Within scope of job, requires critical thinking skills, decisive judgement and the ability to work with minimal supervision. Must be able to work in a fast-paced environment and take appropriate action.
Requirements
* Bachelor's degree.
Employees are our number one asset.
UCHealth promotes a culture that invests in professional success and personal well-being through a comprehensive total rewards program.
Recognition
- Performance bonus: UCHealth offers a 3-Year Incentive Bonus to recognize employee contributions to our success in quality, patient experience, organizational growth, financial goals and tenure. The bonus accumulates annually each October and is paid out in October during the third year of employment.
- Performance-based pay increase: The Annual Merit Pay Increase recognizes work performance that meets or consistently exceeds performance standards documented through UCHealth's established evaluation process and accounts for increased experience, skills and cost of living.
- Market reviews: All UCHealth positions are reviewed annually to ensure UCHealth base pay aligns with market standards. Base pay rates are adjusted as needed to stay market competitive.
Health and well-being
- Medical, dental and vision coverage.
- Access to 24/7 mental health and well-being support for employees and dependents.
- Discounted gym memberships and fitness resources.
- Free Care.com membership.
- Voluntary benefits such as accident insurance, critical illness insurance, group legal plan, identity theft protection, pet insurance, auto and home insurance, and employee discount programs.
- Time away from work: Paid time off (PTO), paid family and medical leave (inclusive of Colorado FAMLI), leaves of absence.
- Employer-provided basic life and accidental death and dismemberment coverage with buy-up coverage options.
- Employer-provided short-term disability and long-term disability with a buy-up coverage option.
Retirement and savings
- 403(b) plan with employer matching contribution.
- Additional 457(b) plan may be available.
- Flexible spending accounts for health care and dependent day care; health savings account available when enrolled in high-deductible (HD) medical plan.
Education and career growth
- UCHealth provides access to academic degrees and certificate programs to promote professional and personal growth.
- Up to 100% of tuition, books and fees paid for by UCHealth for specific educational degrees.
- Other programs may qualify for up to $10,000/year pre-paid by UCHealth or up to $5,250/year in the form of tuition reimbursement.
- Access to LinkedIn Learning, which offers thousands of virtual courses and seminars, and internal professional development opportunities.
- Employees have access to free assistance navigating the Public Service Loan Forgiveness program and submitting their federal student loans for forgiveness.
Eligibility for some programs is based on an employee's scheduled work hours.
We improve lives. In big ways through learning, healing, and discovery. In small, personal ways through human connection. But in all ways, we improve lives.
UCHealth always welcomes talent. This position will be open for a minimum of three days and until a top applicant is identified.
UCHealth recognizes and appreciates the rich array of talents and perspectives that equal employment and diversity can offer our institution. As an equal opportunity employer, UCHealth is committed to making all employment decisions based on valid requirements. No applicant shall be discriminated against in any terms, conditions or privileges of employment or otherwise be discriminated against because of the individual's race, color, national origin, language, culture, ethnicity, age, religion, sex, disability, sexual orientation, gender, veteran status, socioeconomic status, or any other characteristic prohibited by federal, state, or local law. UCHealth does not discriminate against any qualified applicant with a disability as defined under the Americans with Disabilities Act and will make reasonable accommodations, when the do not impose an undue hardship on the organization.
Location: UCHealth Poudre Valley Hospital, CO, Fort Collins
Department: IP Behavioral Unit
Work Schedule: PRN, 0.00 hours per pay period (2 weeks)
Shift: Days
Pay: $29.54 - $44.31 / hour. Pay is dependent on applicant's relevant experience
This position is an onsite role and does not offer a hybrid or remote option
Summary
Facilitates coordination of reimbursement processes for all levels of care to include authorizations, data collection and tracking, internal and external communications.
Responsibilities:
- Manages and tracks reimbursement for treatment via certification and authorization processes. Completes data tracking to monitor authorization status, complete reports, denials and notes.
- Completes initial authorization for Partial Hospitalization Program (PHP), Intensive Outpatient Program (IOP). Completes concurrent reviews and assists with admission authorizations.
- Ensures appropriate Release of Information (ROI) are in place for all patients for insurance coordination.
- Facilitates communication related to authorization information and challenges/items needed between payors and clinical team members.
- Within scope of job, requires critical thinking skills, decisive judgement and the ability to work with minimal supervision. Must be able to work in a fast-paced environment and take appropriate action.
Requirements
* Bachelor's degree.
Employees are our number one asset.
UCHealth promotes a culture that invests in professional success and personal well-being through a comprehensive total rewards program.
Recognition
- Performance bonus: UCHealth offers a 3-Year Incentive Bonus to recognize employee contributions to our success in quality, patient experience, organizational growth, financial goals and tenure. The bonus accumulates annually each October and is paid out in October during the third year of employment.
- Performance-based pay increase: The Annual Merit Pay Increase recognizes work performance that meets or consistently exceeds performance standards documented through UCHealth's established evaluation process and accounts for increased experience, skills and cost of living.
- Market reviews: All UCHealth positions are reviewed annually to ensure UCHealth base pay aligns with market standards. Base pay rates are adjusted as needed to stay market competitive.
Health and well-being
- Medical, dental and vision coverage.
- Access to 24/7 mental health and well-being support for employees and dependents.
- Discounted gym memberships and fitness resources.
- Free Care.com membership.
- Voluntary benefits such as accident insurance, critical illness insurance, group legal plan, identity theft protection, pet insurance, auto and home insurance, and employee discount programs.
- Time away from work: Paid time off (PTO), paid family and medical leave (inclusive of Colorado FAMLI), leaves of absence.
- Employer-provided basic life and accidental death and dismemberment coverage with buy-up coverage options.
- Employer-provided short-term disability and long-term disability with a buy-up coverage option.
Retirement and savings
- 403(b) plan with employer matching contribution.
- Additional 457(b) plan may be available.
- Flexible spending accounts for health care and dependent day care; health savings account available when enrolled in high-deductible (HD) medical plan.
Education and career growth
- UCHealth provides access to academic degrees and certificate programs to promote professional and personal growth.
- Up to 100% of tuition, books and fees paid for by UCHealth for specific educational degrees.
- Other programs may qualify for up to $10,000/year pre-paid by UCHealth or up to $5,250/year in the form of tuition reimbursement.
- Access to LinkedIn Learning, which offers thousands of virtual courses and seminars, and internal professional development opportunities.
- Employees have access to free assistance navigating the Public Service Loan Forgiveness program and submitting their federal student loans for forgiveness.
Eligibility for some programs is based on an employee's scheduled work hours.
We improve lives. In big ways through learning, healing, and discovery. In small, personal ways through human connection. But in all ways, we improve lives.
UCHealth always welcomes talent. This position will be open for a minimum of three days and until a top applicant is identified.
UCHealth recognizes and appreciates the rich array of talents and perspectives that equal employment and diversity can offer our institution. As an equal opportunity employer, UCHealth is committed to making all employment decisions based on valid requirements. No applicant shall be discriminated against in any terms, conditions or privileges of employment or otherwise be discriminated against because of the individual's race, color, national origin, language, culture, ethnicity, age, religion, sex, disability, sexual orientation, gender, veteran status, socioeconomic status, or any other characteristic prohibited by federal, state, or local law. UCHealth does not discriminate against any qualified applicant with a disability as defined under the Americans with Disabilities Act and will make reasonable accommodations, when the do not impose an undue hardship on the organization.
See all 45+ 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.