H-1B1 Chile Visa Clinical Manager Jobs
Clinical Manager jobs with H-1B1 Chile visa sponsorship are open to Chilean nationals under the U.S.-Chile Free Trade Agreement. No lottery, no USCIS petition, and the 1,400-visa annual cap rarely fills. Your employer files an LCA with the DOL and you apply directly at the consulate.
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PURPOSE AND SCOPE:
Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory requirements and programs. Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies as the clinical leader, has the authority to make daily decisions to ensure continuity of care and patient and staff safety.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
- Manages the tactical execution of short- and long-term objectives through the coordination of activities with a direct responsibility for results, including costs, methods, and staffing.
- Provides leadership, coaching and development plans for all direct reports to maintain an engaged and productive workforce; partnering with Human Resources on employee matters.
- Technically proficient in the specific department and knowledge of industry practice and business principles. Works on issues of diverse scope where analysis of situation or data requires evaluation of a variety of factors, including an understanding of current business trends. Has a larger range within the department.
- Responsible for supporting and driving FMS quality standards through meeting all ESRD regulatory requirements and the practice of Quality Assessment and Improvement (QAI), including use of FMS QAI tools.
- Responsible for addressing and acting on adverse events and action thresholds.
- Oversees facility’s Home Therapies Program if applicable.
- Accountable for compliance with all applicable federal, state and local laws and regulations.
- Ensures all FMS Clinical Quality policies and procedures are communicated to and implemented by the facility staff.
- Maintains integrity of medical records and other FMS administrative and operational records.
- Complies with all data collections and auditing activities.
- Maintains facility environmental integrity, including safety.
- Experienced leadership required for multi-faceted environment; role primarily focuses on tactical execution. Receives assignments in the form of objectives and determines how to use resources to meet schedules and goals.
- An individual contributor will have significant project/process responsibilities. Program or project responsibility generally within the function.
- Follows processes and operational policies in selecting methods and techniques for obtaining solutions. Interprets and recommends change to policies and establishes procedures that effect immediate organization(s).
- Decisions have an impact on work processes and outcomes. Erroneous decisions or failure to achieve results will add costs and may impact the short-term goals of the organization.
- Frequently interacts with subordinate supervisors, customers, and/or functional peer group managers, normally involving matters between functional areas, other company divisions or units, or customers.
- Participates and presents at meetings with internal and external representatives. Often leading a cooperative effort among members of a project team.
- Interacts with internal departments and external customers; particularly in problem resolution. Acts as an advisor to subordinate(s) to meet schedules and/or resolve technical problems.
- Responsible for hiring, coaching and counseling employees, including performance reviews, disciplinary action and terminations.
- Provides technical guidance.
- Performs other related duties as assigned.
PATIENT CARE:
- Coordinates all aspects of patient care with the appropriate staff members, from admission through discharge of the patient.
- Ensure education of the patient regarding quality measures, transplant options, modality awareness, and access care, including catheter reduction and adherence to treatment regime.
- Acts as a resource for the patient to address patient concerns and questions.
- Accountable for timely completion of patient care assessments and care plans by organizing meetings of the facility’s Interdisciplinary Team to discuss patient care plans and to resolve patient problems.
- Directs initiation, maintenance and communication of efficient and timely patient schedules to ensure maximization of the facility station efficiency.
- Is aware of and develops a mechanism or process for knowing the specific situation of each patient, including hospitalizations, no-shows, catheter use, and any significant change in patient care status.
- Develops action plans for unexcused and missed treatments in collaboration with the Director.
- Plans, coordinates and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely workup of patients for access management, dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination of care with the multidisciplinary renal team. Communicates changes in patient status regarding clinical, insurance, travel and transportation issues to the disease management company. Maintains current knowledge of disease management software and systems as pertinent.
STAFF:
- Responsible for implementation of FMS staffing, and medical supply models, to provide quality patient care, and makes recommendations.
- Participates in the recruitment and interview process, and decision to hire new personnel.
- Ensures completion of new hiring orientation and training including mandatory in-services and ICD code training when applicable. Ensures documentation completed for annual in service training, and policy and procedure in service updates.
- Responsible for all patient care employees receiving appropriate training according to FMS policy, including training to ensure ongoing compliance with all FMS risk management initiatives.
- Provides opportunities for professional growth, and training to ensure clinical competence and the ability for licensed staff to assume Team Leader responsibilities.
- Responsible for overseeing performance of all licensed personnel, direct patient care staff, reporting indirect patient care personnel as assigned, and when necessary, technical staff. Provides employee education and guidance, and feedback related to performance.
- Maintains current knowledge regarding FMCNA benefits, Human Resources policies, procedures, and processes, and acts as a resource to facility staff.
- Provides counseling for all clinical staff members at regular intervals offering support and encouraging professional growth.
- Completes timely employee evaluations and establishes annual goals for staff.
- Provides written documentation of all disciplinary conferences in accordance with the established personnel policies, and confers with the Director and Human Resources regarding the nature of the disciplinary decisions.
- Participates in Corporate and Business Unit specific employee recognition and satisfaction programs.
- Creates, maintains, and communicates efficient and timely employee schedules according to the needs of the facility.
- Creates and implements a Continuous Quality Improvement (CQI) Process Improvement Team that involves staff in problem solving.
PHYSICIANS:
- Facilitates the application process for physician privileges and compliance with FMS Medical Staff By-Laws.
- Responsible for strong Director and physician relationships and facilitating staff relationships with physicians.
- Ensures regular and effective communication with all physicians, through regular meetings with Directors.
- Participates in Governing Body.
- Schedules and coordinates CQI meetings with physicians.
MAINTENANCE/TECHNICAL:
- Responsible for the integrity and safety of the facility water system.
- Must be knowledgeable in the operation of all facility equipment and technology.
ADMINISTRATIVE:
- Responsible for maintaining and updating all FMS manuals.
- Accountable for completion of the Annual Standing Order Review and ICD coding.
- Checks correspondence whether electronic, paper or voice mail, and responds as appropriate.
- Directs information gathering as required supporting billing and collection activities.
- Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve supply cost goals following all guidelines established in FMS formularies.
- Participates in the completion and interpretation of the Pl-17 inventory supply use analysis.
- Reviews and approves facility payroll.
- Reviews profit and loss statements with Director.
- Responsible for participating in all required Network reporting and on-site state or federal surveys.
- Participates in the completion of the FMS Administrative Clinical Review.
PHYSICAL DEMANDS AND WORKING CONDITIONS:
The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made. Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. Position may require travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials.
SUPERVISION:
Responsible for the direct supervision of various levels of staff as designated by region.
EDUCATION AND REQUIRED CREDENTIALS:
- Bachelor’s Degree; Advanced Degree desirable or an equivalent combination of education and experience.
- Graduate of an accredited School of Nursing (RN).
- Current appropriate state licensure.
EXPERIENCE AND SKILLS:
- 6 – 8 years’ related experience or an equivalent combination of education and experience.
- 3+ years’ supervisory or project/program management experience preferred.
- Minimum of 12 months experience in clinical nursing is required. Experience in med/surg or ICU/CCU is preferred.
- Minimum of 6 months chronic or acute dialysis nursing experience is required.
- Must be available as a full-time employee and provide on-call coverage when necessary.
- Demonstrated leadership competencies and skills for the position, including excellent communication, customer service, continuous quality improvement, relationship development, results orientation, team building, motivating employees, performance management, and decision making.
- Demonstrated management skills necessary to provide leadership in the supervision of dialysis personnel and to ensure the delivery of maximum quality care to all patients.
- Must complete Clinical Manager training modules and ongoing developmental programs within the specified time line.
The rate of pay for this position will depend on the successful candidate’s work location and qualifications, including relevant education, work experience, skills, and competencies.
Annual Rate: $105000 - $175000
Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave.
Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.
EOE, disability/veterans
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Get Access To All JobsTips for Finding Visa Sponsorship as a Clinical Manager
Verify your credential equivalency before applying
Chilean clinical management degrees must map to a U.S. specialty occupation. Pull the O*NET profile for Medical and Health Services Managers to confirm the required field of study, then get a credential evaluation from a NACES-recognized evaluator before your first application.
Target health systems with existing LCA filing history
Use Migrate Mate to filter Clinical Manager roles by employers who have filed LCAs for this occupation. These employers already understand the H-1B1 Chile process and are less likely to withdraw an offer mid-filing over unfamiliarity with the visa category.
Ask employers about their E-Verify enrollment upfront
H-1B1 Chile workers are authorized to work only with a sponsoring employer, and E-Verify enrollment is standard at health systems. Confirm enrollment before you accept an offer so onboarding documentation doesn't stall your start date.
Benchmark your offer against the DOL prevailing wage
Your employer's LCA must certify your salary meets the prevailing wage for Clinical Manager in your specific metro area. Run your offer through the OFLC Wage Search before accepting so you can flag any gap before the LCA is filed.
Align your consulate appointment with the LCA certification timeline
The DOL certifies LCAs within seven working days. Book your consulate appointment only after certification is confirmed, not before. Scheduling too early leaves you without a complete application package at the interview window.
Document your supervisory scope clearly for the consulate
Consular officers scrutinize whether a Clinical Manager role genuinely qualifies as a specialty occupation. Bring an organizational chart showing your direct reports and a letter from your employer describing the clinical and administrative decisions you own, not just your job title.
Frequently Asked Questions
Does a Clinical Manager role qualify as a specialty occupation for the H-1B1 Chile visa?
Yes, provided the position requires at least a bachelor's degree in a directly related field such as healthcare administration, nursing, public health, or a clinical discipline. Roles that accept any degree regardless of field, or that treat the degree as a preference rather than a requirement, can draw scrutiny. Your employer confirms the specialty occupation requirement when filing the LCA with the DOL.
How does the H-1B1 Chile visa compare to the H-1B for Clinical Manager positions?
The H-1B1 Chile visa skips the H-1B lottery entirely, which means Chilean nationals can pursue Clinical Manager sponsorship any time a qualifying offer exists. The tradeoff is that H-1B visa1 Chile does not confer dual intent, so it cannot be used as a direct path to a green card the way an H-1B petition can. Renewals are done at the consulate rather than through USCIS.
Where can I find Clinical Manager jobs with H-1B1 Chile visa sponsorship?
Migrate Mate surfaces Clinical Manager roles from employers with verified LCA filing history for this occupation, filtered specifically for H-1B1 Chile sponsorship. That narrows your search to employers who have already demonstrated willingness and capacity to file, rather than employers who may be unfamiliar with the Chile-specific visa category.
How long does the H-1B1 Chile process take for a Clinical Manager hire?
The DOL certifies the LCA within seven working days of a complete filing. After certification, your employer provides the package and you schedule a consulate appointment. Consulate wait times vary by location and season, but the end-to-end timeline from LCA filing to visa stamp is typically four to eight weeks for straightforward cases.
Can my employer renew my H-1B1 Chile status while I'm already working in the U.S.?
The H-1B1 Chile visa is renewed at a U.S. consulate abroad, not through USCIS. If your visa stamp expires while you're in the U.S., your status remains valid as long as your I-94 is current and you maintain continuous qualifying employment. You'll need to travel outside the U.S. and attend a consulate interview to get a new visa stamp for future re-entry.