OPT Charge Nurse Jobs
Charge Nurse jobs on OPT require employers comfortable with clinical visa sponsorship, which narrows the field but doesn't eliminate it. Hospital systems, long-term care facilities, and specialty clinics regularly hire international nurses. Your NCLEX licensure and RN experience are your strongest assets when approaching sponsorship conversations.
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Overview:
To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.
At Bridgeport Hospital, we are committed to providing quality medical care and treatment that is coordinated and centered on the patient's specific needs. We strive to achieve benchmarks as a Patient Centered Medical Home and provide health care in a setting where patients are at the center of their care team. All employees of Bridgeport Hospital are part of the patients care team and contribute to the team approach of promoting access, continuous, comprehensive care and work to provide quality improvement in the care provided to their patients.
Directly reports to the Business Manager, Perioperative Services. Responsible for charge capture for Perioperative Services, which includes Anesthesia time and supplies, PACU time and supplies, OR time, OR supplies, OR implants, explants, Surgease time, supplies, implants, explants, Urology time, supplies, implants, explants. Responsible for the audit and reconciliation of Hemodialysis charges and Litho charges. Responsible for rectifying charge errors in Labor and Delivery and Endoscopy. Responsible for Endoscopy free text mark up also. Responsible for the development and maintenance of an implant charging process. Maintains a liaison relationship with the SBO, Revenue Department, internal audit and MIS for all charge capture issues including internal and external audits. Supports revenue data needs of ongoing performance improvement projects. Provides project management expertise necessary to drive significant breakthroughs and process redesign within perioperative services related to the charge capture process. Responsible for independent action in performance improvement project oversight. Evaluates on an ongoing basis the charge capture process to ensure timely and accurate charging. Responsible for developing and maintaining departmental policies and procedures for charging. Uses Six Sigma, LEAN, change management and acceleration (e.g., CAP, WorkOut), and other available performance improvement methodologies to achieve these goals. Provides advanced computer system support and advanced reports to VP's, Exec Directors, Managers, Department Chiefs, Medical Directors and approved physicians. Oversees BA's charge capture roles. Liaison between EPIC, Revenue integrity, CMM, Marketing, and Nursing for all reporting and charge capture services. Assists scheduling with CPT procedure booking, assists team coordinators on creating surgeon pref cards. Responsible for workques in EPIC. Provides reports to Senior Mgmt.
Responsibilities:
- Responsible for both internal and external charging audits. Responsible for implementing audit recommendations.
- Analyze and document all problems and resolutions to OR charging process.
- Develops and maintains a working knowledge of CPT coding, ICD-9 coding, DRG's and revenue contracts to ensure proper and effective charge capture is accomplished in Perioperative Services.
- Develops working knowledge of all standard Hospital software products related to Perioperative Services charging, for example - SDK, Cerner, EPIC and Lawson.
- Develops working knowledge of charging interfaces. Communicates with vendor and Management Information Systems concerning all interface requirements to maintain charging interfaces.
- Develops and maintains an implant charging policy and process to include development and implementation of policy to define chargeable vs. nonchargeable items. Plans and conducts appropriate staff in-service on charging policy and processes.
- Assists all departments within Perioperative Services to create and maintain the system's disaster recovery measures for automated charging processes.
- Daily review of operating room charges to ensure complete, timely and accurate charging.
- Daily review of late charge report and action steps to reduce or eliminate late charges.
- Coordinates with SBO and revenue to improve charge capture and resolve charging issues.
- Responsible for identifying, implementing and updating perioperative charging policies and procedures.
- Works directly with OR Supply staff, Nursing staff and OR Management to resolve missing charges. Follows up with staff to address specific problems such as completing accurate documentation of implants to include product, serial number and manufacturer.
- Verifies accuracy of charging data on a daily basis. Responsible for developing data integrity reports and addressing issues that may arise.
- Develops dashboard/scorecard for all levels of management within perioperative services related to charges.
- Audits appropriate use/documentation of charges for defined case specific new technologies.
- Responsible to audit specific cases to ensure accuracy of invoiced items and charged items.
- Oversees the maintenance and reporting of data through the perioperative departmental information systems.
- Report Writing, Report Generation and Distribution.
- Verifies Accuracy of data on a daily basis. Responsible for data integrity of reports and addressing issues that may arise.
- Performs monthly data integrity to reconcile daily Master Log of Cases and close-of-month or some other data validation processes and makes corrections where applicable. Issues monthly reports and data extracts.
- Maintains current working knowledge of each module (nursing documentation, materials management, anesthesia documentation, billing).
- Coordinates with organization personnel to determine, design and recommend system standards to be utilized with Perioperative Services.
- Assists with Picklist and Preference Card Management to assure continuing accuracy.
- Continual revenue enhancement, streamlining processes to increase revenue but not labor.
QUALIFICATIONS
Education
Bachelor's Degree in Business Administration or related discipline plus related work experience or Associates degree in related discipline plus 5-7 years of related experience.
Experience
3-5 years of related experience. CPT Coding knowledge required, coder certification preferred. Minimum of 3 years in Healthcare and/or Operating Room environment preferred. Financial, business and managerial experience strongly preferred.
SPECIAL SKILLS
Strong interpersonal skills with excellent verbal and written communication skills. Ability to effectively translate user needs into automated informational data. Extensive experience with industry standards such as Windows 2000 and XP, MS Word, Excel, Power Point, Access. Training or willingness to train in current performance management techniques (e.g., CAP, Workout, Six Sigma). Knowledge of POINTS, SDK and Lawson.
EEO/AA/Disability/Veteran
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Get Access To All JobsTips for Finding OPT Sponsorship as a Charge Nurse
Lead with your RN license, not your visa status
Charge Nurse roles require active state RN licensure, which is hard to obtain. Employers know that. Open with your NCLEX pass and license status before discussing OPT. It reframes you as a credentialed hire, not a sponsorship ask.
Target hospital systems with international hiring track records
Large health systems like academic medical centers and nonprofit hospital networks are far more experienced with OPT and H-1B visa sponsorship than small clinics. Their HR teams have immigration processes in place and are less likely to reject you on paperwork alone.
Apply before your OPT start date, not after
Charge Nurse hiring moves slower than most roles due to credential verification and background checks. Submit applications two to three months before your OPT begins so your work authorization is active before the onboarding process concludes.
Clarify your STEM OPT eligibility if your nursing program qualifies
Some nursing informatics, healthcare technology, or clinical systems programs qualify for STEM OPT extension. If yours does, you gain 24 additional months of work authorization. Confirm with your DSO and communicate the extended timeline clearly to prospective employers.
Understand that H-1B is the typical post-OPT path for nurses
Charge Nurse roles fall under specialty occupation criteria, making H-1B sponsorship the standard next step after OPT. Confirm early that a potential employer has sponsored H-1B visas for clinical staff before investing time in the hiring process.
Address shift expectations and float pool assignments directly
Many Charge Nurse OPT roles are in high-need units requiring night, weekend, or rotating shifts. Showing flexibility in your application signals commitment and increases your chances with employers who associate sponsorship decisions with long-term retention.
Charge Nurse OPT: Frequently Asked Questions
Can I work as a Charge Nurse on OPT without a separate work visa?
Yes. F-1 OPT authorizes you to work as a Charge Nurse for any employer in a role related to your field of study, typically nursing or healthcare. You do not need a separate visa during your OPT period. Your employer will verify your work authorization using your EAD card and F-1 documents. Standard OPT lasts 12 months.
Do Charge Nurse jobs qualify for STEM OPT extension?
Standard nursing programs are not on the STEM designated degree list, so most Charge Nurse roles do not qualify for the 24-month STEM OPT extension. However, if your degree is in nursing informatics, clinical data science, or a related STEM-classified program, you may qualify. Confirm your program's classification with your DSO before assuming eligibility.
What happens to my Charge Nurse job if I miss the H-1B lottery?
If you don't get selected in the H-1B lottery, your OPT will eventually expire and you'll lose work authorization unless another visa applies. Some nurses pursue the EB-3 green card route through their employer, which does not require lottery selection. Discussing long-term sponsorship options with your employer before OPT ends is essential.
Where can I find Charge Nurse jobs that sponsor OPT students?
Migrate Mate is built specifically to surface jobs at employers with a history of sponsoring international workers, including clinical roles like Charge Nurse. Standard job boards don't filter for sponsorship willingness, which means you spend time on roles that will reject you at the offer stage. Migrate Mate filters that out upfront.
Does my nursing degree need to match the Charge Nurse role for OPT to be valid?
Yes. OPT requires that your job be directly related to your degree. A Charge Nurse role is clearly within scope for a nursing or clinical healthcare degree. If your degree is in a different field, such as public health or health administration, the match may be less direct and worth discussing with your DSO before accepting an offer.