Field Nurse Case Manager Jobs for OPT Students
Field Nurse Case Manager jobs on OPT require clinical nursing licensure and active work authorization. Most roles are STEM-adjacent through healthcare technology employers, supporting your 24-month STEM OPT extension. Positions typically involve coordinating patient care plans, conducting home visits, and collaborating with insurers, making full-time hours straightforward to document for DSO reporting.
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Get Access To All JobsINTRODUCTION
Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has an exceptional track record of generating the very best outcomes for patients, payers, and providers. Deep clinical expertise is the foundation for every part of Paradigm’s business: risk-based clinical solutions, case management, specialty networks, home health, shared decision support, and payment integrity programs.
We’re proud to be recognized—again! For the fourth year in a row, we’ve been certified by Great Place to Work®, and for the third consecutive year, we’ve earned a spot on Fortune's Best Workplaces in Health Care™ list. These honors reflect our unwavering commitment to fostering a positive, inclusive, and employee-centric culture where people thrive.
ROLE AND RESPONSIBILITIES
Paradigm is looking for a Field Nurse Case Manager to cover the Battle Creek, MI, area (including Grand Rapids, Kalamazoo, and Lansing).
A Field Case Manager role is a home-based position with travel, up to 2 hours one-way (4 hours round trip), to doctors’ offices, hospitals, and various other locations. This individual is responsible for the medical case management of work-related injuries, which includes assessment, planning, coordination, implementation, and evaluation of injured/disabled individuals. The Case Manager works with insurance carriers, medical care providers, attorneys, employers, and employees, and closely monitors the progress of the injured worker and reports results back to the employer and insurance carriers.
BASIC QUALIFICATIONS
- Current, unencumbered Registered Nurse (RN) license in Michigan
- Experience in case management of workers comp cases, strongly preferred
- Recommended certifications (CCM, CRRN, CDMS, CRC) strongly preferred; will need to obtain within two years of hire date
- Skills required for success: organization and timeline adherence skills, PC and technology skills, communication skills (written, verbal, and interpersonal)
- Ability to operate autonomously with minimal oversight
- Skilled at patient education
- Valid driver’s license and good driving history
PARADIGM BENEFITS:
- Health and wellness– We want our people to be and stay healthy, so we offer PPO, HDHP, and HMO health insurance options with Cigna and Kaiser (CA employees only).
- Financial incentives- Paradigm’s financial benefits help prepare you for the future: competitive salaries, 5% premium bonus paid over productivity requirements, premium pay for catastrophic files, cell phone and internet reimbursement, mileage reimbursement (federal rate), 401(k) matching contributions, employer-paid life and disability insurance, flexible spending, and employer-matched HSA contributions.
- Vacation - We believe strongly that work-life balance is good for you and for our company. We offer paid time off, paid holidays, and a personal holiday.
- Volunteer Time - We want our employees to engage with and give back to their communities in meaningful ways. Full and part-time employees receive one paid day per calendar year.
- Learning and development - One of Paradigm's core values is expertise, so we encourage our employees to continually learn and grow. We support this in a variety of ways from our Dedicated Training Department that offers an 8-12 week new hire onboarding program.
Paradigm believes that fostering a diverse and inclusive workplace is central to our mission of helping more people and transforming lives. We’re striving to build a culture that better reflects the society we live in and empowers our team to deliver the highest levels of compassion and care to those we serve. For us, achieving this goal requires a workforce that respectfully embraces differences and commits to positive change, creating an environment where everyone is able to bring their whole self to work.
Paradigm complies with federal and state disability laws and makes reasonable accommodations for applicants and employees with disabilities. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact Leave Management at leave.management@paradigmcorp.com.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.
As a contractor with the State of Wisconsin, Paradigm complies with Wisconsin Contract Compliance Law (§16.765). Poster link: Contract Compliance Law Poster
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INTRODUCTION
Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has an exceptional track record of generating the very best outcomes for patients, payers, and providers. Deep clinical expertise is the foundation for every part of Paradigm’s business: risk-based clinical solutions, case management, specialty networks, home health, shared decision support, and payment integrity programs.
We’re proud to be recognized—again! For the fourth year in a row, we’ve been certified by Great Place to Work®, and for the third consecutive year, we’ve earned a spot on Fortune's Best Workplaces in Health Care™ list. These honors reflect our unwavering commitment to fostering a positive, inclusive, and employee-centric culture where people thrive.
ROLE AND RESPONSIBILITIES
Paradigm is looking for a Field Nurse Case Manager to cover the Battle Creek, MI, area (including Grand Rapids, Kalamazoo, and Lansing).
A Field Case Manager role is a home-based position with travel, up to 2 hours one-way (4 hours round trip), to doctors’ offices, hospitals, and various other locations. This individual is responsible for the medical case management of work-related injuries, which includes assessment, planning, coordination, implementation, and evaluation of injured/disabled individuals. The Case Manager works with insurance carriers, medical care providers, attorneys, employers, and employees, and closely monitors the progress of the injured worker and reports results back to the employer and insurance carriers.
BASIC QUALIFICATIONS
- Current, unencumbered Registered Nurse (RN) license in Michigan
- Experience in case management of workers comp cases, strongly preferred
- Recommended certifications (CCM, CRRN, CDMS, CRC) strongly preferred; will need to obtain within two years of hire date
- Skills required for success: organization and timeline adherence skills, PC and technology skills, communication skills (written, verbal, and interpersonal)
- Ability to operate autonomously with minimal oversight
- Skilled at patient education
- Valid driver’s license and good driving history
PARADIGM BENEFITS:
- Health and wellness– We want our people to be and stay healthy, so we offer PPO, HDHP, and HMO health insurance options with Cigna and Kaiser (CA employees only).
- Financial incentives- Paradigm’s financial benefits help prepare you for the future: competitive salaries, 5% premium bonus paid over productivity requirements, premium pay for catastrophic files, cell phone and internet reimbursement, mileage reimbursement (federal rate), 401(k) matching contributions, employer-paid life and disability insurance, flexible spending, and employer-matched HSA contributions.
- Vacation - We believe strongly that work-life balance is good for you and for our company. We offer paid time off, paid holidays, and a personal holiday.
- Volunteer Time - We want our employees to engage with and give back to their communities in meaningful ways. Full and part-time employees receive one paid day per calendar year.
- Learning and development - One of Paradigm's core values is expertise, so we encourage our employees to continually learn and grow. We support this in a variety of ways from our Dedicated Training Department that offers an 8-12 week new hire onboarding program.
Paradigm believes that fostering a diverse and inclusive workplace is central to our mission of helping more people and transforming lives. We’re striving to build a culture that better reflects the society we live in and empowers our team to deliver the highest levels of compassion and care to those we serve. For us, achieving this goal requires a workforce that respectfully embraces differences and commits to positive change, creating an environment where everyone is able to bring their whole self to work.
Paradigm complies with federal and state disability laws and makes reasonable accommodations for applicants and employees with disabilities. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact Leave Management at leave.management@paradigmcorp.com.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.
As a contractor with the State of Wisconsin, Paradigm complies with Wisconsin Contract Compliance Law (§16.765). Poster link: Contract Compliance Law Poster
LI-Hybrid
How to Get Visa Sponsorship as a Field Nurse Case Manager
Confirm your RN license transfers across state lines
Many Field Nurse Case Manager roles require a license in the state where patients live, not just where you're based. Check whether the employer operates in a Nurse Licensure Compact state before applying, so your license covers the territory.
Target managed care organizations and insurance carriers
Large managed care organizations and health insurers hire field nurses at scale and have established HR processes for work authorization. They're more likely to understand OPT than smaller home health agencies, which often lack immigration experience entirely.
Document field hours carefully for your DSO
Field roles involve dispersed schedules across patient sites, which can complicate full-time hour verification. Keep a detailed log of visit records and employer timesheets to demonstrate consistent full-time employment to your DSO throughout your OPT period.
Clarify whether the role qualifies under your degree field
Your OPT authorization must align with your degree's field of study. A nursing or healthcare administration degree clearly supports this role, but confirm the job description emphasizes clinical case management, not purely administrative functions, to avoid DSO authorization issues.
Raise OPT after demonstrating your clinical value
Bring up OPT authorization after a hiring manager has engaged with your clinical background and qualifications. Framing it as straightforward paperwork requiring no upfront cost to the employer, early in the conversation, reduces the chance they disengage before understanding the process.
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Get Access To All JobsFrequently Asked Questions
Can I work as a Field Nurse Case Manager on F-1 OPT?
Yes, if you hold an active RN license and your OPT is authorized in a healthcare or nursing-related field of study. Field Nurse Case Manager roles involve direct clinical judgment and care coordination, which aligns clearly with nursing degree programs. Confirm with your DSO that the job description matches your authorized field before accepting an offer.
Do Field Nurse Case Manager employers typically sponsor OPT students?
Large managed care organizations, national insurers, and hospital health systems are the most OPT-friendly employers in this space. Smaller home health agencies may be unfamiliar with work authorization requirements. Searching on Migrate Mate lets you filter for employers with a history of sponsoring international nurses, saving significant time in your job search.
Does this role qualify for the 24-month STEM OPT extension?
It depends on your degree and your employer. If you graduated from a STEM-designated program such as Health Informatics, Biomedical Engineering, or a qualifying clinical science, and your employer is enrolled in E-Verify, you may qualify for the STEM extension. A standard nursing degree (BSN) is not on the STEM designated degree program list, so check your specific CIP code with your DSO.
How do I handle OPT reporting requirements in a field-based nursing role?
Field roles present a specific reporting challenge because you may not have a fixed office address. You're still required to report your employer's primary business address to your DSO within 10 days of starting work. If your assignment area changes significantly or you shift to a different employer entity, update your records promptly to stay in valid OPT status.
What happens to my OPT if I lose my nursing job in this field?
You enter the standard 60-day unemployment grace period, during which you must either secure new qualifying employment or depart the U.S. Field nurse roles are in high demand across managed care, workers' compensation, and disability management sectors, so re-employment is often achievable within that window. Use that time to actively search and document every application made during the gap period.
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