OPT Field Nurse Case Manager Jobs
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 JobsRN, Patient Placement Bed Manager
Part Time – 24 hours
7a-7p
Responsible for the facilitation of accurate patient placement into the health system based on clinical relevance, with integration of care management skills to support organizational fiscal goals. Supports the patient throughput assistant in daily work and acts as the clinical expert/decision maker for daily throughput for BHS. This clinical expert is responsible for the daily work of integrating clinical and financial components to accurately reflect the appropriate level of care and patient placement decisions. Manages and coordinates BH ED patient admission requests and Regional Transfer Center requests for correct placement into BH hospitals, where care can be provided in the right setting. Work closely with providers for transfer requests seeking specialty services to ensure care can be provided prior to acceptance. Manages all internal flow/throughput for patients who may need to move from one level of care or bed to another. The candidate will be responsible for upholding decision making processes related to management of appropriate bed assignment and patient flow.
Uses Patient Placement skills, insures that patients move efficiently from access point to appropriate level of care and location. Reviews all cases on admission to identify level of care, potential need for practice guideline utilization, to determine the anticipated LOS and anticipated care needed for each patient. Works with the health care team to proactively evaluate medical, psycho social and physical needs of patient and family, insuring appropriate bed placement for care. Is a resource to members of the health care team for appropriate management as outlined in the evidence based practice guidelines.
Uses Utilization Analysis /Management principles, insures that patient’s site of care delivery is appropriate, in collaboration with other disciplines as necessary. On admission performs utilization analysis using pre-established screening criteria and guidelines, nursing expertise and sound judgment in accordance with departmental policies. Communicates utilization analysis information as appropriate to health care team.
Uses patient placement knowledge to facilitate and coordinate the request for an appropriate bed, based on level of care and clinical needs of the patient, acts as the patient throughput decision maker. Responsible for upholding decision making processes related to management of appropriate bed assignment. Assesses appropriateness for admission and level of care. Communicates changes in level of care to health care team and facilitates the discussion of plans for delivering care at the appropriate setting. Intervenes as appropriate utilizing departmental policies and communicating excessive length of stay/placement problems/ other issues to department manager.
Uses Clinical Skills and Knowledge to ensure quality, evidence based care is provided and the patient is assigned to the appropriate level of care with the correct status. Identifies patients needs to appropriately place the patient to the correct unit and BH hospital.
Required Work Experience:
- MA Licensed RN and Bachelors Degree required
- 5 yrs acute care clinical nursing required, ED, Critical Care Experience strongly preferred
- Requires a working knowledge of community resources and Utilization/Quality Review standards. Understanding of the hospitals patient placement guidelines to support patient throughput.
- Critical thinking with the ability to assess and prioritize decisions in a rapidly changing environment.
- Must possess excellent interpersonal skills in order to interact with all levels of health care providers and support staff. Excellent computer, telephone, organizational, and relationship building skills.
Education:
Bachelors Degree in Nursing (Required)
Certifications:
Registered Nurse – State of Massachusetts
Compensation
Note: The compensation range(s) in the table below represent the base salaries for all positions at a given grade across the health system. Typically, a new hire can expect a starting salary somewhere in the lower part of the range. Actual salaries may vary by position and will be determined based on the candidate's relevant experience. No employee will be paid below the minimum of the range. Pay ranges are listed as hourly for non-exempt employees and based on assumed full time commitment for exempt employees.
Minimum – Midpoint – Maximum
$47.14 – $54.19 – $64.11
Equal Employment Opportunity Employer
Baystate Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, marital status, national origin, ancestry, age, genetic information, disability, or protected veteran status.
RN, Patient Placement Bed Manager
Part Time – 24 hours
7a-7p
Responsible for the facilitation of accurate patient placement into the health system based on clinical relevance, with integration of care management skills to support organizational fiscal goals. Supports the patient throughput assistant in daily work and acts as the clinical expert/decision maker for daily throughput for BHS. This clinical expert is responsible for the daily work of integrating clinical and financial components to accurately reflect the appropriate level of care and patient placement decisions. Manages and coordinates BH ED patient admission requests and Regional Transfer Center requests for correct placement into BH hospitals, where care can be provided in the right setting. Work closely with providers for transfer requests seeking specialty services to ensure care can be provided prior to acceptance. Manages all internal flow/throughput for patients who may need to move from one level of care or bed to another. The candidate will be responsible for upholding decision making processes related to management of appropriate bed assignment and patient flow.
Uses Patient Placement skills, insures that patients move efficiently from access point to appropriate level of care and location. Reviews all cases on admission to identify level of care, potential need for practice guideline utilization, to determine the anticipated LOS and anticipated care needed for each patient. Works with the health care team to proactively evaluate medical, psycho social and physical needs of patient and family, insuring appropriate bed placement for care. Is a resource to members of the health care team for appropriate management as outlined in the evidence based practice guidelines.
Uses Utilization Analysis /Management principles, insures that patient’s site of care delivery is appropriate, in collaboration with other disciplines as necessary. On admission performs utilization analysis using pre-established screening criteria and guidelines, nursing expertise and sound judgment in accordance with departmental policies. Communicates utilization analysis information as appropriate to health care team.
Uses patient placement knowledge to facilitate and coordinate the request for an appropriate bed, based on level of care and clinical needs of the patient, acts as the patient throughput decision maker. Responsible for upholding decision making processes related to management of appropriate bed assignment. Assesses appropriateness for admission and level of care. Communicates changes in level of care to health care team and facilitates the discussion of plans for delivering care at the appropriate setting. Intervenes as appropriate utilizing departmental policies and communicating excessive length of stay/placement problems/ other issues to department manager.
Uses Clinical Skills and Knowledge to ensure quality, evidence based care is provided and the patient is assigned to the appropriate level of care with the correct status. Identifies patients needs to appropriately place the patient to the correct unit and BH hospital.
Required Work Experience:
- MA Licensed RN and Bachelors Degree required
- 5 yrs acute care clinical nursing required, ED, Critical Care Experience strongly preferred
- Requires a working knowledge of community resources and Utilization/Quality Review standards. Understanding of the hospitals patient placement guidelines to support patient throughput.
- Critical thinking with the ability to assess and prioritize decisions in a rapidly changing environment.
- Must possess excellent interpersonal skills in order to interact with all levels of health care providers and support staff. Excellent computer, telephone, organizational, and relationship building skills.
Education:
Bachelors Degree in Nursing (Required)
Certifications:
Registered Nurse – State of Massachusetts
Compensation
Note: The compensation range(s) in the table below represent the base salaries for all positions at a given grade across the health system. Typically, a new hire can expect a starting salary somewhere in the lower part of the range. Actual salaries may vary by position and will be determined based on the candidate's relevant experience. No employee will be paid below the minimum of the range. Pay ranges are listed as hourly for non-exempt employees and based on assumed full time commitment for exempt employees.
Minimum – Midpoint – Maximum
$47.14 – $54.19 – $64.11
Equal Employment Opportunity Employer
Baystate Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, marital status, national origin, ancestry, age, genetic information, disability, or protected veteran status.
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Get Access To All JobsTips for Finding OPT 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.
Prioritize employers with existing OPT or H-1B history
Search USCIS public disclosure data for employers who have previously sponsored nurses on H-1B visas. If they've navigated nursing sponsorship before, they're far more likely to support your OPT and understand the transition process afterward.
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.
Field Nurse Case Manager OPT: Frequently 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.