OPT Nurse Manager Jobs
Nurse Manager jobs on OPT require active RN licensure in your state and typically a BSN, which satisfies the specialty occupation requirement for STEM OPT extensions if your degree is in nursing. Most hospital systems sponsor H-1B visa after OPT, making this a strong long-term visa pathway.
Find OPT Nurse Manager JobsOverview
Showing 5 of 1,032+ Nurse Manager jobs
See all 1,032+ Nurse Manager Jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new Nurse Manager roles.
Get Access To All JobsINTRODUCTION
THIS POSITION FOCUSES ON WEEKENDS
Schedule: 4/10s covering both Saturday and Sunday.
At Houston Methodist, the Case Manager (CM) position is a registered nurse (RN) responsible for comprehensively assessing clinical condition and planning for case management, which includes care transitions and discharge planning of a targeted patient population on a designated unit(s) and/or service lines. This position works with the physicians and multidisciplinary healthcare team to facilitate clinical care coordination and maintain compassionate, efficient, quality and safe patient care and achievement of desired treatment outcomes. The CM position holds joint accountability with the social worker for discharge planning, coordination of care, and throughput, assuring that admission and continued stay are medically necessary. This position communicates clinical information to payors and post-acute care providers to ensure safe transition and continuity of care.
FLSA STATUS
Exempt
QUALIFICATIONS
Education
Graduate of education program approved by the credentialing body for the required credential(s) indicated below in the Certifications, Licenses and Registrations section.
Bachelor’s degree preferred
Experience
Three years hospital nursing clinical experience
Acute care case management experience preferred
LICENSES AND CERTIFICATIONS
Required
RN - Registered Nurse - Texas State Licensure - Texas Board of Nursing_PSV Compact Licensure – Must obtain permanent Texas license within 60 days (if establishing Texas residency)
KNOWLEDGE AND ABILITIES
Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through ongoing skills, competency assessments, and performance evaluations
Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
Knowledge of Medicare, Medicaid and Managed Care requirements
Progressive knowledge of community resources, healthcare financial and payor requirements/issues, and eligibility for state, local and federal programs
Progressive knowledge of discharge planning, utilization management, case management, performance improvement and managed care reimbursement
Understanding of pre-acute and post-acute venues of care and post-acute community resources
Ability to work independently and exercise sound judgment in interactions with physicians, payors, and patients and their families
Well versed in computer skills of the entire Microsoft Office Suite (Excel, Outlook, PowerPoint and Word)
Strong assessment, organizational and problem-solving skills
ESSENTIAL FUNCTIONS
PEOPLE ESSENTIAL FUNCTIONS
Communicates in an active, positive and effective manner to all healthcare team members and reports pertinent clinical patient care and family data in a comprehensive and unbiased manner; listens and responds to the ideas of others. Supports patients and families in preventing/resolving clinical or ethical issues.
Collaborates with staff from the multidisciplinary care team concerning the discharge plan to improve outcomes and the safe transition of care. Uses a structured format for regular communication with patients and families.
Communicates effectively with physicians, multidisciplinary care team, patients, and families to ensure safe and timely transitions of care.
Contributes towards improvement of employee engagement as reflected by department scores, i.e., peer-to-peer accountability.
SERVICE ESSENTIAL FUNCTIONS
Assesses all patients timely, per policy, and thoroughly. Reviews chart for medical necessity and facilitation of throughput and appropriate utilization of inpatient resources and services, etc. Initiates and facilitates referrals and transfers for home health care, hospice, durable medical equipment, and other post-acute services.
Participates and is prepared to present barriers to efficient patient throughput in daily multi-disciplinary rounds (MDRs). Escalates appropriate discharge barriers to leadership and/or physician advisor.
Facilitates discharge planning activities for assigned patients and collaborates with other members of the multidisciplinary care team, as well as patient and family, on clinically complex care transitions and discharges. Maintains ownership of the discharge planning process on assigned units.
QUALITY/SAFETY ESSENTIAL FUNCTIONS
Modifies care based on continuous evaluation of the patient’s medical condition and progression. Demonstrates clinical problem-solving and critical thinking within the scope of practice and makes decisions using an evidence-based analytical approach. Documents accurate assessment and interventions efficiently and effectively.
Educates patient and family appropriately on disease process that impacts their health and readmission. Connects patient and family with resources related to their disease process.
Proactively plans for routine discharge, elevates emergent situations, and escalates unresolved barriers. Manages usual patient assignment and other unit demands, anticipating/planning for potential problems.
Focuses on discharge domain by contributing to department and hospital targets for quality, patient satisfaction and safety measures.
FINANCE ESSENTIAL FUNCTIONS
Focuses on reducing length of stay for all levels of care, (inpatient, observation and outpatient in a bed) and avoidable days by ensuring efficient and timely use of resources in discharge planning and transitions. Reviews medical records for medical necessity for continued stay, facilitate timely discharge to reduce discharge delays.
Applies knowledge of payor requirements and coverage to facilitate cost-effective discharges. Contributes to meeting department and hospital financial targets. Utilizes resources with cost effectiveness and value creation in mind. Self-motivated to independently manage time effectively and prioritize daily tasks, assisting coworkers as needed.
GROWTH/INNOVATION ESSENTIAL FUNCTIONS
Identifies areas for process improvement based on understanding of evidence-based practice literature. Participates in evidence-based practice/performance improvement projects based on these observations and offers solutions.
Seeks opportunities to identify self-development needs and takes appropriate action. Ensures own career discussions occur with appropriate management. Completes and updates the My Development Plan on an ongoing basis.
SUPPLEMENTAL REQUIREMENTS
WORK ATTIRE
+ Uniform: No
+ Scrubs: No
+ Business professional: Yes
+ Other (department approved): No
ON-CALL
+ Note that employees may be required to be on-call during emergencies (ie. Disaster, Severe Weather Events, etc) regardless of selection below.
+ On Call Yes
TRAVEL
Travel specifications may vary by department
+ May require travel within the Houston Metropolitan area Yes
+ May require travel outside Houston Metropolitan area No
Company Profile:
Houston Methodist Cypress Hospital, Houston Methodist's eighth hospital, opened in the first quarter of 2025 in a prime location in the heart of the rapidly growing U.S. 290 corridor. It incorporates the most advanced technology available, featuring innovations designed to enhance communication between patients, physicians, staff and families. The facility combines state-of-the-art technology with world-class clinicians, creating an unparalleled experience for patients, employees and physicians.
Houston Methodist is an Equal Opportunity Employer.
INTRODUCTION
THIS POSITION FOCUSES ON WEEKENDS
Schedule: 4/10s covering both Saturday and Sunday.
At Houston Methodist, the Case Manager (CM) position is a registered nurse (RN) responsible for comprehensively assessing clinical condition and planning for case management, which includes care transitions and discharge planning of a targeted patient population on a designated unit(s) and/or service lines. This position works with the physicians and multidisciplinary healthcare team to facilitate clinical care coordination and maintain compassionate, efficient, quality and safe patient care and achievement of desired treatment outcomes. The CM position holds joint accountability with the social worker for discharge planning, coordination of care, and throughput, assuring that admission and continued stay are medically necessary. This position communicates clinical information to payors and post-acute care providers to ensure safe transition and continuity of care.
FLSA STATUS
Exempt
QUALIFICATIONS
Education
Graduate of education program approved by the credentialing body for the required credential(s) indicated below in the Certifications, Licenses and Registrations section.
Bachelor’s degree preferred
Experience
Three years hospital nursing clinical experience
Acute care case management experience preferred
LICENSES AND CERTIFICATIONS
Required
RN - Registered Nurse - Texas State Licensure - Texas Board of Nursing_PSV Compact Licensure – Must obtain permanent Texas license within 60 days (if establishing Texas residency)
KNOWLEDGE AND ABILITIES
Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through ongoing skills, competency assessments, and performance evaluations
Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
Knowledge of Medicare, Medicaid and Managed Care requirements
Progressive knowledge of community resources, healthcare financial and payor requirements/issues, and eligibility for state, local and federal programs
Progressive knowledge of discharge planning, utilization management, case management, performance improvement and managed care reimbursement
Understanding of pre-acute and post-acute venues of care and post-acute community resources
Ability to work independently and exercise sound judgment in interactions with physicians, payors, and patients and their families
Well versed in computer skills of the entire Microsoft Office Suite (Excel, Outlook, PowerPoint and Word)
Strong assessment, organizational and problem-solving skills
ESSENTIAL FUNCTIONS
PEOPLE ESSENTIAL FUNCTIONS
Communicates in an active, positive and effective manner to all healthcare team members and reports pertinent clinical patient care and family data in a comprehensive and unbiased manner; listens and responds to the ideas of others. Supports patients and families in preventing/resolving clinical or ethical issues.
Collaborates with staff from the multidisciplinary care team concerning the discharge plan to improve outcomes and the safe transition of care. Uses a structured format for regular communication with patients and families.
Communicates effectively with physicians, multidisciplinary care team, patients, and families to ensure safe and timely transitions of care.
Contributes towards improvement of employee engagement as reflected by department scores, i.e., peer-to-peer accountability.
SERVICE ESSENTIAL FUNCTIONS
Assesses all patients timely, per policy, and thoroughly. Reviews chart for medical necessity and facilitation of throughput and appropriate utilization of inpatient resources and services, etc. Initiates and facilitates referrals and transfers for home health care, hospice, durable medical equipment, and other post-acute services.
Participates and is prepared to present barriers to efficient patient throughput in daily multi-disciplinary rounds (MDRs). Escalates appropriate discharge barriers to leadership and/or physician advisor.
Facilitates discharge planning activities for assigned patients and collaborates with other members of the multidisciplinary care team, as well as patient and family, on clinically complex care transitions and discharges. Maintains ownership of the discharge planning process on assigned units.
QUALITY/SAFETY ESSENTIAL FUNCTIONS
Modifies care based on continuous evaluation of the patient’s medical condition and progression. Demonstrates clinical problem-solving and critical thinking within the scope of practice and makes decisions using an evidence-based analytical approach. Documents accurate assessment and interventions efficiently and effectively.
Educates patient and family appropriately on disease process that impacts their health and readmission. Connects patient and family with resources related to their disease process.
Proactively plans for routine discharge, elevates emergent situations, and escalates unresolved barriers. Manages usual patient assignment and other unit demands, anticipating/planning for potential problems.
Focuses on discharge domain by contributing to department and hospital targets for quality, patient satisfaction and safety measures.
FINANCE ESSENTIAL FUNCTIONS
Focuses on reducing length of stay for all levels of care, (inpatient, observation and outpatient in a bed) and avoidable days by ensuring efficient and timely use of resources in discharge planning and transitions. Reviews medical records for medical necessity for continued stay, facilitate timely discharge to reduce discharge delays.
Applies knowledge of payor requirements and coverage to facilitate cost-effective discharges. Contributes to meeting department and hospital financial targets. Utilizes resources with cost effectiveness and value creation in mind. Self-motivated to independently manage time effectively and prioritize daily tasks, assisting coworkers as needed.
GROWTH/INNOVATION ESSENTIAL FUNCTIONS
Identifies areas for process improvement based on understanding of evidence-based practice literature. Participates in evidence-based practice/performance improvement projects based on these observations and offers solutions.
Seeks opportunities to identify self-development needs and takes appropriate action. Ensures own career discussions occur with appropriate management. Completes and updates the My Development Plan on an ongoing basis.
SUPPLEMENTAL REQUIREMENTS
WORK ATTIRE
+ Uniform: No
+ Scrubs: No
+ Business professional: Yes
+ Other (department approved): No
ON-CALL
+ Note that employees may be required to be on-call during emergencies (ie. Disaster, Severe Weather Events, etc) regardless of selection below.
+ On Call Yes
TRAVEL
Travel specifications may vary by department
+ May require travel within the Houston Metropolitan area Yes
+ May require travel outside Houston Metropolitan area No
Company Profile:
Houston Methodist Cypress Hospital, Houston Methodist's eighth hospital, opened in the first quarter of 2025 in a prime location in the heart of the rapidly growing U.S. 290 corridor. It incorporates the most advanced technology available, featuring innovations designed to enhance communication between patients, physicians, staff and families. The facility combines state-of-the-art technology with world-class clinicians, creating an unparalleled experience for patients, employees and physicians.
Houston Methodist is an Equal Opportunity Employer.
See all 1,032+ OPT Nurse Manager Jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new OPT Nurse Manager Jobs.
Get Access To All JobsTips for Finding OPT Sponsorship as a Nurse Manager
Verify your RN license transfers across states
Many hospital systems hire Nurse Managers from out of state, but your RN license must be valid where the job is located. Compact license states simplify this, but non-compact states require a separate application that can take weeks.
Target hospital systems with established H-1B track records
Large health systems like HCA Healthcare, Ascension, and academic medical centers regularly sponsor nurses for H-1B visas. Prioritize employers with HR teams experienced in immigration paperwork, since smaller clinics often lack that infrastructure entirely.
Lead with clinical leadership experience, not just bedside hours
Nurse Manager roles require demonstrated team leadership, budgeting, and quality improvement experience. Highlight charge nurse rotations, staff scheduling responsibilities, and any performance improvement projects to compete with candidates who have formal management titles.
Clarify your OPT timeline before accepting an offer
Standard OPT gives you 12 months. If your nursing degree qualifies as STEM, confirm with your DSO before interviewing, since not all nursing programs appear on the STEM designation list. Your employer needs accurate authorization dates.
Ask HR explicitly about H-1B sponsorship during final rounds
Many hospitals sponsor H-1B but do not advertise it openly. Raise sponsorship in final-round conversations after demonstrating your value. Framing it as confirming a timeline, rather than asking for a favor, keeps the conversation professional and confident.
Use Migrate Mate to filter for OPT-friendly Nurse Manager roles
Browsing Migrate Mate connects you directly to Nurse Manager openings posted by employers open to OPT candidates. Filtering by role saves time and ensures you are not applying to positions that exclude candidates requiring work authorization.
Nurse Manager OPT: Frequently Asked Questions
Does a Nurse Manager role qualify as a specialty occupation for OPT purposes?
Yes. Nurse Manager positions typically require a Bachelor of Science in Nursing, which satisfies the specialty occupation standard used to justify H-1B sponsorship after OPT. Your DSO may also confirm whether your specific nursing degree qualifies for a 24-month STEM OPT extension, giving you up to 36 months of total work authorization.
Can I work as a Nurse Manager on OPT without a U.S. nursing license?
No. Active RN licensure in the state where you work is a legal requirement for any nursing role, including management. Most employers will not extend an offer until licensure is confirmed. If your license is pending, be transparent with HR about your expected approval date so they can plan the start date accordingly.
How do I find Nurse Manager jobs where employers are open to OPT candidates?
Migrate Mate is the most direct way to find Nurse Manager roles posted by employers willing to hire OPT students. General job boards rarely filter by sponsorship willingness, so you end up applying to positions that screen out candidates requiring work authorization before the interview stage even begins.
What happens to my OPT authorization if I change hospital employers as a Nurse Manager?
OPT work authorization is tied to your field of study, not a specific employer, so you can change employers without losing your authorization as long as the new role is directly related to your nursing degree. Report the employer change to your DSO within 10 days and update your SEVIS record to stay in compliance.
Do hospital systems typically sponsor Nurse Managers for H-1B after OPT?
Many large hospital systems and academic medical centers do sponsor experienced Nurse Managers for H-1B, particularly when the candidate has proven leadership performance during OPT. Sponsorship is less common at smaller outpatient clinics or private practices that lack dedicated immigration HR support. Prioritizing larger health systems significantly increases your odds of a sponsored transition.