OPT Nurse Navigator Jobs
Nurse Navigator jobs on OPT are available at hospital systems, cancer centers, and integrated health networks that regularly sponsor clinical coordination roles. Most positions require an active RN license, and STEM OPT extension does not apply here. Standard OPT gives you 12 months to secure H-1B visa or employer-sponsored permanent residency.
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Current Employees:
If you are a current Monument Health employee, please apply via the internal career site by logging into your Workday Account and clicking the "Career" icon on your homepage.
Primary Location
Rapid City, SD USA
Department
MHHVI General Cardiology
Scheduled Weekly Hours
40
Starting Pay Rate Range
$32.00 - $40.00
(Determined by the knowledge, skills, and experience of the applicant.)
Job Summary
UP TO A $10,000 SIGN ON BONUS AVAILABLE FOR QUALIFIED CANDIDATES
The Patient Navigator navigates patients and family members through the diagnosis, treatment, and follow-up of the patient throughout an episode of care related to an identified organizational clinical service program (i.e. total joint replacement, identified care bundles, cancer treatment coordination, etc) to ensure smooth transitions between care settings. The Patient Navigator is responsible, along with the identified multidisciplinary care team, for the development, management and coordination of all activities related to the identified clinical service program. The Patient Navigator collaborates with the interdisciplinary teams in the management of education, bio-psychosocial and financial resources to achieve optimal outcomes for program patients. The Patient Navigator will work with identified patients throughout their episode of care until discharged from the program and transitioned to primary care clinic team.
Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include:
- Supportive work culture
- Medical, Vision and Dental Coverage
- Retirement Plans, Health Savings Account, and Flexible Spending Account
- Instant pay is available for qualifying positions
- Paid Time Off Accrual Bank
- Opportunities for growth and advancement
- Tuition assistance/reimbursement
- Excellent pay differentials on qualifying positions
- Flexible scheduling
Job Description
Essential Functions:
- Acts as a resource to interdisciplinary team, patients and families throughout episode of care. Facilitates efficient, appropriate, seamless, coordinated care to help ensure positive patient outcomes.
- Supports patient and family by providing education, advocacy, addressing psychosocial needs, and identifying and addressing barriers to care. Navigates patients and family throughout the diagnosis, treatment and follow-up through the episode of care.
- Utilizes evaluative and outcomes data to facilitate the achievement of consistent clinical outcomes by concurrently assessing the quality of care provided based on predetermined indicators within the clinical service program and clinical judgement. Utilizes data and decisions to facilitate closure of healthcare gaps.
- Organizes and completes a plan customized for each patient referred: scheduling, supportive resources and post-treatment resources through episode of care.
- Participates with identified multidisciplinary team to discuss current and future patient cases and collaborative efforts to meet needs identified.
- Assists with the evaluation, selection, and design of patient education materials for specific clinical programs. Assists with providing education and outreach programs to patients, staff and community members.
- Works with staff, administration and physicians to match resources with patient needs. Demonstrates effective fiscal management through cost containment measures while ensuring high quality, cost effective care is being provided to patients within clinical service program.
- Assists leadership in the development of program goals and objectives. Assists with the development, implementation, and maintenance of quality programs that include best practice patient care outcomes.
- All other duties as assigned.
Additional Requirements
Required:
Education - Completion of a nursing education program that is approved by a board of nursing
Certifications - Basic Life Support (BLS) Certification - American Heart Association (AHA) - Within 60 days of hire or transfer; Registered Nurse (RN) - South Dakota Board of Nursing
Preferred:
Education - Bachelors degree in Nursing
Experience - 1+ years of Case Management Experience; 1+ years of Patient Care Experience
Physical Requirements:
Light work - Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects.
Job Category
Patient Services
Job Family
Care Coordination
Shift
Requires the ability to work assigned schedules and hours as determined by the department
Employee Type
Regular
10 Monument Health Rapid City Hospital, Inc.
Make a difference. Every day.
*Monument Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.
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Get Access To All JobsTips for Finding OPT Sponsorship in Nurse Navigator
Target large health systems over small clinics
Large hospital networks like academic medical centers and regional health systems have dedicated HR and immigration infrastructure. Smaller clinics rarely have the resources to file H-1B visa petitions. Focus your search on employers with established visa sponsorship history.
Confirm your RN license covers the work location
Nurse Navigator roles require an active RN license valid in the state where you'll work. Many states participate in the Nurse Licensure Compact, but some require a separate license. Confirm your license status before applying to avoid delays in your start date.
Ask about sponsorship early, not after the offer
Raise OPT work authorization and H-1B sponsorship intent during the second or third interview round. Waiting until the offer stage creates friction. Framing it as a forward-looking career commitment rather than an immigration question keeps the conversation productive.
Highlight care coordination outcomes with data
Nurse Navigators who can show measurable impact, such as reduced readmission rates or improved patient throughput, are far easier for employers to justify sponsoring. Quantify your contributions from clinical rotations or prior roles to strengthen your sponsorship case.
Understand your OPT end date before accepting offers
Your OPT authorization card shows your exact end date. If your OPT expires before the next H-1B cap season, discuss cap-gap coverage or alternative sponsorship paths with your employer's immigration counsel before signing any employment agreement.
Pursue certifications that differentiate you as a candidate
Oncology Nurse Navigator Certification (ONN-CG) or the Patient Navigator Training Collaborative credentials signal specialized expertise. Employers sponsoring visas want candidates who justify the investment, and relevant certifications strengthen both your application and your sponsorship conversation.
Nurse Navigator OPT: Frequently Asked Questions
Can I work as a Nurse Navigator on OPT?
Yes, if you hold an active RN license and your degree is in nursing or a closely related field. OPT authorizes you to work in a role directly related to your field of study. Nurse Navigator positions, which involve clinical coordination and patient advocacy, typically satisfy that requirement. STEM OPT extension does not apply to nursing roles.
Do Nurse Navigator employers commonly sponsor H-1B visas?
Sponsorship varies significantly by employer size. Large hospital systems, integrated health networks, and academic medical centers are the most consistent sponsors because they have immigration infrastructure in place. Specialty care centers focused on oncology or chronic disease management also sponsor at higher rates. You can browse sponsoring employers on Migrate Mate, which filters job listings by visa sponsorship availability.
Does STEM OPT apply to Nurse Navigator roles?
No. Nursing is not classified under STEM for OPT extension purposes. Your standard OPT period gives you 12 months of work authorization after graduation. If you need more time, your employer must file an H-1B petition before your OPT expires. Plan your job search timeline with that 12-month window in mind.
What visa options exist after OPT expires for Nurse Navigators?
The H-1B is the primary path, as Nurse Navigator roles typically qualify as specialty occupations requiring an RN license and a nursing degree. Some employers also pursue EB-3 green card sponsorship for nursing roles, which bypasses the H-1B lottery. Discuss both options with any employer you're seriously considering before your OPT end date.
Does my RN license affect my OPT eligibility or work authorization?
Your RN license and your OPT authorization are separate. OPT is granted by USCIS through your designated school official, while your RN license is issued by the state nursing board. Both must be valid to work legally as a Nurse Navigator. If your state license is pending, your OPT clock still runs, so apply for licensure as early as possible.