OPT Registered Nurse Case Manager Jobs
Registered Nurse Case Manager jobs are open to F-1 OPT students with an active EAD card and a valid RN license in the state where they plan to work. Most roles are full-time and qualify for STEM OPT extension if your nursing degree falls under an eligible CIP code.
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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 Registered Nurse Case Manager
Confirm your RN license before applying
Each state issues its own RN license, and most employers won't extend an offer without one. Apply for licensure through the state board early, processing can take six to twelve weeks, which can eat into your OPT window.
Verify your degree's STEM OPT eligibility
Some nursing programs fall under STEM-eligible CIP codes, giving you an additional 24 months of work authorization. Check with your DSO before your standard OPT expires so you can file the extension request on time.
Target health systems with established OPT hiring processes
Large hospital networks and integrated health systems hire internationally educated nurses more regularly than smaller clinics. They often have HR teams familiar with EAD verification, which reduces delays and confusion during onboarding.
Apply before your OPT start date if possible
Many case management roles require credentialing and onboarding paperwork that takes four to six weeks. Starting the application process early gives you time to complete these steps without losing authorized workdays on your EAD window.
Highlight case management certifications alongside your RN credentials
A CCM or ACM certification signals specialized competency and makes you more competitive against domestic applicants. Employers weighing the administrative effort of hiring an OPT worker are more likely to proceed when your qualifications are clearly distinguished.
Be transparent about your EAD expiration date during interviews
Employers need time to plan for potential H-1B visa sponsorship or STEM OPT transitions. Raising your timeline early builds trust and lets you discuss options before an offer is extended, rather than creating uncertainty at the last minute.
Registered Nurse Case Manager OPT: Frequently Asked Questions
Can F-1 OPT students work as Registered Nurse Case Managers in the United States?
Yes, F-1 OPT students can work as Registered Nurse Case Managers as long as they hold a valid EAD card and an active RN license in the state of employment. The role must be directly related to your nursing degree. You can browse OPT-eligible case management roles on Migrate Mate.
Do Registered Nurse Case Manager jobs qualify for the STEM OPT extension?
It depends on the CIP code assigned to your specific nursing program. Some nursing degrees, particularly those classified under health informatics or clinical informatics tracks, fall under STEM-eligible codes. Standard RN programs typically do not. Confirm your program's CIP code with your DSO before assuming you qualify for the 24-month extension.
Do I need a state RN license to apply for case manager roles on OPT?
Yes, a valid RN license in the state where you plan to work is a non-negotiable requirement for virtually all Registered Nurse Case Manager positions. Many states participate in the Nurse Licensure Compact, which allows a single license to cover multiple states. If you haven't applied yet, start the process early since approval timelines vary by state board.
Will employers sponsor Registered Nurse Case Managers for an H-1B visa after OPT?
Some do, particularly large hospital systems, managed care organizations, and insurance companies with established immigration programs. Case management roles generally qualify as specialty occupations under H-1B criteria because they require a bachelor's degree in nursing or a related clinical field. Raising the conversation during the offer stage gives you the clearest picture of each employer's willingness.
What employment settings hire Registered Nurse Case Managers on OPT?
The most common employers are hospital discharge planning departments, health insurance companies, accountable care organizations, and home health agencies. Telehealth platforms have also expanded case management hiring significantly. Settings that handle high patient volumes tend to have more structured HR processes for verifying EAD authorization, which can make onboarding smoother for OPT workers.