OPT Transition Of Care Jobs
Transition of Care roles coordinate patient handoffs between hospitals, rehab facilities, and home health settings, making them a natural fit for OPT students with clinical or health administration backgrounds. Your OPT work authorization is accepted by most healthcare systems, and STEM OPT extension may apply if your degree qualifies.
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Get Access To All JobsFacility: Mount St. Mary's Hospital
Shift: Shift 1
Status: Full Time FTE: 1.000000
Bargaining Unit: SEIU Local 1199
Exempt from Overtime: Exempt: No
Work Schedule: Days with Weekend and Holiday Rotation
Hours: Primary: 8:00am-4:00pm, 9:00am-5:00pm, 10:00am-6:00pm
Summary:
The Registered Nurse (RN) Care Manager-Transition of Care, as an active member of the Care Management and interdisciplinary care team, provides comprehensive case management and discharge services to patients and families in the hospital setting utilizing foundational case management and discharge planning principles. The RN Care Manager engages the patient/patient representative in developing and implementing a post hospital plan that best meets their health and/or psychosocial needs.
The RN Care Manager-Transition of Care serves as a resource for education of patient, families, peers, staff and physicians. The RN Care Manager works collaboratively with the interdisciplinary health care team and key stakeholders.
The RN Care Manager-Transition of Care collaborates with the interdisciplinary team to ensure safe transition through the care continuum and identifies and removes barriers for delays of discharge.
The RN Care Manager-Transition of Care links patients and families with post hospital services, screening/referral for post-acute levels of care utilizing established criteria and meeting local, state, and federal regulatory requirements. Establishes a professional, resource-based relationship with all concerned, demonstrating the mission, values, and vision of Catholic Health.
Education
- BSN degree or RN with BSW, BS Education, or BS in Health related field
- Registered Nurse, licensed (unrestricted) in New York State
- New York State PRI certification hospital and community preferred
- Screen certification hospital and community preferred
- National Certification in Case Management preferred
Experience
- Two years medical surgical nursing and/or job related experience
- Preferred prior insurance/managed care experience in the role of a Care Manager or Disease Manager, Population Health, Discharge Planning or Chronic Care Manager
KNOWLEDGE, SKILL AND ABILITY
- Strong clinical assessment skills and ability to articulate findings in a fast paced environment
- Possess ability to educate, inform, advocate, promote and facilitate health care options, and demonstrate the willingness to work harmoniously with a team approach
- Possesses ability to effectively and efficiently utilize technology within daily work with the care team and ability to quickly learn and adapt to new technology tools and software
- Possesses case management skills critical to working on an interdisciplinary team
- Has a good understanding of the Social Determinants of Health (SDOH)
- Has good knowledge of services within the immediate community and ability to use various methods to locate those not easily identifiable
- Has a good ability to organize, prioritize and manage work in a busy hospital environment
- Possess the ability to make independent decisions when circumstances warrant such action, deal tactfully with personnel/patients, family members, visitors, etc., and seek out new methods and principles and be willing to incorporate them into existing practices
- Possess the ability to conduct a comprehensive discharge planning evaluation and create patient centered care plans
WORKING CONDITIONS:
- Willingness to work beyond normal working hours, and in other positions temporarily, and/or at other locations when necessary.
- Variable schedule which may include weekends and holidays. Mount St. Mary's Hospital consists of multiple locations and associate may be assigned as needed.
ENVIRONMENT
- Normal heat, light space, and safe working environment; typical of most office jobs
- Occasional exposure to one or more mildly unpleasant physical conditions
- Minimum physical effort required, typical of most office work
- Significant amount of walking within the acute care facility
Facility: Mount St. Mary's Hospital
Shift: Shift 1
Status: Full Time FTE: 1.000000
Bargaining Unit: SEIU Local 1199
Exempt from Overtime: Exempt: No
Work Schedule: Days with Weekend and Holiday Rotation
Hours: Primary: 8:00am-4:00pm, 9:00am-5:00pm, 10:00am-6:00pm
Summary:
The Registered Nurse (RN) Care Manager-Transition of Care, as an active member of the Care Management and interdisciplinary care team, provides comprehensive case management and discharge services to patients and families in the hospital setting utilizing foundational case management and discharge planning principles. The RN Care Manager engages the patient/patient representative in developing and implementing a post hospital plan that best meets their health and/or psychosocial needs.
The RN Care Manager-Transition of Care serves as a resource for education of patient, families, peers, staff and physicians. The RN Care Manager works collaboratively with the interdisciplinary health care team and key stakeholders.
The RN Care Manager-Transition of Care collaborates with the interdisciplinary team to ensure safe transition through the care continuum and identifies and removes barriers for delays of discharge.
The RN Care Manager-Transition of Care links patients and families with post hospital services, screening/referral for post-acute levels of care utilizing established criteria and meeting local, state, and federal regulatory requirements. Establishes a professional, resource-based relationship with all concerned, demonstrating the mission, values, and vision of Catholic Health.
Education
- BSN degree or RN with BSW, BS Education, or BS in Health related field
- Registered Nurse, licensed (unrestricted) in New York State
- New York State PRI certification hospital and community preferred
- Screen certification hospital and community preferred
- National Certification in Case Management preferred
Experience
- Two years medical surgical nursing and/or job related experience
- Preferred prior insurance/managed care experience in the role of a Care Manager or Disease Manager, Population Health, Discharge Planning or Chronic Care Manager
KNOWLEDGE, SKILL AND ABILITY
- Strong clinical assessment skills and ability to articulate findings in a fast paced environment
- Possess ability to educate, inform, advocate, promote and facilitate health care options, and demonstrate the willingness to work harmoniously with a team approach
- Possesses ability to effectively and efficiently utilize technology within daily work with the care team and ability to quickly learn and adapt to new technology tools and software
- Possesses case management skills critical to working on an interdisciplinary team
- Has a good understanding of the Social Determinants of Health (SDOH)
- Has good knowledge of services within the immediate community and ability to use various methods to locate those not easily identifiable
- Has a good ability to organize, prioritize and manage work in a busy hospital environment
- Possess the ability to make independent decisions when circumstances warrant such action, deal tactfully with personnel/patients, family members, visitors, etc., and seek out new methods and principles and be willing to incorporate them into existing practices
- Possess the ability to conduct a comprehensive discharge planning evaluation and create patient centered care plans
WORKING CONDITIONS:
- Willingness to work beyond normal working hours, and in other positions temporarily, and/or at other locations when necessary.
- Variable schedule which may include weekends and holidays. Mount St. Mary's Hospital consists of multiple locations and associate may be assigned as needed.
ENVIRONMENT
- Normal heat, light space, and safe working environment; typical of most office jobs
- Occasional exposure to one or more mildly unpleasant physical conditions
- Minimum physical effort required, typical of most office work
- Significant amount of walking within the acute care facility
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Get Access To All JobsTips for Finding OPT Sponsorship in Transition Of Care
Target integrated health systems over small clinics
Large hospital networks and accountable care organizations hire transition of care coordinators at scale and have dedicated HR teams familiar with OPT work authorization. Smaller outpatient clinics often lack the infrastructure to process OPT documentation efficiently.
Clarify your STEM OPT eligibility before applying
Health informatics, public health, and health services administration degrees often qualify for the 24-month STEM OPT extension. Confirming this before interviews gives employers a longer runway and significantly increases your chances of sponsorship consideration afterward.
Highlight care coordination certifications
Credentials like the Certified Case Manager (CCM) or Transitional Care Certified (TCC) demonstrate clinical competency beyond your degree. Employers weighing OPT paperwork concerns are more likely to proceed when candidates bring industry-recognized credentials that reduce onboarding risk.
Address OPT timing early in conversations
Proactively tell recruiters your OPT start date, expiration date, and whether a STEM extension is possible. Healthcare employers appreciate this transparency and it eliminates the awkward back-and-forth that sometimes derails candidacies late in the hiring process.
Focus on outcomes in your application materials
Quantify your impact wherever possible: reduced hospital readmission rates, improved patient follow-up completion, or shortened length of stay. Data-driven results signal clinical effectiveness and shift the conversation from visa logistics to your professional value.
Network through healthcare social work and case management communities
Transition of care roles often live inside case management departments. Connecting with social workers, discharge planners, and care coordinators through professional associations surfaces unadvertised openings and referrals, which carry more weight than cold applications for OPT candidates.
Transition Of Care OPT: Frequently Asked Questions
Can F-1 OPT students work as Transition of Care coordinators in the U.S.?
Yes. F-1 students authorized for OPT can work as Transition of Care coordinators without any additional visa sponsorship during the OPT period. Your employer simply needs to verify your EAD card. Most hospital systems and health networks are familiar with OPT and accept it as valid work authorization for clinical coordination roles.
Do Transition of Care jobs qualify for the STEM OPT extension?
It depends on your degree, not the job title itself. If you graduated from a STEM-designated program, such as health informatics, biomedical informatics, or health services research, you may qualify for a 24-month STEM OPT extension. Degrees in nursing, social work, or general public health are less commonly STEM-designated, so confirm your program's CIP code with your DSO before counting on the extension.
What healthcare employers are most likely to hire OPT students for Transition of Care roles?
Integrated health systems, accountable care organizations, and large academic medical centers are the most OPT-friendly employers in this space. They hire transition of care staff at volume, have established HR processes for work authorization, and are often experienced with sponsoring H-1B visas afterward. You can browse currently hiring employers on Migrate Mate, which filters specifically for roles open to OPT candidates.
What happens to my Transition of Care job if my OPT expires before I secure H-1B sponsorship?
If your OPT expires and a STEM extension or H-1B is not yet in place, you lose work authorization and must stop working. To avoid this gap, apply for STEM OPT extension at least 90 days before your EAD expires, and discuss H-1B sponsorship timelines with your employer well before the April lottery registration window. Planning 12 to 18 months ahead is realistic for this pathway.
Is a clinical license required to work in Transition of Care on OPT?
Not always. Many Transition of Care positions are non-clinical care coordination roles that require a degree in health administration, social work, or public health rather than a nursing or clinical license. However, some roles, particularly those embedded in hospital care management units, prefer licensed social workers or registered nurses. Review each job description carefully to confirm the licensure requirement before applying.