TN Visa Clinical Case Manager Jobs
Clinical Case Manager roles qualify for TN visa sponsorship under the USMCA Social Worker category, covering professionals who coordinate care plans, connect patients to community resources, and manage discharge planning. Canadian citizens can apply at the border or a U.S. consulate with no cap. Mexican citizens require consular processing with a limited annual allocation.
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Clinical Finance Case Management - RN
Department:
Health System Shared Services | Revenue Cycle Clinical Support
Scope of Position
Revenue Cycle Clinical Support Office (RCCS) is an area within Access and Revenue Cycle Management Shared Services responsible for Clinical Pre-Certification, Case Reviews, Pre-billing edits, in-patient account validations, supporting Utilization Management, Peer to Peer processes, complex billing scenarios, audits (governmental, commercial, compliance, and internal), clinical appeals and denial management. RCCS is integral to the Revenue Cycle and supports cash collection through preventing and appealing denials.
Position Summary
The Clinical Financial Case Manager - RN (CFCM-RN) implements and supports the philosophy, mission, values, standards, policies, and procedures of The Ohio State University Wexner Medical Center. The CFCM-RN functions within the multidisciplinary team to secure complex pre-authorizations and prevent/appeal clinical denials. The job duties require the utilization of clinical knowledge to interpret and apply medical necessity guidelines to determine appropriateness for services provided. The CFCM-RN makes determinations on the appropriate level of care (Inpatient or Observation) based on the ability to read, understand, and interpret documented clinical information. The role requires CFCM-RNs to become Subject Matter Experts (SME) for assigned payers as well as governmental payer requirements and audits such as RAC, MAC, QIO, etc. The CFCM-RN maintains an awareness of State and National Health care trends, JCAHO, CMS, and third-party payer Utilization Management guidelines.
Candidate must have ability to communicate in a positive and professional manner using all mediums (email, chat, phone, etc.).
The Financial aspect of the role involves acquiring knowledge of Managed Care, Scheduling, Financial Counseling, Pre-Certification, Admissions/Discharges/Transfers, Clinical workflows and documentation, Revenue Management, Charge Description Master, Coding (Diagnosis, HCPCS, Revenue Codes, Procedure Codes, Modifiers, etc.), Medical Information Management, Release of Information, Case Management, Utilization Management, Clinical Documentation Improvement, Compliance, Legal, Finance, Transplant workflows, Billing, Follow Up, Cash Posting, and any other areas that may be needed to complete the tasks. The CFCM-RN must be able to read, understand and interpret a payer remit, denial/remark codes, and expected reimbursement to determine the cost effectiveness of completing an appeal.
The CFCM-RN must be versatile, flexible, and very adaptable to change because the payer rules change constantly. The CFCM-RN must be able to troubleshoot, problem solve, continuously learn, be highly independent, self-motivated and have an elevated level of interpretive skills and the ability to work closely with departments such as Legal, Medical Information Management, Physician groups and the Business Office.
Minimum Qualifications
For Hire Required:
- Bachelor’s degree in nursing with current license required.
- Minimum of 2 years clinical care experience, caring for patients, anticipating their needs, and understanding the physician’s plan of care.
- Experience collaborating with physicians and their designees.
- Strong, proven analytical skills. Ability to make educated decisions.
- Extensive knowledge of clinical operations and patient flow.
- Skilled at synthesizing large volumes of information and concisely communicating either verbally or in writing.
- Proficient in Microsoft Office Products such as: Word, Power Point, Excel, SharePoint, Teams, OneNote, etc.
- Proficient in Adobe Professional.
- Proficient in using email, fax machines, copy machines, internet browsers.
- Proficient at typing.
- Proficient in Technology, Computer, and Web applications. Must be able to multitask and move between applications quickly and frequently. Must be able to orientate self to new applications quickly. Must be able to manage complexities of having to work in multiple applications such as IHIS, MS Office products, 3M, and all payer websites/applications.
Location:
Remote Location
Position Type:
Regular
Scheduled Hours:
40
Shift:
First Shift
Final candidates are subject to successful completion of a background check. A drug screen or physical may be required during the post offer process.
Thank you for your interest in positions at The Ohio State University and Wexner Medical Center. Once you have applied, the most updated information on the status of your application can be found by visiting the Candidate Home section of this site. Please view your submitted applications by logging in and reviewing your status. For answers to additional questions please review the frequently asked questions.
The university is an equal opportunity employer, including veterans and disability.
Job Title:
Clinical Finance Case Management - RN
Department:
Health System Shared Services | Revenue Cycle Clinical Support
Scope of Position
Revenue Cycle Clinical Support Office (RCCS) is an area within Access and Revenue Cycle Management Shared Services responsible for Clinical Pre-Certification, Case Reviews, Pre-billing edits, in-patient account validations, supporting Utilization Management, Peer to Peer processes, complex billing scenarios, audits (governmental, commercial, compliance, and internal), clinical appeals and denial management. RCCS is integral to the Revenue Cycle and supports cash collection through preventing and appealing denials.
Position Summary
The Clinical Financial Case Manager - RN (CFCM-RN) implements and supports the philosophy, mission, values, standards, policies, and procedures of The Ohio State University Wexner Medical Center. The CFCM-RN functions within the multidisciplinary team to secure complex pre-authorizations and prevent/appeal clinical denials. The job duties require the utilization of clinical knowledge to interpret and apply medical necessity guidelines to determine appropriateness for services provided. The CFCM-RN makes determinations on the appropriate level of care (Inpatient or Observation) based on the ability to read, understand, and interpret documented clinical information. The role requires CFCM-RNs to become Subject Matter Experts (SME) for assigned payers as well as governmental payer requirements and audits such as RAC, MAC, QIO, etc. The CFCM-RN maintains an awareness of State and National Health care trends, JCAHO, CMS, and third-party payer Utilization Management guidelines.
Candidate must have ability to communicate in a positive and professional manner using all mediums (email, chat, phone, etc.).
The Financial aspect of the role involves acquiring knowledge of Managed Care, Scheduling, Financial Counseling, Pre-Certification, Admissions/Discharges/Transfers, Clinical workflows and documentation, Revenue Management, Charge Description Master, Coding (Diagnosis, HCPCS, Revenue Codes, Procedure Codes, Modifiers, etc.), Medical Information Management, Release of Information, Case Management, Utilization Management, Clinical Documentation Improvement, Compliance, Legal, Finance, Transplant workflows, Billing, Follow Up, Cash Posting, and any other areas that may be needed to complete the tasks. The CFCM-RN must be able to read, understand and interpret a payer remit, denial/remark codes, and expected reimbursement to determine the cost effectiveness of completing an appeal.
The CFCM-RN must be versatile, flexible, and very adaptable to change because the payer rules change constantly. The CFCM-RN must be able to troubleshoot, problem solve, continuously learn, be highly independent, self-motivated and have an elevated level of interpretive skills and the ability to work closely with departments such as Legal, Medical Information Management, Physician groups and the Business Office.
Minimum Qualifications
For Hire Required:
- Bachelor’s degree in nursing with current license required.
- Minimum of 2 years clinical care experience, caring for patients, anticipating their needs, and understanding the physician’s plan of care.
- Experience collaborating with physicians and their designees.
- Strong, proven analytical skills. Ability to make educated decisions.
- Extensive knowledge of clinical operations and patient flow.
- Skilled at synthesizing large volumes of information and concisely communicating either verbally or in writing.
- Proficient in Microsoft Office Products such as: Word, Power Point, Excel, SharePoint, Teams, OneNote, etc.
- Proficient in Adobe Professional.
- Proficient in using email, fax machines, copy machines, internet browsers.
- Proficient at typing.
- Proficient in Technology, Computer, and Web applications. Must be able to multitask and move between applications quickly and frequently. Must be able to orientate self to new applications quickly. Must be able to manage complexities of having to work in multiple applications such as IHIS, MS Office products, 3M, and all payer websites/applications.
Location:
Remote Location
Position Type:
Regular
Scheduled Hours:
40
Shift:
First Shift
Final candidates are subject to successful completion of a background check. A drug screen or physical may be required during the post offer process.
Thank you for your interest in positions at The Ohio State University and Wexner Medical Center. Once you have applied, the most updated information on the status of your application can be found by visiting the Candidate Home section of this site. Please view your submitted applications by logging in and reviewing your status. For answers to additional questions please review the frequently asked questions.
The university is an equal opportunity employer, including veterans and disability.
See all TN Visa Clinical Case Manager Jobs
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Get Access To All JobsTips for Finding TN Visa Sponsorship as a Clinical Case Manager
Align your credentials to USMCA's Social Worker category
TN visa eligibility for Clinical Case Managers requires a baccalaureate or licenciatura degree in social work. Confirm your Canadian or Mexican credential maps to this field before applying, since a nursing or psychology degree alone won't satisfy the category definition.
Target healthcare systems with established TN hiring
Hospital networks, federally qualified health centers, and behavioral health organizations regularly sponsor TN visas for case management roles. Search for postings that list USMCA or TN visa as an accepted work authorization, which signals the employer already understands the filing process.
Verify your state license transfers to the role
Some states require Licensed Clinical Social Worker credentials for case manager positions billed to Medicaid or Medicare. Confirm the employer's specific licensure expectations before the offer stage, since a TN visa won't override state-level practice requirements for clinical titles.
Use Migrate Mate to find employers actively sponsoring TN roles
Search Migrate Mate's database to identify Clinical Case Manager postings at employers with recent visa filings. Leading with employers experienced with work visa sponsorship saves time that would otherwise go toward cold outreach at organizations unfamiliar with the TN visa process.
Prepare your support letter before negotiating the offer
Your employer must issue a support letter describing your role, qualifications, and intended TN status before your border crossing or consular appointment. Drafting a detailed job description with the hiring team early prevents delays after you've already accepted the offer.
Request Canadian border processing to accelerate your start date
Canadian citizens can obtain TN status at a U.S. land port of entry or preclearance location the same day, bypassing consular appointment wait times. Bring your degree, support letter, and license documentation to avoid a secondary inspection that could delay your entry.
Clinical Case Manager TN Visa: Frequently Asked Questions
Does the Clinical Case Manager job title qualify for TN visa status?
Yes, Clinical Case Manager roles qualify under the USMCA Social Worker occupational category when the position requires a baccalaureate or licenciatura degree in social work and the duties involve direct client assessment, care coordination, or discharge planning. Titles like Care Coordinator or Case Management Specialist may also qualify if the underlying duties and degree requirement match the Social Worker definition.
How does TN visa sponsorship compare to H-1B for Clinical Case Manager roles?
TN visa sponsorship is significantly more practical for this role. H-1B visa requires employer registration, a lottery selection with no guaranteed result, and a cap-subject petition process that can take over a year. TN has no lottery, no cap for Canadian citizens, and Canadians can obtain status at the border the same day an employer issues a support letter. Mexican citizens require consular processing but still avoid the H-1B lottery entirely.
What documents does my employer need to provide for my TN application?
Your employer must provide a signed support letter on company letterhead that describes the position title, your specific duties, the qualifying degree required, your intended start date, and confirmation that the role is TN-eligible under the USMCA Social Worker category. The letter does not require government pre-approval, but it must be detailed enough to satisfy a CBP officer at the port of entry (for Canadian citizens) or a consular officer at your visa interview (for Mexican citizens).
How can I find Clinical Case Manager jobs with TN visa sponsorship?
Migrate Mate is built specifically for Canadian and Mexican professionals searching for TN-eligible positions. You can filter for Clinical Case Manager roles at employers with recent visa filings, which demonstrates they have experience navigating work visa sponsorship. Generic job boards don't filter by visa category, so you'll often spend time on roles where sponsorship isn't available.
Can I switch Clinical Case Manager employers while on TN status?
Yes, but your TN status is employer-specific and does not carry over automatically. When you change employers, you need a new TN authorization tied to the new organization. Canadian citizens can obtain this at a port of entry with a new support letter from the incoming employer. Mexican citizens must schedule a new consular appointment. You should not begin work with the new employer until the new TN is approved.