TN Visa Utilization Management Nurse Jobs
Utilization Management Nurse roles qualify for TN visa sponsorship under the USMCA treaty's Registered Nurse category, giving Canadian and Mexican RNs a cap-free path to U.S. employment. You'll need an active U.S. state nursing license and a sponsoring employer to document the UM role as direct nursing practice.
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By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.
Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies
Certified as a Great Place to Work®
Fortune Best Workplaces in Financial Services & Insurance
RN Utilization Review
As a nurse at Sedgwick, you can build a meaningful and rewarding career while advocating for patients in a nontraditional clinical setting. Apply your RN clinical knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness or injury.
- Work in the best of both worlds - a rewarding career making an impact on the health and well-being of others in a remote work environment.
- Enjoy flexibility and autonomy in your daily work and your career path while advocating for the most effective and efficient medical treatment for injured employees in a non-traditional setting.
- Enable our Caring Counts® mission of supporting injured employees from some of the world’s best brands and organizations.
- Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
- Celebrate your career achievements and each other through professional development opportunities, continuing education credits, team building initiatives and more.
- Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.
PRIMARY PURPOSE: To provide timely, evidence-based utilization review services to maximize quality care and cost-effective outcomes.
ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work.
ESSENTIAL RESPONSIBILITIES MAY INCLUDE:
- Performs clinical assessments via information in medical files; assesses injured employee’s situation which may include psychosocial needs.
- Evaluates patient condition including treatment utilization and compliance. Evaluates need for and recommends alternative treatment.
- Collaborate effectively with physicians, claims examiners, clients, vendors, supervisors and other parties as needed.
- Negotiates appropriate level and intensity of care through use of medical and disability guidelines, adhering to quality assurance standards.
- Acts as a resource in consulting with the client, nursing staff and claims examiners regarding treatment issues.
- Performs treatment utilization management reviews.
- Maintains client's privacy and confidentiality; promotes client safety and advocacy; and adheres to ethical, legal, accreditation and regulatory standards.
EDUCATION AND LICENSING:
- Active unrestricted RN license in a state or territory of the United States required. Compact licensure preferred. Bachelor's degree in nursing (BSN) from an accredited college or university or equivalent work experience preferred. Certification in case management, pharmacy, rehabilitation nursing or a related specialty is highly preferred. Two (2) years of direct clinical experience as an RN is required.
TAKING CARE OF YOU:
- Seeks innovative customer solutions.
- Craves cutting edge opportunities.
- Wants dynamic company culture.
- Passion about creativity.
- Seeks ongoing learning as a person and professional.
- Thrives when solving challenging problems.
- Wants achievements to be celebrated.
- We offer a diverse and comprehensive benefits including medical, dental vision, 401K, PTO and more beginning your first day.
NEXT STEPS
If your application is selected to advance to the next round, a recruiter will be in touch.
nurse
Work environment requirements may include:
Physical: Computer keyboarding
Auditory/visual: Hearing, vision and talking
Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines
As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $63,000-$65,000/year. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.
The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.
See all 47+ TN Visa Utilization Management Nurse Jobs
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Get Access To All JobsTips for Finding TN Visa Sponsorship as an Utilization Management Nurse
Verify your nursing license transfers correctly
UM Nurse roles require an active U.S. state RN license, not just a Canadian or Mexican one. Start the NCLEX and endorsement process early, state boards vary on processing time, and you can't file a TN visa petition without a valid U.S. license in hand.
Frame your UM experience as clinical nursing
CBP officers assess whether your role constitutes registered nursing under TN criteria. Emphasize direct clinical decision-making in medical necessity reviews, not administrative or supervisory duties, so your offer letter and support documents clearly satisfy the nursing occupation requirement.
Target health plans and hospital systems with UM departments
Seek employers who already have internal UM teams, such as large hospital networks, integrated health systems, and managed care organizations. These employers understand how to structure a TN support letter for clinical roles and are less likely to conflate UM work with non-qualifying administrative functions.
Use Migrate Mate to find TN-sponsoring UM employers
Search for Utilization Management Nurse positions through Migrate Mate, which filters specifically for TN visa sponsorship opportunities. It saves time identifying which employers have experience sponsoring Canadian and Mexican nurses for U.S. clinical roles.
Understand the Mexican TN cap before accepting an offer
Mexican nationals are subject to a 5,500 annual TN allocation. Confirm with your employer that they initiate USCIS filing well before the fiscal year fills. Canadian citizens can obtain TN status directly at the port of entry, so your entry strategy differs significantly based on citizenship.
Request a detailed employer support letter covering clinical duties
Your offer letter must specify that the position requires registered nursing skills, list your clinical UM responsibilities such as concurrent review and discharge planning authorization, and state your professional credentials. A vague letter citing only cost management or administrative oversight is the most common reason CBP pushes back on UM TN petitions.
Utilization Management Nurse TN Visa: Frequently Asked Questions
Does a Utilization Management Nurse role qualify for TN visa status?
Yes, but the role must be structured as registered nursing practice under USMCA criteria. CBP evaluates whether the position requires clinical nursing judgment, such as conducting medical necessity reviews or authorizing care transitions. Roles framed primarily around administrative coordination or cost oversight without direct clinical decision-making are at higher risk of denial at the port of entry.
How does TN compare to H-1B for Utilization Management Nurses?
TN has no annual lottery and no numerical cap for Canadian citizens, meaning you can pursue a U.S. position without waiting years for a visa slot. H-1B visa requires employer sponsorship through a randomized lottery each spring, with most applicants waiting multiple cycles before selection. TN also processes faster, either at the port of entry for Canadians or through USCIS for Mexican nationals, often in weeks rather than months.
What documents does a UM Nurse need to support a TN petition?
You need a detailed employer offer letter specifying clinical nursing duties, your active U.S. state RN license, proof of Canadian or Mexican citizenship, and your nursing degree or diploma. Some employers also include a USMCA TN support memo from their immigration counsel. CBP at the border or USCIS for Mexican nationals will review all of these before approving status.
Where can I find employers offering TN visa sponsorship for UM Nurse roles?
Migrate Mate is built specifically for Canadian and Mexican professionals searching for TN visa sponsorship opportunities in the United States. You can filter for Utilization Management Nurse roles where the employer has indicated TN sponsorship, which removes the guesswork of cold-applying to companies unfamiliar with the USMCA treaty process.
Can a Mexican RN renew TN status for a Utilization Management Nurse position?
Yes, TN status is renewable in three-year increments with no maximum limit on renewals, for both Canadian and Mexican nationals. Mexican RNs renew through USCIS by filing a new petition before the current status expires. Canadians can renew at a port of entry. You'll need updated employer documentation and a valid U.S. nursing license at each renewal cycle.