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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Get Access To All JobsAs a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.
Job Location (Full Address):
601 Elmwood Ave, Rochester, New York, United States of America, 14642
Opening:
Worker Subtype: Regular
Time Type: Full time
Scheduled Weekly Hours: 40
Department: 500009 Utilization Management
Work Shift: UR - Day (United States of America)
Range: UR URCD 215
Compensation Range: $81,307.00 - $109,761.00
The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.
Responsibilities:
Works collaboratively with various departments across the entire health care system to review clinical documentation, utilizing evidence based criteria to support medical necessity and appropriate level of patient care for services provided. Reports outcome trends and patterns to UM leadership to help identify educational opportunities and performance improvement initiatives across the health care continuum. Adapts to process changes and assists with education efforts that support ongoing improvement.
ESSENTIAL FUNCTIONS
- Determines level of care per regulatory requirements. Provides level of care notifications to patients and families as needed.
- Works collaboratively with payers to ensure authorization for dates of service. Collaborates with HIM, providers, Financial Counseling and Patient Financial Services. Monitors all UM hold bills and unplanned readmission reports.
- Conducts initial and concurrent reviews, utilizing evidence based criteria through Interqual. Supports discharge appeal process. Responsible for departmental denials and appeal activity.
- Documents according to regulatory guidelines and UM RN workflow protocols. Conducts clinical documentation improvement efforts through query process.
- Meets productivity expectations established by UM department.
- Provides and supports ongoing educational needs for all UM customers.
- Other duties as assigned.
MINIMUM EDUCATION & EXPERIENCE
- Associate's degree in Nursing and 3 years of acute hospital experience required
- Bachelor's degree in Nursing (BSN) preferred
- Or equivalent combination of education and experience
- Utilization Management experience preferred
KNOWLEDGE, SKILLS AND ABILITIES
Database experience including: Interqual, Sharepoint, eRecord, ePARC, Cobius preferred
LICENSES AND CERTIFICATIONS
- RN - Registered Nurse - State Licensure and/or Compact State Licensure NYS Registered Nurse license upon hire required
The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University’s Mission to Learn, Discover, Heal, Create – and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.
As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.
Job Location (Full Address):
601 Elmwood Ave, Rochester, New York, United States of America, 14642
Opening:
Worker Subtype: Regular
Time Type: Full time
Scheduled Weekly Hours: 40
Department: 500009 Utilization Management
Work Shift: UR - Day (United States of America)
Range: UR URCD 215
Compensation Range: $81,307.00 - $109,761.00
The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.
Responsibilities:
Works collaboratively with various departments across the entire health care system to review clinical documentation, utilizing evidence based criteria to support medical necessity and appropriate level of patient care for services provided. Reports outcome trends and patterns to UM leadership to help identify educational opportunities and performance improvement initiatives across the health care continuum. Adapts to process changes and assists with education efforts that support ongoing improvement.
ESSENTIAL FUNCTIONS
- Determines level of care per regulatory requirements. Provides level of care notifications to patients and families as needed.
- Works collaboratively with payers to ensure authorization for dates of service. Collaborates with HIM, providers, Financial Counseling and Patient Financial Services. Monitors all UM hold bills and unplanned readmission reports.
- Conducts initial and concurrent reviews, utilizing evidence based criteria through Interqual. Supports discharge appeal process. Responsible for departmental denials and appeal activity.
- Documents according to regulatory guidelines and UM RN workflow protocols. Conducts clinical documentation improvement efforts through query process.
- Meets productivity expectations established by UM department.
- Provides and supports ongoing educational needs for all UM customers.
- Other duties as assigned.
MINIMUM EDUCATION & EXPERIENCE
- Associate's degree in Nursing and 3 years of acute hospital experience required
- Bachelor's degree in Nursing (BSN) preferred
- Or equivalent combination of education and experience
- Utilization Management experience preferred
KNOWLEDGE, SKILLS AND ABILITIES
Database experience including: Interqual, Sharepoint, eRecord, ePARC, Cobius preferred
LICENSES AND CERTIFICATIONS
- RN - Registered Nurse - State Licensure and/or Compact State Licensure NYS Registered Nurse license upon hire required
The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University’s Mission to Learn, Discover, Heal, Create – and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.
See all 40+ TN Visa Utilization Management Nurse Jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new TN Visa Utilization Management Nurse Jobs.
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.