TN Visa Utilization Review Nurse Jobs
Utilization Review Nurse roles qualify for TN visa sponsorship under USMCA's registered nurse category, giving Canadian and Mexican RNs a direct path to U.S. employment without a lottery. Employers filing a TN petition need your active U.S. state nursing license, a job offer letter, and proof of Canadian or Mexican citizenship.
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Get Access To All JobsINTRODUCTION
Your future role at a glance:
Location: Remote
Facility: Ascension Network Services
Department: Utilization Management
Schedule: Days | Full-Time
Salary range: $78,561.60 - $110,905.60 per year (Texas) | Pay ranges vary based on candidate geographic location
ROLE AND RESPONSIBILITIES
How you'll make an impact in this role:
- Provide healthcare services related to admissions, case management, discharge planning, and utilization review.
- Review admissions and service requests for medical necessity, reimbursement compliance, and utilization management criteria.
- Support complex case management and assist staff with coding, documentation, precertification, reimbursement, and denial/appeal issues.
- Coordinate discharge planning needs with patients, providers, and interdisciplinary healthcare teams.
- Ensure compliance with federal regulations and third-party payer utilization management requirements while preparing reports and statistical analyses as needed.
BASIC QUALIFICATIONS
What minimum qualifications you'll need:
Licensure / Certification / Registration: Licensed Registered Nurse credentialed from the Texas Board of Nursing or current home state license for multi-state license recognition "Compact State" obtained prior to hire date or job transfer date required.
Education: Diploma from an accredited school/college of nursing OR Required professional licensure at time of hire.
LIFE AT ASCENSION
Where purpose meets opportunity:
Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 97,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you’ll find an inclusive and supportive environment where your contributions truly matter.
EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER
Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.
FRAUD PREVENTION NOTICE
Prospective applicants should be vigilant against fraudulent job offers and interview requests. Scammers may use sophisticated tactics to impersonate Ascension employees. To ensure your safety, please remember: Ascension will never ask for payment or to provide banking or financial information as part of the job application or hiring process. Our legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system.
E-VERIFY STATEMENT
Employer does not participate in E-Verify and therefore cannot employ STEM OPT candidates.
BENEFITS
- Paid time off (PTO)
- Various health insurance options & wellness plans
- Retirement benefits including employer match plans
- Long-term & short-term disability
- Employee assistance programs (EAP)
- Parental leave & adoption assistance
- Tuition reimbursement
- Ways to give back to your community
Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance, location and salary range at the time of the offer.
INTRODUCTION
Your future role at a glance:
Location: Remote
Facility: Ascension Network Services
Department: Utilization Management
Schedule: Days | Full-Time
Salary range: $78,561.60 - $110,905.60 per year (Texas) | Pay ranges vary based on candidate geographic location
ROLE AND RESPONSIBILITIES
How you'll make an impact in this role:
- Provide healthcare services related to admissions, case management, discharge planning, and utilization review.
- Review admissions and service requests for medical necessity, reimbursement compliance, and utilization management criteria.
- Support complex case management and assist staff with coding, documentation, precertification, reimbursement, and denial/appeal issues.
- Coordinate discharge planning needs with patients, providers, and interdisciplinary healthcare teams.
- Ensure compliance with federal regulations and third-party payer utilization management requirements while preparing reports and statistical analyses as needed.
BASIC QUALIFICATIONS
What minimum qualifications you'll need:
Licensure / Certification / Registration: Licensed Registered Nurse credentialed from the Texas Board of Nursing or current home state license for multi-state license recognition "Compact State" obtained prior to hire date or job transfer date required.
Education: Diploma from an accredited school/college of nursing OR Required professional licensure at time of hire.
LIFE AT ASCENSION
Where purpose meets opportunity:
Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 97,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you’ll find an inclusive and supportive environment where your contributions truly matter.
EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER
Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.
FRAUD PREVENTION NOTICE
Prospective applicants should be vigilant against fraudulent job offers and interview requests. Scammers may use sophisticated tactics to impersonate Ascension employees. To ensure your safety, please remember: Ascension will never ask for payment or to provide banking or financial information as part of the job application or hiring process. Our legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system.
E-VERIFY STATEMENT
Employer does not participate in E-Verify and therefore cannot employ STEM OPT candidates.
BENEFITS
- Paid time off (PTO)
- Various health insurance options & wellness plans
- Retirement benefits including employer match plans
- Long-term & short-term disability
- Employee assistance programs (EAP)
- Parental leave & adoption assistance
- Tuition reimbursement
- Ways to give back to your community
Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance, location and salary range at the time of the offer.
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Get Access To All JobsTips for Finding TN Visa Sponsorship as an Utilization Review Nurse
Secure your U.S. state nursing license first
TN visa sponsorship for nurses requires an active license in the state where you'll work, not just NCLEX passage. Start the endorsement process early since state boards can take six to twelve weeks to process applications from Canadian or Mexican RNs.
Target health systems with UR departments
Utilization Review roles at hospital networks, managed care organizations, and third-party payers are more likely to have dedicated HR teams familiar with TN visa paperwork. Focus your search on employers who already have clinical staff on work visas.
Use Migrate Mate to find TN-ready employers
Filtering for employers experienced with visa sponsorship saves significant time. Migrate Mate surfaces employers with recent visa filings by role type, so you're not cold-applying to organizations without sponsorship infrastructure. These employers have demonstrated experience navigating work visa processes, which often correlates with willingness to support TN candidates who meet the role requirements.
Clarify the offer letter's job duties section
CBP officers at the port of entry review your offer letter to confirm the role matches the registered nurse TN category. Make sure the letter explicitly describes clinical functions like concurrent review, prior authorization, and discharge planning, not just the job title.
Understand how Mexican applicants differ from Canadians
Mexican nationals must apply at a U.S. consulate in Mexico rather than at a port of entry. Processing time runs several weeks, so align your start date with your employer accordingly and confirm that the consulate accepts your specific state nursing license.
Confirm CGFNS or equivalency requirements upfront
Some U.S. state boards require internationally educated nurses to complete a CGFNS credentials evaluation before issuing a license. If you trained in Canada or Mexico, verify whether your state requires this step before you begin the sponsorship process.
Utilization Review Nurse TN Visa: Frequently Asked Questions
Does a Utilization Review Nurse role qualify for TN visa status?
Yes. Utilization Review Nurses qualify under the registered nurse category in USMCA's TN visa occupational list. The role must involve clinical nursing judgment, such as prior authorization review, concurrent inpatient review, or discharge planning. Administrative nurse roles that lack direct clinical review functions may face additional scrutiny at the port of entry or consulate.
How does TN visa sponsorship for nurses compare to H-1B?
TN is generally faster and more predictable for Utilization Review Nurses. There is no lottery, no annual cap for Canadians, and no I-129 petition required for Canadian applicants who apply at the port of entry. H-1B visa requires employer sponsorship months in advance, carries lottery risk, and typically involves significantly more filing complexity and cost for both parties.
What documents does my employer need to sponsor my TN visa?
Your employer needs to provide a detailed offer letter on company letterhead that states your job title, duties, salary, and the fact that you hold a qualifying nursing degree. You are responsible for bringing your valid Canadian or Mexican passport, your active U.S. state nursing license, and your nursing degree credentials. Mexican nationals also need a valid visa appointment at a U.S. consulate.
Where can I find Utilization Review Nurse jobs with TN visa sponsorship?
Migrate Mate is built specifically for Canadian and Mexican professionals seeking TN visa sponsorship. The platform filters roles by visa type and employer sponsorship history, so you can identify health systems and managed care organizations that have already sponsored TN nurses rather than starting your search from scratch with employers who may be unfamiliar with the process.
Can I renew my TN status if I stay in a Utilization Review Nurse role long-term?
Yes. TN status can be renewed in three-year increments with no limit on the number of renewals, as long as you maintain a valid job offer in a qualifying registered nurse role and continue to hold an active U.S. state nursing license. Canadian nurses can renew at the port of entry or through USCIS by filing Form I-129. Mexican nationals must renew through a U.S. consulate.