Behavioral Health Case Manager Jobs in USA with Visa Sponsorship
Behavioral health case managers are actively recruited by hospitals, community mental health centers, and managed care organizations that sponsor H-1B and EB-3 visas for qualified candidates. Most roles require a master's degree in social work, counseling, or a related field, plus licensure. For detailed occupation requirements, see the O*NET profile.
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INTRODUCTION
The Behavioral Health Case Manager III (BHCMIII) position sits in the Child and Family Care Coordination Unit which works with children and adolescents with serious behavioral health conditions and their families to help families access treatment and other services/resources that help the child/adolescent achieve success at home, school and in their community. The BHCMIII works directly with providers to monitor progress in treatment and works with community partners including child welfare, juvenile justice, schools and the Courts to help families navigate those systems. The BHCMIII works with a licensed clinician to support new staff through shadowing and other opportunities and also completes chart reviews for team members to ensure alignment with unit standards.
Essential Functions
Essential functions are fundamental, core functions common to all positions in the class series and are not intended to be an exhaustive list of all job duties for any one position in the class. Since class specifications are descriptive and not restrictive, employees can complete job duties of a similar kind not specifically listed here.
This class is distinguished from a licensed Social Worker as employees do not perform the following duties: diagnose individuals for mental, emotional, behavioral, addictive, and/or developmental disorders and disabilities; perform related client assessment or evaluation; provide psychotherapeutic treatment; or develop and implement assessment-based treatment plans. An employee in this class may participate as a member of a multi-disciplinary team to implement behavioral health services or treatment plans in accordance with Delaware Code, Title 24.
- Oversees the operation of a case management unit in a behavioral health or institutional setting by assigning, monitoring, and reviewing work of professional and paraprofessional staff, and providing on-the-job training, guidance, and direction.
- Refers or assigns cases to the appropriate unit or staff for effective service delivery. Ensures quality of services provided by staff.
- Provides consultation to staff to enable them to intervene in crisis situations or directly handles explosive situations.
- Assists in analysis of operations, making recommendations with a view to improving division/department policy and procedures.
- May maintain a caseload, providing guidance and related information to clients and families. Interviews clients, family members, or persons deemed necessary to obtain the most complete case history possible.
- Participates as a member of a multi-disciplinary team to formulate or evaluate treatment plans.
- Prepares narrative statistical and court reports, as necessary. May prepare application forms for benefits or services.
- Provides consultative services to state and private agencies and may participate in community projects.
- May supervise two or more merit full-time positions. The elements of supervision include performing the following on a regular and continuing basis: planning, assigning, reviewing, evaluating, coaching, training, disciplining, and recommending hire, termination, and promotion.
- Uses automated information systems and computer software to research, review, evaluate, and report on health/human service data.
- Communicates and interacts effectively with people across cultures, ranges of ability, genders, ethnicities, ages, and races.
- Performs other related duties as required.
JOB REQUIREMENTS for Behavioral Health Case Manager III
Applicants must have education, training and/or experience demonstrating competence in each of the following areas:
- Possession of a Bachelor's degree or higher in Behavioral or Social Science or related field.
- Three years' experience in case management which includes assessing, planning, developing, implementing, monitoring, and evaluating options and services to meet an individual's human service needs.
- Three years' experience in providing clinical treatment, counseling or determining eligibility for services or benefits as part of a treatment team.
- Six months' experience in interpreting laws, rules, regulations, standards, policies, and procedures.
- Six months' experience in narrative report writing.
Additional Posting Information
The State of Delaware recognizes the value of telework and flexible working schedules. This position is eligible for Telework and Alternative Work Schedules according to the State of Delaware’s Alternative Work Arrangement Policy. More information will be shared at the time of interview. After 6 months and based on successful work performance, this position is eligible for a remote work schedule.
Conditions of Hire
Pre-employment Drug Testing: Upon a conditional offer, you must undergo pre-employment drug testing as part of the hiring process.
Criminal background check: A satisfactory criminal background check is required as a condition of hire. The recruiting agency may require the applicant to pay for the criminal background check as part of the conditional offer of hire.
Applicants must be legally authorized to work in the United States. The State of Delaware Executive Branch participates in the Federal E-Verify system where the State will provide the federal government with each new hires Form I-9 information to confirm that you are authorized to work in the U.S. For more information refer to our job seeker resources.
All new hires are required to report to the Statewide New Employee Orientation (SNEO) on their first day of employment. Sessions are held at designated locations in Kent or New Castle County.
Benefits
To learn more about the comprehensive benefit package please visit our website at https://dhr.delaware.gov/benefits/
Selection Process
The application and supplemental questionnaire are evaluated based upon a rating of your education, training and experience as they relate to the job requirements of the position. It is essential that you provide complete and accurate information on your application and the supplemental questionnaire to include dates of employment, job title and job duties. For education and training, list name of educational provider, training course titles and summary of course content. Narrative information supplied in response to the questions must be supported by the information supplied on the application including your employment, education and training history as it relates to the job requirements.
Once you have submitted your application online, all future correspondence related to your application will be sent via email. Please keep your contact information current. You may also view all correspondence sent to you by the State of Delaware in the “My Applications” tab at StateJobs.Delaware.gov.
Accommodations
Accommodations are available for applicants with disabilities in all phases of the application and employment process. TDD users may request an auxiliary aid or service by calling (800) 232-5470 or by visiting delawarerelay.com. You may also call (302) 739-5458 or email DHR_ADAConcerns@delaware.gov for additional applicant services support.
The State of Delaware is an Equal Opportunity employer and values a diverse workforce. We strongly encourage and seek out a workforce representative of Delaware including race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression.

INTRODUCTION
The Behavioral Health Case Manager III (BHCMIII) position sits in the Child and Family Care Coordination Unit which works with children and adolescents with serious behavioral health conditions and their families to help families access treatment and other services/resources that help the child/adolescent achieve success at home, school and in their community. The BHCMIII works directly with providers to monitor progress in treatment and works with community partners including child welfare, juvenile justice, schools and the Courts to help families navigate those systems. The BHCMIII works with a licensed clinician to support new staff through shadowing and other opportunities and also completes chart reviews for team members to ensure alignment with unit standards.
Essential Functions
Essential functions are fundamental, core functions common to all positions in the class series and are not intended to be an exhaustive list of all job duties for any one position in the class. Since class specifications are descriptive and not restrictive, employees can complete job duties of a similar kind not specifically listed here.
This class is distinguished from a licensed Social Worker as employees do not perform the following duties: diagnose individuals for mental, emotional, behavioral, addictive, and/or developmental disorders and disabilities; perform related client assessment or evaluation; provide psychotherapeutic treatment; or develop and implement assessment-based treatment plans. An employee in this class may participate as a member of a multi-disciplinary team to implement behavioral health services or treatment plans in accordance with Delaware Code, Title 24.
- Oversees the operation of a case management unit in a behavioral health or institutional setting by assigning, monitoring, and reviewing work of professional and paraprofessional staff, and providing on-the-job training, guidance, and direction.
- Refers or assigns cases to the appropriate unit or staff for effective service delivery. Ensures quality of services provided by staff.
- Provides consultation to staff to enable them to intervene in crisis situations or directly handles explosive situations.
- Assists in analysis of operations, making recommendations with a view to improving division/department policy and procedures.
- May maintain a caseload, providing guidance and related information to clients and families. Interviews clients, family members, or persons deemed necessary to obtain the most complete case history possible.
- Participates as a member of a multi-disciplinary team to formulate or evaluate treatment plans.
- Prepares narrative statistical and court reports, as necessary. May prepare application forms for benefits or services.
- Provides consultative services to state and private agencies and may participate in community projects.
- May supervise two or more merit full-time positions. The elements of supervision include performing the following on a regular and continuing basis: planning, assigning, reviewing, evaluating, coaching, training, disciplining, and recommending hire, termination, and promotion.
- Uses automated information systems and computer software to research, review, evaluate, and report on health/human service data.
- Communicates and interacts effectively with people across cultures, ranges of ability, genders, ethnicities, ages, and races.
- Performs other related duties as required.
JOB REQUIREMENTS for Behavioral Health Case Manager III
Applicants must have education, training and/or experience demonstrating competence in each of the following areas:
- Possession of a Bachelor's degree or higher in Behavioral or Social Science or related field.
- Three years' experience in case management which includes assessing, planning, developing, implementing, monitoring, and evaluating options and services to meet an individual's human service needs.
- Three years' experience in providing clinical treatment, counseling or determining eligibility for services or benefits as part of a treatment team.
- Six months' experience in interpreting laws, rules, regulations, standards, policies, and procedures.
- Six months' experience in narrative report writing.
Additional Posting Information
The State of Delaware recognizes the value of telework and flexible working schedules. This position is eligible for Telework and Alternative Work Schedules according to the State of Delaware’s Alternative Work Arrangement Policy. More information will be shared at the time of interview. After 6 months and based on successful work performance, this position is eligible for a remote work schedule.
Conditions of Hire
Pre-employment Drug Testing: Upon a conditional offer, you must undergo pre-employment drug testing as part of the hiring process.
Criminal background check: A satisfactory criminal background check is required as a condition of hire. The recruiting agency may require the applicant to pay for the criminal background check as part of the conditional offer of hire.
Applicants must be legally authorized to work in the United States. The State of Delaware Executive Branch participates in the Federal E-Verify system where the State will provide the federal government with each new hires Form I-9 information to confirm that you are authorized to work in the U.S. For more information refer to our job seeker resources.
All new hires are required to report to the Statewide New Employee Orientation (SNEO) on their first day of employment. Sessions are held at designated locations in Kent or New Castle County.
Benefits
To learn more about the comprehensive benefit package please visit our website at https://dhr.delaware.gov/benefits/
Selection Process
The application and supplemental questionnaire are evaluated based upon a rating of your education, training and experience as they relate to the job requirements of the position. It is essential that you provide complete and accurate information on your application and the supplemental questionnaire to include dates of employment, job title and job duties. For education and training, list name of educational provider, training course titles and summary of course content. Narrative information supplied in response to the questions must be supported by the information supplied on the application including your employment, education and training history as it relates to the job requirements.
Once you have submitted your application online, all future correspondence related to your application will be sent via email. Please keep your contact information current. You may also view all correspondence sent to you by the State of Delaware in the “My Applications” tab at StateJobs.Delaware.gov.
Accommodations
Accommodations are available for applicants with disabilities in all phases of the application and employment process. TDD users may request an auxiliary aid or service by calling (800) 232-5470 or by visiting delawarerelay.com. You may also call (302) 739-5458 or email DHR_ADAConcerns@delaware.gov for additional applicant services support.
The State of Delaware is an Equal Opportunity employer and values a diverse workforce. We strongly encourage and seek out a workforce representative of Delaware including race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression.
How to Get Visa Sponsorship as a Behavioral Health Case Manager
Target employers with established sponsorship infrastructure
Large hospital systems and managed care organizations sponsor behavioral health case managers far more reliably than small private practices. Check for prior H-1B or PERM filings before investing time in an application at any employer.
Confirm your licensure transfers across state lines
Many behavioral health case manager roles require an LCSW, LPC, or LCMHC. Licensure requirements vary by state, and some states have lengthy endorsement processes that can delay your start date and complicate visa timing significantly.
Understand that your degree field matters as much as your degree level
H-1B specialty occupation requires a degree in a directly related field. A master's in social work or counseling strongly supports approval. A general psychology or business degree may face USCIS scrutiny depending on the role's specific duties.
Ask employers about PERM sponsorship early
Behavioral health case manager roles appear frequently in PERM labor certification filings, meaning green card sponsorship is realistic. Raise this in later-stage interviews to confirm whether the employer sponsors only H-1B or also supports permanent residence.
Prepare documentation of your clinical hours and supervision
Many case manager roles require verified supervised clinical hours for licensure. Gather transcripts, supervisor letters, and hour logs before applying. Consular officers and USCIS reviewers may request evidence linking your credentials directly to the offered position.
Factor premium processing into your timeline planning
Behavioral health case manager H-1B petitions can take three to six months under regular processing. If your OPT or current status is expiring, ask your employer upfront whether they'll pay for premium processing to reduce that window to 15 business days.
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Get Access To All JobsFrequently Asked Questions
Do behavioral health case manager roles qualify for H-1B sponsorship?
Yes, but the approval depends on how the role is written. Positions requiring a master's degree in social work, counseling, or clinical psychology as a minimum qualification generally satisfy USCIS's specialty occupation standard. Roles that accept any bachelor's degree regardless of field are harder to support. Employers should structure job postings to specify the degree field requirement clearly, and applicants should verify the posting aligns with their credentials before applying.
Which visa categories are most common for sponsored behavioral health case managers?
H-1B is the most common path for master's-level behavioral health case managers. EB-3 (skilled worker) is frequently used for PERM-based green card sponsorship in this field. Some nonprofit or government-affiliated employers qualify for H-1B cap exemption, meaning you can apply year-round without waiting for the annual lottery. To find employers actively sponsoring these positions, browse Migrate Mate, which curates verified sponsorship opportunities for international candidates.
Is a master's degree required for visa sponsorship in this role?
A master's degree in social work, clinical counseling, or a related behavioral health field is the standard credential for H-1B sponsorship in this role. Some employers accept a bachelor's degree with substantial clinical experience, but that makes establishing specialty occupation status significantly harder. USCIS looks at both the degree level and its direct relevance to the specific job duties. A clinical master's degree is the strongest foundation for a successful petition.
How competitive is the H-1B lottery for behavioral health case manager positions?
Most behavioral health case managers hold a master's degree, which places their petition in the master's cap pool. The master's cap has a higher selection rate than the regular cap because 20,000 additional slots are reserved for advanced degree holders. In recent fiscal years, master's cap selection rates have run roughly 10 to 15 percentage points higher than the regular cap rate. Nonprofit hospitals and Federally Qualified Health Centers are often cap-exempt, eliminating the lottery risk entirely.
Do state licensure requirements affect my ability to get visa sponsorship?
Licensure can directly affect your sponsorship timeline. If the offered position requires an active LCSW or LPC and you're currently completing supervised hours toward licensure, some employers will sponsor you conditionally while you finish that process. Others will not sponsor until licensure is in hand. Clarify this before accepting an offer, since a delayed license can push back your H-1B start date and create gaps in work authorization if your OPT or grace period expires in the interim.
What is the prevailing wage requirement for sponsored Behavioral Health Case Manager jobs?
U.S. employers sponsoring a visa must pay at least the prevailing wage, which is what workers in the same role, area, and experience level typically earn. The Department of Labor sets this rate to make sure companies aren't hiring foreign workers simply because they'd accept lower pay than a U.S. worker. It varies by job title, location, and experience. You can look up current prevailing wage rates for any occupation and location using the OFLC Wage Search page.
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