Clinical Case Manager Jobs in USA with Visa Sponsorship
Clinical Case Managers are consistently sponsored on H-1B visa and EB-3 visas by hospitals, managed care organizations, and community health systems. Most roles require a BSN or MSW plus licensure, and employers routinely file LCAs to meet prevailing wage requirements for this position. For detailed occupation requirements, see the O*NET profile.
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Get Access To All JobsJob Title:
Clinical Financial Case Mgr - 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.
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.
FUNCTION: Finance
SUB FUNCTION: Clinical Financial Case Management RN
CAREER BAND: Individual Contributor - Specialized
CAREER LEVEL: 2
Additional Information:
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 Financial Case Mgr - 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.
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.
FUNCTION: Finance
SUB FUNCTION: Clinical Financial Case Management RN
CAREER BAND: Individual Contributor - Specialized
CAREER LEVEL: 2
Additional Information:
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.
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Get Access To All JobsTips for Finding Visa Sponsorship as a Clinical Case Manager
Target employers with established sponsorship infrastructure
Large hospital systems, managed care organizations, and federally qualified health centers sponsor Clinical Case Managers far more reliably than small private practices, which rarely have immigration counsel on retainer or experience navigating LCA and H-1B filings.
Confirm your license transfers to the target state
H-1B approval for this role depends partly on holding a valid state license. If you're relocating, verify reciprocity timelines before your employer files. Some states take three to six months to issue a new RN or LCSW credential.
Know which credential your employer needs
Employers may require an RN with case management experience, a licensed clinical social worker, or both. The degree and licensure combination determines which specialty occupation standard applies and how your employer structures the petition.
Get your credentials evaluated early
If your nursing or social work degree is from outside the U.S., obtain a credential evaluation from an approved agency before applying. USCIS scrutinizes foreign degree equivalency closely for clinical roles, and delays here stall the entire petition.
Ask about EB-3 sponsorship during the offer stage
Clinical Case Managers qualify for EB-3 permanent residence sponsorship. Larger health systems sometimes initiate PERM alongside the H-1B. Raising this early signals long-term intent and helps you understand the employer's immigration commitment before accepting.
Use Migrate Mate to find verified sponsoring employers
Not every job listing discloses sponsorship availability. Migrate Mate filters specifically for employers who have sponsored this role before, saving you from applying to positions where sponsorship was never on the table to begin with.
Frequently Asked Questions
Does the Clinical Case Manager role qualify as a specialty occupation for H-1B purposes?
Yes, in most cases. USCIS generally accepts Clinical Case Manager as a specialty occupation when the role requires a bachelor's degree or higher in nursing, social work, or a directly related clinical field. Roles requiring only general healthcare experience without a specific degree requirement can face additional scrutiny. Your employer's attorney should document the degree requirement clearly in the petition.
Which visa types are most commonly used to sponsor Clinical Case Managers?
H-1B visa is the most common nonimmigrant option. Employers file a Labor Condition Application with the Department of Labor, then petition USCIS. For permanent residence, EB-3 is the standard pathway and requires PERM labor certification. Some clinical nonprofits and government health programs also qualify for cap-exempt H-1B filings, which bypass the annual lottery entirely.
What degree and licensure do I need for a sponsored Clinical Case Manager role?
Most sponsored positions require either a BSN with active RN licensure or a Master of Social Work with LCSW or LMSW licensure, depending on the employer's clinical model. A few roles accept a bachelor's in health administration or a related field if paired with substantial case management experience, but nursing- and social work-based credentials are the most straightforward for petition purposes.
How can I find Clinical Case Manager jobs that offer visa sponsorship?
Migrate Mate is the most direct way to find Clinical Case Manager roles where employers have an active sponsorship history. Standard job boards rarely surface this information reliably, and many listings are ambiguous about immigration support. Filtering for verified sponsoring employers from the start avoids wasted applications to organizations without the infrastructure to file.
Can a Clinical Case Manager on H-1B switch employers if they receive a better offer?
Yes. H-1B portability allows you to start working for a new employer as soon as the new employer files an H-1B transfer petition, without waiting for approval, as long as your current H-1B is valid and in good standing. The new employer must file their own LCA and I-129 petition. Your case management license may also need to be transferred to the new state if the role is in a different location.
What is the prevailing wage requirement for sponsored Clinical 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.