Clinical Case Review Jobs in USA with Visa Sponsorship
Clinical Case Review roles qualify for H-1B, O-1, and EB-2 NIW sponsorship when the position requires a clinical degree and involves complex medical judgment. Employers in hospital systems, managed care organizations, and insurance companies regularly sponsor qualified candidates for these positions. For detailed occupation requirements, see the O*NET profile.
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INTRODUCTION
Aortic stenosis impacts millions of people globally, yet it often remains under-diagnosed and under-treated. Edwards’ groundbreaking work in transcatheter aortic heart valve replacement (TAVR) pioneered an innovative, life-changing solution for patients by offering heart valve replacement without the need for open heart surgery. Our Transcatheter Heart Valve (THV) business unit continues to partner with cardiologists and clinical teams to transform patient care with devices supported by clinical evidence. It’s our driving force to help patients live longer and healthier lives. Join us and be part of our inspiring journey.
ROLE AND RESPONSIBILITIES
How you will make an impact:
- The Case Review Manager leads the patient screening analysis and evaluation of baseline medical history and clinical imaging reports (e.g EDC screening records including clinic notes, lab results, cardiology assessments, CT and/or echocardiogram reports) to confirm protocol compliance and provide patient screening and case review support to clinical trial sites for Clinical Research Trials within THV Clinical Affairs.
- Serve as a subject matter expert (SME) to ensure trial patient safety by assuring compliance with clinical protocols through screening of medical history for early feasibility and pivotal trials in accordance with regulatory requirements (FDA, IRB, EC and Other Regulatory Bodies), and with EW procedures and ethical standards.
- Lead the analysis and evaluation of baseline medical history including case report forms and source documentation (e.g medical records including clinic notes, right heart hemodynamics, medication lists, lab results, and pulmonary function tests) to confirm protocol compliance.
- Serve as subject matter expert by providing direction and guidance to execute deliverables in collaboration with study stakeholders and cross-functional teams. Provide medical insight and guidance to screening and trial management teams to expedite resolution of site requests.
- Conduct reviews and document medical narratives based upon screening/baseline source information to facilitate case reviews by study Screening Committees in accordance with regulatory requirements, trial safety processes, and EW procedures.
- Provide guidance and review medical history narratives from team members to ensure protocol compliance in accordance with screening process work instructions.
- Design training programs related to best practices for screening potential trial participants according to protocols and provide education to participating study sites.
- Provide direction to team members to improve processes within the department and delegate tasks to team members for department projects and ensure team deliverables are met within the required timeline.
- Participate and contribute to the development of clinical protocols and case report forms.
BASIC QUALIFICATIONS
What you’ll need (required):
- Bachelor's Degree in Registered Nurse, 8 years previous related experience working in a clinical setting or equivalent work experience based on Edwards criteria Required.
- Master's Degree or equivalent in Physician Assistant, Nurse Practitioner (e.g., Mid-level Practitioner), with 6 years previous related clinical experience.
- Registered Professional Nurse, Nurse Practitioner, or Physician’s Assistant Board certified RN, NP, or PA Required.
PREFERRED QUALIFICATIONS
What else we look for (preferred):
- Previous related experience working in a clinical setting or equivalent work experience based on Edwards criteria Preferred and Experience working in the setting of a clinical trial or equivalent work experience based on Edwards criteria Preferred.
- Excellent problem-solving, organizational, analytical skills.
- Strong foundation in treatment of cardiovascular disease.
- Experience with an electronic data capturing system (e.g iMedidata), image transfer systems (e.g Bio Clinica) and CTMS (Clinical Trial Management System) preferred.
- Working knowledge of the principals of clinical research including Good Clinical Practice (GCP).
- Moderate knowledge and understanding of Edwards policies, procedures, and international and domestic medical device regulatory guidelines relevant to clinical studies skills including consultative and relationship management skills.
- Excellent problem-solving and critical thinking skills.
- Moderate understanding of pre-clinical testing protocols, hospital environments and sterile techniques.
- Moderate understanding of biostatistics including principals of trial design, study hypothesis, and importance of clinical trial endpoints.
- Ability to work in a team environment, including inter-departmental teams and key contact representing the organization on contracts or projects.
- Ability to interact with senior internal and external personnel on significant matters often requiring coordination between organizations.
- Adhere to all company rules and requirements (e.g., pandemic protocols, Environmental Health & Safety rules) and take adequate control measures in preventing injuries to themselves and others as well as to the protection of environment and prevention of pollution under their span of influence/control.
Edwards is an Equal Opportunity/Affirmative Action employer including protected Veterans and individuals with disabilities.
COVID Vaccination Requirement
Edwards is committed to protecting our vulnerable patients and the healthcare providers who are treating them. As such, all patient-facing and in-hospital positions require COVID-19 vaccination. If hired into a covered role, as a condition of employment, you will be required to submit proof that you have been vaccinated for COVID-19, unless you request and are granted a medical or religious accommodation for exemption from the vaccination requirement. This vaccination requirement does not apply in locations where it is prohibited by law to impose vaccination.

INTRODUCTION
Aortic stenosis impacts millions of people globally, yet it often remains under-diagnosed and under-treated. Edwards’ groundbreaking work in transcatheter aortic heart valve replacement (TAVR) pioneered an innovative, life-changing solution for patients by offering heart valve replacement without the need for open heart surgery. Our Transcatheter Heart Valve (THV) business unit continues to partner with cardiologists and clinical teams to transform patient care with devices supported by clinical evidence. It’s our driving force to help patients live longer and healthier lives. Join us and be part of our inspiring journey.
ROLE AND RESPONSIBILITIES
How you will make an impact:
- The Case Review Manager leads the patient screening analysis and evaluation of baseline medical history and clinical imaging reports (e.g EDC screening records including clinic notes, lab results, cardiology assessments, CT and/or echocardiogram reports) to confirm protocol compliance and provide patient screening and case review support to clinical trial sites for Clinical Research Trials within THV Clinical Affairs.
- Serve as a subject matter expert (SME) to ensure trial patient safety by assuring compliance with clinical protocols through screening of medical history for early feasibility and pivotal trials in accordance with regulatory requirements (FDA, IRB, EC and Other Regulatory Bodies), and with EW procedures and ethical standards.
- Lead the analysis and evaluation of baseline medical history including case report forms and source documentation (e.g medical records including clinic notes, right heart hemodynamics, medication lists, lab results, and pulmonary function tests) to confirm protocol compliance.
- Serve as subject matter expert by providing direction and guidance to execute deliverables in collaboration with study stakeholders and cross-functional teams. Provide medical insight and guidance to screening and trial management teams to expedite resolution of site requests.
- Conduct reviews and document medical narratives based upon screening/baseline source information to facilitate case reviews by study Screening Committees in accordance with regulatory requirements, trial safety processes, and EW procedures.
- Provide guidance and review medical history narratives from team members to ensure protocol compliance in accordance with screening process work instructions.
- Design training programs related to best practices for screening potential trial participants according to protocols and provide education to participating study sites.
- Provide direction to team members to improve processes within the department and delegate tasks to team members for department projects and ensure team deliverables are met within the required timeline.
- Participate and contribute to the development of clinical protocols and case report forms.
BASIC QUALIFICATIONS
What you’ll need (required):
- Bachelor's Degree in Registered Nurse, 8 years previous related experience working in a clinical setting or equivalent work experience based on Edwards criteria Required.
- Master's Degree or equivalent in Physician Assistant, Nurse Practitioner (e.g., Mid-level Practitioner), with 6 years previous related clinical experience.
- Registered Professional Nurse, Nurse Practitioner, or Physician’s Assistant Board certified RN, NP, or PA Required.
PREFERRED QUALIFICATIONS
What else we look for (preferred):
- Previous related experience working in a clinical setting or equivalent work experience based on Edwards criteria Preferred and Experience working in the setting of a clinical trial or equivalent work experience based on Edwards criteria Preferred.
- Excellent problem-solving, organizational, analytical skills.
- Strong foundation in treatment of cardiovascular disease.
- Experience with an electronic data capturing system (e.g iMedidata), image transfer systems (e.g Bio Clinica) and CTMS (Clinical Trial Management System) preferred.
- Working knowledge of the principals of clinical research including Good Clinical Practice (GCP).
- Moderate knowledge and understanding of Edwards policies, procedures, and international and domestic medical device regulatory guidelines relevant to clinical studies skills including consultative and relationship management skills.
- Excellent problem-solving and critical thinking skills.
- Moderate understanding of pre-clinical testing protocols, hospital environments and sterile techniques.
- Moderate understanding of biostatistics including principals of trial design, study hypothesis, and importance of clinical trial endpoints.
- Ability to work in a team environment, including inter-departmental teams and key contact representing the organization on contracts or projects.
- Ability to interact with senior internal and external personnel on significant matters often requiring coordination between organizations.
- Adhere to all company rules and requirements (e.g., pandemic protocols, Environmental Health & Safety rules) and take adequate control measures in preventing injuries to themselves and others as well as to the protection of environment and prevention of pollution under their span of influence/control.
Edwards is an Equal Opportunity/Affirmative Action employer including protected Veterans and individuals with disabilities.
COVID Vaccination Requirement
Edwards is committed to protecting our vulnerable patients and the healthcare providers who are treating them. As such, all patient-facing and in-hospital positions require COVID-19 vaccination. If hired into a covered role, as a condition of employment, you will be required to submit proof that you have been vaccinated for COVID-19, unless you request and are granted a medical or religious accommodation for exemption from the vaccination requirement. This vaccination requirement does not apply in locations where it is prohibited by law to impose vaccination.
How to Get Visa Sponsorship in Clinical Case Review
Clarify the degree requirement upfront
Clinical Case Review roles that require an RN, MD, or clinical master's degree qualify as specialty occupations under H-1B standards. Confirm the job posting specifies a required degree in a clinical field before applying, not just a preferred one.
Target managed care and insurance employers
Hospital systems, managed care organizations, and large health insurers have established H-1B sponsorship infrastructure. These employers file LCAs and I-129 petitions regularly, making them far more likely to sponsor than smaller clinical practices or outpatient clinics.
Understand how your clinical credential maps to visa eligibility
An RN license alone may not satisfy specialty occupation requirements for every Case Review role. Roles requiring a BSN or higher, combined with clinical review protocols, strengthen your H-1B petition and reduce the risk of a Request for Evidence.
Highlight independent clinical judgment in your resume
USCIS evaluates whether the role requires theoretical and practical application of specialized knowledge. Frame your experience around complex case analysis, utilization review decisions, and clinical criteria application rather than administrative coordination tasks.
Ask about cap-exempt sponsorship if you qualify
If you currently work or have worked at a nonprofit hospital, university health system, or government research institution, you may qualify for cap-exempt H-1B filing, bypassing the lottery and allowing year-round petition submission with faster processing.
Consider the EB-2 NIW pathway if you have advanced credentials
Clinical Case Reviewers with an MD, PhD, or clinical master's and a track record of improving population health outcomes may qualify for the EB-2 National Interest Waiver, which eliminates the PERM labor certification requirement and allows self-petition without employer involvement.
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Get Access To All JobsFrequently Asked Questions
Does Clinical Case Review qualify as a specialty occupation for H-1B purposes?
Yes, when the role requires a bachelor's degree or higher in a specific clinical field such as nursing, social work, or medicine. Positions requiring a BSN, MSW, or MD to perform utilization review and clinical criteria evaluation consistently meet USCIS specialty occupation standards. Roles where any general degree satisfies the requirement are harder to sponsor under H-1B.
Which visa categories are most common for Clinical Case Review sponsorship?
H-1B is the most common pathway, particularly for RNs and clinicians with a bachelor's degree or higher in a specific field. O-1A is an option for reviewers with published research or national recognition in clinical quality. EB-2 NIW suits candidates with advanced degrees who can demonstrate their work benefits U.S. healthcare at a national level. Browse open Clinical Case Review roles on Migrate Mate to see which employers are actively sponsoring.
Do employers typically sponsor Clinical Case Review roles, or is it uncommon?
Sponsorship is moderately common in this field, but concentrated among large employers. National health insurers, Blue Cross Blue Shield affiliates, large hospital networks, and managed care organizations have the legal infrastructure and volume to justify sponsorship costs. Smaller regional plans and outpatient practices rarely sponsor. Filtering by employer type before applying saves time.
Can an RN license substitute for a bachelor's degree in an H-1B petition for this role?
Not on its own. USCIS requires a U.S. bachelor's degree or its equivalent in a specific specialty, not just a professional license. However, an RN license combined with a BSN satisfies the degree requirement. If you hold a foreign nursing diploma without a bachelor's degree equivalent, a credential evaluation may help establish equivalency through a combination of education and experience under the three-for-one rule.
What approval rates look like for Clinical Case Review H-1B petitions?
Healthcare specialty occupations, including clinical review roles, have historically faced higher RFE rates than IT or engineering fields because USCIS scrutinizes whether the position genuinely requires a degree in a specific specialty. Employers with strong legal representation and detailed job descriptions linking the role to specialized clinical knowledge see better outcomes. Petitions that clearly distinguish the role from general medical administration or nursing coordinator positions perform better.
What is the prevailing wage requirement for sponsored Clinical Case Review 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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