Clinical Operations Director Jobs in USA with Visa Sponsorship
Clinical Operations Directors oversee trial execution, site management, and regulatory compliance across drug development programs. Employers sponsor H-1B visa and O-1 visas for this role regularly. A graduate degree in a life sciences or clinical field strengthens both your candidacy and your visa petition substantially. For detailed occupation requirements, see the O*NET profile.
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Get Access To All JobsDirector Clinical Operations
Location: Renton, WA
Position: Hospice Director of Clinical Operations Registered Nurse
Job ID: 2026-90724
Remote/Virtual Position: No
Coverage Area: King County, WA
Salary: $140k - $170k / year
Schedule: M-F / Limited On call support as needed
Competitive Health Benefits
Generous PTO, Matching 401k
Mileage Reimbursement
WA RN License Required
Compensation Based on Experience
Caring for others is more than what you do — it’s who you are. At AccentCare, you’ll join a purpose-driven, collaborative culture that sets the standard for excellence and gives you the trust and tools to do your best work. You’ll belong to a team that cares deeply for patients and each other; a team committed to consistently providing exceptional care. We’re proud to be named one of America’s Greatest Workplaces 2025 by Newsweek — a reflection of our shared commitment to excellence, integrity and compassion as we shape the future of aging in place. When you thrive, so does the community of care we’re building together.
BASIC QUALIFICATIONS
If you meet these qualifications, we would love to meet you:
- Bachelor’s degree or commensurate work experience accepted
- 5 years of home based care experience preferred
- Role may require travel up to 80% of business days in supported territory
- Comprehensive knowledge of theories, concepts and practices and ability to use in complex, difficult and/or unprecedented situations
- Licensed to practice as a registered nurse in the state of agency operation
- Must be a licensed driver who can travel to all business locations
Responsibilities
As a Director of Clinical Operations, you will:
- Supervise all direct patient/family care team members, including nurses, Supportive Care, home health aides and counselors, in collaboration with Site Leadership.
- Be responsible for oversight of and/or scheduling, payroll and other administrative duties.
- Assure that all initial assessments and required reassessments are conducted by qualified team members within required time frames, including documentation completion, submission and/or synchronization.
- Ensure that all patient/family services comply with federal, state(s) and local regulatory requirements and with accepted professional standards.
- Ensure protocols are utilized to guide operations and promote adherence to regulatory and internal process requirements.
- Monitor expenses related to patient/family services to ensure budgetary compliance in collaboration with IDG and Site Leadership.
- Serve as a resource person and liaison for the Social Worker, Volunteer, Music Therapy and Bereavement Departments.
OUR BENEFITS INCLUDE:
- Medical, dental and vision coverage
- Paid time off and paid holidays
- Professional development opportunities
- Company-matching 401(k)
- Flexible spending and health savings accounts
- Wellness offerings such as an employee assistance program, pet insurance and access to Calm, a meditation, sleep and relaxation app
- Programs to celebrate achievements, milestones and fellow employees
- Company store credit for your first AccentCare-branded scrubs for patient-facing employees
- And more!
Come As You Are
At AccentCare, you’re part of a community that cares — for patients and each other. You can rest assured we offer equal employment opportunities regardless of race, ethnicity, sex, sexual orientation, gender identity, religion, national origin, age or disability.
Director Clinical Operations
Location: Renton, WA
Position: Hospice Director of Clinical Operations Registered Nurse
Job ID: 2026-90724
Remote/Virtual Position: No
Coverage Area: King County, WA
Salary: $140k - $170k / year
Schedule: M-F / Limited On call support as needed
Competitive Health Benefits
Generous PTO, Matching 401k
Mileage Reimbursement
WA RN License Required
Compensation Based on Experience
Caring for others is more than what you do — it’s who you are. At AccentCare, you’ll join a purpose-driven, collaborative culture that sets the standard for excellence and gives you the trust and tools to do your best work. You’ll belong to a team that cares deeply for patients and each other; a team committed to consistently providing exceptional care. We’re proud to be named one of America’s Greatest Workplaces 2025 by Newsweek — a reflection of our shared commitment to excellence, integrity and compassion as we shape the future of aging in place. When you thrive, so does the community of care we’re building together.
BASIC QUALIFICATIONS
If you meet these qualifications, we would love to meet you:
- Bachelor’s degree or commensurate work experience accepted
- 5 years of home based care experience preferred
- Role may require travel up to 80% of business days in supported territory
- Comprehensive knowledge of theories, concepts and practices and ability to use in complex, difficult and/or unprecedented situations
- Licensed to practice as a registered nurse in the state of agency operation
- Must be a licensed driver who can travel to all business locations
Responsibilities
As a Director of Clinical Operations, you will:
- Supervise all direct patient/family care team members, including nurses, Supportive Care, home health aides and counselors, in collaboration with Site Leadership.
- Be responsible for oversight of and/or scheduling, payroll and other administrative duties.
- Assure that all initial assessments and required reassessments are conducted by qualified team members within required time frames, including documentation completion, submission and/or synchronization.
- Ensure that all patient/family services comply with federal, state(s) and local regulatory requirements and with accepted professional standards.
- Ensure protocols are utilized to guide operations and promote adherence to regulatory and internal process requirements.
- Monitor expenses related to patient/family services to ensure budgetary compliance in collaboration with IDG and Site Leadership.
- Serve as a resource person and liaison for the Social Worker, Volunteer, Music Therapy and Bereavement Departments.
OUR BENEFITS INCLUDE:
- Medical, dental and vision coverage
- Paid time off and paid holidays
- Professional development opportunities
- Company-matching 401(k)
- Flexible spending and health savings accounts
- Wellness offerings such as an employee assistance program, pet insurance and access to Calm, a meditation, sleep and relaxation app
- Programs to celebrate achievements, milestones and fellow employees
- Company store credit for your first AccentCare-branded scrubs for patient-facing employees
- And more!
Come As You Are
At AccentCare, you’re part of a community that cares — for patients and each other. You can rest assured we offer equal employment opportunities regardless of race, ethnicity, sex, sexual orientation, gender identity, religion, national origin, age or disability.
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Get Access To All JobsTips for Finding Clinical Operations Director Jobs
Lead with regulatory and trial management credentials
Employers filing H-1B petitions for Clinical Operations Directors need to justify specialty occupation status. ICH-GCP certification, FDA regulatory experience, and Phase II–III trial oversight make that case clearly and reduce the risk of a USCIS Request for Evidence.
Target sponsors with active IND or NDA pipelines
Biotechs and CROs with active investigational or new drug applications have the most urgent hiring need. Companies mid-trial can't afford gaps in clinical operations leadership, which makes them more willing to initiate or transfer a visa petition quickly.
Understand that your degree field matters as much as your level
USCIS expects a direct relationship between your degree and the role. A master's in clinical research, public health, or a biomedical field supports the petition more cleanly than an unrelated degree supplemented by experience alone, even for senior candidates.
Position O-1A as a parallel path if you have extraordinary credentials
Clinical Operations Directors with published research, named authorship on clinical trial protocols, or speaking records at major industry conferences may qualify for O-1A, which has no lottery and no cap. It's worth evaluating alongside H-1B before the registration window.
Demonstrate cross-functional scope in your application materials
Employers sponsoring this role want evidence you can own CRO relationships, manage IRB submissions, and align operations with regulatory timelines. Framing your resume around trial outcomes and site performance metrics makes the sponsorship conversation easier to initiate.
Start the H-1B conversation before an offer is finalized
H-1B cap-subject petitions can only be filed once per year, with a lottery in March and an October 1 start date. Raising sponsorship early lets employers plan around the timeline instead of treating it as a late obstacle that complicates the hire.
Frequently Asked Questions
Does a Clinical Operations Director role qualify as a specialty occupation for H-1B purposes?
Yes, in most cases. USCIS evaluates whether the position normally requires a bachelor's degree or higher in a specific field. Clinical Operations Directors typically require degrees in life sciences, clinical research, nursing, or public health, and the role involves complex regulatory and scientific judgment that supports the specialty occupation standard. Sponsors should document these requirements clearly in the H-1B visa petition to reduce RFE risk.
What visa types do employers typically sponsor for Clinical Operations Directors?
H-1B is the most common path for Clinical Operations Directors hired from abroad. Employers with a demonstrated history of trial sponsorship sometimes also support O-1A petitions for candidates with exceptional credentials, such as authorship on published clinical protocols or regulatory guidance documents. TN visa classification is available for Canadian and Mexican nationals whose degree aligns with a qualifying USMCA occupation. Browse current openings on Migrate Mate to see which employers are actively sponsoring.
Does a three-year bachelor's degree qualify for an H-1B petition in this field?
It can, but the evaluation is case-by-case. USCIS accepts three-year degrees from recognized institutions when a credential evaluation confirms equivalency to a U.S. four-year bachelor's degree. For Clinical Operations Directors, a three-year life sciences degree paired with relevant postgraduate work or significant clinical trial experience is generally treated more favorably than a standalone three-year degree in an unrelated field.
How do CROs compare to pharmaceutical companies as H-1B sponsors for this role?
Both sponsor regularly, but the dynamic differs. Large pharmaceutical companies typically have established immigration programs and legal teams that handle petitions efficiently. CROs vary more widely. Some sponsor frequently due to high clinical headcount, while smaller CROs may be sponsoring for the first time. Either way, the strength of the petition depends more on how the role is documented than on the type of employer.
Can I transfer an existing H-1B to a new Clinical Operations Director role without starting over?
Yes. H-1B portability allows you to begin working for a new employer as soon as they file a transfer petition, without waiting for USCIS approval, provided you've maintained valid status. The new employer files a fresh I-129 petition describing the new role. If the job duties or degree requirements differ significantly from your original petition, the new employer should document the specialty occupation basis carefully.
What is the prevailing wage requirement for sponsored Clinical Operations Director 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.