Managed Care Coordinator Jobs in USA with Visa Sponsorship
Managed Care Coordinators are regularly sponsored for H-1B and EB-3 visas by hospitals, health plans, and managed care organizations. The role qualifies as a specialty occupation when a bachelor's degree in health administration, nursing, or a related field is required. For detailed occupation requirements, see the O*NET profile.
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Get Access To All JobsINTRODUCTION
When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. The Manager Care Coordinator initiates and process managed care insurance referral requests for patients of BILH Primary Care Practices, while maintaining a strong focus on patient-centered care, timeliness, quality, and accuracy. Adhere to the organization's Revenue Cycle Referral Management policy and meet targets regarding expected standard turnaround time goals as set by the practice. Facilitate discussions with patients to educate them regarding care coordination and redirect care within the BILH network.
ROLE AND RESPONSIBILITIES
The Managed Care Coordinator's Responsibilities are:
- Work collaboratively with BILH PCPs, patients and practice support staff to coordinate, and process all specialty care managed care referral authorization requests in compliance with BILHPN and BILH Hospitals contractual rules and agreements for multiple managed care insurance payers. Utilize electronic technologies to initiate, issue, and administratively sign off on a high volume of referrals.
- Learn and remain proficient on multiple electronic technologies used by the BILH practices and BILH Hospitals to initiate referral requests in an efficient and timely manner. Technologies will include but are not limited to (POS) Point of Service Device, Health Wire Network, Aetna WebMD, NEHEN, HPHC Connect, and other computer and web-based technology, Navinet and NIA.
- Serve as a daily point of contact and as an organizational resource for BILH patients, families, specialty practices, physicians and support staff on BILH managed care related issues. Communicate to the specialist and/or patient the level of care, number of visits being authorized (e.g. one consult only vs. a consult and treatment), and the extent of the diagnostic testing being authorized.
- Communicate with managed care payers to resolve patient referral management issues; coordinate with Patient Accounts, and other internal and external customers to resolve patient billing problems. Help provide referral management training to new hires. Work with extremely sensitive and highly confidential patient information and adhere to policy of maintaining patient confidentiality.
- Maintain current knowledge base of referral and authorization plan rules and policies for multiple managed care payers and multiple specialties and ancillary/diagnostic testing as they apply to issuing PCP approvals. Work closely with patients and PCP's to refer patients with complex referral needs and complicated problems or situations to the case management at the insurance companies.
- Retrieve patient referral requests through venues such as Clinical Computing, Patient Site, OMR notes, e-mails from Primary Care Physicians, nurse triage, and voice mails from patients; follow up appropriately with processing the referrals and promptly communicating the information back to the patient and/or specialty office.
- Communicate with managed care payers to resolve patient referral management issues; coordinate with Patient Accounts, HMFP, the Financial Assistance Office, and other internal and external customers to serve as a resource person to resolve patient billing problems.
- Collaborate with the entire team, in regard to servicing new patients' referral management related issues and questions.
BASIC QUALIFICATIONS
- High School diploma or GED required.
- License Medical Admin Assistant Cert preferred.
- 1-3 years related work experience required.
- Experience with computer systems required, including web-based applications and some Microsoft Office applications which may include Outlook, Word, Excel, PowerPoint or Access.
COMPENSATION
- Pay Range: $22.50 - $30.00
The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law.
As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment. More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.
Equal Opportunity Employer/Veterans/Disabled
INTRODUCTION
When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. The Manager Care Coordinator initiates and process managed care insurance referral requests for patients of BILH Primary Care Practices, while maintaining a strong focus on patient-centered care, timeliness, quality, and accuracy. Adhere to the organization's Revenue Cycle Referral Management policy and meet targets regarding expected standard turnaround time goals as set by the practice. Facilitate discussions with patients to educate them regarding care coordination and redirect care within the BILH network.
ROLE AND RESPONSIBILITIES
The Managed Care Coordinator's Responsibilities are:
- Work collaboratively with BILH PCPs, patients and practice support staff to coordinate, and process all specialty care managed care referral authorization requests in compliance with BILHPN and BILH Hospitals contractual rules and agreements for multiple managed care insurance payers. Utilize electronic technologies to initiate, issue, and administratively sign off on a high volume of referrals.
- Learn and remain proficient on multiple electronic technologies used by the BILH practices and BILH Hospitals to initiate referral requests in an efficient and timely manner. Technologies will include but are not limited to (POS) Point of Service Device, Health Wire Network, Aetna WebMD, NEHEN, HPHC Connect, and other computer and web-based technology, Navinet and NIA.
- Serve as a daily point of contact and as an organizational resource for BILH patients, families, specialty practices, physicians and support staff on BILH managed care related issues. Communicate to the specialist and/or patient the level of care, number of visits being authorized (e.g. one consult only vs. a consult and treatment), and the extent of the diagnostic testing being authorized.
- Communicate with managed care payers to resolve patient referral management issues; coordinate with Patient Accounts, and other internal and external customers to resolve patient billing problems. Help provide referral management training to new hires. Work with extremely sensitive and highly confidential patient information and adhere to policy of maintaining patient confidentiality.
- Maintain current knowledge base of referral and authorization plan rules and policies for multiple managed care payers and multiple specialties and ancillary/diagnostic testing as they apply to issuing PCP approvals. Work closely with patients and PCP's to refer patients with complex referral needs and complicated problems or situations to the case management at the insurance companies.
- Retrieve patient referral requests through venues such as Clinical Computing, Patient Site, OMR notes, e-mails from Primary Care Physicians, nurse triage, and voice mails from patients; follow up appropriately with processing the referrals and promptly communicating the information back to the patient and/or specialty office.
- Communicate with managed care payers to resolve patient referral management issues; coordinate with Patient Accounts, HMFP, the Financial Assistance Office, and other internal and external customers to serve as a resource person to resolve patient billing problems.
- Collaborate with the entire team, in regard to servicing new patients' referral management related issues and questions.
BASIC QUALIFICATIONS
- High School diploma or GED required.
- License Medical Admin Assistant Cert preferred.
- 1-3 years related work experience required.
- Experience with computer systems required, including web-based applications and some Microsoft Office applications which may include Outlook, Word, Excel, PowerPoint or Access.
COMPENSATION
- Pay Range: $22.50 - $30.00
The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law.
As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment. More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.
Equal Opportunity Employer/Veterans/Disabled
How to Get Visa Sponsorship as a Managed Care Coordinator
Target large health systems and payers first
Hospitals with 500+ beds and national insurers like Aetna, Cigna, and UnitedHealth Group have established immigration infrastructure and sponsor managed care roles regularly. Smaller clinics rarely have the legal resources to navigate the H-1B or PERM process.
Clarify the degree requirement before applying
Sponsorship only holds up if the job posting requires a specific bachelor's degree, not just 'preferred.' If the listing says 'bachelor's preferred or equivalent experience,' the specialty occupation argument weakens and USCIS may issue a Request for Evidence.
Highlight case management certifications prominently
Credentials like CCM (Certified Case Manager) or ACM (Accredited Case Manager) signal professional-level specialization to both employers and USCIS. They strengthen the specialty occupation argument and make you a more competitive candidate among sponsorship-eligible applicants.
Understand the LCA and prevailing wage before you negotiate
Your employer files a Labor Condition Application certifying your pay meets the prevailing wage for the role and location. The page displays current salary data, so cross-reference it to understand what employers are legally required to pay before any conversation.
Ask about EB-3 sponsorship during the offer stage
Managed Care Coordinator roles frequently qualify under EB-3 for skilled workers. Some employers will initiate PERM labor certification alongside your H-1B petition, which starts your green card clock earlier. Ask HR directly whether they sponsor permanent residency.
Plan around the H-1B lottery timeline if you're on OPT
If you're on F-1 OPT, your employer must file your H-1B petition in April for an October 1 start. Confirm your OPT or STEM OPT expiration date and map it against the lottery calendar before accepting an offer to avoid a gap in work authorization.
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Get Access To All JobsFrequently Asked Questions
Does a Managed Care Coordinator role qualify for H-1B sponsorship?
Yes, in most cases. The role qualifies as a specialty occupation when the employer requires a bachelor's degree or higher in health administration, nursing, public health, or a related field. If the posting accepts any degree or substitutes years of experience freely, USCIS may challenge the petition. The strength of your case depends heavily on how the job description is written and what the employer can document about the position's requirements.
Which employers commonly sponsor Managed Care Coordinators for visas?
Large health systems such as Kaiser Permanente, HCA Healthcare, and CommonSpirit Health, along with national managed care organizations and health insurers, are the most consistent sponsors. These employers have immigration teams experienced with H-1B and PERM filings. You can browse currently sponsoring employers by searching Managed Care Coordinator roles on Migrate Mate, which filters specifically for visa-sponsoring positions.
What degree do I need for an employer to sponsor me in this role?
Most sponsoring employers require a bachelor's degree in health information management, nursing, social work, public health, or healthcare administration. A general business or unrelated degree is unlikely to support a specialty occupation argument unless paired with substantial relevant credentials. Some employers also accept a clinical license such as an RN as equivalent to the degree requirement, which USCIS generally accepts when documented carefully.
Can I get an EB-3 green card sponsored as a Managed Care Coordinator?
Yes. Managed Care Coordinator positions regularly qualify under the EB-3 skilled worker category, which requires a minimum of two years of training or experience. Your employer would need to complete PERM labor certification through the Department of Labor before filing the I-140 immigrant petition. Processing timelines vary significantly by country of birth due to per-country caps, so applicants born in India or China face longer waits than those from most other countries.
What happens if I get a Request for Evidence on my H-1B petition for this role?
RFEs for Managed Care Coordinator H-1Bs typically challenge whether the position meets the specialty occupation standard, especially if the job description is broadly written. Your employer's immigration attorney will need to submit evidence that the role normally requires a specific degree, such as industry surveys, internal job postings, and expert opinion letters. Response deadlines are strict, usually 60 to 87 days, so flag any RFE to your employer's legal team immediately.
What is the prevailing wage requirement for sponsored Managed Care Coordinator 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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