Medical Case Manager Jobs in USA with Visa Sponsorship
Medical case managers coordinate patient care across insurance, clinical, and social service systems, making the role a recognized specialty occupation for H-1B visa and EB-3 visa sponsorship. Employers in hospitals, managed care organizations, and workers' compensation firms regularly file LCAs for this title. A bachelor's or master's in nursing, social work, or a related health field is typically required.
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Get Access To All JobsJOB SUMMARY
This job is responsible for providing comprehensive case management services to members, ensuring quality, cost-effective care delivery, and promoting optimal health outcomes. The Case Manager assesses member needs, develops and implements care plans, coordinates services, and monitors progress, while containing the cost of health care services. The incumbent will assist in containing the cost of health care services by detecting, resolving and preventing improper utilization of member benefits.
ESSENTIAL RESPONSIBILITIES
- Manage a caseload of members with moderate complexity health needs.
- Assess members’ health status, needs, and available resources.
- Develop individualized care plans in collaboration with members, physicians, and other healthcare providers.
- Implement and coordinate care plans, ensuring access to appropriate services and resources.
- Develop and implement care plans with minimal guidance.
- Coordinate referrals to specialists and community resources.
- Monitor member progress toward goals and adjust care plans as needed.
- Evaluate the effectiveness of interventions and services.
- Act as an advocate and liaison to meet a member's individual health care needs by assessing, planning, implementing, coordinating, monitoring and evaluating options and services. This is accomplished by using communication and available resources to promote quality, cost-effective outcomes in accordance with available contract benefits.
- Work collaboratively and communicate clearly and professionally with physicians, providers, co-workers and other members of the health care team to carry out the established plan of care.
- Ensure all activities are documented and conducted in compliance with applicable business process requirements, company policies, regulatory requirements and accreditation standards.
- Identify areas for potential cost savings, quality improvement and workflow efficiencies.
- Other duties as assigned or requested.
Experience
Required
- 3 years of experience in any combination of clinical, case/utilization management, and/or disease condition management experience, or provider operations and/or health insurance experience with RN licensure or a Master’s degree OR; 5 years’ experience with a Bachelor’s in Social Work
Preferred
- Medicaid managed care and/or Medicare experience
- Experience working with the healthcare needs of diverse populations
- Experience demonstrating understanding of importance of culture competency in addressing targeted populations
SKILLS
- Strong assessment and care planning skills.
- Ability to work independently and as part of a team.
- Proficiency in using Microsoft office suite, case management software and electronic health records.
- Understanding of healthcare systems and case management principles
- Bilingual English/Spanish language skills preferred
Education
Required
- Bachelor’s degree in nursing or RN licensure or Master’s degree in Social Work, Counseling, or related field OR Bachelor’s degree in Social Work
Preferred
- None
LICENSES or CERTIFICATIONS
Required
- Licensed Social Worker (LSW)-Non-Specific - State (OR) Licensed Professional Counselor (LPC) - Non-Specific State (OR) Licensed Bachelors Social Worker (LBSW) (OR) Licensed Clinical Social Worker (LCSW) - Non-Specific (OR) Licensed Master Social Worker (LMSW) Non-Specific (OR) Licensed Graduate Social Worker (LGSW) (OR) Licensed Certified Social Worker (LCSW) (OR) Current State RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC). Incumbents in the role prior to 1/1/25 who are not currently licensed must obtain licensure by 12/31/27.
Preferred
- Certified Case Manager (CCM)
Language (Other than English):
None
Travel Required:
0% - 25%
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Position Type
Office-Based or Remote Position
Physical work site required
Occasionally
Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.
Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.
Pay Range Minimum:
$72,700.00
Pay Range Maximum:
$116,600.00
Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
JOB SUMMARY
This job is responsible for providing comprehensive case management services to members, ensuring quality, cost-effective care delivery, and promoting optimal health outcomes. The Case Manager assesses member needs, develops and implements care plans, coordinates services, and monitors progress, while containing the cost of health care services. The incumbent will assist in containing the cost of health care services by detecting, resolving and preventing improper utilization of member benefits.
ESSENTIAL RESPONSIBILITIES
- Manage a caseload of members with moderate complexity health needs.
- Assess members’ health status, needs, and available resources.
- Develop individualized care plans in collaboration with members, physicians, and other healthcare providers.
- Implement and coordinate care plans, ensuring access to appropriate services and resources.
- Develop and implement care plans with minimal guidance.
- Coordinate referrals to specialists and community resources.
- Monitor member progress toward goals and adjust care plans as needed.
- Evaluate the effectiveness of interventions and services.
- Act as an advocate and liaison to meet a member's individual health care needs by assessing, planning, implementing, coordinating, monitoring and evaluating options and services. This is accomplished by using communication and available resources to promote quality, cost-effective outcomes in accordance with available contract benefits.
- Work collaboratively and communicate clearly and professionally with physicians, providers, co-workers and other members of the health care team to carry out the established plan of care.
- Ensure all activities are documented and conducted in compliance with applicable business process requirements, company policies, regulatory requirements and accreditation standards.
- Identify areas for potential cost savings, quality improvement and workflow efficiencies.
- Other duties as assigned or requested.
Experience
Required
- 3 years of experience in any combination of clinical, case/utilization management, and/or disease condition management experience, or provider operations and/or health insurance experience with RN licensure or a Master’s degree OR; 5 years’ experience with a Bachelor’s in Social Work
Preferred
- Medicaid managed care and/or Medicare experience
- Experience working with the healthcare needs of diverse populations
- Experience demonstrating understanding of importance of culture competency in addressing targeted populations
SKILLS
- Strong assessment and care planning skills.
- Ability to work independently and as part of a team.
- Proficiency in using Microsoft office suite, case management software and electronic health records.
- Understanding of healthcare systems and case management principles
- Bilingual English/Spanish language skills preferred
Education
Required
- Bachelor’s degree in nursing or RN licensure or Master’s degree in Social Work, Counseling, or related field OR Bachelor’s degree in Social Work
Preferred
- None
LICENSES or CERTIFICATIONS
Required
- Licensed Social Worker (LSW)-Non-Specific - State (OR) Licensed Professional Counselor (LPC) - Non-Specific State (OR) Licensed Bachelors Social Worker (LBSW) (OR) Licensed Clinical Social Worker (LCSW) - Non-Specific (OR) Licensed Master Social Worker (LMSW) Non-Specific (OR) Licensed Graduate Social Worker (LGSW) (OR) Licensed Certified Social Worker (LCSW) (OR) Current State RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC). Incumbents in the role prior to 1/1/25 who are not currently licensed must obtain licensure by 12/31/27.
Preferred
- Certified Case Manager (CCM)
Language (Other than English):
None
Travel Required:
0% - 25%
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Position Type
Office-Based or Remote Position
Physical work site required
Occasionally
Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.
Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.
Pay Range Minimum:
$72,700.00
Pay Range Maximum:
$116,600.00
Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
See all 210+ Medical Case Manager Jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new Medical Case Manager roles.
Get Access To All JobsTips for Finding Visa Sponsorship as a Medical Case Manager
Verify your credential meets specialty occupation standards
H-1B eligibility hinges on a direct link between your degree field and the case manager role. A BSN or MSW clears this bar cleanly, but a general business degree usually won't. Pull the O*NET profile for Medical and Health Services Managers to document the theoretical and practical connection.
Target managed care and workers' compensation employers first
Health insurers, third-party administrators, and workers' compensation firms hire case managers in volume and have established LCA filing pipelines. These employers are more likely to have in-house immigration counsel and a repeatable sponsorship process than smaller outpatient clinics.
Search Migrate Mate for verified LCA sponsorship history
Filter by Medical Case Manager roles on Migrate Mate to see which employers have active LCA filings for this title. That history signals an employer already understands the DOL certification process and won't treat your sponsorship as a novel request.
Get your CCM or ACM certification before applying
The Certified Case Manager credential isn't legally required for visa sponsorship, but it strengthens the specialty occupation argument in an H-1B petition and signals to employers that your role is a defined professional discipline, not a generalist administrative position.
Confirm the offered wage meets DOL prevailing wage requirements
Before accepting an offer, run the position's location and job title through the OFLC Wage Search to check the Level I through Level IV prevailing wage. If your offered salary falls below the applicable wage level, USCIS will reject the LCA certification during H-1B filing.
Ask HR whether PERM or concurrent filing is on the table
Medical case managers in shortage-designated settings may qualify for EB-3 green card sponsorship through PERM labor certification. If a sponsoring employer recruits internationally for this role, ask explicitly whether they'll initiate PERM alongside the H-1B, since concurrent filing preserves your priority date earlier.
Frequently Asked Questions
Does a Medical Case Manager 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. Medical case management roles that require a BSN, MSW, or a degree in health administration typically satisfy that standard. Roles posted with no degree requirement or with a general business degree as the minimum may face a Request for Evidence.
Which visa types realistically support sponsorship for Medical Case Manager jobs?
H-1B is the most common path for employer-sponsored case managers and requires the employer to file a Labor Condition Application with DOL before petitioning USCIS. EB-3 green card sponsorship through PERM labor certification is available for employers willing to run the recruitment process. TN visa status is not available for this title since Medical Case Manager is not on the USMCA profession list.
How do I find employers who actively sponsor Medical Case Manager roles?
Migrate Mate shows employers with verified LCA filing history for case management titles, so you can focus on organizations that have already navigated the DOL certification process for this role. That's a faster signal of genuine sponsorship intent than relying on a job description that simply doesn't mention visa restrictions.
Does my nursing license need to be active in the state where the job is located before sponsorship can begin?
Yes. If the role requires an RN license, you must hold an active, unrestricted license in the work state before the LCA can be filed, since DOL requires the offered position to be a legitimate, fulfillable job at the time of certification. Compact Nurse Licensure Agreement states may simplify multi-state coverage, but the employer's state must be included in your compact privileges.
Can a Medical Case Manager role at a nonprofit hospital be cap-exempt for H-1B?
Potentially, yes. Nonprofit hospitals affiliated with a university or designated as a nonprofit research institution may qualify as cap-exempt employers, meaning your H-1B petition bypasses the annual lottery and can be filed at any time. The exemption applies to the employer's status, not the job title, so confirm with USCIS guidance and the employer's immigration counsel whether the specific entity qualifies.
What is the prevailing wage requirement for sponsored Medical 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.