Transition Of Care Jobs in USA with Visa Sponsorship
Transition of Care roles in the U.S. are actively sponsored under the H-1B visa when the position requires a bachelor's degree or higher in nursing, social work, or a related clinical field. Employers in hospital systems and managed care organizations file petitions year-round, including cap-exempt placements at nonprofit health systems. For detailed occupation requirements, see the O*NET profile.
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Get Access To All JobsJOB SUMMARY
Provides support for care transition activities. Facilitates transitional care processes and coordination for member discharge from hospital admission to all other settings. Strives to ensure that best possible services are available to members at time of hospital discharge, and focuses on goal to reduce member readmissions. Contributes to overarching strategy to provide quality and cost-effective member care.
ESSENTIAL JOB DUTIES
- Follows member throughout a 30 day program that starts at hospital admission and continues oversight through transitions from acute setting to all other settings, including nursing facility placement/private home, with the goal of reduced readmissions.
- Ensures safe and appropriate transitions by collaborating with the hospital discharge planner, as well as collaborating with hospitalists, outpatient providers, facility staff, and family/support network.
- Ensures member transitions to setting with adequate caregiving and functional support, as well as medical and medication oversight support.
- Works with participating ancillary providers, public agencies or other service providers to make sure necessary services and equipment are in place for safe transition.
- Conducts face-to-face visits of all members while in the hospital and, home visits high-risk members post-discharge as needed.
- Coordinates care and reassesses member needs using the Coleman Care Transition model post-discharge.
- Educates and supports member focusing on seven primary areas (Transition of Care Pillars): medication management, use of personal health record, follow-up care, signs and symptoms of worsening condition, nutrition, functional needs and or home and community-based services, and advance directives.
- Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts.
- Assesses for barriers to care, provides care coordination and assistance to member to address concerns.
- Facilitates interdisciplinary care team meetings (ICT) and collaboration.
- Transition of care coaches with behavioral health and social science education may provide consultation, resources and recommendations to peers as needed.
- 40-50% local travel may be required (based upon state/contractual requirements).
REQUIRED QUALIFICATIONS
- At least 2 years experience in health care, with at least 1 year of experience in hospital discharge planning, care management or behavioral health setting, or equivalent combination of relevant education and experience.
- Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN). Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.
- Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.
- Knowledge of or experience using the Care Transitions Intervention (CTI) or similar model.
- Background in discharge planning and/or home health.
- Demonstrated knowledge of community resources.
- Proactive and detail-oriented.
- Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.
- Ability to work independently, with minimal supervision and demonstrate self-motivation.
- Responsive in all forms of communication, and ability to remain calm in high-pressure situations.
- Ability to develop and maintain professional relationships.
- Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.
- Excellent problem-solving, and critical-thinking skills.
- Excellent verbal and written communication skills.
- Microsoft Office suite/other applicable software program(s) proficiency.
PREFERRED QUALIFICATIONS
- Transitions of care sub-specialty certification and/or Certified Case Manager (CCM).
- Hospital discharge planning or home health experience.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
PAY RANGE
- Pay Range: $27.61 - $53.83 / HOURLY
Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
JOB SUMMARY
Provides support for care transition activities. Facilitates transitional care processes and coordination for member discharge from hospital admission to all other settings. Strives to ensure that best possible services are available to members at time of hospital discharge, and focuses on goal to reduce member readmissions. Contributes to overarching strategy to provide quality and cost-effective member care.
ESSENTIAL JOB DUTIES
- Follows member throughout a 30 day program that starts at hospital admission and continues oversight through transitions from acute setting to all other settings, including nursing facility placement/private home, with the goal of reduced readmissions.
- Ensures safe and appropriate transitions by collaborating with the hospital discharge planner, as well as collaborating with hospitalists, outpatient providers, facility staff, and family/support network.
- Ensures member transitions to setting with adequate caregiving and functional support, as well as medical and medication oversight support.
- Works with participating ancillary providers, public agencies or other service providers to make sure necessary services and equipment are in place for safe transition.
- Conducts face-to-face visits of all members while in the hospital and, home visits high-risk members post-discharge as needed.
- Coordinates care and reassesses member needs using the Coleman Care Transition model post-discharge.
- Educates and supports member focusing on seven primary areas (Transition of Care Pillars): medication management, use of personal health record, follow-up care, signs and symptoms of worsening condition, nutrition, functional needs and or home and community-based services, and advance directives.
- Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts.
- Assesses for barriers to care, provides care coordination and assistance to member to address concerns.
- Facilitates interdisciplinary care team meetings (ICT) and collaboration.
- Transition of care coaches with behavioral health and social science education may provide consultation, resources and recommendations to peers as needed.
- 40-50% local travel may be required (based upon state/contractual requirements).
REQUIRED QUALIFICATIONS
- At least 2 years experience in health care, with at least 1 year of experience in hospital discharge planning, care management or behavioral health setting, or equivalent combination of relevant education and experience.
- Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN). Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.
- Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.
- Knowledge of or experience using the Care Transitions Intervention (CTI) or similar model.
- Background in discharge planning and/or home health.
- Demonstrated knowledge of community resources.
- Proactive and detail-oriented.
- Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.
- Ability to work independently, with minimal supervision and demonstrate self-motivation.
- Responsive in all forms of communication, and ability to remain calm in high-pressure situations.
- Ability to develop and maintain professional relationships.
- Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.
- Excellent problem-solving, and critical-thinking skills.
- Excellent verbal and written communication skills.
- Microsoft Office suite/other applicable software program(s) proficiency.
PREFERRED QUALIFICATIONS
- Transitions of care sub-specialty certification and/or Certified Case Manager (CCM).
- Hospital discharge planning or home health experience.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
PAY RANGE
- Pay Range: $27.61 - $53.83 / HOURLY
Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
See all 27+ Transition Of Care jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new Transition Of Care roles.
Get Access To All JobsTips for Finding Transition Of Care Jobs
Confirm the role qualifies as a specialty occupation
Transition of Care coordinators must require a specific bachelor's degree to qualify for H-1B sponsorship. Roles where any healthcare degree satisfies the requirement can be challenged by USCIS. Ask the employer which degree field is listed on the Labor Condition Application.
Target cap-exempt employers first
Nonprofit hospitals and university health systems are exempt from the H-1B annual lottery. Sponsorship through a cap-exempt employer means you can start any time of year without waiting for the April registration window or risking a lottery loss.
Get your degree equivalency documented early
If your nursing or social work degree is from outside the U.S., obtain a credential evaluation from a NACES-member organization before approaching employers. Many hospital HR teams require this before initiating an H-1B petition, and it adds several weeks to your timeline.
Understand your OPT or grace period runway
If you're transitioning from F-1 OPT, confirm your end date before accepting an offer. Your employer needs time to prepare and file the H-1B petition. Cap-exempt filings can move faster, but standard petitions still take four to six weeks without premium processing.
Ask specifically about the LCA wage level
The Labor Condition Application locks in your wage level before the H-1B is filed. Transition of Care coordinators are typically classified at Level II or III. If the employer files at Level I, it may signal a mismatch with the role's actual responsibilities and complexity.
Verify licensure requirements before applying
Some Transition of Care positions require an active RN or LCSW license, which must be state-specific. USCIS expects the specialty occupation requirement to align with the job duties. Securing your state license before sponsorship discussions strengthens both your petition and your candidacy.
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Find Transition Of Care JobsFrequently Asked Questions
Can a Transition of Care role qualify for H-1B visa sponsorship?
Yes, when the position requires a bachelor's degree in a specific field such as nursing, social work, or health administration. The key test is whether the degree requirement is tied to the role's duties, not just preferred. Roles that accept any bachelor's degree regardless of field are more difficult to sponsor successfully under H-1B rules.
What visa types are most commonly used to sponsor Transition of Care coordinators?
H-1B is the most common pathway. Some employers also use the TN visa for Canadian or Mexican nationals with qualifying degrees in nursing or social work under USMCA. O-1A is rarely applicable for this role. Foreign-trained nurses may also explore the EB-3 immigrant visa pathway if the employer is willing to sponsor permanent residency.
How do I find employers who actually sponsor Transition of Care positions?
Migrate Mate is the best starting point. The platform focuses specifically on visa-sponsoring employers and filters jobs by sponsorship willingness, so you're not guessing which health systems will support an H-1B petition. Large integrated health systems and academic medical centers are the most consistent sponsors for this role type.
Does a three-year international nursing or social work degree qualify for H-1B sponsorship?
It can, but it requires a credential evaluation confirming the degree is equivalent to a U.S. bachelor's degree. USCIS accepts equivalency determinations from recognized evaluation agencies. Some petitions also use a combination of a shorter degree plus years of relevant experience under the three-for-one rule to meet the bachelor's equivalency standard.
What are the most common reasons H-1B petitions for Transition of Care roles get challenged?
USCIS most often issues Requests for Evidence questioning whether the role truly requires a specific degree. If the job description lists broad qualifications or uses language like 'bachelor's degree in any field preferred,' the specialty occupation standard becomes hard to meet. Strong petitions include detailed duty descriptions, industry norms evidence, and documentation that peer employers require the same degree field.
What is the prevailing wage requirement for sponsored Transition Of Care 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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