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 JobsINTRODUCTION
Care Coordinator Ambulatory Transitions of Care
Scope Of Work
Provides care management and care coordination for patients following an acute care hospitalization. Uses evidence-based interventions and defined workflows to support successful transitions of care. Responsibilities include collaboration with members of the health care team to ensure the delivery of quality, efficient, patient-centered and cost-effective healthcare services. The role includes a required three to six month orientation period at the Corewell Health Southfield Center, followed by a transition to a work-from-home arrangement with occasional time in the office as required.
- Using a variety of methods and tools, identifies targeted high-risk population and chronically ill population within practice sites. Assesses the healthcare, educational, and psychosocial needs of the patient/family. Uses appropriate assessment tools such as depression screening, functionality, and health risk assessment.
- Collaborates with Primary Care Physician, patient, and members of the health care team, to assess, develop and implement an agreed upon plan of care. Participates in continuous quality improvement to enhance care management in the office setting. Monitors patient/family response to plan of care and revises the care plan as indicated. Provides self-management support with a focus on empowering the patient/family to build capacity for self-care. Ensure support for advanced directives and advanced care planning.
- Conducts comprehensive assessments to identify the member’s needs, self-management goals, functional and/or cognitive impairment, psychosocial issues, environment, and areas of risk or barriers that may impact the patient’s adherence to the care management plan.
- Using evidence-based guidelines and clinical tools, identifies patients with chronic conditions, and gaps in clinical care. Implements systems to ensure necessary care is completed and monitors individual patient progress and population health.
- Coordinates patient care by linking patients to resources. Provides follow up with patient/family when patient transitions from one setting to another. Completes post hospital discharge calls including medication reconciliation, coordinates physician follow-up appointments, symptoms assessment and patient education/discharge instructions, and problem-solves barriers to compliance.
- Maintains required documentation for all care management activities. Works with practice and Physician Organization/Accountable Care Organization leadership to continuously evaluate processes, identify problems, and propose/develop process improvement strategies to enhance the Patient Centered Medical Home delivery model and meet value-based reimbursement payer program requirements.
- Reviews the current literature regarding effective engagement and communication strategies, care management strategies, and behavior change strategies and incorporates into clinical practice.
- Provides education on management of chronic conditions and enhances the member’s self-efficacy to prevent progression or exacerbation of chronic illness and promote healthy behavior change. Coordinate care transitions and monitoring of high-risk members following hospital and sub-acute discharges to ensure timely follow-up with primary care and prevent readmissions.
QUALIFICATIONS
- Required Associate's Degree or equivalent Graduate of an accredited school of nursing.
- Preferred Bachelor's Degree of Science in Nursing.
- 2 years of relevant experience Minimum two years’ RN experience in a clinical care setting. Required
- 3 years of relevant experience Three to five years’ experience in care management, home care and/or discharge planning. Preferred
- Experience in an ambulatory practice setting. Preferred
- Registered Nurse (RN) - STATE_MI State of Michigan Upon Hire required
- At least one License and/or Certification in area of specialty - UNKNOWN Unknown Care Management Upon Hire preferred
How Corewell Health cares for you
- Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here.
- On-demand pay program powered by Payactiv
- Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
- Optional identity theft protection, home and auto insurance, pet insurance
- Traditional and Roth retirement options with service contribution and match savings
- Eligibility for benefits is determined by employment type and status
LOCATION
Primary Location SITE - Corewell Health Southfield Center - 26901 Beaumont Blvd
Department Name Care Management - Medical Group East WB Mkt
EMPLOYMENT TYPE Part time
Shift Day (United States of America)
Weekly Scheduled Hours 20
Hours of Work 8:00 a.m. to 4:30 p.m.
Days Worked Monday, Tuesday & e/o Friday
Weekend Frequency N/A
CURRENT COREWELL HEALTH TEAM MEMBERS – Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.
Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.
Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.
An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.
You may request assistance in completing the application process by calling 616.486.7447.
INTRODUCTION
Care Coordinator Ambulatory Transitions of Care
Scope Of Work
Provides care management and care coordination for patients following an acute care hospitalization. Uses evidence-based interventions and defined workflows to support successful transitions of care. Responsibilities include collaboration with members of the health care team to ensure the delivery of quality, efficient, patient-centered and cost-effective healthcare services. The role includes a required three to six month orientation period at the Corewell Health Southfield Center, followed by a transition to a work-from-home arrangement with occasional time in the office as required.
- Using a variety of methods and tools, identifies targeted high-risk population and chronically ill population within practice sites. Assesses the healthcare, educational, and psychosocial needs of the patient/family. Uses appropriate assessment tools such as depression screening, functionality, and health risk assessment.
- Collaborates with Primary Care Physician, patient, and members of the health care team, to assess, develop and implement an agreed upon plan of care. Participates in continuous quality improvement to enhance care management in the office setting. Monitors patient/family response to plan of care and revises the care plan as indicated. Provides self-management support with a focus on empowering the patient/family to build capacity for self-care. Ensure support for advanced directives and advanced care planning.
- Conducts comprehensive assessments to identify the member’s needs, self-management goals, functional and/or cognitive impairment, psychosocial issues, environment, and areas of risk or barriers that may impact the patient’s adherence to the care management plan.
- Using evidence-based guidelines and clinical tools, identifies patients with chronic conditions, and gaps in clinical care. Implements systems to ensure necessary care is completed and monitors individual patient progress and population health.
- Coordinates patient care by linking patients to resources. Provides follow up with patient/family when patient transitions from one setting to another. Completes post hospital discharge calls including medication reconciliation, coordinates physician follow-up appointments, symptoms assessment and patient education/discharge instructions, and problem-solves barriers to compliance.
- Maintains required documentation for all care management activities. Works with practice and Physician Organization/Accountable Care Organization leadership to continuously evaluate processes, identify problems, and propose/develop process improvement strategies to enhance the Patient Centered Medical Home delivery model and meet value-based reimbursement payer program requirements.
- Reviews the current literature regarding effective engagement and communication strategies, care management strategies, and behavior change strategies and incorporates into clinical practice.
- Provides education on management of chronic conditions and enhances the member’s self-efficacy to prevent progression or exacerbation of chronic illness and promote healthy behavior change. Coordinate care transitions and monitoring of high-risk members following hospital and sub-acute discharges to ensure timely follow-up with primary care and prevent readmissions.
QUALIFICATIONS
- Required Associate's Degree or equivalent Graduate of an accredited school of nursing.
- Preferred Bachelor's Degree of Science in Nursing.
- 2 years of relevant experience Minimum two years’ RN experience in a clinical care setting. Required
- 3 years of relevant experience Three to five years’ experience in care management, home care and/or discharge planning. Preferred
- Experience in an ambulatory practice setting. Preferred
- Registered Nurse (RN) - STATE_MI State of Michigan Upon Hire required
- At least one License and/or Certification in area of specialty - UNKNOWN Unknown Care Management Upon Hire preferred
How Corewell Health cares for you
- Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here.
- On-demand pay program powered by Payactiv
- Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
- Optional identity theft protection, home and auto insurance, pet insurance
- Traditional and Roth retirement options with service contribution and match savings
- Eligibility for benefits is determined by employment type and status
LOCATION
Primary Location SITE - Corewell Health Southfield Center - 26901 Beaumont Blvd
Department Name Care Management - Medical Group East WB Mkt
EMPLOYMENT TYPE Part time
Shift Day (United States of America)
Weekly Scheduled Hours 20
Hours of Work 8:00 a.m. to 4:30 p.m.
Days Worked Monday, Tuesday & e/o Friday
Weekend Frequency N/A
CURRENT COREWELL HEALTH TEAM MEMBERS – Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.
Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.
Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.
An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.
You may request assistance in completing the application process by calling 616.486.7447.
How to Get Visa Sponsorship in Transition Of Care
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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Get Access To All 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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