Utilization Review Nurse Jobs in USA with Visa Sponsorship
Utilization review nurses are in consistent demand across U.S. health systems, and many employers sponsor H-1B visa or TN visas for qualified candidates. You'll need an active RN license, a nursing degree, and typically two or more years of clinical experience to qualify. For detailed occupation requirements, see the O*NET profile.
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Get Access To All JobsYour job is more than a job
The RN Utilization Review position allows for necessary support for patient throughput, physician communication and meets payer requirements. These efforts will provide optimal workflow and successful patient outcomes.
Your Everyday
- Perform appropriate level of care reviews
- Identify gaps or barriers in treatment plans
- Make medical necessity determinations
- Accurately assign patient status in accordance with CMS and payer guidelines
- Coordinate efforts for prevention of payer denials
- Performs timely status conversions when appropriate
- Maintain Regulatory Compliance
- Peer-to-peer (P2P) review processing
- Interact with LCMC Health care partners, leadership and/or physicians to discuss clinical questions, concerns, strategies, and care plans to achieve quality and cost management objectives
- Document all workflows in EPIC system for purposes of tracking and quality assessment
Schedule: Saturday & Sunday Night
The Must-Haves
Minimum:
- Current RN nursing license to practice in Louisiana and as defined by the Louisiana State Board of Nursing.
- 2 years of professional nursing in Emergency Department or Utilization experience highly preferred.
WORK SHIFT:
Nights (United States of America)
LCMC Health is a community.
Our people make health happen. While our NOLA roots run deep, our branches are the vessels that carry our mission of bringing the best possible care to every person and parish in Louisiana and beyond and put a little more heart and soul into healthcare along the way. Celebrating authenticity, originality, equity, inclusion and a little “come on in” attitude is the foundation of LCMC Health’s culture of everyday extraordinary.
Your extras
- Deliver healthcare with heart.
- Give people a reason to smile.
- Put a little love in your work.
- Be honest and real, but with compassion.
- Bring some lagniappe into everything you do.
- Forget one-size-fits-all, think one-of-a-kind care.
- See opportunities, not problems – it’s all about perspective.
- Cheerlead ideas, differences, and each other.
- Love what makes you, you - because we do.
You are welcome here.
LCMC Health is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.
The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary.
Simple things make the difference.
-
To get started, take your time to fully and accurately complete the application for employment. Incomplete applications get bogged down and are often eliminated due to missing information.
-
To ensure quality care and service, we may use information on your application to verify your previous employment and background.
-
To keep our career applications up-to-date, applications are inactive after 6 months and, therefore, require a new application for employment to be completed.
-
To expedite the hiring process, proof of citizenship or immigration status will be required to verify your lawful right to work in the United States.
Your job is more than a job
The RN Utilization Review position allows for necessary support for patient throughput, physician communication and meets payer requirements. These efforts will provide optimal workflow and successful patient outcomes.
Your Everyday
- Perform appropriate level of care reviews
- Identify gaps or barriers in treatment plans
- Make medical necessity determinations
- Accurately assign patient status in accordance with CMS and payer guidelines
- Coordinate efforts for prevention of payer denials
- Performs timely status conversions when appropriate
- Maintain Regulatory Compliance
- Peer-to-peer (P2P) review processing
- Interact with LCMC Health care partners, leadership and/or physicians to discuss clinical questions, concerns, strategies, and care plans to achieve quality and cost management objectives
- Document all workflows in EPIC system for purposes of tracking and quality assessment
Schedule: Saturday & Sunday Night
The Must-Haves
Minimum:
- Current RN nursing license to practice in Louisiana and as defined by the Louisiana State Board of Nursing.
- 2 years of professional nursing in Emergency Department or Utilization experience highly preferred.
WORK SHIFT:
Nights (United States of America)
LCMC Health is a community.
Our people make health happen. While our NOLA roots run deep, our branches are the vessels that carry our mission of bringing the best possible care to every person and parish in Louisiana and beyond and put a little more heart and soul into healthcare along the way. Celebrating authenticity, originality, equity, inclusion and a little “come on in” attitude is the foundation of LCMC Health’s culture of everyday extraordinary.
Your extras
- Deliver healthcare with heart.
- Give people a reason to smile.
- Put a little love in your work.
- Be honest and real, but with compassion.
- Bring some lagniappe into everything you do.
- Forget one-size-fits-all, think one-of-a-kind care.
- See opportunities, not problems – it’s all about perspective.
- Cheerlead ideas, differences, and each other.
- Love what makes you, you - because we do.
You are welcome here.
LCMC Health is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.
The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary.
Simple things make the difference.
-
To get started, take your time to fully and accurately complete the application for employment. Incomplete applications get bogged down and are often eliminated due to missing information.
-
To ensure quality care and service, we may use information on your application to verify your previous employment and background.
-
To keep our career applications up-to-date, applications are inactive after 6 months and, therefore, require a new application for employment to be completed.
-
To expedite the hiring process, proof of citizenship or immigration status will be required to verify your lawful right to work in the United States.
See all 5,427+ Utilization Review Nurse Jobs
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Get Access To All JobsTips for Finding Visa Sponsorship as an Utilization Review Nurse
Verify your RN license transfers
U.S. employers require an active state RN license before sponsorship can begin. Start the NCLEX-RN and Nursys endorsement process early, licensing delays are the most common reason sponsorship timelines slip for internationally trained nurses.
Target large health systems and insurers
Large hospital networks, managed care organizations, and national insurers sponsor utilization review nurses far more consistently than smaller practices. These employers have established immigration processes and dedicated HR teams familiar with H-1B and TN petitions.
Australian and Canadian nurses have a faster path
Australian RNs can pursue the E-3 visa, which has no lottery and is available year-round. Canadian nurses often qualify under TN status with a job offer and nursing degree documentation, bypassing the H-1B cap entirely.
Highlight clinical depth in your application
Utilization review requires documented clinical judgment, not just bedside experience. Emphasize case management, prior authorization decisions, or InterQual and Milliman criteria knowledge, these signal the specialty occupation depth H-1B petitions require.
Expect a degree equivalency evaluation if trained abroad
USCIS requires credential evaluations for internationally trained nurses. Organizations like CGFNS or NACES-approved evaluators can certify that your nursing degree meets U.S. bachelor's degree equivalency, which is essential for specialty occupation classification.
Get your offer letter before the employer files
Sponsorship cannot begin without a formal written job offer. Secure the offer, confirm the employer will petition on your behalf, and clarify whether they cover filing fees before accepting, some employers deduct legal costs from compensation.
Frequently Asked Questions
Does utilization review nursing qualify as a specialty occupation for H-1B purposes?
Yes, in most cases. USCIS has approved utilization review nurses under the H-1B visa when the role requires applying clinical criteria, interpreting medical necessity guidelines, and making coverage determinations that necessitate an RN license and a bachelor's degree in nursing. Roles framed around administrative tasks rather than clinical judgment face higher denial risk, so the job description language in the petition matters significantly.
Can I work as a utilization review nurse on a TN visa?
Canadian and Mexican nurses qualify for TN status, and utilization review is generally accepted because it falls under the nurse category in the USMCA profession list. You'll need your nursing degree, a valid RN license, and a job offer letter specifying the role. TN status is granted at the border or port of entry for Canadians and through consular processing for Mexican nationals, with no cap or lottery involved.
How do I find utilization review nursing jobs that offer visa sponsorship?
Most general job boards don't filter specifically for visa sponsorship, which wastes significant time. Migrate Mate is built specifically for internationally trained professionals and lists utilization review nursing roles from employers willing to sponsor. Filtering by sponsorship type upfront means you're only seeing roles where the employer has already committed to supporting foreign workers, which dramatically improves your odds of a successful application.
Do I need a bachelor's degree in nursing, or will an associate degree qualify?
For H-1B classification, USCIS expects at minimum a bachelor's degree in a directly related field. An Associate Degree in Nursing (ADN) alone generally won't satisfy specialty occupation requirements unless combined with significant additional education or a credential evaluation showing equivalency to a U.S. bachelor's degree. A BSN is the safest path. For TN and E-3 visas, the requirements follow the profession definition rather than specialty occupation standards, so an ADN combined with licensure may suffice depending on how the offer is structured.
What's the H-1B approval rate for utilization review nurses, and is denial common?
USCIS doesn't publish approval rates broken down by job title, but nursing-related H-1B petitions have historically faced more scrutiny than other healthcare roles because officers sometimes question whether nursing meets specialty occupation criteria. Strong petitions document the analytical and clinical judgment demands of utilization review specifically, reference InterQual or Milliman criteria use, and include a detailed position description from the employer. Working with an immigration attorney experienced in healthcare H-1B petitions substantially reduces denial risk.
What is the prevailing wage requirement for sponsored Utilization Review Nurse 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.