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 JobsWhy work at TidalHealth?
Looking for a rewarding place to work? Choose TidalHealth. U.S. News & World Report, a global authority in hospital rankings and consumer advice, has named TidalHealth Peninsula Regional and TidalHealth Nanticoke as 2022-2023 High Performing hospitals for 11 challenging and elective health conditions; the highest award a hospital can earn for U.S. News’ Best Hospitals Procedures & Conditions ratings. Located just 30 minutes from the beach, TidalHealth offers the widest array of specialty and subspecialty services such as neurosurgery, cardiothoracic surgery, joint replacement, emergency/trauma care, comprehensive cancer care, wound care and clinical trials and research. Take advantage of our tuition assistance and scholarship programs to grow both personally and professionally.
Utilization Review RN Position Summary
The Utilization Review – RN is a registered nurse who is responsible for facilitating appropriate lengths of stay and reimbursement for all hospital admissions in accordance with its goals and objectives. Acts as the key information and education resource for the interdisciplinary team. Works to develop organization-wide approaches to problem solving. Analyzes current systems and variances to identify opportunities for improvement. Works to promote quality of care through collaboration with all service team members, patients, and families. Works with the leadership team to align the goals and visions. It is essential for RN to have general knowledge of payor industry, resource management and evidence-based clinical practice. Theoretical knowledge of the nursing and case management processes.
Utilization Review RN Position Requirements
- Current and valid license to practice as a RN
- BSN preferred
- Accreditation preferred
- 3 or more years of strong clinical experience
- Interqual or Milliman criteria preferred
- Excellent interpersonal communication and negotiation skills
- Strong analytical, data management and PC skills
- Current working knowledge of discharge planning, utilization management, case management, performance improvement and managed care reimbursement
- Ability to work independently and exercise sound judgment in interactions with patients, families, providers and payors.
Utilization Review RN Benefits
- At TidalHealth, team members working at least 36 hours per pay period based on 12-hour shift schedules or at least 37.5 hours for non 12-hour shift schedules and part-time team members working at least 30 hours or more on weekends only are eligible for benefits.
- Benefits include medical, prescription, vision, dental, flexible spending accounts, disability insurance plans, life insurance, paid time off plans, retirement plans, tuition assistance, employee assistance, and access to on-site childcare and a credit union.
LOCATION
Location: TidalHealth · Transition Services
SCHEDULE
Schedule: Full Time, Varied day and weekends, 7:30am - 6pm
Why work at TidalHealth?
Looking for a rewarding place to work? Choose TidalHealth. U.S. News & World Report, a global authority in hospital rankings and consumer advice, has named TidalHealth Peninsula Regional and TidalHealth Nanticoke as 2022-2023 High Performing hospitals for 11 challenging and elective health conditions; the highest award a hospital can earn for U.S. News’ Best Hospitals Procedures & Conditions ratings. Located just 30 minutes from the beach, TidalHealth offers the widest array of specialty and subspecialty services such as neurosurgery, cardiothoracic surgery, joint replacement, emergency/trauma care, comprehensive cancer care, wound care and clinical trials and research. Take advantage of our tuition assistance and scholarship programs to grow both personally and professionally.
Utilization Review RN Position Summary
The Utilization Review – RN is a registered nurse who is responsible for facilitating appropriate lengths of stay and reimbursement for all hospital admissions in accordance with its goals and objectives. Acts as the key information and education resource for the interdisciplinary team. Works to develop organization-wide approaches to problem solving. Analyzes current systems and variances to identify opportunities for improvement. Works to promote quality of care through collaboration with all service team members, patients, and families. Works with the leadership team to align the goals and visions. It is essential for RN to have general knowledge of payor industry, resource management and evidence-based clinical practice. Theoretical knowledge of the nursing and case management processes.
Utilization Review RN Position Requirements
- Current and valid license to practice as a RN
- BSN preferred
- Accreditation preferred
- 3 or more years of strong clinical experience
- Interqual or Milliman criteria preferred
- Excellent interpersonal communication and negotiation skills
- Strong analytical, data management and PC skills
- Current working knowledge of discharge planning, utilization management, case management, performance improvement and managed care reimbursement
- Ability to work independently and exercise sound judgment in interactions with patients, families, providers and payors.
Utilization Review RN Benefits
- At TidalHealth, team members working at least 36 hours per pay period based on 12-hour shift schedules or at least 37.5 hours for non 12-hour shift schedules and part-time team members working at least 30 hours or more on weekends only are eligible for benefits.
- Benefits include medical, prescription, vision, dental, flexible spending accounts, disability insurance plans, life insurance, paid time off plans, retirement plans, tuition assistance, employee assistance, and access to on-site childcare and a credit union.
LOCATION
Location: TidalHealth · Transition Services
SCHEDULE
Schedule: Full Time, Varied day and weekends, 7:30am - 6pm
See all 4,758+ Utilization Review Nurse Jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new Utilization Review Nurse roles.
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.