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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Be part of a dynamic and creative team with a mission to make Vermont the best state in which to grow old or to live with a disability - with dignity, respect, and independence. As part of the Department of Disabilities, Aging and Independent Living (DAIL) Adult Services Division, you'll work with the Money Follows the Person (MFP) grant assisting older adults, and individuals with disabilities to transition from institutional care to community living.
As a Nurse Case Manager Utilization RN I, the successful candidate will support the goals of the MFP grant, working in a Transition Coordination role. The MFP Transition Coordinator works collaboratively with participants, families, and community service providers such as hospitals, skilled nursing facilities, and case management agencies to connect individuals with services and supports. Key responsibilities include program clinical eligibility assessments, participation in team-based care, and collaboration across the long-term care continuum. Work is performed under the general supervision of the Money Follows the Person Program Director.
Vermont RN licensure is required, knowledge of long-term care services and supports and experience with case management is preferred.
This position is grant funded through Money Follows the Person grant. Work is performed in an office setting with some travel required.
Who May Apply
This position, Nurse Case Manager Utilization Review Nurse I - Limited Service (Job Requisition #54762), is open to all State employees and external applicants. It is a Limited Service position, which is non-tenured and authorized for a specific period of time. Limited Service positions are established for specially funded projects or programs.
If you would like more information about this position, please contact Hayley.Church@partner.vermont.gov.
Resumes will not be accepted via e-mail. You must apply online to be considered.
Please note that multiple positions in the same work location may be filled from this job posting.
Environmental Factors
Duties are performed in a facility, standard office setting and/or in the community. Extensive travel may be required, for which private means of transport must be available. Certain functions may require duty outside of normal work hours. Some resistance or objection to standards may be anticipated, requiring tact and diplomacy to achieve proper action. Duties involve need for effective communication and working relationships with a diverse group of stakeholders, including the individual, family members and a number of health care disciplines and service providers; and operational integration with various other health care reform initiatives. Critical assessment skills are necessary to promote personal and client safety.
Minimum Qualifications
Possession of (or eligible for) licensure as a Registered Nurse (RN) in Vermont OR eligible to practice in the state of Vermont via a multi-state license AND three (3) years or more of professional nursing experience in an acute hospital setting, long term care, health insurance carrier, or within a community health/public health setting.
NOTE: Must maintain Vermont or multi-state licensure as a Registered Nurse as a condition of employment.
Preferred Qualifications
Bachelor of Science in Nursing (BSN).
Special Requirements
Reliable means of personal transportation is required for work out of the office or in the community and field based settings.
Candidates must pass any level of background investigation applicable to the position. In accordance with applicable hiring standards, fingerprint supported criminal record checks, adult and child abuse registry checks, the Office of Inspector General exclusion database, and motor vehicle driving record checks, as appropriate to the position under recruitment, will be conducted on candidates, with the exception of those who are current classified state employees seeking transfer, promotion, or demotion into a classified position or are persons exercising re-employment (RIF) rights.
For positions at the Vermont Veterans' Home: Any person who has had a charge of abuse, neglect or exploitation substantiated against them is not eligible under the Vermont Veterans’ Home licensing requirements. Candidates, including current State employees seeking transfer, promotion, demotion, or persons exercising re-employment rights, must pass a fingerprint supported background investigation applicable to the position. Additionally, in accordance with Federal and State regulatory standards, Vermont and/or national criminal record checks, Office of Inspector General exclusion database checks, motor vehicle driving record checks, and adult and child abuse registry checks, as appropriate to the position under recruitment, will be conducted on candidates. Hiring managers will notify applicants who are in the final stage of the interview process of the fingerprinting and background check requirements, to which an applicant must agree to be deemed eligible for this position. Applicants will have the right to withdraw their applications before fingerprinting and/or a background investigation is conducted.
Total Compensation
As a State employee you are offered a great career opportunity, but it's more than a paycheck. The State's total compensation package features an outstanding set of employee benefits that are worth about 30% of your total compensation, including:
- 80% State paid medical premium and a dental plan at no cost for employees and their families
- Work/Life balance: 11 paid holidays each year and a generous leave plan
- State Paid Family and Medical Leave Insurance (FMLI)
- Two ways to save for your retirement: A State defined benefit pension plan and a deferred compensation 457(b) plan
- Tuition Reimbursement
- Flexible spending healthcare and childcare reimbursement accounts
- Low cost group life insurance
- Incentive-based Wellness Program
- Qualified Employer for Public Service Student Loan Forgiveness Program
Want the specifics? Explore the Benefits of State Employment on our website.
Equal Opportunity Employer
The State of Vermont celebrates diversity, and is committed to providing an environment of mutual respect and meaningful inclusion that represents a variety of backgrounds, perspectives, and skills. The State does not discriminate in employment on the basis of race, color, religion or belief, national, social or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, membership in an employee organization, family medical history or genetic information, or family or parental status. The State’s employment decisions are merit-based. Retaliatory adverse employment actions by the State are forbidden.
Overview
Be part of a dynamic and creative team with a mission to make Vermont the best state in which to grow old or to live with a disability - with dignity, respect, and independence. As part of the Department of Disabilities, Aging and Independent Living (DAIL) Adult Services Division, you'll work with the Money Follows the Person (MFP) grant assisting older adults, and individuals with disabilities to transition from institutional care to community living.
As a Nurse Case Manager Utilization RN I, the successful candidate will support the goals of the MFP grant, working in a Transition Coordination role. The MFP Transition Coordinator works collaboratively with participants, families, and community service providers such as hospitals, skilled nursing facilities, and case management agencies to connect individuals with services and supports. Key responsibilities include program clinical eligibility assessments, participation in team-based care, and collaboration across the long-term care continuum. Work is performed under the general supervision of the Money Follows the Person Program Director.
Vermont RN licensure is required, knowledge of long-term care services and supports and experience with case management is preferred.
This position is grant funded through Money Follows the Person grant. Work is performed in an office setting with some travel required.
Who May Apply
This position, Nurse Case Manager Utilization Review Nurse I - Limited Service (Job Requisition #54762), is open to all State employees and external applicants. It is a Limited Service position, which is non-tenured and authorized for a specific period of time. Limited Service positions are established for specially funded projects or programs.
If you would like more information about this position, please contact Hayley.Church@partner.vermont.gov.
Resumes will not be accepted via e-mail. You must apply online to be considered.
Please note that multiple positions in the same work location may be filled from this job posting.
Environmental Factors
Duties are performed in a facility, standard office setting and/or in the community. Extensive travel may be required, for which private means of transport must be available. Certain functions may require duty outside of normal work hours. Some resistance or objection to standards may be anticipated, requiring tact and diplomacy to achieve proper action. Duties involve need for effective communication and working relationships with a diverse group of stakeholders, including the individual, family members and a number of health care disciplines and service providers; and operational integration with various other health care reform initiatives. Critical assessment skills are necessary to promote personal and client safety.
Minimum Qualifications
Possession of (or eligible for) licensure as a Registered Nurse (RN) in Vermont OR eligible to practice in the state of Vermont via a multi-state license AND three (3) years or more of professional nursing experience in an acute hospital setting, long term care, health insurance carrier, or within a community health/public health setting.
NOTE: Must maintain Vermont or multi-state licensure as a Registered Nurse as a condition of employment.
Preferred Qualifications
Bachelor of Science in Nursing (BSN).
Special Requirements
Reliable means of personal transportation is required for work out of the office or in the community and field based settings.
Candidates must pass any level of background investigation applicable to the position. In accordance with applicable hiring standards, fingerprint supported criminal record checks, adult and child abuse registry checks, the Office of Inspector General exclusion database, and motor vehicle driving record checks, as appropriate to the position under recruitment, will be conducted on candidates, with the exception of those who are current classified state employees seeking transfer, promotion, or demotion into a classified position or are persons exercising re-employment (RIF) rights.
For positions at the Vermont Veterans' Home: Any person who has had a charge of abuse, neglect or exploitation substantiated against them is not eligible under the Vermont Veterans’ Home licensing requirements. Candidates, including current State employees seeking transfer, promotion, demotion, or persons exercising re-employment rights, must pass a fingerprint supported background investigation applicable to the position. Additionally, in accordance with Federal and State regulatory standards, Vermont and/or national criminal record checks, Office of Inspector General exclusion database checks, motor vehicle driving record checks, and adult and child abuse registry checks, as appropriate to the position under recruitment, will be conducted on candidates. Hiring managers will notify applicants who are in the final stage of the interview process of the fingerprinting and background check requirements, to which an applicant must agree to be deemed eligible for this position. Applicants will have the right to withdraw their applications before fingerprinting and/or a background investigation is conducted.
Total Compensation
As a State employee you are offered a great career opportunity, but it's more than a paycheck. The State's total compensation package features an outstanding set of employee benefits that are worth about 30% of your total compensation, including:
- 80% State paid medical premium and a dental plan at no cost for employees and their families
- Work/Life balance: 11 paid holidays each year and a generous leave plan
- State Paid Family and Medical Leave Insurance (FMLI)
- Two ways to save for your retirement: A State defined benefit pension plan and a deferred compensation 457(b) plan
- Tuition Reimbursement
- Flexible spending healthcare and childcare reimbursement accounts
- Low cost group life insurance
- Incentive-based Wellness Program
- Qualified Employer for Public Service Student Loan Forgiveness Program
Want the specifics? Explore the Benefits of State Employment on our website.
Equal Opportunity Employer
The State of Vermont celebrates diversity, and is committed to providing an environment of mutual respect and meaningful inclusion that represents a variety of backgrounds, perspectives, and skills. The State does not discriminate in employment on the basis of race, color, religion or belief, national, social or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, membership in an employee organization, family medical history or genetic information, or family or parental status. The State’s employment decisions are merit-based. Retaliatory adverse employment actions by the State are forbidden.
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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.
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.
Utilization Review Nurse jobs are hiring across the US. Find yours.
Find Utilization Review Nurse JobsFrequently 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 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.
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