Top 629 Quality systems manager Jobs in Rio Piedras, Pr

Nurse Care Manager I (NCLEX)
Elevance Health —San Juan, PR
- 8 hour shift
- Nursing
- RN License
- Bachelor of Science
- Employee stock purchase plan
- Paid holidays
Pharmacist Supervisor (Call Center Operations) - San Juan, Puerto Rico
UnitedHealth Group —San Juan, PR
- Rotating shift
- Microsoft Excel
- Microsoft Outlook
- Pass drug screening
5d
District Manager
Starbucks PR - San Juan —San Juan, PR
- Full-time
- 5 years
- Writing skills
- Restaurant management
Quick Apply
13d
Claims Analyst - REMOTE
Ryder System —San Juan, PR
- $90,000 - $100,000 a year
- Full-time
- Remote
- Bachelor's degree
- Experience equivalent to degree accepted
- Senior level
- Disability insurance
- Health insurance
Quality Control Manager Bilingual for Federal Contract
Allied Universal —Guaynabo, PR
- $72,000.24 a year
- Full-time
- Bilingual
- Military
- High school diploma or GED
- AD&D insurance
- Paid holidays
Quick Apply
Facilities / Engineering Operations Manager 1
Sodexo —Guaynabo, PR
- $66,895 - $86,570 a year
- Mid-level
- 3 years
- Bachelor's degree
- Paid holidays
- Health insurance
3d
Call Center Supervisor
Alivia Health —Guaynabo, PR
- Call employer
- Microsoft Excel
- Microsoft Outlook
- Mid-level
Quick Apply
3d
Software Support Manager
Medido Health —San Juan, PR
- Full-time
- Hybrid work
- Spanish
- 5 years
- English
Quick Apply
Quality Manager
Ferrovial Construcción PR LLC —San Juan, PR
- $70,000 - $100,000 a year
- Full-time
- Construction site
- English
- Bachelor's degree
Quick Apply
Case Management Coordinator - West Region
MetaMed LLC. —Guaynabo, PR
- From $16.82 an hour
- Full-time
- Customer service
- HIPAA
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Instructional Designer I - REMOTE
Ryder System —San Juan, PR
- $65,000 - $75,000 a year
- Remote
- Microsoft Excel
- Microsoft Outlook
- Organizational skills
- Disability insurance
- Health insurance
Customer Success Associate Manager
C-Axis PR, Inc —Caguas, PR
- $40,000 - $52,000 a year
- Full-time
- Sales
- 5 years
- Business development
Case Manager
Alcanzando Horizontes LLC —San Juan, PR
- $19 an hour
- Full-time
- Spanish
- Computer literacy
- English
- Disability insurance
- Health insurance
Quick Apply
Patient Service Manager
Alivia Health —Guaynabo, PR
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Bachelor's degree
Quick Apply
3d
Case Manager III
St Vincent De Paul Cares —San Juan, PR
- $21.63 an hour
- Weekends as needed
- Background check
- Microsoft Outlook
- Customer service
- 403(b) matching
- Paid holidays
Quick Apply
Project Manager
Mace —San Juan, PR
- From $130,000 a year
- Full-time
- Mid-level
- Team management
- Communication skills
Assistant Warehouse Manager
Envocore, LLC —San Juan, PR
- $18 - $22 an hour
- Monday to Friday
- Spanish
- Word processing
- Computer literacy
Quick Apply
Global Category Manager (Plastics/Pharmaceutical Industries)
Macpower Digital Assets Edge Private Limited —Guaynabo, PR
- $130,000 - $140,000 a year
- 8 years
- Analysis skills
- Bachelor's degree
Quick Apply
Senior Manager, Service Delivery & Operational Excellence
Liberty Latin America Communications, Inc. —Guaynabo, PR
- Full-time
- Background check
- Spanish
- Pass drug screening
Director of Security
Sonesta —Carolina, PR
- Weekends as needed
- Spanish
- Military
- Writing skills
- Paid parental leave
- Health insurance

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Nurse Care Manager I (NCLEX)

Elevance Health -
San Juan, PR

Apply Now

Job Details

Full-time

Benefits

Employee stock purchase plan
Paid holidays
Disability insurance
Health insurance
Dental insurance
Paid time off
Vision insurance
401(k) matching
Life insurance

Qualifications

Foreign language proficiency
Direct patient care
RN License
Acute care experience

Full Job Description

Nurse Care Manager I

Location: This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office. This position will be based in Puerto Rico.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

Carelon Global Solutions (CGS), a fully owned subsidiary of Elevance Health, is a healthcare solutions company that is simplifying complex operational processes to improve the health of the healthcare system.

Our Puerto Rico location operates a bilingual Spanish and English call center, providing clear and precise answers to customer queries.

Schedule: This position will work rotating 8-hour shifts between 8:30 am - 8:30 pm (ET), Monday through Friday. Additional hours, including weekends or holidays, may be required based on operational needs.

The Nurse Care Manager I is responsible for collaborating with healthcare providers and/or consumer to drive personalized health management and improve health outcomes for optimal consumers. Performs care management activities within the scope of licensure for members with complex and chronic care needs.

How You Will Make an Impact

Primary duties may include, but are not limited to:

Ensures medically appropriate, high-quality, cost-effective care through assessing the medical necessity of inpatient admissions and extensions of stay, outpatient services, out of network services, and appropriateness of treatment setting and level of care.
Partners with physician clinical reviewers and/or medical directors to interpret appropriateness of care, intervention planning, and general clinical guidance.
Collaborates with providers to assess consumer needs for early identification of and proactive planning for discharge.
Conducts clinical assessment to develop goals that address individual needs in order to develop and implement a care plan.
Monitors and evaluates effectiveness of the care management plan and modifies as necessary.

Minimum Requirements:

Requires a HS diploma or equivalent and a minimum of 3 years of acute care clinical experience; or any combination of education and experience, which would provide an equivalent background.
Current, active valid unrestricted RN license in applicable state(s) required.
Multi-state licensure is required if this individual is providing services in multiple states.

Preferred Skills, Capabilities, and Experiences:

Fully Bilingual (English & Spanish), Must be able to write, read and speak both languages in a proficiency level preferred.
AS or BS in nursing is strongly preferred.
NCLEX Certification or current unrestricted RN license from one of the 50 states of the United States is highly preferred.
Home health/discharge planning experience preferred.
Certification as a Case Manager or a BS in a health or human services related field also preferred.

For URAC accredited areas, the following applies: Current and active RN license required in applicable state(s) that allows for an independent assessment to be conducted within their scope of practice. Requires 3 years full-time equivalent of direct clinical care experience to the consumer, 5 years full-time equivalent of direct clinical care experience to the consumer preferred or any combination of education and experience, which would provide an equivalent background, Multi-state licensure is required if this individual is providing services in multiple states. Certification as a Case Manager or a BS in a health or human services related field also preferred.

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [email protected] assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act

Apply Now

Refine Your Search

quality systems manager jobs in rio piedras, pr

Nurse Care Manager I (NCLEX)

Pharmacist Supervisor (Call Center Operations) - San Juan, Puerto Rico

District Manager

Claims Analyst - REMOTE

Quality Control Manager Bilingual for Federal Contract

Facilities / Engineering Operations Manager 1

Call Center Supervisor

Software Support Manager

Quality Manager

Case Management Coordinator - West Region

Instructional Designer I - REMOTE

Customer Success Associate Manager

Case Manager

Patient Service Manager

Case Manager III

Project Manager

Assistant Warehouse Manager

Global Category Manager (Plastics/Pharmaceutical Industries)

Senior Manager, Service Delivery & Operational Excellence

Director of Security

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