Top 292 Enfermería Jobs in Aguada, Pr

Registered Nurse
Infosys BPM Ltd —Aguadilla, PR
- Full-time
- Bilingual
- RN License
- English
- Health insurance
- Dental insurance
Quick Apply
Occupational Nurse / Enfermera Ocupacional (PerDiem Turnos Sabado y Domingo)
Occumed Health Services —Añasco, PR
- $17 - $20 an hour
- Contract
- Nursing
- Medical office experience
- BLS Certification
Quick Apply
Profesor(a) Bachillerato en Ciencias de Enfermería (RN a BSN)
NUC University —Mayagüez, PR
- Part-time
Quick Apply
Profesor(a) Grado Bachillerato en Enfermería - LPN
NUC University —Mayagüez, PR
- Part-time
Quick Apply
Instructor(a) Enfermería Práctica con Electrocardiografía (EKG)
NUC University —Aguadilla, PR
- Part-time
- Bachelor of Science
Quick Apply
Concierge Nurse
Pravan Health —Santurce, PR
- $30,000 - $35,000 a year
- Weekends as needed
- Spanish
- RN License
- Urgent Care
- Cell phone reimbursement
- Work from home
Profesor(a) Grado Asociado en Enfermería
NUC University —Mayagüez, PR
- Part-time
Quick Apply
Instructor(a) Técnico(a) Geriátrico
NUC University —Mayagüez, PR
- Part-time
- Bachelor of Science
Quick Apply
Profesor(a) Bachillerato en Ciencias de Enfermería - SG
NUC University —Mayagüez, PR
- Part-time
Quick Apply
Evaluador Clínico
Telemedik —Mayagüez, PR
Quick Apply
5d
Profesor(a) MA Enfermería - Medico Quirúrgico - Administración
NUC University —Mayagüez, PR
- Part-time
Quick Apply
Profesor(a) MA en Ciencias en Enfermería - Educación
NUC University —Mayagüez, PR
- Part-time
Quick Apply
Profesor(a) MA Enfermería - Medico Quirúrgico - Educación
NUC University —Mayagüez, PR
- Part-time
Quick Apply
ENFERMERO(A) CUIDADO DOMICILIARIO
EMPRESAS HQJ —Rincón, PR
- From $14 an hour
- Overnight shift
- CPR Certification
- Home health
- In-person
Quick Apply
8d
Asistente de Salud en el Hogar
Quality Care Hospice —Puerto Rico
- $11.54 - $14.42 an hour
- Full-time
Quick Apply
SUPERVISOR/A DE ENFERMERIA
Migrant Health Center —San Sebastián, PR
- Full-time
Quick Apply
Profesor(a) Enfermería-Especialidad en Salud Mental y Psiq.
Northbridge University —Mayagüez, PR
- Part-time
Quick Apply
Enfermera Graduada BSN
Hospicio Del Oeste, Inc —Añasco, PR
- $17.31 an hour
- Part-time
- Bilingual
- Nursing
- RN License
- Flexible schedule
Quick Apply
8d
Profesor(a) Enfermería-Especialidad en Maternidad Pediatría
Northbridge University —Mayagüez, PR
- Part-time
Quick Apply
Profesor(a) MA Enfermería - Especialidad en Pediatria
Northbridge University —Mayagüez, PR
- Part-time
Quick Apply

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enfermería jobs near aguada, pr

Registered Nurse

Infosys BPM Ltd -
Aguadilla, PR

Quick Apply

Job Details

Full-time

Benefits

Health insurance
Dental insurance
Vision insurance
Life insurance

Qualifications

Bilingual
RN License
English
High school diploma or GED
Nursing

Full Job Description

Job Title: Registered Nurse
Location: Aguadilla, Puerto Rico
Puerto Rico Registered Nurse License

In this role, you will be responsible for accurate and timely processing of healthcare claim service request and processing of claims using your medical knowledge to process according to a workflow that requires the review and evaluation of the service request as per SOP.

Job responsibilities:

Responsible for accurate and timely processing of healthcare claim service request and processing claims
Reviews, evaluates the service request as per SOP
Familiar with Medical Policy, Familiar with Clinical service requests, correspondence inquiries and image review
Forward the cases to appropriate teams, post the in-scope activities have been completed as per SOP (Standard operating Procedure)
Prep medical records for clinical review
End to end processing and resolution of clinical claims and correspondence
Understand/interpret medical terminology including clinical notes and reports
Able to review medical policies and determine the appropriate claim processing or clinical review process decisions (pay, request additional records, refer for clinical review)
Review and determine pricing for clinical claims in accordance with negotiated pricing agreements
Adept knowledge of verifying member benefits, eligibility verification and medical necessity determination
To apply clinical judgement in lines of applicable guidelines while they provide post service Medical Necessity Determination (MND) reviews for Claim Policy business area led by reputed US Payer organization/s
To work in collaboration with Medical Directors to deliver top quality medical necessity determination services to clients

Basic Qualifications

High School Diploma or GED Equivalent
At least 2 years of experience relating to the job description

Preferred Qualifications

Current Puerto Rico Registered Nurse valid license
Intermediate to advanced knowledge in using MS Office and ability to learn and use various computer software
Past experience in an office/clerical setting in the medical field
Experience in any claim adjudication platform
Certification in medical coding (CPT, ICD-10
Exposure to Healthcare Claims products (Indemnity, PPO, POS/DA, EPO, HMO)
Prefer knowledge of Workman's Compensation, Medicare, COB, no fault
Prior claims experience in medical coding, case management, cost containment review, medical claim management will be preferred

Note: Applicants for employment in the U.S. must possess work authorization which does not require sponsorship by the employer for a visa (H1B or otherwise).

The job entails sitting as well as working at a computer for extended periods of time. Should be able to communicate by telephone, email or face to face.

Work Model:
This role is onsite 5 days per week in the office in Aguadilla.

Job Type: Full-time

Benefits:

Dental insurance
Health insurance
Life insurance
Vision insurance

Experience:

Nursing: 2 years (Required)

Work Location: In person

Quick Apply

Refine Your Search

enfermería jobs in aguada, pr

Registered Nurse

Occupational Nurse / Enfermera Ocupacional (PerDiem Turnos Sabado y Domingo)

Profesor(a) Bachillerato en Ciencias de Enfermería (RN a BSN)

Profesor(a) Grado Bachillerato en Enfermería - LPN

Instructor(a) Enfermería Práctica con Electrocardiografía (EKG)

Concierge Nurse

Profesor(a) Grado Asociado en Enfermería

Instructor(a) Técnico(a) Geriátrico

Profesor(a) Bachillerato en Ciencias de Enfermería - SG

Evaluador Clínico

Profesor(a) MA Enfermería - Medico Quirúrgico - Administración

Profesor(a) MA en Ciencias en Enfermería - Educación

Profesor(a) MA Enfermería - Medico Quirúrgico - Educación

ENFERMERO(A) CUIDADO DOMICILIARIO

Asistente de Salud en el Hogar

SUPERVISOR/A DE ENFERMERIA

Profesor(a) Enfermería-Especialidad en Salud Mental y Psiq.

Enfermera Graduada BSN

Profesor(a) Enfermería-Especialidad en Maternidad Pediatría

Profesor(a) MA Enfermería - Especialidad en Pediatria

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