Top 28 Nurse case managers Jobs in Carolina, Pr

RN Clinical Case Manager (San Juan, PR)
Healthmap Solutions Puerto Rico —San Juan, PR
- Full-time
- Hybrid work
- Spanish
- Nursing
- Microsoft Excel
12d
Care Specialist (Nurse Educator) - San Juan, Puerto Rico (National)
IQVIA —San Juan, PR
- $70,000 - $75,000 a year
- Full-time
- Microsoft Word
- Nursing
- RN License
Especialista De Determinaciones Organizacionales Y Apelaciones
MCS HEALTHCARE HOLDINGS, LLC —San Juan, PR
- Spanish
- Nursing
- RN License
Intake RN (San Juan)
Revival Home Health Care a Centers Company —San Juan, PR
- Full-time
- Mid-level
- Home Health
- Discharge planning
Quick Apply
Charge Nurse
San Juan Capestrano —Rio Piedras, PR
- Full-time
- CPR Certification
- Nursing
- Addiction Medicine
14d
HD Liaison/First Resp PR (ASEM)
LifeLink Foundation, Inc. —Guaynabo, PR
- Extended hours
- Nursing
- Clean driving record
- Microsoft Excel
- Paid holidays
- Disability insurance
Quick Apply
HP3 Nurse
APS Health Care PR —Naranjito, PR
- Part-time
- Nursing
- Microsoft Excel
- Microsoft Outlook
Quick Apply
Bilingual Call Center Nurse
Insight Communications —San Juan, PR
- 8 hour shift
- Spanish
- Nursing
- English
Quick Apply
Medical Case Manager
Family Medicine Group —Carolina, PR
- $11 - $14 an hour
- Full-time
- Bilingual
- HIPAA
- Mid-level
Quick Apply
RN Care Manager - Hybrid (Bengali/Arabic/Chinese Languages Preferred)
Centers Care Solutions —San Juan, PR
- Full-time
- Spanish
- Nursing
- RN License
Quick Apply
Clinical Donation Coordinator I - PeeDee Region
WE ARE SHARING HOPE SC —United States
- On call
- Mid-level
- Operating room
- 2 years
RN Visiting Nurse Case Manager
MASONICARE —United States
- Rotating weekends
- RN License
- Home Health
- 1 year
- On-the-job training
3d
Travel ICU RN Job in Tuscaloosa, Alabama
Gifted Healthcare —United States
- $2,646 a week
- Overtime
- Nursing
- Anatomy knowledge
- Medication administration
- Health insurance
- Dental insurance
Quick Apply

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Especialista en Revision Medica
MCS HEALTHCARE HOLDINGS, LLC —San Juan, PR
Identifies cost-containment opportunities, inappropriate billing patterns, overpayments, and potential fraud, waste, or abuse situations, escalating cases when…
Care Specialist (Nurse Educator) - San Juan, Puerto Rico (National)
IQVIA —San Juan, PR
Candidates must possess a valid driver’s license and will be subject to a review of their driving record prior to hire. Willing to travel extensively (75-90%).
$70,000 - $75,000 a year

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Registered Nurse (RNCM)
Bella Care Hospice —Columbus, OH
Successful completion of RN license program. Good knowledge of MS Office and data entry. Implements current nursing practice following a patient assessment and…
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Hospice RN Case Manager
Wexner Heritage Village - Zusman Hospice —Columbus, OH
Ohio driver’s license, current auto insurance and access to a car during working hours. Registered nurse (R.N.) in the state of Ohio.
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3d

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nurse case managers jobs near carolina, pr

RN Clinical Case Manager (San Juan, PR)

Healthmap Solutions Puerto Rico
San Juan, PR

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Job Details

Full-time
12 days ago

Qualifications

Spanish
Microsoft Excel
Microsoft Outlook
RN License
BLS Certification
English
Driver's License
Stakeholder relationship building

Full Job Description

Position Summary

The Clinical Care Manager is responsible for developing and maintaining long-term relationships with physicians, physician office staff, and Healthmap members that are engaged in Healthmap’s Kidney Management Program through coordinating performance improvement activities and care management to improve health outcomes.

Responsibilities

Act as a liaison between Healthmap, provider practices and Healthmap members to ensure positive engagement and performance with our program(s)
Develop new provider/partner business relationships that serve as means to better Healthmap provider and member engagement and manage assigned caseload
Identify opportunities to improve health outcomes for Healthmap Solutions members based on provider specific data
Incorporate education and communication on Best Practice sharing, process improvement in provider workflows, Kidney Health Management interventions and HEDIS/STAR measures for identified areas of provider low performance
Identify opportunities to educate provider offices on topics related to Chronic Kidney Disease, End Stage Renal Disease, Renal Replacement Therapies, etc.
Partner with physicians/physician staff to identify Healthmap Solutions members that would benefit from Care Navigation support, conduct outreach, and engage members in program
Educate Healthmap members on kidney health, related co-morbid conditions, and renal replacement therapy
Serve as Healthmap member advocate, utilize community resources and programs, and serve as liaison between the member, the member’s support network, treating physician, and ancillary providers to assist members in meeting individualized goals
Accountable for individual and departmental metrics and key performance indicators as identified by the organization
Ensure timely and successful delivery of reports to internal and external stakeholders
Maintain thorough documentation of all provider meetings/interactions and member interactions for consistency and coordination and in compliance with National Committee for Quality Assurance (NCQA) standards
Ensure Healthmap policies and procedures are followed and complies with HIPAA privacy laws and all other federal, state, and local regulations
Perform other related duties as assigned

Requirements

Associate, diploma, or bachelor’s degree in nursing required
Active, unrestricted RN license required
Basic Life Support (BLS) certification required
Advanced Cardiovascular Life Support (ACLS) certification (based on role)
3+ years of progressive experience in healthcare services, clinical operations, quality, or care management
3 years of experience in care gap closure or care coordination activities, including those in an outpatient or hospital setting preferred
Prior experience building and managing relationships with health care providers or patients preferred
- Proof of valid and unrestricted driver’s license required and automobile insurance as required by law; this position requires regular travel within assigned region to support practices and or other healthcare/clinical sites as needed
Bilingual fluency in English and Spanish
On Island residency

As applicable, must comply with organization policies for health screening and immunizations, including but not limited to:

Current Tuberculosis (TB) test or current chest X-ray
Proof of immunizations (e.g., Hepatitis B, MMR, Varicella, COVID-19, Influenza)
Participation in annual health and wellness screenings

Skills

Excellent verbal, written and presentation skills
Interpersonal skills to develop and maintain strong internal and external relationships
Ability to multitask, prioritize, and create solutions in a fast-paced environment
Demonstrated leadership skills and ability to create and maintain a positive work environment
Strong critical thinking and analytical skills
Ability to foster strong employee engagement among the team
Must be proficient in Microsoft Office: Outlook, Word, Excel, PowerPoint

This position requires regular travel within assigned region to support practices.

#LI-Hybrid

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Refine Your Search

nurse case managers jobs in carolina, pr

RN Clinical Case Manager (San Juan, PR)

Care Specialist (Nurse Educator) - San Juan, Puerto Rico (National)

Especialista De Determinaciones Organizacionales Y Apelaciones

Intake RN (San Juan)

Charge Nurse

HD Liaison/First Resp PR (ASEM)

HP3 Nurse

Bilingual Call Center Nurse

Medical Case Manager

RN Care Manager - Hybrid (Bengali/Arabic/Chinese Languages Preferred)

Clinical Donation Coordinator I - PeeDee Region

RN Visiting Nurse Case Manager

Travel ICU RN Job in Tuscaloosa, Alabama

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