Top 180 Registered nurse Jobs in Hatillo, Pr

Registered Nurse
Infosys BPM Ltd —Aguadilla, PR
- Full-time
- Bilingual
- RN License
- English
- Health insurance
- Dental insurance
Quick Apply
Remote Telehealth Registered Nurse (Puerto Rico-Based) English Speaking / Bilingual
RelateCare —Puerto Rico
- $18 - $19 an hour
- Part-time
- Nursing
- RN License
- English
- Health insurance
- Dental insurance
Quick Apply
Healthcare Provider Recruiter (Registered Nurse)
American Care Medical Centers —Adjuntas, PR
- Up to $60,000 a year
- Full-time
- Background check
- RN License
- Customer service
- Paid holidays
- Health insurance
Quick Apply
Enfermero (a) Generalista
Arecibo Medical Home Care —Arecibo, PR
- $17.30 - $20.16 an hour
- Full-time
- Nursing
- Patient monitoring
- Clinic experience
- Travel reimbursement
- Health insurance
Quick Apply
Profesor(a) Bachillerato en Ciencias de Enfermería (RN a BSN)
NUC University —Arecibo, PR
- Part-time
Quick Apply
Registered Nurse
Infosys —Aguadilla, PR
- Full-time
- RN License
- Medical office experience
- Mid-level
Quick Apply
Travel ER Registered Nurse (RN)
Meda Health —United States
- $2,120 - $2,710 a week
- 12 hour shift
- Background check
- Vital signs
- Medication administration
- Health insurance
- Dental insurance
Quick Apply
10d
Travel ICU Registered Nurse (RN) – Nationwide Opportunities
Triage Staff —United States
- $1,600 - $3,327 a week
- Temporary
- Nursing
- RN License
- BLS Certification
- Travel reimbursement
- Health savings account
Quick Apply
Military Service - U.S. Navy, Registered Nurse
U.S. Navy —United States
- $61,500 - $90,000 a year
- Full-time
- Background check
- Nursing
- RN License
- Loan repayment program
- Health insurance
RN - Labor & Delivery | Hiring Bonus + Relo! Springfield, OR
PeaceHealth —United States
- $49.30 - $77.46 an hour
- Full-time
- Spanish
- Nursing
- RN License
- Continuing education credits
- 403(b) matching
Quick Apply
Travel Telemetry Registered Nurse (RN) – 13-Week Night Shift Contract
Trustaff —United States
- $1,987 a week
- 12 hour shift
- Medication administration
- RN License
- Hospital
- Travel reimbursement
- Relocation assistance
Quick Apply
Travel Registered Nurse (RN)- Medical Surgical and MSTELE * Up to $40K per assignment
Health Carousel —United States
- From $11,000 a month
- Travel nursing
- RN License
- BLS Certification
- Mid-level
- Continuing education credits
- Health insurance
Quick Apply
Registered Nurse Med Surg
Synapse Business Systems —United States
- $2,100 - $2,200 a week
- 12 hour shift
- Nursing
- RN License
- PALS Certification
- Referral program
Quick Apply
4d
MedTech Part Time Clinical Consultant – San Francisco, CA
IQVIA —United States
- $85 an hour
- Part-time
- RN License
- Mid-level
- 3 years
Travel CVOR Registered Nurse (RN) – Nationwide Opportunities
Triage Staff —United States
- $1,887 - $3,422 a week
- Temporary
- Nursing
- RN License
- Mid-level
- Travel reimbursement
- Health savings account
Quick Apply
Aesthetics Professional Injector
GlamNow —United States
- $150 - $500 an hour
- Choose your own hours
- Remote
- Background check
- RN License
- Sales
- Employee discount
- Opportunities for advancement
Quick Apply
Travel Cath Lab RN
Fastaff —United States
- $3,000 - $3,300 a week
- Travel nursing
- RN License
- BLS Certification
- Mid-level
- Relocation assistance
- Health insurance
Quick Apply
Inpatient Registered Nurse for $80/hr - IHS Hopi, AZ
Rapid Temps, Inc —United States
- $80 an hour
- 12 hour shift
- Nursing
- RN License
- PALS Certification
Quick Apply
Travel Registered Nurse- RN-PCU/StepDown up to $3,183 per week
Health Carousel —United States
- From $3,183 a week
- Travel nursing
- RN License
- BLS Certification
- ACLS Certification
- Continuing education credits
- Health insurance
Quick Apply
Travel RN – Stepdown (3×12 Nights)
Trustaff —United States
- $1,987 a week
- Overnight shift
- RN License
- BLS Certification
- Mid-level
- Relocation assistance
- Health insurance
Quick Apply

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registered nurse jobs near hatillo, 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

registered nurse jobs in hatillo, pr

Registered Nurse

Remote Telehealth Registered Nurse (Puerto Rico-Based) English Speaking / Bilingual

Healthcare Provider Recruiter (Registered Nurse)

Enfermero (a) Generalista

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

Registered Nurse

Travel ER Registered Nurse (RN)

Travel ICU Registered Nurse (RN) – Nationwide Opportunities

Military Service - U.S. Navy, Registered Nurse

RN - Labor & Delivery | Hiring Bonus + Relo! Springfield, OR

Travel Telemetry Registered Nurse (RN) – 13-Week Night Shift Contract

Travel Registered Nurse (RN)- Medical Surgical and MSTELE * Up to $40K per assignment

Registered Nurse Med Surg

MedTech Part Time Clinical Consultant – San Francisco, CA

Travel CVOR Registered Nurse (RN) – Nationwide Opportunities

Aesthetics Professional Injector

Travel Cath Lab RN

Inpatient Registered Nurse for $80/hr - IHS Hopi, AZ

Travel Registered Nurse- RN-PCU/StepDown up to $3,183 per week

Travel RN – Stepdown (3×12 Nights)

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