PR · On-site
Additional hours, including weekends or holidays, may be required based on operational needs. The ... Conducts clinical assessment to develop goals that address individual needs in order to develop and ...
PR · On-site
Additional hours, including weekends or holidays, may be required based on operational needs. The ... Conducts clinical assessment to develop goals that address individual needs in order to develop and ...
The RBT Manager collaborates with the clinical team to ensure client safety and success. What You ... Work closely with the Director of Operations on schedules and completed services. * Complete ...
Quick apply
The RBT Manager collaborates with the clinical team to ensure client safety and success. What You ... Work closely with the Director of Operations on schedules and completed services. * Complete ...
Technical Program Manager
San Juan, PR · Remote
$126K - $163K/yr
Experience supporting clinical or healthcare business operations * Experience managing multiple projects or workstreams * Experience preparing and delivering technical demonstrations * Experience ...
Technical Program Manager
San Juan, PR · Remote
$126K - $163K/yr
Experience supporting clinical or healthcare business operations * Experience managing multiple projects or workstreams * Experience preparing and delivering technical demonstrations * Experience ...
PR · On-site
Foster an organizational culture centered on the customer, with high standards of service, clinical ... Monitor and ensure operational integration across their departments, guaranteeing a seamless ...
Quick apply
PR · On-site
Foster an organizational culture centered on the customer, with high standards of service, clinical ... Monitor and ensure operational integration across their departments, guaranteeing a seamless ...
Experience supporting clinical or healthcare business operations * Experience managing multiple projects or workstreams * Experience preparing and delivering technical demonstrations * Experience ...
Experience supporting clinical or healthcare business operations * Experience managing multiple projects or workstreams * Experience preparing and delivering technical demonstrations * Experience ...
Examine, assess, and document business operations and procedures to ensure data integrity, data ... Medical record coding experience with experience in Evaluation and Management Services in the ...
Examine, assess, and document business operations and procedures to ensure data integrity, data ... Medical record coding experience with experience in Evaluation and Management Services in the ...
Supply Chain Manager
Juncos, PR · On-site
Partner with key internal customer groups and/or external suppliers to ensure successful operations ... and release timelines, clinical requirements, SKU put-up information and business planning ...
Supply Chain Manager
Juncos, PR · On-site
Partner with key internal customer groups and/or external suppliers to ensure successful operations ... and release timelines, clinical requirements, SKU put-up information and business planning ...
Drive operational excellence through disciplined business planning, territory management ... Partner with Sales Support, Marketing, Clinical, and other cross-functional teams to execute ...
Drive operational excellence through disciplined business planning, territory management ... Partner with Sales Support, Marketing, Clinical, and other cross-functional teams to execute ...
Drive operational excellence through disciplined business planning, territory management ... Partner with Sales Support, Marketing, Clinical and other cross-functional teams to execute ...
Drive operational excellence through disciplined business planning, territory management ... Partner with Sales Support, Marketing, Clinical and other cross-functional teams to execute ...
... Drive operational excellence through disciplined business planning, territory management ... Training and education: • Partner with Sales Training and Clinical teams to ensure ongoing ...
... Drive operational excellence through disciplined business planning, territory management ... Training and education: • Partner with Sales Training and Clinical teams to ensure ongoing ...
... Drive operational excellence through disciplined business planning, territory management ... Training and education: ● Partner with Sales Training and Clinical teams to ensure ongoing ...
... Drive operational excellence through disciplined business planning, territory management ... Training and education: ● Partner with Sales Training and Clinical teams to ensure ongoing ...
Registered Nurse
San Juan, PR · On-site
Develops high-potential nurses, clinical coordinators and clinic nurse managers into operational managers * DSSL & SPARK - Gives clinical teammates the chance to develop their supervisory and ...
Registered Nurse
San Juan, PR · On-site
Develops high-potential nurses, clinical coordinators and clinic nurse managers into operational managers * DSSL & SPARK - Gives clinical teammates the chance to develop their supervisory and ...
PR · On-site
$45K - $50K/yr
... clinical analysis with innovation and precision. Our commitment is, to be a leader in the ... Collaborate with other departments to ensure smooth operations and client satisfaction. * Analyze ...
Quick apply
Case Manager
Manati, PR · On-site
$17 - $21.75/hr
... clinical expertise while contributing to the well-being of individuals in your community. Manage ... Maintain knowledge of regulations/standards, company policies/procedures, and department operations.
Case Manager
Manati, PR · On-site
$17 - $21.75/hr
... clinical expertise while contributing to the well-being of individuals in your community. Manage ... Maintain knowledge of regulations/standards, company policies/procedures, and department operations.
Case Manager
$17 - $21.75/hr
... clinical expertise while contributing to the well-being of individuals in your community. Manage ... Maintain knowledge of regulations/standards, company policies/procedures, and department operations.
Case Manager
$17 - $21.75/hr
... clinical expertise while contributing to the well-being of individuals in your community. Manage ... Maintain knowledge of regulations/standards, company policies/procedures, and department operations.
Solid knowledge of drug products and clinical pharmacy * Solid knowledge of healthcare compliance ... Management * Call center experience * Experience in Quality Assurance / Auditing role At ...
Solid knowledge of drug products and clinical pharmacy * Solid knowledge of healthcare compliance ... Management * Call center experience * Experience in Quality Assurance / Auditing role At ...
PR · Hybrid
Specialty Account Manager, PR Sales (Central PR/Bayamon) at Axium Healthcare Sales Territory: Ideal ... Understanding of physician office operations and effective interaction with clinical and ...
PR · Hybrid
Specialty Account Manager, PR Sales (Central PR/Bayamon) at Axium Healthcare Sales Territory: Ideal ... Understanding of physician office operations and effective interaction with clinical and ...
Country Mgr - PR
Caguas, PR · On-site
As a global leader in clinical diagnostics, Beckman Coulter Diagnostics has challenged convention ... operations, and support functions within a matrix environment. * Represent Beckman Coulter with ...
Country Mgr - PR
Caguas, PR · On-site
As a global leader in clinical diagnostics, Beckman Coulter Diagnostics has challenged convention ... operations, and support functions within a matrix environment. * Represent Beckman Coulter with ...
Country Mgr - PR
Caguas, PR · On-site
As a global leader in clinical diagnostics, Beckman Coulter Diagnostics has challenged convention ... operations, and support functions within a matrix environment. * Represent Beckman Coulter with ...
Country Mgr - PR
Caguas, PR · On-site
As a global leader in clinical diagnostics, Beckman Coulter Diagnostics has challenged convention ... operations, and support functions within a matrix environment. * Represent Beckman Coulter with ...
Clinical Coder Supervisor- San Juan, PR
San Juan, PR · On-site
$18.50 - $23.25/hr
Adapts departmental plans and priorities to address business and operational challenges ... Manage the day-to-day activities of staff * Set priorities for the team to ensure task completion ...
Clinical Coder Supervisor- San Juan, PR
San Juan, PR · On-site
$18.50 - $23.25/hr
Adapts departmental plans and priorities to address business and operational challenges ... Manage the day-to-day activities of staff * Set priorities for the team to ensure task completion ...
Clinical Operations Manager information
What Does a Clinical Operations Manager Do?
A clinical operations manager or director is a health care professional who oversees the operations of a medical facility. Their duties include meeting regularly with department heads, reading assessments of employee productivity, and managing administrative tasks, such as budgeting and billing. Qualifications for a clinical operations manager include experience in medical administration, management skills, and organizational skills. An advanced degree in public health or health administration can significantly improve your job opportunities.
What is the difference between Clinical Operations Manager vs Clinical Research Coordinator?
| Aspect | Clinical Operations Manager | Clinical Research Coordinator |
|---|---|---|
| Credentials | Bachelor's degree in health sciences, management experience | Bachelor's degree in health or life sciences, research training |
| Work Environment | Oversees multiple clinical trials, manages teams | Assists with daily trial activities, data collection |
| Employer & Industry | Pharmaceutical companies, CROs, hospitals | Research institutions, hospitals, clinical sites |
The Clinical Operations Manager focuses on overseeing entire clinical trial operations, managing teams, and ensuring compliance. In contrast, the Clinical Research Coordinator handles the day-to-day activities at trial sites, such as patient recruitment and data collection. Both roles require related credentials and work within the clinical research industry, but their responsibilities and scope differ significantly.
What are the key skills and qualifications needed to thrive as a Clinical Operations Manager, and why are they important?
To thrive as a Clinical Operations Manager, you need expertise in clinical trial management, regulatory compliance, and healthcare operations, usually supported by a degree in a health-related field and relevant experience. Familiarity with clinical trial management systems (CTMS), electronic data capture (EDC) platforms, and certifications such as ACRP or SOCRA are commonly required. Strong leadership, problem-solving abilities, and effective communication are essential soft skills for this role. These skills ensure efficient trial execution, regulatory adherence, and successful coordination across teams and stakeholders.
What are the main challenges Clinical Operations Managers face when overseeing multiple clinical trials simultaneously?
Clinical Operations Managers often juggle several clinical trials at once, which can present challenges such as maintaining consistent quality across studies, ensuring timely patient recruitment, and managing diverse teams. They must coordinate with cross-functional departments, address regulatory compliance, and troubleshoot unforeseen issues, all while staying on schedule and within budget. Effective organizational skills, proactive communication, and adaptability are essential for overcoming these challenges and ensuring successful trial outcomes.
What are Clinical Operations Managers?
Clinical Operations Managers are professionals responsible for overseeing the day-to-day administrative and operational functions of clinical trials or healthcare facilities. They ensure that clinical protocols are followed, resources are efficiently allocated, and regulatory compliance is maintained. These managers coordinate between healthcare staff, researchers, and external partners to facilitate smooth clinical operations and high-quality patient care. Their role is essential in ensuring that clinical services or trials are delivered effectively, safely, and on schedule.
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Medical, Dental, Vision, Life, Retirement, PTO
Posted 5 days ago
Elevance Health rating
7.7
Based on 335 frontline employees who took The Breakroom Quiz
174th of 261 rated insurance
Job description
Nurse Care Manager I
Location: This role enables associates to workvirtually 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 candidatesresidewithin 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 elevancehealthjobssupport@elevancehealth.com for 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.
Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.
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About Elevance Health
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Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. A Fortune 20 company with a longstanding history in the healthcare industry, we are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Indianapolis, IN, US
Year founded
2004