Nurse Care Manager I (NCLEX) Nurse Care Manager I Location: This role enables associates to ... Carelon Global Solutions (CGS), a fully owned subsidiary of Elevance Health, is a healthcare ...
Nurse Care Manager I (NCLEX) Nurse Care Manager I Location: This role enables associates to ... Carelon Global Solutions (CGS), a fully owned subsidiary of Elevance Health, is a healthcare ...
Nurse Care Manager I (NCLEX)
San Juan, PR · On-site
Nurse Care Manager I (NCLEX) Nurse Care Manager I Location: This role enables associates to work ... Carelon Global Solutions (CGS), a fully owned subsidiary of Elevance Health, is a healthcare ...
Nurse Care Manager I (NCLEX)
San Juan, PR · On-site
Nurse Care Manager I (NCLEX) Nurse Care Manager I Location: This role enables associates to work ... Carelon Global Solutions (CGS), a fully owned subsidiary of Elevance Health, is a healthcare ...
Nurse Care Manager I Location: This role enables associates to workvirtually full-time, except for ... Carelon Global Solutions (CGS), a fully owned subsidiary of Elevance Health, is a healthcare ...
Nurse Care Manager I Location: This role enables associates to workvirtually full-time, except for ... Carelon Global Solutions (CGS), a fully owned subsidiary of Elevance Health, is a healthcare ...
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Quick apply
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The Nurse Manager functions as role model, educator, practitioner, and manager and provides ... Federal health/vision/dental/term life/long-term care (many federal insurance programs can be ...
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Healthcare Services Coordinator (Determination Letters) - San Juan, PR
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Healthcare Services Coordinator (Determination Letters) - San Juan, PR
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Quick apply
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Quick apply
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Product Value Specialist
San Juan, PR · On-site
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Healthcare Manager information
What is a healthcare manager?
What does a healthcare manager do?
Healthcare managers perform a range of managerial and administrative duties in the healthcare field. A healthcare manager may manage a specific department at a healthcare facility, the entire facility, or small medical practice. Their responsibilities include overseeing the personnel of the facility as well as the facilities finances, information technology, and general operations of the facility. Healthcare managers also work to reduce costs for the facility while improving the quality of care patients receive.
What are the key skills and qualifications needed to thrive as a healthcare manager, and why are they important?
What are some of the most common challenges faced by healthcare managers, and how can they effectively address them?
What is the difference between Healthcare Manager vs Healthcare Coordinator?
| Aspect | Healthcare Manager | Healthcare Coordinator |
|---|---|---|
| Credentials | Typically requires a bachelor's or master's degree in healthcare administration or related field | Often requires a diploma or associate degree, with some roles needing certification |
| Work Environment | Oversees entire healthcare facilities or departments, managing staff and operations | Assists with patient care coordination, scheduling, and administrative support |
| Employer & Industry Usage | Hospitals, clinics, healthcare organizations | Clinics, outpatient centers, healthcare offices |
Healthcare Managers focus on overseeing healthcare operations, staff, and policies, while Healthcare Coordinators handle patient scheduling, communication, and administrative tasks. Both roles are essential in healthcare settings but differ in scope and responsibilities.
Are healthcare managers in demand?
What jobs do healthcare managers do?
What are the most commonly searched types of Healthcare jobs in Puerto Rico?
The most popular types of Healthcare jobs in Puerto Rico are:

Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 11 hours ago
Elevance Health rating
7.7
Based on 351 frontline employees who took The Breakroom Quiz
204th of 309 rated insurance
Job description
Anticipated End Date:
2026-08-28Position Title:
Nurse Care Manager I (NCLEX)Job Description:
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.
Job Level:
Non-Management Non-ExemptWorkshift:
Job Family:
MED > Licensed NursePlease 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 should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact. 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.
NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words - the job is posted until 3/13, not through 3/13.
What Elevance Health employees say
Pay
Benefits
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Get the full story on Breakroom
About Elevance Health
Sourced by ZipRecruiter
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