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Insurance Nurse Case Manager Jobs in Puerto Rico

As a DaVita Integrated Kidney Care Registered Nurse (RN) Case Manager you will support some of our most complex patients, assisting them in navigating a challenging healthcare system. Through medical ...

Case Manager

Manati, PR

$17 - $21.75/hr

Case Manager Career Opportunity Recognized for your abilities as a Case Manager Are you ready for a ... For Nursing, must possess minimum of an Associate Degree in Nursing, RN licensure with BSN ...

Case Manager

Manati, PR

$17 - $21.75/hr

Case Manager Career Opportunity Recognized for your abilities as a Case Manager Are you ready for a ... For Nursing, must possess minimum of an Associate Degree in Nursing, RN licensure with BSN ...

Ensures that the medical team (physician, nurses, and psychologist) review clients' off site ... health insurance application and enrollment process for eligible uninsured clients; and assist ...

Ensures that the medical team (physician, nurses, and psychologist) review clients' off site ... health insurance application and enrollment process for eligible uninsured clients; and assist ...

Case Manager

Guaynabo, PR · On-site

$18/hr

Must adhere to HIPAA (Health Insurances Portability amp; Accountability Act of 1996) compliance ... Case Manager preferably on a Non-Profit Organization. * Must work well with persons of varied ...

$70K - $85K/yr

... insurers, community resources and other involved parties to develop and implement a plan of care ... Certificate as a certified Case Manager (CCM) a plus. * Must maintain all required continuing ...

PR · On-site

$14.25 - $17.50/hr

The Case Manager will also serve as a key liaison among physicians, insurers, and other stakeholders. Requirements: * Associate Degree as a Pharmacy Technician * Valid Pharmacy Technician License

PR · On-site

$14.25 - $17.50/hr

In general, a Case Manager will be responsible for the following tasks: * Review and interpret ... Award and review prescription drug insurance claims that will be delivered to patients and ...

Knowledge in pre-authorizations and health insurance client services departments are preferred ... Our Current Solutions Through the use of OncoHealth's utilization management system, OneUM , our ...

Knowledge in pre-authorizations and health insurance client services departments are preferred ... Our Current Solutions Through the use of OncoHealth's utilization management system, OneUM , our ...

This role blends clinical care, patient education, and case management. Key Responsibilities ... Valid driver's license, insurance, and reliable transportation * ADN required; BSN preferred

Registered Nurse

Vega Baja, PR · On-site

$47 - $65/hr

This role blends clinical care, patient education, and case management. Key Responsibilities ... Valid driver's license, insurance, and reliable transportation * ADN required; BSN preferred

Registered Nurse

Florida, PR · On-site

$47 - $61.25/hr

This role blends clinical care, patient education, and case management. Key Responsibilities ... Valid driver's license, insurance, and reliable transportation * ADN required; BSN preferred

$61K - $97K/yr

Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Telework : Not Available Virtual: This is not a virtual position. Functional ...

PR · On-site

... demographics, Insurance information and identify missing documentation and coordinate with ... Work closely with Case Managers, Pharmacists, Nurses, and Intake Coordinators to ensure timely ...

Clinical Manager Responsible for assuring the delivery of quality health care services to the ... case conferencing? * Maintains effective communication with staff and patients * Serves as a ...

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Insurance Nurse Case Manager information

How does an Insurance Nurse Case Manager typically collaborate with claims adjusters and other healthcare professionals?

Insurance Nurse Case Managers work closely with claims adjusters to review medical documentation, assess treatment plans, and ensure that patients receive appropriate care while managing costs. They frequently communicate with healthcare providers, such as physicians and therapists, to coordinate care and gather information critical to case decisions. This collaborative approach helps streamline claims processing and supports positive patient outcomes, making effective communication and teamwork essential skills for success in this role.

How much do case management nurses make?

Insurance nurse case managers typically earn between $70,000 and $90,000 annually, depending on experience, location, and certifications. They often work in healthcare or insurance settings, utilizing skills in patient advocacy, documentation, and care coordination.

How to make an extra 2000 a month as a nurse?

An insurance nurse case manager can increase income by taking on additional cases, working overtime, or pursuing specialized certifications to qualify for higher-paying roles. Developing skills in complex case management and utilizing telehealth platforms can also create opportunities for extra income outside regular hours.

What does a nurse case manager do for an insurance company?

An insurance nurse case manager assesses and coordinates patient care to ensure appropriate treatment and resource utilization. They review medical records, communicate with healthcare providers, and develop care plans to support insurance claims and policy requirements, often using case management software and maintaining relevant certifications.

What is the difference between Insurance Nurse Case Manager vs Claims Nurse?

AspectInsurance Nurse Case ManagerClaims Nurse
CredentialsRN license, case management certification often preferredRN license, claims processing training
Work EnvironmentHealthcare settings, insurance companies, case management teamsInsurance companies, claims departments, healthcare providers
Employer & IndustryInsurance carriers, healthcare organizationsInsurance carriers, third-party claims organizations

The Insurance Nurse Case Manager and Claims Nurse roles both require RN licensure and involve working within insurance and healthcare settings. However, the Insurance Nurse Case Manager focuses on coordinating patient care and managing case progress, while the Claims Nurse primarily reviews and processes insurance claims. Both roles are essential in the insurance industry, but they differ in daily responsibilities and focus areas.

What are the key skills and qualifications needed to thrive as an Insurance Nurse Case Manager, and why are they important?

To thrive as an Insurance Nurse Case Manager, you need a registered nursing license, strong clinical assessment skills, and experience in case management or utilization review. Familiarity with case management software, health insurance systems, and certifications such as CCM (Certified Case Manager) are typically required. Exceptional communication, organizational skills, and the ability to advocate for patients while balancing payer requirements are key soft skills in this role. These skills ensure effective coordination of patient care, cost management, and positive outcomes for both patients and insurance providers.

How to make 150,000 as a nurse?

An Insurance Nurse Case Manager can earn $150,000 by gaining extensive experience, obtaining advanced certifications, and working in high-paying settings such as insurance companies or healthcare consulting firms. Developing strong case management skills, specializing in complex claims, and pursuing leadership roles can also increase earning potential.

What are Insurance Nurse Case Managers?

Insurance Nurse Case Managers are registered nurses who work for insurance companies or third-party administrators to help manage and coordinate patient care. They assess patients' medical needs, develop care plans, and act as a liaison between patients, healthcare providers, and insurers. Their primary goal is to ensure that patients receive appropriate, cost-effective care while facilitating communication and helping with claims processes. Insurance Nurse Case Managers also provide education and support to patients and families throughout the treatment process.
What are popular job titles related to Insurance Nurse Case Manager jobs in Puerto Rico? For Insurance Nurse Case Manager jobs in Puerto Rico, the most frequently searched job titles are:
What cities in Puerto Rico are hiring for Insurance Nurse Case Manager jobs? Cities in Puerto Rico with the most Insurance Nurse Case Manager job openings:
Infographic showing various Insurance Nurse Case Manager job openings in Puerto Rico as of June 2026, with employment types broken down into 72% Full Time, and 28% Contract. Highlights an 67% In-person, and 33% Remote job distribution.
RN Case Manager - Dallas, TX

RN Case Manager - Dallas, TX

DaVita

San Juan, PR • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 12 hours ago


DaVita rating

6.9

Company rating: 6.9 out of 10

Based on 1,146 frontline employees who took The Breakroom Quiz

452nd of 872 rated healthcare providers


Job description

Posting Date

04/24/20262800 N Loop WestSte 800,Houston,Texas,77092-8838,United States of America

DaVita Integrated Kidney Care (IKC) is looking for a Full-Time RN Case Manager (RN)to join us in Dallas, TX region. * Must live locally*

As a DaVita Integrated Kidney Care Registered Nurse (RN) Case Manager you will support some of our most complex patients, assisting them in navigating a challenging healthcare system. Through medical record review and consultation, you will identify the medical, social, emotional, and financial needs of your patients with CKD/ ESKD and implement appropriate interventions. You'll work autonomously and in collaboration with all members of the healthcare team to coordinate and facilitate quality, consistent, cost-effective care.

Position Details:

  • Location: Hybrid-Remote. Work from home (telehealth) and travel within an assigned geography for in-person visits (dialysis clinics and nephrology practices).

  • Monday- Friday schedule with the ability to accommodate patient and nephrology partner's availability. Must be flexible.

  • Full-time position.

  • Quickly build empathetic relationships with patients and families.

  • Coordinate care for patients' care including care transitions, management of complex/at risk patients, managing ongoing needs and establishing a treatment plan in partnership with the care team.

  • Identify and address social determinants of health including medical, emotional, education, community, and financial concerns.

  • Coordinate for streamlined/effective transition of care when needed.

  • Assesses patients and work to identify unreported medical conditions or changes that may lead to adverse outcomes.

Requirements:

  • Passion for delivering care to patients with complex, chronic illnesses.

  • You are flexible and are willing to pivot quickly on priorities.

  • Current RN License is required, BSN preferred.

  • Minimum of 2 years RN experience required with healthcare performance coaching.

  • Current Cardiopulmonary Resuscitation (CPR) or Basic Life Support (BLS) certification.

  • Current driver's license and willingness to travel within an assigned territory.

  • Intermediate computer skills and proficiency in MS Word, Excel & Outlook required.

  • Home office with internet connectivity at a minimum of 1MB upload and 1MB download speed required.

Preferred Qualifications:

  • 2+ years of Case Management or Chronic Care Management

  • 1+ years of utilization management experience

  • Spanish-speaking preferred in some markets

DaVita IKC (Integrated Kidney Care) is comprised of an innovative team who is committed to improving patient outcomes and improving quality of life. Come work with a team of passionate professionals to transform kidney care through a value-based, person-centered, comprehensive approach to kidney care.

We provide comprehensive care and complex chronic condition management to patients nationwide, whether they are in the early stages ofkidney disease,transitioning to dialysis, seeking akidney transplant,or receiving life-sustaining dialysis.

27,000+ patients receiving IKC services every month

20 years of Integrated Kidney Care Experience

We're on a mission to revolutionize kidney care, with a vision of making integrated care the standard of care for all renal patients. To help us achieve our vision, we're investing extensively in developing both our model of care and our team. When you join DaVita IKC, you're joining a compassionate team committed to quality patient care. Through our commitment to training, growth and quality we consistently achieve superior clinical outcomes while giving teammates the opportunity to excel in an award-winning environment that enables them to thrive both professionally and personally.

What We'll Provide:

More than just pay, our DaVita Rewards package connects teammates to what matters most. Teammates are eligible to begin receiving benefits on the first day of the month following or coinciding with one month of continuous employment. Below are some of our benefit offerings.

  • Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash out

  • Support for you and your family: Family resources, EAP counseling sessions, access Headspace, backup child and elder care, maternity/paternity leave and more

  • Professional development programs: DaVita offers a variety of programs to help strong performers grow within their career and also offers on-demand virtual leadership and development courses through DaVita's online training platform StarLearning.

At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic.

This position will be open for a minimum of three days.

The Salary Range for the role is $68,400.00-$100,400.00 per year.

For location-specific minimum wage details, see the following link: DaVita.jobs/WageRates

Compensation for the role will depend on a number of factors, including a candidate's qualifications, skills, competencies and experience. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at https://careers.davita.com/benefits

Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information.


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About DaVita

Sourced by ZipRecruiter

DaVita is a healthcare company that provides compassionate, quality healthcare. The company’s mission is to be the Provider, Partner, and Employer of Choice. DaVita serves more than 200,000 dialysis patients in 10 countries outside the U.S. and has over 55,000 teammates in the U.S. Since 2011, DaVita teammates have donated $11 million to local nonprofits and have volunteered over 180,000 hours since 2006. DaVita has been on Fortune’s list of the world’s most admired companies for 15 years in a row.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Denver, CO, US

Year founded

1994