ZipRecruiter

Log In

1

Manager Care Management Jobs in Puerto Rico (NOW HIRING)

Elevance Health

Nurse Care Manager I (NCLEX)

San Juan, PR

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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:

Elevance Health

Nurse Care Manager I (NCLEX)

San Juan, PR · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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:

Elevance Health

PR · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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:

APS Health Care PR

PR · On-site

... care management, empowerment, motivational interviewing, services coordination and other clinically based activities as assigned, based upon member's severity of condition. 5. Educates the patient ...

Veterans Health Administration

$92K - $144K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Assumes responsibility for the coordination of care focused on patient education, self-management, and customer satisfaction throughout the continuum of care. Learn more about this agency Duties Help ...

DaVita

Care Coordinator - Davita IKC - Vallejo

Lajas, PR · Hybrid

$25 - $28.50/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

You'll work closely with Nurse Practitioners and RN Case Managers to coordinate care, facilitate resources, and keep the patient journey moving smoothly. Davita is currently offering the below ...

DaVita

Healthcare Operations Manager

Vega Baja, PR

$94K - $148K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Health care experience is not required! What you can expect as a Healthcare Operations Manager ... Financial Management. Manage complete operation and performance of the clinic: adhere to budget ...

COREPLUS SERVICIOS CLINICOS Y PATOLOGICOS LLC

PR · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The Position The Revenue Cycle Management Specialist is responsible for overseeing and optimizing the financial aspects of a healthcare organization's revenue cycle. They play a crucial role in ...

COREPLUS SERVICIOS CLINICOS Y PATOLOGICOS LLC

PR · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The Position The Revenue Cycle Management Specialist is responsible for overseeing and optimizing the financial aspects of a healthcare organization's revenue cycle. They play a crucial role in ...

DRIFTWOOD HOSPITALITY MANAGEMENT

Sales Manager

San Juan, PR · On-site

  • Medical

  • Life

  • Retirement

  • PTO

Target key segments including financial services, legal firms, government agencies, healthcare/pharmaceutical, cruise-related businesses, and regional Caribbean corporations Account Management ...

Driftwood Hospitality Management

Sales Manager

San Juan, PR · On-site

  • Medical

  • Life

  • Retirement

  • PTO

Target key segments including financial services, legal firms, government agencies, healthcare/pharmaceutical, cruise-related businesses, and regional Caribbean corporations Account Management ...

BDO USA

Manager, Program Management

San Juan, PR · On-site

  • Retirement

The Grant Manager will be responsible for providing support and technical advice to the State and ... We build strong relationships by supporting one another, our clients, and our communities with care ...

BDO

Manager, Program Management

San Juan, PR · On-site

  • Retirement

The Grant Manager will be responsible for providing support and technical advice to the State and ... We build strong relationships by supporting one another, our clients, and our communities with care ...

COREPLUS SERVICIOS CLINICOS Y PATOLOGICOS LLC

PR · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The Position The Revenue Cycle Management Specialist is responsible for overseeing and optimizing the financial aspects of a healthcare organization's revenue cycle. They play a crucial role in ...

next page

Showing results 1-20

All JobsCare Management JobsManager Care Management JobsManager Care Management Jobs in Puerto Rico

Manager Care Management information

What does a manager care management do?

A Manager of Care Management oversees teams that coordinate and manage patient care, often within hospitals, clinics, or insurance organizations. Their primary role is to ensure that patients receive effective, efficient, and high-quality care throughout their healthcare journey. They supervise care managers, develop care plans, monitor patient outcomes, and work to improve processes and compliance with regulations. Additionally, they collaborate with healthcare providers, social services, and families to ensure the best possible patient outcomes.

What are some common challenges faced by a manager care management, and how can they be addressed?

Managers in Care Management often face challenges such as coordinating care across multiple departments, managing patient caseloads efficiently, and ensuring compliance with complex healthcare regulations. Effective communication, strong organizational skills, and a proactive approach to problem-solving are essential to overcome these hurdles. Collaborating closely with interdisciplinary teams and staying updated on best practices can also help maintain high standards of patient care and streamline processes.

What are the key skills and qualifications needed to thrive as a manager care management, and why are they important?

To thrive as a Manager Care Management, you need a solid background in nursing or social work, strong leadership abilities, and a relevant degree or certification such as RN, LCSW, or CCM. Familiarity with care management software, electronic health records, and utilization review systems is typically required. Outstanding communication, problem-solving, and team management skills help motivate staff and coordinate complex care plans. These competencies ensure effective care coordination, regulatory compliance, and improved patient outcomes in healthcare organizations.

What is the difference between Manager Care Management vs Care Coordinator?

AspectManager Care ManagementCare Coordinator
CredentialsRN, LPN, or relevant healthcare certificationsRN, LPN, or relevant healthcare certifications
Work EnvironmentSupervisory role overseeing care teams and programsDirect patient interaction and coordination of services
Employer & Industry UsageHospitals, insurance companies, healthcare organizationsHospitals, clinics, community health programs

While both roles focus on patient care, the Manager Care Management oversees care teams and program operations, whereas the Care Coordinator directly manages patient care plans and services. The Manager typically has more leadership responsibilities, while the Care Coordinator focuses on day-to-day patient interactions.

What are the most commonly searched types of Care Management jobs in Puerto Rico?

The most popular types of Care Management jobs in Puerto Rico are:

What are popular job titles related to Manager Care Management jobs in Puerto Rico?

For Manager Care Management jobs in Puerto Rico, the most frequently searched job titles are:

What job categories do people searching Manager Care Management jobs in Puerto Rico look for?

The top searched job categories for Manager Care Management jobs in Puerto Rico are:

Manager Care Management jobs near you

Nurse Care Manager I (NCLEX)

Elevance Health

San Juan, PR

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted yesterday

Elevance Health rating

7.7

Company rating: 7.7 out of 10

Based on 351 frontline employees who took The Breakroom Quiz

205th of 310 rated insurance

Job description

Anticipated End Date:

2026-08-28

Position Title:

Nurse Care Manager I (NCLEX)

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.

Job Level:

Non-Management Non-Exempt

Workshift:

Job Family:

MED > Licensed Nurse

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 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

Hours and flexibility

Workplace

Get the full story on Breakroom

Elevance Health logo

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

Social media

FacebookTwitter

View All Elevance Health Jobs

Apply