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Manager Care Management Jobs in Puerto Rico (NOW HIRING)

Centers Home

PR

Contacts managed care personnel when appropriate to obtain necessary initial authorizations * Notifies referring party if patient will require alternative discharge plan * Delegates specific tasks to ...

COREPLUS SERVICIOS CLINICOS Y PATOLOGICOS LLC

PR · On-site

$50K/yr

HealthCare Industry Sales Representative -Account Manager Who are we? For more than 30 years ... Proven experience in account management, customer relationship management, or a similar role.

Housing Works

Recovery Coach

Fajardo, PR · On-site

$16/hr

Knowledge of the interface between mental health, medical, substance use disorder, care management, and related human service systems is a plus. * Good verbal and written communication skills are ...

Encompass Health

Case Manager

Manati, PR · On-site

$17 - $21.75/hr

Review/analyze case management reports, including Key Care Indicators, and plan appropriate actions. * Understand commercial contract levels, exclusions, payor requirements, and recertification needs.

Encompass Health

Case Manager

Manati, PR

$17 - $21.75/hr

Review/analyze case management reports, including Key Care Indicators, and plan appropriate actions. * Understand commercial contract levels, exclusions, payor requirements, and recertification needs.

Grupo Triple-S

Provider Navigator

Guaynabo, PR · On-site

Track and document provider cases through resolution within CRM or tracking systems. * Support provider satisfaction initiatives and engagement strategies. EDUCATION * Bachelor's Degree in Healthcare ...

UHS

PR

CLM is responsible for crisis and emergency management and recommends the alternate care levels leading to a rehabilitation plan. Establish direct communication with leaders and representatives of ...

CVS Health

Operations Manager

Aguadilla, PR

$20 - $34/hr

Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. Position Summary The Operations Manager is a member of the Store ...

UHS

PR

CLM is responsible for crisis and emergency management and recommends the alternate care levels leading to a rehabilitation plan. Establish direct communication with leaders and representatives of ...

Medtronic

Facilities Manager.

Ponce, PR · On-site

Medtronic is a global leader in healthcare technology with a Mission to alleviate pain, restore ... Management Skills: Management of Financial and Material Resources, Critical Thinking, Project ...

Medtronic

Facilities Manager.

Ponce, PR · On-site

Medtronic is a global leader in healthcare technology with a Mission to alleviate pain, restore ... Management Skills: Management of Financial and Material Resources, Critical Thinking, Project ...

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Showing results 21-40

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

Intake RN (San Juan)

Centers Home

PR

Full-time

Re-posted 25 days ago

Job description

SUMMARY:
Responsible for assessing patient care needs and planning home health care services.
JOB DUTIES /KNOWLEDGE

  • Coordinates, screens and assesses home health care needs of patients referred to Agency
  • Completes intake process within established time parameters
  • Collaborates with physicians, nurses and discharge planners to identify patient care needs and to establish the appropriate level of care for patients referred to the Agency
  • Establishes and completes an individualized Plan of Treatment in accordance with MD orders, patient care needs, insurance guidelines and Agency protocol, including the identification of formal/informal supports in carrying out plan
  • Ensures that the needed DME, medical supplies and ancillary services are ordered and documented
  • Contacts managed care personnel when appropriate to obtain necessary initial authorizations
  • Notifies referring party if patient will require alternative discharge plan
  • Delegates specific tasks to support staff providing clear, timely direction to ensure continuity of care
  • Serves as a resource to all persons contacting the agency for information
  • Treats all referral parties, patients, family members and hospital staff courteously and in a non-discriminatory manner
  • Demonstrates sound knowledge of reimbursement and billing practices for Medicare, Medicaid, managed care, charity care and other third-party payers
  • Demonstrates cultural sensitivity
  • Maintains patient confidentiality at all times
  • Demonstrates working knowledge of State and Federal regulations
  • Participates in Quality and Performance Improvement activities and in the orientation process for agency staff
  • Performs other related duties as required
  • Demonstrates a high degree of commitment to customer relations and quality service
  • Utilizes community resources as appropriate to meet patient care needs

JOB PERFORMANCE

  • Demonstrates ability to perform quality and effective services.
  • Demonstrates ability to set and meet objectives, and to find increasingly efficient ways to perform task.
  • Completes work, and documentation with accuracy and within agency time frames.
  • Requires minimal supervision and is self-directed.
  • Understands the delivery of service within home care.

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