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Ob Case Manager Remote Jobs in Puerto Rico (NOW HIRING)

OncoHealth

Case Review Specialist - PR

Guaynabo, PR · On-site +1

Remote/hybrid experience preferred * A minimum of 2-4 years' administrative experience and/or ... Our Current Solutions Through the use of OncoHealth's utilization management system, OneUM , our ...

Deloitte

Hospital Billing Coordinator

San Juan, PR · Remote

$50K - $60K/yr

This is a primarily remote role supporting enterprise Epic implementation, with minimal travel and ... Ability to manage and prioritize multiple tasks in a fast-paced and dynamic environment * Strong ...

Deloitte

Hospital Billing Analyst

San Juan, PR · Remote

$47K - $62K/yr

This is a primarily remote role supporting an enterprise Epic implementation, with minimal travel ... Ability to manage and prioritize multiple tasks in a fast-paced and dynamic environment * Strong ...

National Labor Relations Board

$147K - $197K/yr

Determining the priorities in case-handling to maintain adherence to statutory and regulatory ... This is not a remote position. * Relocation expenses are not authorized. * This is an Excepted ...

Deloitte

Epic Tapestry Specialist

San Juan, PR · On-site +1

Role is remote Preferred * Work Experience/Direct knowledge of Utilization Management or Tapestry ... each case. A reasonable estimate of the current range is $120,000 - $140,000. You may also be ...

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Ob Case Manager Remote information

What are some common challenges faced by remote OB Case Managers, and how can they be addressed?

Remote OB Case Managers often encounter challenges such as effectively coordinating care across multidisciplinary teams, maintaining clear communication with patients and providers, and managing complex caseloads without direct face-to-face interaction. To address these issues, successful case managers leverage secure telehealth platforms, establish regular check-ins with patients and colleagues, and utilize electronic health records to track patient progress. Strong organizational skills and proactive communication are key to overcoming the unique obstacles of remote work in this role.

What are the key skills and qualifications needed to thrive as an OB Case Manager (Remote), and why are they important?

To thrive as an OB Case Manager (Remote), you need a strong background in obstetrics, case management, and nursing, usually with an RN license and experience in maternal-child health. Familiarity with case management software, electronic health records (EHRs), and sometimes certification like CCM (Certified Case Manager) is important. Exceptional communication, empathy, and organizational skills help you support patients and coordinate care effectively from a distance. These competencies ensure high-quality, patient-centered care and seamless collaboration in a remote environment.

What is an OB Case Manager (Remote)?

An OB Case Manager (Remote) is a healthcare professional who specializes in managing and coordinating care for obstetric (OB) patients, such as those who are pregnant or have recently given birth. Working remotely, they assist patients with accessing medical services, provide education about pregnancy and postpartum care, and collaborate with healthcare providers to ensure quality outcomes. Their role often includes monitoring patient progress, addressing concerns, and helping patients navigate insurance or healthcare systems, all while working from a remote location.

What is the difference between Ob Case Manager Remote vs Obstetric Nurse?

AspectOb Case Manager RemoteObstetric Nurse
CredentialsRN license, case management certificationRN license, obstetric nursing certification
Work EnvironmentRemote, telehealth, case management settingsHospital, clinic, labor and delivery units
Industry UsageHealthcare, insurance, case managementHospitals, maternity wards, clinics
Job FocusCoordinating care, patient advocacy remotelyProviding direct obstetric patient care

Ob Case Manager Remote and Obstetric Nurse roles share clinical credentials but differ mainly in work environment and job focus. Ob Case Managers work remotely to coordinate care and advocate for patients, while Obstetric Nurses provide direct patient care in clinical settings. Both roles are vital in maternal healthcare but serve different functions within the industry.

What are popular job titles related to Ob Case Manager Remote jobs in Puerto Rico? For Ob Case Manager Remote jobs in Puerto Rico, the most frequently searched job titles are:
What job categories do people searching Ob Case Manager Remote jobs in Puerto Rico look for? The top searched job categories for Ob Case Manager Remote jobs in Puerto Rico are:
What cities in Puerto Rico are hiring for Ob Case Manager Remote jobs? Cities in Puerto Rico with the most Ob Case Manager Remote job openings:
Ob Case Manager Remote jobs near you
Case Review Specialist - PR

Case Review Specialist - PR

OncoHealth

Guaynabo, PR • On-site, Remote

Full-time

Posted 28 days ago

Job description

About OncoHealth
OncoHealth is a leading digital health company dedicated to helping health plans, employers, providers, and patients navigate the physical, mental, and financial complexities of cancer through technology enabled services. Supporting more than 14 million people in the US and Puerto Rico, OncoHealth offers digital solutions for treatment review and virtual care across all cancer types.
About the Role

The Case Review Specialist ensures that case documentation is provided by the provider for accurate and timely determinations and communicates with clinical and non-clinical staff to facilitate case discussions.
Primary Responsibilities
  • Flexible to work rotational shifts inside our office hours from 8:00 a.m. – 8:00 p.m. EST to cover the operational needs of the company. Shifts can range anywhere between Monday – Friday 8:00 am to 8:00 pm AST, Saturdays 8:30 am - 5:00 pm AST, and On-Call Sundays (Office hours may change/extend upon operational needs) to include Holidays.
  • Process cases and request/maintain clinical documentation and transmit timely determinations via the company’s internal system and/or by phone to the provider and/or member and/or payer
  • Intake Pre-Authorization requests and/or inquiries on existing pre-authorizations via phone, email, fax or by the portal and ensuring they are responded/processed within the established metrics
  • Work collaboratively with clinical and non-clinical staff to facilitate case discussions
  • Fax intake and labeling on weekends/Holidays as needed
About You
  • Bachelor’s Degree or relevant experience preferred
  • Fully Bilingual (English and Spanish)
  • Remote/hybrid experience preferred
  • A minimum of 2-4 years’ administrative experience and/or customer service or relevant educational attainment required
  • Knowledge in pre-authorizations and health insurance client services departments are preferred
  • Implementation of systems for program effectiveness and productivity required
  • Systems/Tools: MS Office Suite proficient
About the Location
OncoHealth is committed to remote, hybrid or in office work options. Our Team in Puerto Rico reports to the office at least 2 times per month (advance notice provided/mandatory requirement) and can work remotely from home the rest of the days. Employees are welcome to work from the office every day if wanted.

Our Culture

Taking ownership of quick action, critically thinking through the needs, and working well with others are key competencies of team member success. Our leadership is dedicated to building a culture based on respect, clinical excellence, innovation – all with a focused mission of putting patients first!

We offer a full benefit package on your first day, along with a company bonus. You may visit or work from our very modern and engaging offices, and experience a fun, collaborative environment where social activities and community events matter. We enjoy being together!
OncoHealth is committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and team members without regard to race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law. All employment decisions are based on qualifications, merit, and business need.

The Opportunity

The cost of cancer related medical services and prescription drugs in the United States is expected to reach $246 billion by 2030. OncoHealth has enjoyed rapid growth over the past 3 years and seeks smart, collaborative people to join its team. We have just under 250 team members, so we can move swiftly but precisely to the market needs of our customers. Strongly backed financially by Arsenal Capital Partners amp; McKesson Corporation, we remain in an investment and growth mode. This means we are open-minded to how we get the work done – now is the perfect time to talk to us!

Our Current Solutions

Through the use of OncoHealth's utilization management system, OneUM, our customers can use a single e-Prior Authorization portal for all oncology drug request and treatments. Our system improves quality of care, reduces provider abrasion and gives health plans visibility into the total cost of oncology treatment.

OncoHealth offers Oncology Insights Pro, an analytic software solution that enables health plans to use data and analytics to improve oncology programs. Using real world data, our engineers normalize data to create analytic dashboards with drill down compatibilities. The data is the paired with expert guidance providing the strategies an insight needed to keep up with the continuing evolving cancer treatment landscape.

OncoHealth offers Pharmacy Consulting services to health plans and pharmaceutical companies. New cancer treatments are entering the market at an unrelenting pace. Since 2018, the FDA approved 121 new cancer applications including 49 novel cancer drug entities. Our Board-Certified Oncology Pharmacologists can help health plans update drug policies, offer utilization management and formulary advice, and development training for staff.

OncoHealth's latest offering is Iris, a digital telehealth platform that delivers personalized, oncology-specific support to navigate the physical symptoms and emotional challenges caused by cancer and cancer treatment. Powered by technology, staffed 24X7, and delivered with empathy, Iris allows patients to connect with trained oncology experts and receive personalized, oncology-specific telehealth support.

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