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Remote Non Clinical Case Manager Jobs in Puerto Rico

OncoHealth

Case Review Specialist - PR

Guaynabo, PR · On-site +1

Work collaboratively with clinical and non-clinical staff to facilitate case discussions * Fax ... Remote/hybrid experience preferred * A minimum of 2-4 years' administrative experience and/or ...

Veterans Health Administration

$61K - $97K/yr

Assisting with provision of on-going Guide Training program (Operation SAVE) with non-clinical staff. * Timely and accurate documentation, using appropriate notes and templates as defined within the ...

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 ... Experience supporting clinical or healthcare business operations * Experience managing multiple ...

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 ... Experience supporting clinical or healthcare business operations * Experience managing multiple ...

Veterans Health Administration

$124K - $400K/yr

Manage patients with cardiology conditions such as, but not limited to, hypertension ... Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified ...

ICF

Project Manager - (Puerto Rico)

San Juan, PR · On-site +1

Remote role based in Puerto Rico; Must be able to travel to visit clients, stakeholders and ... technical and non-technical users. Ability to lead and assist senior leadership and Project ...

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All JobsRemote Non Clinical Case Manager JobsRemote Non Clinical Case Manager Jobs in Puerto Rico

Remote Non Clinical Case Manager information

What job makes $10,000 a month without a degree?

A remote non-clinical case manager typically earns between $3,000 and $6,000 per month, which is below $10,000. Achieving a $10,000 monthly income without a degree often involves roles such as sales, real estate, or entrepreneurship, which rely on skills, experience, and performance rather than formal education.

What is the difference between Remote Non Clinical Case Manager vs Remote Clinical Case Manager?

AspectRemote Non Clinical Case ManagerRemote Clinical Case Manager
CredentialsTypically requires a background in social work, counseling, or healthcare, with certifications like CCM or similarRequires clinical licenses such as RN, LPN, or other healthcare provider credentials, along with case management certifications
Work EnvironmentPrimarily remote, focusing on patient support, resource coordination, and non-clinical assessmentsPrimarily remote, involving clinical assessments, care planning, and direct patient interaction
Employer & Industry UsageUsed by insurance companies, healthcare providers, and social service agenciesUsed mainly by healthcare organizations, hospitals, and insurance companies with clinical oversight

Remote Non Clinical Case Managers focus on coordinating resources and providing support without direct clinical care, while Remote Clinical Case Managers handle clinical assessments and care planning requiring healthcare licenses. Both roles are remote and vital in healthcare, but differ mainly in required credentials and scope of practice.

How much does a remote RN case manager make?

A remote RN case manager typically earns between $60,000 and $85,000 annually, depending on experience, location, and employer. Many roles also offer benefits such as flexible schedules and opportunities for certification in case management or telehealth tools.

What other jobs can a case manager do?

A case manager can transition into roles such as social worker, care coordinator, health educator, or patient advocate, utilizing skills in communication, organization, and problem-solving. These positions often require knowledge of healthcare systems, documentation, and sometimes additional certifications or licenses.

How can I make 2000 a week working from home?

A remote non-clinical case manager can potentially earn $2,000 weekly by working full-time hours, often 40 hours per week, and earning an hourly rate of around $50. Increasing income may involve gaining specialized skills, certifications, or experience, and working for organizations that offer higher pay rates or bonuses for performance and productivity.

What are some common challenges faced by Remote Non Clinical Case Managers, and how can they be addressed?

Remote Non Clinical Case Managers often face challenges such as maintaining effective communication with clients and interdisciplinary teams, staying organized across multiple digital platforms, and managing caseloads without in-person interaction. To address these, it's important to utilize collaborative tools for virtual meetings, set clear communication protocols, and leverage case management software to track progress and documentation. Proactive time management and regular check-ins with colleagues help ensure clients receive coordinated care and support.

What are the key skills and qualifications needed to thrive as a Remote Non Clinical Case Manager, and why are they important?

To thrive as a Remote Non Clinical Case Manager, you need a background in healthcare administration, case management, or social work, often with a relevant degree or certification such as CCM (Certified Case Manager). Familiarity with case management software, electronic health records (EHRs), and telecommunication platforms is typically required. Exceptional organizational skills, empathy, and effective communication are crucial for coordinating care and supporting clients remotely. These competencies ensure effective care coordination, client satisfaction, and seamless collaboration within a virtual environment.

What is a Remote Non Clinical Case Manager?

A Remote Non Clinical Case Manager is a professional who coordinates care and support services for clients, usually within the healthcare, insurance, or social services sectors, without providing direct clinical care. Working remotely, they assess client needs, develop care plans, and connect clients with appropriate resources, such as community programs or healthcare providers. Their primary goal is to improve client outcomes by ensuring individuals receive the services and support they need, while also helping organizations manage costs and streamline care delivery.
What are popular job titles related to Remote Non Clinical Case Manager jobs in Puerto Rico? For Remote Non Clinical Case Manager jobs in Puerto Rico, the most frequently searched job titles are:
What job categories do people searching Remote Non Clinical Case Manager jobs in Puerto Rico look for? The top searched job categories for Remote Non Clinical Case Manager jobs in Puerto Rico are:
What cities in Puerto Rico are hiring for Remote Non Clinical Case Manager jobs? Cities in Puerto Rico with the most Remote Non Clinical Case Manager job openings:
Remote Non Clinical Case Manager 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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