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Remote Surrogate Case Manager Jobs in Puerto Rico

Case Review Representative

Guaynabo, PR · On-site +1

$13 - $15/hr

Triage and manage inbound calls, routing case specific calls to an appropriate team member, and ... Remote/hybrid work experience preferred * A minimum of 2 years of healthcare related administrative ...

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 ...

... management, allocation, recovery, and overall coordination of donor-related actions. The Remote ... case activity reviews. * Engages in review, education, and required organizational meetings to ...

Remote Surrogate Case Manager information

What is a remote surrogate case manager?

A Remote Surrogate Case Manager supports and oversees the surrogacy process by coordinating between intended parents, surrogates, medical professionals, and legal teams. They work remotely to ensure surrogates receive proper care, follow medical guidelines, and stay informed throughout the journey. Responsibilities include monitoring progress, providing guidance, and resolving any concerns that arise. Strong communication and organizational skills are essential for success in this role.

What are the key skills and qualifications needed to thrive as a remote surrogate case manager?

To excel as a Remote Surrogate Case Manager, you generally need a background in social work, case management, or healthcare, with a relevant degree or certification such as LCSW, CCM, or RN. Familiarity with case management software, telehealth platforms, and secure electronic record systems is commonly expected. Exceptional interpersonal communication, organizational skills, and the ability to provide empathetic support to clients remotely are critical soft skills. These competencies ensure effective coordination of surrogacy cases, timely client support, and compliance with legal and ethical standards in a virtual environment.

What are the typical daily responsibilities of a remote surrogate case manager?

As a Remote Surrogate Case Manager, your responsibilities typically include coordinating and overseeing the surrogacy journey from initial matching to post-delivery follow-up. You will conduct virtual meetings with surrogate mothers, intended parents, and medical professionals to ensure clear communication and compliance with the surrogacy plan. Additional tasks may involve managing case documentation, scheduling appointments, providing resources, and supporting clients emotionally throughout the process. Collaboration with legal teams, fertility clinics, and third-party counselors is also common. This role requires strong organizational skills and proactive communication to ensure a smooth and positive experience for all parties involved.

How to become a remote surrogate case manager?

To become a remote surrogate case manager, candidates typically need a background in healthcare, social work, or related fields, along with strong communication and organizational skills. Relevant certifications, such as case management or social work licenses, can enhance employability. Experience with case management software and understanding of surrogacy processes are also beneficial.

What are popular job titles related to Remote Surrogate Case Manager jobs in Puerto Rico?

For Remote Surrogate Case Manager jobs in Puerto Rico, the most frequently searched job titles are:

What job categories do people searching Remote Surrogate Case Manager jobs in Puerto Rico look for?

The top searched job categories for Remote Surrogate Case Manager jobs in Puerto Rico are:

What cities in Puerto Rico are hiring for Remote Surrogate Case Manager jobs?

Cities in Puerto Rico with the most Remote Surrogate Case Manager job openings:

Case Review Representative

OncoHealth

Guaynabo, PR • On-site, Remote

$13 - $15/hr

Full-time

Re-posted 11 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 Representative serves as a one-stop shop and intake of all calls (members and providers). Resolves tier one issues (user resets, provider data management, fax and letter receipt, general questions).
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 EST and Saturdays 8:30 am - 5:00 pm EST (Office hours may change/extend upon operational needs)
  • Fax intake and labeling
  • Prior authorization creation
  • Quality Performance Program Outreach when assigned
  • Triage and manage inbound calls, routing case specific calls to an appropriate team member, and resolving tier 1 level issues
  • Triage and manage inbound emails from health plan clients, routing case specific emails to an appropriate team member, and resolving tier 1 level issues
  • Triage request/claims processing issues to health plans as needed Prior authorization creation
  • Quality Performance Program Outreach when assigned
About You
  • College degree or relevant experience preferred
  • Fully Bilingual (English and Spanish)
  • Remote/hybrid work experience preferred
  • A minimum of 2 years of healthcare related administrative experience and/or customer service or relevant educational attainment required
  • Skills for 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.