ZipRecruiter

Log In

2

Remote Telephonic Nurse Case Manager Jobs in Puerto Rico

Five and Fly

Case Manager

Caguas, PR · On-site +1

$70K - $75K/yr

Case Manager Department: Case Manager Employment Type: Full Time Location: Caguas, PR Compensation: $70,000 - $75,000 / year Description **Skillbridge to Full-Time Employment Opportunity** The ...

OncoHealth

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 ...

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 ...

LifeLink

Remote Administrator on Call PR

Guaynabo, PR · On-site +1

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

RelateCare

$11/hr

We are a multidisciplinary team of nurses, contact management specialists and technologists who ... Remote

RelateCare

$11/hr

We are a multidisciplinary team of nurses, contact management specialists and technologists who ... Remote

All JobsTelephonic Nurse Case JobsRemote Telephonic Nurse Case Manager JobsRemote Telephonic Nurse Case Manager Jobs in Puerto Rico

Remote Telephonic Nurse Case Manager information

What is the difference between Remote Telephonic Nurse Case Manager vs Remote Telephonic Utilization Review Nurse?

AspectRemote Telephonic Nurse Case ManagerRemote Telephonic Utilization Review Nurse
CredentialsRN license, case management certificationRN license, utilization review certification
Work EnvironmentPatient advocacy, care coordinationInsurance review, medical necessity assessment
Employer & IndustryHealthcare providers, case management companiesInsurance companies, health plans

Both roles require RN licensure and involve remote work, but the Nurse Case Manager focuses on coordinating patient care, while the Utilization Review Nurse assesses medical necessity for services. They serve different functions within healthcare and insurance industries, though both are vital for patient and cost management.

What are some common challenges faced by remote telephonic nurse case managers and how can they be addressed?

Remote Telephonic Nurse Case Managers often encounter challenges such as building rapport with patients without face-to-face interaction and managing caseloads across different time zones. To address these, strong communication skills, effective time management, and the use of structured assessment tools are essential. Regular collaboration with interdisciplinary teams via virtual meetings and leveraging technology platforms for documentation can also help streamline workflows and enhance patient outcomes.

What does a remote telephonic nurse case manager do?

Telephonic nurse case managers are medical professionals who coordinate all aspects of patient care for high-risk individuals. As a remote telephonic nurse case manager, you work primarily from home. Using telephone communications, you evaluate each client while directing treatment plans, discuss claims, benefits, and eligibility, and manage resources. Your responsibilities include overseeing outstanding patient care while working alongside patients, their families, and other medical professionals. Other duties may include collaborating with insurance companies, social workers, and supply managers. You may also address the legal and ethical aspects of patient care.

What is a remote telephonic nurse case manager?

A Remote Telephonic Nurse Case Manager is a registered nurse who works from a remote location, providing case management services to patients primarily over the phone. They coordinate care, assess patient needs, develop care plans, and facilitate communication between patients, healthcare providers, and insurance companies. Their goal is to help patients achieve optimal health outcomes while ensuring efficient use of resources. This role is common in health insurance, workers’ compensation, and managed care organizations.

What are the key skills and qualifications needed to thrive as a remote telephonic nurse case manager, and why are they important?

To thrive as a Remote Telephonic Nurse Case Manager, you need strong clinical knowledge, case management experience, and a current RN license, often supported by a BSN degree. Familiarity with case management software, telehealth platforms, and relevant certifications such as CCM or ACM is typically expected. Exceptional communication, critical thinking, and organizational skills are crucial for building rapport with patients and coordinating care remotely. These competencies ensure effective patient management, improved health outcomes, and efficient care coordination in a virtual environment.
More about Remote Telephonic Nurse Case Manager jobs

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

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

Remote Telephonic Nurse Case Manager jobs near you
Infographic showing various Remote Telephonic Nurse Case Manager job openings in Puerto Rico as of August 2026, with employment types broken down into 92% Full Time, and 8% Part Time. Highlights an 100% Remote job distribution.

Case Manager

Five and Fly

Caguas, PR • On-site, Remote

$70K - $75K/yr

Full-time

Posted 18 days ago

Job description

Case Manager
Department: Case Manager
Employment Type: Full Time
Location: Caguas, PR
Compensation: $70,000 - $75,000 / year
Description
**Skillbridge to Full-Time Employment Opportunity**
The Capture Manager is entrusted with the strategic pursuit of new business opportunities, with a primary focus on securing government contracts or other significant projects. This role involves close collaboration with diverse teams, including business development, sales, marketing, and subject matter experts, to craft winning strategies and proposals.
Key Responsibilities
  • Strategic Opportunity Identification: Identify and assess potential business opportunities aligning with organizational goals. Conduct market research and competitive analysis to evaluate feasibility and profitability. Monitor government procurement websites and industry sources for upcoming opportunities.
  • Strategic Planning and Collaboration: Drive strategic planning efforts to develop and implement capture plans. Collaborate with cross-functional teams to define win prospects, value propositions, and differentiators.
  • Relationship Building: Establish and cultivate relationships with key decision-makers and stakeholders. Attend industry events, conferences, and networking activities to enhance organizational presence.
  • Capture Strategy Development: Create comprehensive capture strategies for winning contracts, outlining key milestones and resource requirements. Oversee the use of visual tools for effective presentations and proposal development.
  • Competitive Analysis: Continuously analyze competitors' strengths and weaknesses using different tools that are market trending. Adjust capture strategies based on gathered intelligence.
  • Risk Management: Conduct risk assessments and develop mitigation strategies for pursuing specific opportunities.
  • Leadership Engagement: Present capture plans and strategies to senior leadership for approval. Participate in client meetings, presentations, and negotiations as needed.
  • Pipeline Management and Reporting: Update the business development pipeline with new opportunities. Regularly update business development folders with federal agency forecasts. Develop executive summaries of identified opportunities and deliver them to leadership.
  • Proposal Development: Ensure compliance with requirements in every proposal submission. Work closely with proposal teams to align content with the capture strategy and customer requirements.
  • Other duties as required.

Skills, Knowledge and Expertise
Education:
  • Bachelor's degree in a relevant field (business, marketing, engineering, etc.); advanced degrees or certifications may be preferred.
  • At least two years of experience in business development, capture management, or a related role.
  • Strong understanding of government contracting processes and regulations (if applicable).
  • Excellent communication, negotiation, and interpersonal skills.
  • Proficiency in proposal development and project management.
  • Ability to work independently and as part of a collaborative team.

Experience:
  • Three (3) or more years of administrative & leadership experience in a professional services firm OR
  • One (1) year of experience in a supervisory role.

Apply