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Social Work Case Manager Jobs in Puerto Rico (NOW HIRING)

BDO USA

Manager, Program Management

San Juan, PR · On-site

May oversee case management and other production staff Qualifications, Knowledge, Skills, and ... Ability to communicate clearly, work collaboratively in a team environment, and manage multiple ...

BDO

Manager, Program Management

San Juan, PR · On-site

May oversee case management and other production staff Qualifications, Knowledge, Skills, and ... Ability to communicate clearly, work collaboratively in a team environment, and manage multiple ...

BDO

Manager, Program Management

San Juan, PR · On-site

$75 - $130/hr

May oversee case management and other production staff Qualifications, Knowledge, Skills, and ... Ability to communicate clearly, work collaboratively in a team environment, and manage multiple ...

Fresenius Medical Care

Union Dietitian

San German, PR · On-site

When appropriate, works with Case Manager to coordinate plan of care for patient education and ... The physical demands and work environment characteristics described here are representative of ...

Fresenius Medical Care

Union Dietitian

Mayaguez, PR · On-site

When appropriate, works with Case Manager to coordinate plan of care for patient education and ... The physical demands and work environment characteristics described here are representative of ...

Jobtailor

IT Project Manager

San Juan, PR · On-site

$90 - $120/hr

... work both independently and in a team-oriented, collaborative environment. * Creativity in the case ... Proficient in project management methodologies, including Scrum and Kanban, with strong ...

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Social Work Case Manager information

What is a social work case manager?

A social work case manager works with clients to assess their needs, facilitate treatment or access to programs and services, and oversee the progress of each case. Your responsibilities and duties in this career include making assessments and creating a care plan, but you also coordinate between different members of the assistance team to make sure each client is getting the necessary support and has access to the resources that they need. A social work case manager may work with families or individuals.

What are the key skills and qualifications needed to thrive as a social work case manager, and why are they important?

To thrive as a Social Work Case Manager, you need a bachelor's or master's degree in social work, knowledge of case management practices, and licensure as required by your state. Familiarity with case management software, electronic health records (EHRs), and documentation systems is typically necessary. Strong interpersonal skills, cultural competence, and effective communication set exceptional case managers apart. These skills and qualifications are crucial for advocating effectively, coordinating resources, and supporting diverse client needs in complex social service environments.

What are some common challenges social work case managers face when coordinating care for clients?

Social Work Case Managers often encounter challenges such as balancing large caseloads, navigating complex social service systems, and addressing barriers that clients face—including housing instability, limited access to healthcare, and financial constraints. They must also maintain strong communication with multidisciplinary teams while advocating for clients' needs and confidentiality. Successfully managing these aspects requires excellent organizational skills, resilience, and the ability to build trusting relationships with both clients and community partners.
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For Social Work Case Manager jobs in Puerto Rico, the most frequently searched job titles are:

What job categories do people searching Social Work Case Manager jobs in Puerto Rico look for?

The top searched job categories for Social Work Case Manager jobs in Puerto Rico are:

What cities in Puerto Rico are hiring for Social Work Case Manager jobs?

Cities in Puerto Rico with the most Social Work Case Manager job openings:

Social Work Case Manager jobs near you
Infographic showing various Social Work Case Manager job openings in Puerto Rico as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 18% Part Time, and 3% Contract. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution.

Utilization Coordinator

San Juan Capestrano

San Juan, PR • On-site

Full-time

Re-posted 18 days ago

Job description

Overview

PURPOSE STATEMENT: 

Proactively monitor utilization of services for patients to optimize reimbursement for the facility.  

Responsibilities

ESSENTIAL FUNCTIONS: 

  • Act as liaison between managed care organizations and the facility professional clinical staff. 
  • Conduct reviews, in accordance with certification requirements, of insurance plans or other managed care organizations (MCOs) and coordinate the flow of communication concerning reimbursement requirements. 
  • Monitor patient length of stay and extensions and inform clinical and medical staff on issues that may impact length of stay.  
  • Gather and develop statistical and narrative information to report on utilization, non-certified days (including identified causes and appeal information), discharges and quality of services, as required by the facility leadership or corporate office. 
  • Conduct quality reviews for medical necessity and services provided.   
  • Facilitate peer review calls between facility and external organizations.  
  • Initiate and complete the formal appeal process for denied admissions or continued stay.  
  • Assist the admissions department with pre-certifications of care.  
  • Provide ongoing support and training for staff on documentation or charting requirements, continued stay criteria and medical necessity updates. 

OTHER FUNCTIONS:  

  • Perform other functions and tasks as assigned. 
Qualifications

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: 

  • Required Education: High school diploma or equivalent. 
  • Preferred Education: Associate's, Bachelor's, or Master's degree in Social Work, Behavioral or Mental Health, Nursing, or a related health field. 
  • Experience: Clinical experience is required, or two or more years' experience working with the facility's population. Previous experience in utilization management is preferred 

LICENSES/DESIGNATIONS/CERTIFICATIONS:  

  • Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides services; or current clinical professional license or certification, as required, within the state where the facility provides services. 
  • CPR and de-escalation and restraint certification required (training available upon hire and offered by facility.   
  • First aid may be required based on state or facility requirements. 

 

ADDITIONAL REGULATORY REQUIREMENTS: 

While this job description is intended to be an accurate reflection of the requirements of the job, management reserves the right to add or remove duties from particular jobs when circumstances  (e.g. emergencies, changes in workload, rush jobs or technological developments) dictate. 

We are committed to providing equal  employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws.

Employment Type: FULL_TIME

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