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Utilization Review Nurse Compact License Jobs in Puerto Rico

Boston Scientific

$41K - $78K/yr

... utilization, and clinical excellence. Educate physicians, fellows, nurses, and staff through ... be reviewed at www.bscbenefitsconnect.com. Actual compensation will be commensurate with ...

Veterans Health Administration

$89K - $116K/yr

... review of the EDRP application. Former EDRP participants ineligible to apply Learn more about this ... Observes the utilization of recreation therapy treatment modalities to ensure the most beneficial ...

Veterans Health Administration

$89K - $116K/yr

... review of the EDRP application. Former EDRP participants ineligible to apply Learn more about this ... Observes the utilization of recreation therapy treatment modalities to ensure the most beneficial ...

SOLX HOLDINGS LLC

PR · On-site

$75K - $101K/yr

Direct mass grading and earthwork -- cut/fill balance, soil management, compaction, and ... Manage survey, staking, and as-built control; review civil drawings, specifications, submittals ...

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Utilization Review Nurse Compact License information

What is a utilization review nurse with a compact license?

A Utilization Review Nurse with a Compact License is a registered nurse who evaluates the necessity, appropriateness, and efficiency of healthcare services provided to patients, ensuring they meet established criteria and guidelines. Holding a Compact License means the nurse is authorized to practice in multiple states that are part of the Nurse Licensure Compact (NLC), making them eligible for remote or multi-state utilization review positions. This role involves reviewing medical records, collaborating with healthcare providers, and helping ensure patients receive appropriate care while controlling healthcare costs.

What are the key skills and qualifications needed to thrive as a utilization review nurse with a compact license?

To thrive as a Utilization Review Nurse with a Compact License, you need a current RN license (valid under the Nurse Licensure Compact), strong clinical judgment, and in-depth knowledge of medical necessity criteria and healthcare regulations. Familiarity with utilization management software, electronic health records (EHRs), and standardized review tools like InterQual or Milliman is typically required. Excellent communication, critical thinking, and attention to detail are essential soft skills for collaborating with healthcare providers and ensuring accurate documentation. These skills and qualifications are vital to ensure cost-effective, quality patient care while maintaining compliance with regulatory standards across multiple states.

What are the typical challenges utilization review nurses with a compact license face when managing cases across multiple states?

Utilization Review Nurses with a Compact License often manage cases for patients located in various states, which can present challenges such as staying updated on differing state-specific regulations, payer policies, and healthcare guidelines. Navigating multiple systems and ensuring compliance with each state’s requirements can be complex and requires strong organizational skills. Collaboration with multidisciplinary teams and timely communication with providers in different locations are essential for effectively coordinating care and maintaining efficiency. Many employers offer robust onboarding and ongoing training to help UR nurses stay current and confident in managing cross-state cases.

What is the difference between Utilization Review Nurse Compact License vs Utilization Review Nurse State License?

AspectUtilization Review Nurse Compact LicenseUtilization Review Nurse State License
CredentialsMulti-state license valid in participating statesLicense specific to one state
Work EnvironmentAllows practice across multiple states without multiple licensesLimited to practicing within the issuing state
Employer & Industry UsagePreferred for telehealth and multi-state employersRequired for in-state employment or non-participating states
Search & Comparison IntentCommonly compared for flexibility in multi-state rolesStandard license for local practice

The Utilization Review Nurse Compact License enables nurses to work across multiple states with a single license, increasing flexibility for telehealth and multi-state employers. In contrast, a Utilization Review Nurse State License restricts practice to one state, suitable for local or in-state roles. Choosing between them depends on your work location and employer needs.

What are popular job titles related to Utilization Review Nurse Compact License jobs in Puerto Rico?

For Utilization Review Nurse Compact License jobs in Puerto Rico, the most frequently searched job titles are:

What job categories do people searching Utilization Review Nurse Compact License jobs in Puerto Rico look for?

The top searched job categories for Utilization Review Nurse Compact License jobs in Puerto Rico are:

Utilization Review Nurse Compact License jobs near you
Infographic showing various Utilization Review Nurse Compact License job openings in Puerto Rico as of August 2026, with employment types broken down into 2% As Needed, 71% Full Time, 20% Part Time, 2% Temporary, and 5% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution.

Care Specialist (Nurse Educator) - San Juan, Puerto Rico (National)

IQVIA, Inc.

San Juan, PR • On-site

$70K - $75K/yr

Full-time

Re-posted 29 days ago

IQVIA rating

8.1

Company rating: 8.1 out of 10

Based on 53 frontline employees who took The Breakroom Quiz

62nd of 224 rated it services

Job description

Care Specialist - Puerto Rico
The Care Specialist will be responsible to assist in the development of patient product support programs that will focus on treatment on-boarding and product related education, including supporting adherence to the treatment plan as prescribed. All materials used for this program for any purpose will be approved through the divisional review and approval process (STAR).
Job Responsibilities:
  • Assistance in the development of STAR-reviewed education plans covering a variety of topics, including: on boarding, product administration, adherence and compliance education to improve the patient-doctor dialogue for patients prescribed PRODUCT
    • Product related training and patient disease education to patients prescribed PRODUCT
    • Provide education to support improved health literacy and dialogue between patients prescribed PRODUCT and their respective health care providers
    • Never provide medical advice, instead referring patients to contact their healthcare provider
    • Do not interfere with treatment decisions made between the patient and healthcare provider
    • Education to support prescribed therapy - supplemental injection and administration training, disease state and product-related information,
    • Educational programs for HCP and office staff introducing the Multi-therapeutic Care Specialist patient support program
    • Support physician peer-to-peer engagement opportunities about the Care Specialist program by providing input to AbbVie concerning program content and/or by appearing as a speaker using STAR-approved content to introduce physicians to the program and resources available to patients
    • Managing accounts and patients case-load in a large geography
    • Management of assigned travel and commercial budgets within OPPF standards
    • Follow all AbbVie-provided guidelines and policies and procedures
    • Participate in, complete and follow all assigned training, from AbbVie and Service Provider
    • Any additional duties as assigned by program management and approved through the STAR team

Required Qualifications:
  • BA/BS degree, preferably in behavioral/social sciences, public health, or business-related disciplines
  • Must be licensed nurse (either LPN or RN)
    • A minimum of 3 years professional experience in social work, case management or disease management in a patient/ health related field
    • Willing to travel extensively (75-90%)
    • Very strong time management skills
    • Strong planning and prioritization skills
    • Strong and effective presentation skills; excellent communications skills - both written and verbal
    • Proven success working with or within Community Based Organizations or other patient health-related, community focused organizations providing services to targeted populations
    • Ability to work and drive for results in cross-functional teams
    • Initiative and vision: challenge existing assumptions and interpretations
    • Drive and enthusiasm
    • Exceptional interpersonal skills
    • Ability to build relationships with third parties using good negotiation skills
    • Well-developed networking and influencing abilities to leverage relationships within and outside of the company.
    • Fully competent in MS Office (Word, Excel, PowerPoint)
    • Received injection training
    • Driving is required for this role. Candidates must possess a valid driver's license and will be subject to a review of their driving record prior to hire.
    • Must reside in country where the job is posted.

Compensation
  • Competitive annual salary
  • Car allowance
  • Bonus eligibility

Note: This role is not eligible for visa sponsorship. Candidates must have authorization to work in the US without the need for sponsorship.
#LI-CES
IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create intelligent connections to accelerate the development and commercialization of innovative medical treatments to help improve patient outcomes and population health worldwide. Learn more at https://jobs.iqvia.com
IQVIA is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable law. https://jobs.iqvia.com/eoe
IQVIA is committed to integrity in our hiring process and maintains a zero tolerance policy for candidate fraud. All information and credentials submitted in your application must be truthful and complete. Any false statements, misrepresentations, or material omissions during the recruitment process will result in immediate disqualification of your application, or termination of employment if discovered later, in accordance with applicable law. We appreciate your honesty and professionalism.
The potential base pay range for this role is $70,000 - $75,000 annually. The actual base pay offered may vary based on a number of factors including job-related qualifications such as knowledge, skills, education, and experience; location; and/or schedule (full or part-time). Dependent on the position offered, incentive plans, bonuses, and/or other forms of compensation may be offered, in addition to a range of health and welfare and/or other benefits.

What IQVIA employees say

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Benefits

Hours and flexibility

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About IQVIA

Sourced by ZipRecruiter

At IQVIA, we are passionate about helping customers and partners improve results and patient outcomes. Everything we do contributes to this vision for creating a healthier world. In today’s healthcare environment, it’s not only about how much data, information, and technology you have at your fingertips – it’s what you do with it. IQVIA is focused on making intelligent connections for customers across the entire healthcare ecosystem to help you drive healthcare forward. Whether that means partnering with novel technology companies to boost patient engagement, leveraging AI & machine learning to accelerate results, or using decentralized trials to reach the right patients wherever they are – we are always looking for smarter ways to move you forward.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Durham, NC, US

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