San Juan, Puerto Rico nursing Jobs

1 - 10 of 10 Jobs
Clinical Advisor RN with license/Office (Bilingual,...
Humana Inc.Health & Medical
San Juan, PR
Role: Clinical Innovations / Clinical Advisor, RN Assignment: Location: San Juan Are you a fit? Do you enjoy working with medical members? Do you have a desire to be in a position where you
from humana.com19 days ago
Clinical Auditor - RN
Humana Inc.Health & Medical
San Juan, PR
Role: Clinical Auditor Assignment: Provider Network Operations Location: Puerto Rico - Work at Home Humana’s dream is to help our members and our own associates achieve lifelong well-being. Use
from humana.com19 days ago
Clinical Advisor RN with license/Office ( Bilingual,...
Humana Inc.Nursing
San Juan, PR
Role: Clinical Advisor, RN Assignment: Location: San Juan Are you a fit? Do you enjoy working with medical members? Do you have a desire to be in a position where you can provide guidance to
from humana.com19 days ago
Clinical Advisor RN/ Concurrent Review...
Humana Inc.Health & Medical
San Juan, PR
Role: Clinical Advisor RN/concurrent Review Assignment: Location: San Juan, Puerto Rico Humana’s dream is to help our members and our own associates achieve lifelong well-being. Use your clini
from humana.com19 days ago
Case Manager Reviewer
Molina HealthcareHealth & Medical
San Juan, PR
Job Summary The Case Manager is responsible for providing utilization review and discharge planning services which positively impacts client wellness and autonomy through advocacy, communication, educ
from molinahealthcare.com30+ days ago
Delegation Oversight Nurse
Molina HealthcareNursing
San Juan, PR
Job Summary Responsible for coordinating and performing all pre-delegation and annual due diligence audits and monitoring of delegated activities to ensure compliance with NCQA, State and Federal r
from molinahealthcare.com30+ days ago
Your LinkedIn profile should complement your resume, not copy it
Care Review Clinician I
Molina HealthcareHealth & Medical
San Juan, PR
Job Summary Works with the Utilization Management team and is primarily responsible for prior authorizations. According to guidelines provides inpatient and outpatient medical necessity/utilization
from molinahealthcare.com30+ days ago
Care Review Clinician II
Molina HealthcareHealth & Medical
San Juan, PR
Job Summary Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing Molina
from molinahealthcare.com30+ days ago
Case Manager
Molina HealthcareHealth & Medical
San Juan, PR
Job Summary The Case Manager is responsible for providing utilization review and discharge planning services which positively impacts client wellness and autonomy through advocacy, communication, educ
from molinahealthcare.com30+ days ago
Medical Claim Review Nurse
Molina HealthcareNursing
San Juan, PR
Job Summary To provide clinical expertise in the application of medical and reimbursement policies within the claim adjudication process through claim review, medical record review and research. To pr
from molinahealthcare.com30+ days ago

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