and casemanagement for participants, conducting needs assessments and creating tailored support plans. Monitor participant...) Age Requirement Minimum: 21 Maximum: 75 Program Locations PUERTORICO Languages English Spanish Accepting...
's effectiveness and its care management interventions offered to the participating policyholders. Leads case discussions... as needed for casemanagement and validation of chronic condition criteria and/or utilization. Monitors, analyzes, and maintains...
Health CaseManagement and refers accordingly. Identifies quality concerns through the review process and refers them... in Nursing. Current, unrestricted clinical license(s) to practice in PuertoRico territory. Experience: Minimum 2 years...
, PuertoRico, United States of America Job Description: Johnson & Johnson is recruiting the best talent for a Staff... Engineer will possess a high degree of technical competence and project management skills to successfully lead their assigned...
Professionals of PuertoRico license and registration are required. Other: Good command of computer systems such as MS Office..., or are institutionalized, o they meet the criteria for admission to the various MCS Care Management Programs, Establishes an individualized...
achievable goals and short- or long-term casemanagement strategies and interventions. Guides the patient and family..., is desired. Certifications / Licenses: A valid Nurse & Association Nursing Professionals of PuertoRico license...
Juan, PuertoRico, it is a vibrant destination beach-front resort! Sitting on 17 acres of tropical landscape, the resort... is just a short distance from Old San Juan, the vibrant Condado district and the PuertoRico Convention Center. Featuring...
), Coding Certificate or Nursing Licensure, for example: PuertoRico Registered Nurse Certified Professional Coder (CPC) + CPC... Responsibilities: Clinical Case Reviews -75% Perform clinical review of professional (or facility) claims vs. medical records...
Lugar:
San Juan, PR | 07/04/2026 17:04:50 PM | Salario: S/. No Especificado | Empresa:
Optum's effectiveness and its care management interventions offered to the participating policyholders. Leads case discussions... as needed for casemanagement and validation of chronic condition criteria and/or utilization. Monitors, analyzes, and maintains monthly...
support within the casemanagement process for addressing the non-clinical needs of policyholders referred to the unit... Commonwealth of PuertoRico is required. Other: Availability to travel throughout the Island. Languages: Spanish – Intermediate...