About The Position

We are seeking committed nursing professionals to join our team, supporting the management of healthcare service authorizations and ensuring high-quality care for our members. Opportunities to support clients in Puerto Rico and the United States, expanding your experience in a dynamic and international environment.

Requirements

  • Bachelor’s Degree in Nursing with clinical experience.
  • Active nursing license in Puerto Rico, with current credentials and professional registration.
  • Strong documentation skills and ability to navigate systems, with proficiency in Microsoft Office and computer applications.
  • Excellent verbal, written, and reading communication skills.
  • Service-oriented mindset with a focus on patient experience.
  • Ability to prioritize tasks and manage multiple cases simultaneously.
  • Strong teamwork and collaboration skills.
  • Availability for rotating shifts (Monday to Friday, 8:00 a.m. to 6:00 p.m.; Saturdays and holidays, 7:00 a.m. to 4:00 p.m.).

Nice To Haves

  • Bilingual (Spanish/English); preferred.

Responsibilities

  • Manage healthcare service authorizations by reviewing requests and clinical documentation according to established criteria.
  • Ensure compliance with quality metrics and applicable regulations.
  • Coordinate with members and providers.
  • Maintain confidentiality while delivering excellent service.

Benefits

  • Ongoing training in clinical and regulatory topics
  • 24/7 telemedicine
  • Employee health and wellness programs
  • Opportunities for professional growth and development
  • Environment focused on social impact and population health
  • Medical, life, and retirement plans
  • Paid leave
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