Job ID: 1818511
Reference Code: LI-Bilingual-Registered Nurse - Remote
Job Summary Required Qualifications and Skills
We are seeking a Bilingual Registered Nurse - Remote for a temp-to-hire opportunity supporting healthcare services in San Juan, PR. In this Associate Case Manager role, you will help deliver Medication Therapy Management and Disease Management support to beneficiaries through direct phone or face-to-face communication.
This is an excellent opportunity for a licensed nursing professional who enjoys patient education, chronic condition management, medication safety, and meaningful member engagement. The role offers a flexible hybrid work model for Puerto Rico-based candidates, supportive cross-functional collaboration, and the chance to make a measurable impact on beneficiary health outcomes. You will work with clinical and health education teams focused on quality service, compliance, and helping individuals better manage their conditions and medication therapies.
Key Responsibilities
- Contact beneficiaries participating in Medication Therapy Management and Disease Management programs to review medical histories, chronic conditions, treatments, medications, and lifestyle factors.
- Educate beneficiaries on medication adherence, medication safety, chronic disease management, and bioequivalent therapy alternatives.
- Answer questions related to medication therapies and provide clear, professional guidance based on program standards.
- Collaborate with Health Educators and cross-functional teams to support clinical initiatives and deliver high-quality service to clients, partners, and beneficiaries.
- Ensure program activities align with Centers for Medicare and Medicaid Services compliance requirements.
- Stay current on advances in drug therapies, chronic condition management, and best practices related to patient education.
Compensation and Benefits
- Pay: $21 per hour.
- Job Type: Temp-to-Hire.
- Work Arrangement: Remote role with a flexible hybrid work model requiring certain on-site workdays in Puerto Rico.
- Location: San Juan, PR.
- Schedule: Must be available to work within the required time zone or schedule based on business needs.
- On-Call Availability: May require evenings, weekends, and holidays to address emergent issues or provide support as operational needs require.
- Support Medication Therapy Management and Disease Management programs through direct beneficiary outreach.
- Collect and update medical history, medication, chronic condition, treatment, and lifestyle information.
- Provide beneficiary education related to medication adherence, chronic condition management, and therapy alternatives.
- Coordinate with clinical and health education teams to support quality care and program compliance.
- Associate’s or Bachelor’s degree in Nursing required.
- Current and active Nursing License required.
- 3 or more years of related nursing or healthcare experience required.
- Bilingual communication skills required for beneficiary outreach and education.
- Knowledge of therapy management concepts related to conditions such as asthma, diabetes, hypertension, congestive heart failure, cholesterol, and other chronic conditions.
- Strong oral and written communication skills.
- Ability to explain clinical information clearly, professionally, and compassionately.
- Understanding of medication safety, patient education, and compliance-focused healthcare processes.
- Ability to work effectively with cross-functional teams in a healthcare services environment.
- Availability to meet schedule, hybrid work, and potential on-call requirements.
Preferred Qualifications
- Experience with Medication Therapy Management, Disease Management, case management, care coordination, or chronic condition education.
- Familiarity with CMS requirements and healthcare quality standards.
- Experience supporting Medicare or managed care populations.
- Strong comfort level conducting beneficiary outreach by phone and documenting clinical information accurately.
Equal Opportunity Employer / Disabled / Protected Veterans
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