Clinical Social Work Specialist

Job Summary:We are seeking a highly skilled Bilingual Clinical Social Services Professional to join our team at Protalents. As a key member of our staff, you will provide critical support services to our clients, including intensive follow-up and care coordination.The ideal candidate will have a Master's Degree in Clinical Social Work and a current,...

Job Summary:MCS Healthcare Holdings, LLC is seeking a highly skilled Clinical Utilization Specialist to join our team. As a key member of our clinical affairs department, you will be responsible for evaluating utilization in clinical records and hospital facilities concurrently and retrospectively.About the Role:This is an exempt position that requires...

About UsMcs Healthcare Holdings, Llc is committed to providing exceptional healthcare services. We are seeking a highly skilled Clinical Operations Specialist to join our team.Our Team:We value diversity and strive for equal opportunities in employment.We take affirmative action to recruit women, minorities, protected veterans, and individuals with...

About the JobWe are seeking an experienced Clinical Admin Coordinator to join our Home and Community-based Services department. In this role, you will be responsible for initial triage of members, administrative intake of members or managing the admission/discharge information post-notification, working with hospitals and the clinical team.Key...

Elevance Health is a leading health company dedicated to improving the quality of life of communities in the United States.We are currently seeking a Pharmacist Clinical to join our team. As a Pharmacist Clinical, you will be responsible for various operational or clinical aspects of our pharmacy program, including Prior Authorizations, Medication Therapy...

Job Description:Evaluate and determine the medical necessity of healthcare services provided to MCS beneficiaries using established clinical guidelines. Ensure the appropriate use of healthcare resources and guarantee the quality of services provided to our subscribers.Key Responsibilities: Perform prospective reviews (preauthorization's) of items or...

Job Summary: We are seeking an exceptional Primary Subject Matter Specialist to join our team at Leap Social Enterprise. As a key member of our educational community, you will be responsible for teaching assigned students in designated subject areas.About Leap Social Enterprise: At Leap Social Enterprise, we are committed to providing high-quality education...

About the OpportunityMcs Healthcare Holdings, LLC is seeking a Clinical Operations Coordinator to join our team. This role is responsible for supporting the development and implementation of clinical initiatives to improve patient outcomes.The successful candidate will have excellent analytical and communication skills, with the ability to work effectively...

About the Job: We are seeking a skilled Enfermero(a) Generalista to join our team at Hospital Pavia Santurce. As a key member of our healthcare team, you will provide comprehensive nursing care to patients across various settings, ensuring their health and well-being.Key Responsibilities:Assess patient needs and develop individualized care plans.Administer...

Clinical Operations CoordinatorWe are seeking an experienced Clinical Operations Coordinator to join our team at Mcs Healthcare Holdings, LLC. The successful candidate will be responsible for managing clinical operations, including monitoring processes, identifying areas for improvement, and developing strategies to address them.The ideal candidate will have...

About the Role:Protalents is committed to diversity and inclusion, and we strive to create an environment where everyone feels valued and respected. As a Social Worker - Intensive Care Coordination, you will be part of a dynamic team dedicated to providing top-notch care to our clients.In this role, you will work closely with our clients and their families...

Job DescriptionWe are seeking a highly skilled Clinical Compliance Auditor to join our team at Mcs Healthcare Holdings, LLC. As a Clinical Compliance Auditor, you will be responsible for detecting and evaluating possible fraudulent activities and/or potential violations of applicable laws or regulations.Key Responsibilities:Develop reports using monitoring...

At Protalents, we are committed to promoting diversity and inclusion. We strive for equality of employment opportunity and affirmative action for women, minorities, veterans, and individuals with disabilities.About the RoleThe Care Manager is a vital position that requires strong clinical skills and the ability to provide intensive follow-up to members who...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion,...

Job Description: We are seeking a skilled Learning Facilitator for Children to join our team at Leap Social Enterprise. As a primary educator, you will be responsible for creating a nurturing and supportive learning environment that fosters academic excellence and personal growth.About Leap Social Enterprise: At Leap Social Enterprise, we believe that every...

MMM Holdings, LLC is a company that provides Medicare Advantage and Medicaid plans in Puerto Rico. Currently, MMM Holdings, LLC operates in Puerto Rico under Elevance Health, Inc. a leading health company dedicated to improving the quality of life of communities in the United States. Through its affiliated companies, they serve more than 118 million...

Company OverviewElevance Health is a health company dedicated to improving lives and communities. As a Clinical Education Partner, you will be part of our team that makes healthcare simpler.About the RoleThis role is responsible for ensuring Carelon Health associates are fully engaged by our educational components. You will foster a culture of humility and...

Job Description:Clinical Intervention Unit Team LeadMcs Healthcare Holdings, LLC is seeking a highly skilled and experienced Team Lead to join our Clinical Intervention Unit. The successful candidate will be responsible for providing support to the Pharmacy Technician Supervisor, assisting in identifying areas for improvement, and developing strategies to...

Role Overview: The Educational Leadership and Instruction Coach at Leap Social Enterprise is responsible for providing instructional support to teachers and students. This role involves developing and implementing effective lesson plans, assessing student progress, and collaborating with colleagues to enhance student outcomes.About Leap Social Enterprise: As...

*QUALIFICATION AND EDUCATION REQUIREMENTS:** Bachelor's Degree, Master's Degree preferred, from an accredited college or University with a 3.00 GPA or higher.* Complies requirements of the Puerto Rico Department of Education.* The teacher shall possess the Puerto Rico Department of Education Certificate in the grade/subject that will be teaching.*...