Manager Associate Care Management
Manager Associate Care Management
Location: This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. When reporting to the office, the location is on Carelon Global Solutions Puerto Rico building located on 654 Ave Munoz Rivera San Juan, Puerto Rico.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
Schedule: This position will work an 8-hour shift from 8:00 am - 5:00 pm (AST), Monday through Friday. Additional hours, including weekends or holidays, may be required based on operational needs.
Carelon Global Solutions (CGS), a fully owned subsidiary of Elevance Health, is a healthcare solutions company that is simplifying complex operational processes to improve the health of the healthcare system.
Our Puerto Rico location operates a bilingual Spanish and English call center, providing clear and precise answers to customer queries.
The Manager Associate Care Management is responsible of the daily oversight of the program including the overall staff productivity and the allocation of resources for the accomplishment of the Program goals. Manages Nurses and Coordinators.
How you will make an impact:
Primary duties may include, but are not limited to:
Ensure compliance of the daily productivity target of each program and performs weekly report.
Provides operational support on daily issues to the care manager as needed.
Prepares a monthly report of these cases.
Maintains tabulate cases, confirms sent and arrival amount of cases.
F-up on incomplete issues with cases referred according to time frames.
Develops reports of the Programs activities and presents on a weekly basis.
Develop strategies and activities aimed to comply with quality measures established in the contract agreement.
Assists the Medical Manager I in developing special projects.
Performs monitoring of employees telephone ACD activities.
Participate on case discussion sessions, with the multidisciplinary team.
Performs associates' education when is required.
Hires, trains, coaches, counsels, and evaluates performance of direct report.
Minimum Requirements:
Requires Bachelor degree in Science of Nursing and minimum of 3-5 years experience related to health care fields, disease management, acute care or ambulatory settings, home health care, or managed care setting; or any combination of education and experience, which would provide an equivalent background.
Current Puerto Rico professional license; certification in Disease Management preferred.
Fully Bilingual (English & Spanish). Must be able to write, read and speak both languages in a proficiency level.
Preferred Skills, Capabilities, and Experiences:
Experience in a supervisory role in a call center environment is highly preferred.
Previous experience in the healthcare industry preferred.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.
NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words — the job is posted until 3/13, not through 3/13.