Registered Nurse - Service Authorizations

Job DescriptionJob DescriptionJoin Our Team! | Registered Nurse – Service AuthorizationsWe are seeking committed nursing professionals to join our team, supporting the management of healthcare service authorizations and ensuring high-quality care for our members.What will you do?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, and maintain confidentiality while delivering excellent service.Added Value: 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.Bilingual (Spanish/English); preferred.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.).Benefits:Ongoing training in clinical and regulatory topics24/7 telemedicineEmployee health and wellness programsOpportunities for professional growth and developmentEnvironment focused on social impact and population healthMedical, life, and retirement plansPaid leaveLocation: Mayagüez, PR (on-site or hybrid) Employment Type: Full-time

Contract Type: RegularWe are an Equal Opportunity Employer (EEOC).