Ambulatory Care Management Manager RN

OU Health; Oklahoma City (OK); On-site; USD 90,000 - 120,000; Full time

Job summary

OU Health is seeking a Care Management Manager to lead the Care Management department, ensuring delivery of high-quality, patient-centered care coordination. The role requires RN or LCSW credentials, strong leadership, and expertise in care management and health IT.

Responsibilities include directing department operations, staffing, collaboration with clinicians, and driving quality and compliance improvements across care programs. A commitment to excellence in healthcare management is essential.

Qualifications

• Current RN license or LCSW license required.
• CCM certification preferred.
• BLS certification required.

Responsibilities

• Provide direction and leadership to the Care Management department.
• Oversee daily operations including staffing and assignments.
• Collaborate with providers and teams to optimize patient outcomes.
• Monitor care processes and implement evidence-based improvements.
• Ensure compliance with healthcare regulations and quality metrics.
• Lead performance improvement initiatives in care management.

Skills

Team leadership

EHR proficiency

Clinical care management knowledge

Communication skills

Quality improvement

Education

Bachelor's degree in nursing

Master's in Social Work

Job description

**Due to scope of business in this role, ideal candidate will be a Registered Nurse.**

As the Care Management Manager, this position will oversee and lead the Care Management department ensuring the delivery of high-quality, patient-centered care coordination services. This role requires strong leadership skills, clinical expertise, and a commitment to excellence in healthcare management.

Responsibilities listed in this section are core to the position. Inability to perform these responsibilities with or without an accommodation may result in disqualification from the position.

• Provide direction and leadership to the Care Management department, ensuring alignment with departmental goals and objectives.
• Provides primary input into the daily operations of the department, including staffing, assignments, and problem solving.
• Foster a collaborative and supportive work environment that promotes professional growth and development among staff members and other organization staff.
• Collaborate with healthcare providers, interdisciplinary teams, and external agencies to optimize patient outcomes and ensure efficient resource utilization.
• Monitor and evaluate patient care processes to identify areas for improvement and implement evidence-based interventions as needed.
• Ensure compliance with all relevant healthcare regulations, standards, and accreditation requirements related to care management.
• Conduct regular audits and reviews to assess compliance with documentation standards and quality metrics.
• Provide education and training to staff members on compliance-related issues and care management best practices.
• Lead performance improvement initiatives aimed at enhancing the quality, safety, and efficiency of care management services.
• Work with the Director to analyze data and metrics to identify trends, opportunities, and challenges in care coordination.
• Build and maintain effective relationships with staff, internal and external stakeholders, including physicians, nurses, social workers, payers, and community organizations.
• Collaborate with interdisciplinary teams to develop and implement patient-centered care plans that address the unique needs and preferences of individual patients.

General Responsibilities

• Performs other duties as assigned.

Minimum Qualifications

Education Requirements

• Bachelor's degree in nursing or a Masters of Social Work.

Experience Requirements

• Minimum of 3 years of care coordination experience.
• 3 - 5 years progressive supervisory or leadership experience.

License/Certification/Registration Requirements

• Current Registered Nurse License (RN License issued by the Oklahoma State Board of Nursing, or a current multistate compact Registered Nurse (eNLC)) or Current Clinical Social Worker license (LCSW) from the Oklahoma State Board of Licensed Social Workers required.
• Certification in Case Management (e.g., CCM), preferred.
• Current BLS (American Heart Association) certification

Knowledge/Skills/Abilities Required

• Demonstrated ability to lead and motivate a diverse team of healthcare professionals.
• Proficiency in utilizing electronic health records (EHR).
• Demonstrated knowledge of clinical care management and social work programs in the inpatient or ambulatory setting, and healthcare operations, healthcare finance, health technology systems, and healthcare innovation.
• Excellent communication, interpersonal, and leadership skills.
• Commitment to fostering a culture of continuous learning, quality improvement, and patient-centered care.
• Proven management abilities with proven outcome results and changing the culture of a team.
• Ability to build consensus, facilitate change, and demonstrate a track record for execution and delivery.
• Demonstrated ability to lead and motivate a diverse team of healthcare professionals.
• Proficiency in performance measurement and quality improvement methodologies.
• Proficiency in utilizing electronic health records (EHR).
• Proficiency in performance measurement and quality improvement methodologies.