Care Management Outcome Specialist

OU Medicine; Oklahoma City (OK); On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

Sign-on bonus

Relocation assistance

Job summary

OU Health seeks a Care Management Outcome Specialist to coordinate and improve patient care outcomes within System Care Management. You will develop training programs for case managers and clinical staff, collaborate with interdisciplinary teams, and drive discharge planning enhancements.

Responsibilities include program planning, evaluation, data-driven outcome analysis, and ensuring compliance with Joint Commission and CMS standards. A strong emphasis on patient safety and quality is required.

Qualifications

• BSN required for nursing track; LMSW/LCSW with supervision required for social work.
• Minimum 5 years in Care Management, including 1 in acute or ambulatory care.
• CCM or CPHQ certification highly preferred; BLS required.

Responsibilities

• Coordinate and evaluate comprehensive care coordination programs to improve health outcomes.
• Lead staff training in evidence-based case management practices.
• Collaborate with interdisciplinary teams for discharge planning.
• Monitor and improve quality and outcomes using data analysis.
• Ensure regulatory compliance with Joint Commission and CMS standards.
• Develop and manage the hospital's Preceptor Program.
• Perform other duties as assigned.

Skills

Communication skills

Team collaboration

Project management

EHR proficiency

Quality improvement

Education

BSN

LMSW/LCSW

CCM/CPHQ (preferred)

Tools

EHR systems

Care management software

Job description

Position Title: Care Management Outcome Specialist Department: System Care Management

New to OU Health? Ask your recruiter about our competitive total rewards package, including a possible sign‑on bonus and relocation assistance if you are located outside of 100 miles!

Job Description

Under general supervision, the Outcome Specialist in Care Management performs professional work in the coordination, evaluation, and improvement of patient care outcomes.

The Outcome Specialist develops and leads staff training programs to enhance the competency and performance of evidence‑based practice for the case managers and other clinical staff.

This role collaborates with interdisciplinary teams, facilitates discharge planning, and ensures compliance with quality standards and regulatory requirements.

This role is crucial in driving performance improvement within the hospital's case management department, ensuring that patients receive timely, efficient, and high‑quality care across the continuum.

The Outcome Specialist's contribution directly impacts patient safety, satisfaction, and organizational success.

Essential Responsibilities

Planning, Implementation, and Evaluation of Care Coordination Programs: Responsible for organizing and executing comprehensive patient care programs that improve health outcomes, focusing on both short‑and long‑term goals.

Quality and Outcome Improvement Initiatives: Coordinates and facilitates ongoing quality improvement projects and assesses the effectiveness of case management activities to ensure high standards of care.

Analyzes patient data to identify trends and implement solutions for optimal patient outcomes.

Staff Development & Training: Develops, coordinates, and evaluates staff development and training initiatives, ensuring all personnel are proficient in evidence‑based care practices and competent in, patient care skills. Conducts competency verification, particularly in areas related to case management and patient discharge planning.

Patient Discharge and Continuum of Care Planning: Works with the interdisciplinary team to coordinate safe and efficient discharge plans for patients, ensuring smooth transitions across care settings. Provides guidance and oversight in the development of care plans that consider cultural, age‑appropriate, and individual patient needs.

Outcome Evaluation & Data Analysis: Utilizes clinical data and outcome metrics to evaluate the effectiveness of hospital case management programs. Develops criteria to assess patient care outcomes, documenting program success and areas for improvement.

Collaboration and Interdisciplinary Team Engagement: Serves as a liaison between nursing, medical staff, social work, and other departments to ensure seamless patient transitions and adherence to quality care standards.

Compliance and Regulatory Oversight: Ensures that hospital care programs meet Joint Commission, CMS, and other regulatory standards. Maintains up‑to‑date knowledge of applicable healthcare policies and works to integrate them into hospital care processes.

Preceptor Program: Plans, implements, and evaluates the hospital’s Preceptor Program, fostering the professional development of new staff members and ensuring ongoing support and mentorship for nursing staff.

General Responsibilities: Performs other duties as assigned.

Minimum Qualifications

Education Requirements Nurses: Bachelor of Science in Nursing (BSN) required. Social Workers: Graduate of an accredited school of social work. License Master Social Worker (LMSW) under supervision or Licensed Clinical Social Worker (LCSW) required.

Experience Requirements At least 5 years of Care Management experience, including 1 in an acute or ambulatory care setting.

License/Certification/Registration Requirements If applying as a Registered Nurse: Current Registered Nurse License (RN License issued by the Oklahoma State Board of Nursing, or a current multistate compact Registered Nurse (eNLC)). If applying as a Social Worker: Current Licensed Master Social Worker (LMSW) or under supervision for Licensed Clinical Social Worker (LCSW) or LCSW from the Oklahoma State Board of Licensed Social Workers. Certification in Case Management (CCM) or Certified Professional in Healthcare Quality (CPHQ) highly preferred. Basic Life Support from the American Heart Association required.

Knowledge/Skills/Abilities

Required Professional demeanor. Self‑directed. Ability to work as a member of a team. Excellent verbal and written communication (including documentation) skills. Detailed - oriented with excellent organizational skills. Commitment to fostering a culture of continuous learning, quality improvement, and patient‑centered care. Strong assessment, critical thinking, and problem‑solving skills Strong knowledge of healthcare regulations, including CMS guidelines Show clear understanding of utilization management principles and integrate these with care management responsibilities. Serve as liaison between patients, families, and healthcare providers. Excellent organizational and project management abilities. Knowledge and skill in chronic disease management Strong organizational and time‑management Ability to assess, adapt, and calmly respond to changing and crisis environments. Ability to facilitate patient access to community resources. Proficiency in utilizing electronic health records (EHR) and care management software.

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Benefits

We offer a comprehensive benefits package, including PTO, 401(k), medical and dental plans, and many more.

We know that a total benefits and compensation package, designed to meet your specific needs both inside and outside of the work environment, create peace of mind for you and your family.

About OU Health

OU Health is the state’s only comprehensive academic health system of hospitals, clinics and centers of excellence. With 11,000 employees and more than 1,300 physicians and advanced practice providers, OU Health is home to Oklahoma’s largest doctor network with a complete range of specialty care. OU Health serves Oklahoma and the region with the state’s only freestanding children’s hospital, the only National Cancer Institute‑Designated OU Health Stephenson Cancer Center, Oklahoma’s flagship hospital, which serves as the state’s only Level 1 trauma center and Edmond Medical Center in the heart of the Edmond Community.

Becker’s Hospital Review named University of Oklahoma Medical Center one of the 100 Great Hospitals in America for 2020.

OU Health’s oncology program at OU Health Stephenson Cancer Center was named Oklahoma’s top facility for cancer care by U.S. News & World Report in its 2020‑21 rankings.

OU Health also was ranked by U.S. News & World Report as high performing in these specialties: Colon Surgery, COPD and Congestive Heart Failure.

OU Health’s mission is to lead healthcare in patient care, education and research. Experts in prevention, treatment and cures, our team works to improve lives through innovation in medical care, education and research, while investing in the people, technologies and facilities that will enable us to achieve our goals. We are seeking individuals who have a passion and talent for caring for others. By joining our team, you will provide quality health care to our community through the work you do every day. We provide clinical and non‑clinical opportunities to further your career and we invite you to explore our available positions.

Equal Employment Opportunity

Equal employment opportunities are provided to all employees and applicants for employment without regard to race, color, religion, gender, national origin, age, disability, sexual orientation, gender identity, genetic information or protected veteran status in accordance with applicable federal laws. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, transfer, leaves of absence, compensation, and training. Reasonable accommodations are made to the known physical and mental limitations of qualified individuals with disabilities.