Emergency Department Complex Care Manager

OU Medicine; Oklahoma City (OK); On-site; USD 65,000 - 90,000; Full time

Job summary

OU Medicine - Complex Care Manager in the Emergency Dept (M-F) downtown Oklahoma City seeks a seasoned nurse or social worker to coordinate care for high-utilizers, perform EMR reviews, and close gaps in care.

The role emphasizes collaboration with physicians, payors, and the care team, discharge planning, and patient-centered strategies to reduce readmissions while ensuring safe transitions and timely access to resources.

Qualifications

• Nurses: BSN required or equivalent; LCSW/LMSW for social workers.
• Experience in care management and acute/ambulatory settings preferred.
• Strong communication, organizational and critical thinking skills.

Responsibilities

• Conduct EMR reviews and patient interviews to close care gaps.
• Perform readmission reviews and develop strategies to reduce hospitalizations.
• Manage denial cases with physicians and payers to ensure coverage.
• Coordinate complex discharge planning and transitions of care.
• Collaborate with interdisciplinary team to optimize outcomes.

Skills

Care management

EMR reviews

Discharge planning

Interdisciplinary collaboration

CMS guidelines knowledge

Communication skills

Project management

Education

BSN

LMSW/LCSW

Tools

EMR/EHR systems

Job description

OU Medicine - Complex Care Manager in the Emergency Dept (M-F) downtown Oklahoma City seeks a seasoned nurse or social worker to coordinate care for high-utilizers, perform EMR reviews, and close gaps in care.

The role emphasizes collaboration with physicians, payors, and the care team, discharge planning, and patient-centered strategies to reduce readmissions while ensuring safe transitions and timely access to resources.