Manager, Outsourced Care Management

Harris Health; Houston (TX); On-site; USD 90,000 - 120,000; Full time

Job summary

Harris Health in Houston, TX seeks a Manager Outsourced Care Management (MOCM) to oversee operational, HR, care coordination and financial management of Outsourced Care Management. The MOCM reports to the Director and ensures services align with contracts and Harris Health policies.

The role requires nursing leadership, significant clinical and management experience, and the ability to mentor staff while maintaining high standards of patient care and regulatory compliance.

Qualifications

• Graduation from an accredited School of Nursing with a Bachelor's degree in Nursing or related field required. Master's degree in Nursing or related field required.
• Holds at least one of the following in Nursing: Bachelors, Masters, or Doctoral degree.
• Licensed to practice nursing in the State of Texas.
• Applicable professional certification in administration or clinical specialty to be completed within two years of appointment.
• Five years of work experience in related clinical area of practice.
• Three years of related management/leadership experience required.

Responsibilities

• Oversee operational, HR, care coordination and financial management of Outsourced Care Management.
• Translate system plans into actionable department plan and ensure adherence to contracts and policies.
• Provide oversight for care coordination, quality management, regulatory and accreditation compliance.
• Mentor staff, promote professional nursing practice and staff development.
• Implement escalation processes for unique situations within the department.

Skills

Nursing leadership

Healthcare management

Policy compliance

Quality management

Education

Bachelor's in Nursing

Master's in Nursing

Texas RN license

Tools

Microsoft Office

Statistical software

Job description

About Us

Harris Health is the public healthcare safety-net provider established in 1966 to serve the residents of Harris County, Texas. As an essential healthcare system, Harris Health champions better health for the entire community, with a focus on low-income uninsured and underinsured patients, through acute and primary care, wellness, disease management and population health services. Ben Taub Hospital (Level 1 Trauma Center) and Lyndon B. Johnson Hospital (Level 3 Trauma Center) anchor Harris Health's robust network of 39 clinics, health centers, specialty locations and virtual (telemedicine) technology. Harris Health is among an elite list of health systems in the U.S. achieving Magnet® nursing excellence designation for its hospitals, the prestigious National Committee for Quality Assurance designation for its patient-centered clinics and health centers and its strong partnership with nationally recognized physician faculty, residents and researchers from Baylor College of Medicine; McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth); and The University of Texas MD Anderson Cancer Center.

At Harris Health, we prioritize the well-being of our most valuable asset--our people--ensuring a culture of compassion, collaboration and excellence in serving Harris County's most in need. With integrity and accountability at our core, we commit to 'leading with love', embodying our dedication to quality care, education, and a steadfast respect for every individual's contribution to our mission.

Job Summary

The Manager Outsourced Care Management (MOCM) reports to the Director, Outsourced Care Management and is accountable for the operational, human resource, care coordination and transitional management, quality, and financial management of Outsourced Care Management. The MOCM works with leadership to translate system strategic plans and policies into a plan suitable to the unique operational needs of Harris Health System. The MOCM leads implementation and evaluation of the plan and provides reports relevant to achievement of goals. The MOCM is accountable for assuring outsourced services are provided with adherence to system policies and procedures. The MOCM provides oversight to ensure coordination of care, quality management, regulatory, and accreditation requirements are congruent with executed contracts and the Harris Health process as appropriate. The MOCM has the authority to make operational and human resource decisions relevant to his or her in collaboration with the director as long as decisions are consistent with system and departmental policies, standards, and other Executive Leadership approved guidelines. The MOCM is responsible for creating and maintaining an environment that cultivates exemplary patient care. As a member of the clinical leadership team, the MOCM establishes a setting that supports professional nursing practice, team building and empowers staff to provide safe, effective, compassionate, and efficient coordination of care with all health care disciplines. The MOCM ensures compliance with standards established by professional organizations; national, state, and local regulatory agencies; and institutional policies and procedures. The MOCM is accountable for clinical practice that upholds high standards of integrity and ethical behavior. The MOCM mentors others, role models professionalism, and participation in activities such as professional organizations, clinical research, local conferences and community outreach programs. The MOCM will implement and follow an escalation process for unique situations that occur within the department and as reported by staff and other stakeholders.

Minimum Qualifications

• Education/Licensure/Specialized Training:
• Education:
• Graduation from an accredited School of Nursing with a Bachelor's degree in Nursing or related field required. Master's degree in Nursing or related field required. Holds at least one (1) of the following in Nursing: Bachelors, Masters, or Doctoral degree.
• Licensure/Certification:
• Licensed to practice nursing in the State of Texas;

ii. Applicable professional certification in administration or clinical specialty is to be completed within two (2) years, if not held at the time of appointment.

• Work Experience: Five (5) years of work experience in related clinical area of practice.
• Management/Experience: Three (3) year related management/leadership experience is required.

Special Requirements

• Communication Skills:

Above Average Verbal (Heavy Public Contact)

Exceptional Verbal (e.g., Public Speaking)

Writing /Composing: Correspondence / Reports

• Other Skills: Analytical, Medical Terms, PC, Research, Statistical, Word Proc
• Advanced Education:

Advance Training Specialty: Certification in admin. or clinical specialty within two years of employment

Bachelor's Degree Major: Nursing or related field

Master's Degree (preferred) Major: Nursing or related field

• Work Schedule: Flexible, Travel, Eligible for Telecommute
• Other Requirements: N/A

SUPERVISORY RESPONSIBLE: Yes