Nurse Care Manager: Care Coordination Leader

okgov; Oklahoma; On-site; USD 66,000 - 81,000; Full time

Job summary

The Nurse Care Manager position at Oklahoma Health Care Authority (OHCA) focuses on coordinating medical care, community resources, and social services for SoonerCare members with complex needs. The role includes conducting clinical reviews and supporting case management decisions to ensure compliance with state and federal guidelines.

You will engage with members, families, and providers to resolve issues, participate in QA, and uphold OHCA values while working Monday–Friday in Oklahoma City.

Qualifications

• Experience in care management and coordinating medical care.
• Familiarity with SoonerCare program guidelines.
• Strong communication with members and providers.

Responsibilities

• Coordinate access to medical care for medically complex members.
• Conduct clinical reviews and document care management activities.
• Collaborate with intra- and inter-agency personnel on policy and program issues.
• Interface with members, families, and providers to resolve issues.

Job description

The Nurse Care Manager position at Oklahoma Health Care Authority (OHCA) focuses on coordinating medical care, community resources, and social services for SoonerCare members with complex needs. The role includes conducting clinical reviews and supporting case management decisions to ensure compliance with state and federal guidelines.

You will engage with members, families, and providers to resolve issues, participate in QA, and uphold OHCA values while working Monday–Friday in Oklahoma City.