RN Care Manager: HCC Risk & Value-Based Care Lead

OU Health; Oklahoma City (OK); On-site; USD 85,000 - 115,000; Full time

Benefits offered by this job

PTO

401(k)

Medical plan

Dental plan

Total benefits package

Job summary

OU Health in Oklahoma City seeks a Registered Nurse Care Manager to lead HCC risk adjustment and value-based care initiatives across ambulatory settings. You will partner with providers, coding specialists, and payors to improve documentation accuracy, optimize risk capture, and support performance.

The role emphasizes education, project leadership, and compliance with risk-adjustment guidelines, with an onsite requirement in downtown OKC.

Qualifications

• Education and licensure requirements vary by level (RN with appropriate education).
• Experience in care management and risk adjustment preferred.
• Familiarity with regulatory guidelines and documentation standards.

Responsibilities

• Lead HCC education efforts and identify coding opportunities.
• Collaborate with providers, coding specialists, and payors.
• Monitor performance metrics and ensure compliance with risk guidelines.
• Coordinate care management activities and optimize resource use.
• Participate in quality improvement initiatives and interdisciplinary conferences.

Skills

Regulatory knowledge

Communication skills

Leadership

Attention to detail

Continuous learning

Assessment & problem-solving

CMS guidelines

Utilization management

EHR proficiency

Care management software

Education

Associate's degree in nursing

Bachelor's degree in nursing

Bachelor's degree in nursing

Job description

OU Health in Oklahoma City seeks a Registered Nurse Care Manager to lead HCC risk adjustment and value-based care initiatives across ambulatory settings. You will partner with providers, coding specialists, and payors to improve documentation accuracy, optimize risk capture, and support performance.

The role emphasizes education, project leadership, and compliance with risk-adjustment guidelines, with an onsite requirement in downtown OKC.