Nurse Care Manager

Job Posting Title Nurse Care Manager Agency 807 HEALTH CARE AUTHORITY Supervisory Organization Job Posting End Date Refer to the date listed at the top of this posting, if available. Continuous if date is blank. Note: Applications will be accepted until 11:59 PM on the day prior to the posting end date above. Estimated Appointment End Date (Continuous if Blank) Full/Part-Time Full time Job Type Regular Compensation $73,325/year Why Youll Love Working Here At the Oklahoma Health Care Authority (OHCA), your work matters. Every day, our team helps ensure Oklahomans have access to better health and better care. Guided by our core values, Passion for Purpose, Trust & Transparency, Empowerment & Accountability, Best-in-Class, Outcome-Driven, and Servant Leadership, we foster a workplace where people feel supported, respected, and empowered to make an impact. Learn more about OHCA. Lets Talk Benefits We know your great work deserves great support. Heres a snapshot of what we offer for all eligible employees. Generous state-paid benefit allowance to offset insurance premiums. A wide selection of insurance plans with no pre-existing condition exclusions. Flexible Spending Accounts for health care and dependent care. Retirement Savings Plan with employer contributions. 11 paid holidays annually. 15 days of vacation and 15 days of sick leave in the first year. Longevity Bonus recognizing years of public service. Public Service Loan Forgiveness eligibility and tuition reimbursement. Wellness benefits, including an on-site gym and fitness center discounts. Job Description Location: 4345 N Lincoln Blvd, Oklahoma City, OK 73105 Salary: $73,325/year Work Schedule: Monday Friday Primary Hours: 8:00 a.m. 5:00 p.m. Agency/Division Information The Oklahoma Health Care Authority (OHCA) works to ensure Oklahomans have access to better health and better care. The agencys core values include passion for purpose, trust and transparency, empowerment and accountability, best in class and outcome-driven, and servant leadership. As part of the interview process, candidates may be required to attend an in-person interview at our Oklahoma City office. Position Purpose The Nurse Care Manager ensures that medically complex and special healthcare needs of SoonerCare members are effectively managed by coordinating access to medical care, community resources, and social services. This role involves conducting clinical reviews, facilitating care management activities, and collaborating with intra- and inter-agency personnel to ensure program adherence to state and federal guidelines. Additionally, the Nurse Care Manager supports the agencys mission by providing leadership in resolving member issues, contributing to case management decisions, and advocating for the needs of vulnerable populations while ensuring compliance with OHCA policies and program requirements. Essential Functions May Include: Coordinate and facilitate access to medical care for medically complex/special health care needs members identified through various referral sources including self-referrals, provider referrals, and other state agency referrals. Facilitate access to community resources and social service agencies within the parameters of the SoonerCare program. Conduct clinical reviews and document Care Management activities utilizing the clinical case management system and other available tools. Complete level of care determinations and assessments for identified populations using standardized tools and processes. Prepare cost-effectiveness statements, reports, and other necessary documentation. Collaborate with intra-agency and inter-agency personnel regarding policy and program issues related to Care Management. Participate in case staffing meetings and collaborate with other agency staff to ensure coordination of efforts. Provide testimony as requested for adjudication of administrative appeals. Interface verbally and in writing with members, families, and providers to resolve issues. Act as a SoonerCare Care Management resource, answering questions for OHCA personnel related to the complex special needs of identified members. Work with internal and external QA processes to monitor program adherence to state and federal guidelines and contracts. Represent OHCA SoonerCare in public forums involving various stakeholder groups, informational seminars, and training sessions as assigned. Evaluate appropriateness for healthcare services for identified clients and make recommendations for care plans based on established guidelines for the clients diagnosed condition. Other duties as assigned. Knowledge, Skills, Abilities and Competency Requirements The Nurse Care Manager requires in-depth knowledge of healthcare policies, clinical case management, and community resource coordination, along with the ability to communicate effectively with members, providers, and agencies. Strong problem-solving skills and strategic thinking are necessary for navigating complex healthcare systems, ensuring compliance, and advocating for members with special healthcare needs. The Korn Ferry competencies that best align with this role include Ensures Accountability (demonstrating ownership for program adherence and compliance) and Collaborates (working effectively with diverse internal and external stakeholders to provide comprehensive care management). **To be considered for this position your application must include a resume/CV with complete work and education history.** Education and/or Experience: Possession of a valid permanent Oklahoma license as a registered nurse as approved by the Oklahoma Board of Nursing or Registered Nurse License recognized by the Enhanced Nurse Licensure Compact (eNLC) AND 2 years of professional nursing experience. Preferred Qualifications Include: Experience as an Exceptional Needs Coordinator, Nurse Case Manager or Quality Assurance/Utilization Review Nurse Advanced Health-related Education (e.g. MSN) Experience with the Uniform Comprehensive Assessment Tool (UCAT) Experience with aged, blind or disabled population Experience with Medicaid/SoonerCare Related Professional Certifications (other than BLS/ALS/PALS) Experience with MS, Excel, Access, PowerPoint Bilingual Physical Demands and Work Environment Work is typically performed in an office setting with climate-controlled settings and exposure to moderate noise levels. In the course of performing job duties, employees are required to speak, stand, walk, and reach with their hands and arms. This position requires extended periods of sitting and daily use of computers and phones. Employees must be willing to complete all job-related travel associated with this position. Being present at the office is an essential function of this position. Accommodation Statement The Oklahoma Health Care Authority complies with applicable State and Federal civil rights laws and does not discriminate. All qualified applicants will receive consideration for employment without regard to race, color, sex, religion, disability, age, national origin, or genetic information. If a reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact the Civil Rights Coordinator at 405-522-7335. Notice to applicants: Please add OHCAHR@okhca.org to the address book or safe-senders list in your email. All correspondence will come from this address. Be sure to check your junk folder. If you have questions about the status of your application, you can contact the HR team at 405-522-7093. Note: Applications will be accepted until 11:59 PM on the day prior to the posting end date above. Current State of Oklahoma employees must apply for open positions internally through Workday Jobs Hub. Equal Opportunity Employment The State of Oklahoma is an equal opportunity employer and does not discriminate on the basis of genetic information, race, religion, color, sex, age, national origin, or disability. Current active State of Oklahoma employees must apply for open positions internally through the Workday Jobs Hub. If you are needing any extra assistance or have any questions relating to a job you have applied for, please click the link below and find the agency for which you applied for additional information: Agency Contact Oklahoma State Government is the largest employer in the state of Oklahoma, employing over 35,000 diverse and talented employees in more than 100 state agencies, boards and commissions. Our workplaces can be found across the state from Boise City to Idabel, Hollis to Miami, and everywhere in between. To learn more about our state agencies, visit here. Industries: Government Administration Worker Size: 10,001+ Employees Headquarters: Oklahoma City, Oklahoma Utilizing the Office of Veterans Placement provides eligible veterans additional services and interview opportunities for State of Oklahoma employment. Visit the webpage for additional details and information on how to apply.