Nurse Manager, Value Based Care

Shift:Monday - Friday 8:00 a.m. to 5:00 p.m.
Department: Care Management
Compensation:

* Base Pay Range: $90,251.20 - $147,284.80 per year, based on experience

ABOUT THE JOB

MU Health Care is looking for a visionary and collaborative Nurse Manager who is passionate about transforming patient care through innovation, compassion, and leadership. We seek a dynamic nursing professional who thrives in fast paced environments and is energized by building strong relationships that enhance care coordination across teams and patient populations. The ideal candidate is a strategic thinker who brings curiosity, initiative, and a commitment to continuous improvement, using data and evidence based practices to elevate outcomes. This leader should be an inspiring mentor who fosters a culture of accountability, inclusivity, and service excellence, empowering staff to perform at their highest level. With a strong drive for quality, safety, and regulatory readiness, this individual will play a pivotal role in advancing value based care programs that directly support healthier communities. If you are motivated to make meaningful change and lead with purpose, MU Health Care invites you to bring your expertise and passion to our team.

ABOUT MU HEALTH CARE

MU Health Care is proud to be named one of Forbes' Best-in-State Employers seven years in a row, and that's largely a result of the incredible culture and team we've built. At MU Health Care, we have an inspired, hard-working and collaborative environment driven by our mission to save and improve lives. Here, we believe anything is possible and rally around solutions. We celebrate innovation and offer opportunities to be a part of something bigger - to have a voice and role in the work that is serving our community and changing the field of medicine.

Our academic health system - the only in mid-Missouri - is home to seven hospitals, including the region's only Level 1 Trauma Center and region's only Children's Hospital, as well as over 90 specialty clinics. Here you can define your career among our many clinical and nonclinical positions - with growth, opportunity and support every step of the way.

Learn more about MU Health Care.

Learn more about living in mid-Missouri.

EMPLOYEE BENEFITS

* Health, vision and dental insurance coverage starting day one

* Generous paid leave and paid time off, including nine holidays

* Multiple retirement options, including 100% matching up to 8%and full vesting in three years

* Tuition assistance for employees (75%) and immediate family members (50%)

* Discounts on cell phone plans, rental cars, gyms, hotels and more

* See a comprehensive list of benefitshere.

DETAILED JOB DESCRIPTION

* Directs the daily operations of the Ambulatory Care Management department, including staffing, development of policies and procedures, and implementation of professional communication practices.

* Designs and oversees the implementation of care management workflows, documentation tools, and billing processes. Collaborates with Information Technology to ensure effective documentation systems and data reporting structures.

* Guides the focus and work efforts of RN Nurse Navigators, Behavioral Health Consultants, and LPN Nurse Navigator Associates to support value-based care initiatives.

* Monitors quality and financial outcomes of value-based programs. Identifies performance gaps and coordinates improvement strategies across departments.

* Ensures compliance with regulatory and contractual requirements for care management activities. For Medicaid Medical Home (MMH) programs, maintains NCQA accreditation for eligible clinics and supports the onboarding of new sites.

* Conducts routine data reviews and oversees quality reporting for Medicaid Medical Home (MMH) and Chronic Care Management (CCM) programs. Applies analytics to monitor performance and inform decision-making.

* Establishes and maintains professional relationships with internal and external stakeholders, including post-acute care, payer organizations, and governmental bodies, to facilitate care transitions and program alignment.

* Leads a culture of safety through proactive risk mitigation and continuous quality improvement, taking measures to evaluate regulatory readiness routinely. Monitors and analyzes safety and performance metrics to identify trends and implement corrective actions for staff and/or patients as appropriate.

* Manages the development, coordination, and maintenance of daily staffing schedules to ensure the appropriate level of coverage and continuity of care.

* Monitors and oversees time and attendance in alignment with MU Health Care policies and practices, ensuring accuracy of records and timely approval for payroll purposes.

* May complete unit/department-specific duties as outlined in department documents.

REQUIRED QUALIFICATIONS

* Bachelor of Science in Nursing degree.

* Missouri Board of Nursing RN or Nurse Licensure Compact multi-state RN. When primary state of residency changes, compact state RNs must apply under the new state of residency within thirty (30) days.

* Five (5) years of clinical nursing experience.

* Five (5) years of experience in one or more of the following areas: clinical integration, managed care, physician practice leadership, physician practice clinical experience, quality management, IT/data management, or client-facing healthcare consulting.

PREFERRED QUALIFICATIONS

* Master's degree in healthcare administration or a related area.

* Additional license/certification requirements as determined by the hiring department.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met with or without reasonable accommodation. The performance of these physical demands is an essential function of the job. This position is very active and requires ambulating, reaching, and moving objects weighing up to and over 20 lbs. This role also routinely comes into contact with patients who may have contagious illnesses. This position is in a health care facility open 24 hours a day, 365 days a year. Rotating shifts as well as holiday and work during inclement weather will be required.

The University of Missouri is an Equal Opportunity Employer.