Clinical Manager, Care Management
Clinical Manager, Care Management
Exempt | Full-Time | Remote - Alaska, Washington, Oregon.
Why Comagine Health?
At Comagine Health, our work improves the quality, safety, and value of healthcare across the country. We're looking for an experienced clinical leader who is passionate about developing high-performing teams, improving healthcare outcomes, and ensuring quality, compliance, and exceptional service.
If you're a collaborative RN leader with utilization management experience, you'll have the opportunity to shape clinical operations while supporting a mission that positively impacts patients, providers, and communities.
What We Offer
- Fully remote work environment (U.S.)
- Comprehensive medical, dental, and vision coverage
- 401(k) with company match
- Generous paid time off and holidays
- Professional development opportunities
- A collaborative, mission-driven culture
Core Description / Role Purpose
The Manager, Clinical Care Management oversees the delivery of clinical services, ensuring the integrity, consistency, and high quality of care management programs. This role provides leadership for clinical teams, promotes operational excellence, fosters strong customer relationships, and contributes to organizational growth through business and product development initiatives.
Primary Job Duties
Oversee Clinical Service Delivery (40%)
- Lead the delivery of high-quality utilization management, case management, and care coordination services.
- Ensure services are delivered in accordance with operational policies, clinical guidelines, quality management practices, contractual obligations, accreditation standards, regulatory requirements, and organizational objectives.
- Promote continuous quality improvement while maintaining exceptional clinical outcomes and customer satisfaction.
Monitor Financial and Operational Performance (10%)
- Monitor productivity, staffing, and financial performance to ensure efficient and effective service delivery.
- Assist with annual budgeting and workforce planning.
- Review key operational and financial metrics and implement corrective actions when needed to improve performance.
Lead and Develop Clinical Staff (20%)
- Supervise and develop clinical team members through coaching, training, regular check-ins, and performance management.
- Approve and manage staff timesheets.
- Foster employee engagement, accountability, and professional growth.
Collaborate Across the Organization (10%)
- Partner with Care Management, Medical Affairs, and cross-functional teams to develop and implement clinical policies, procedures, workflows, guidelines, and quality improvement initiatives.
- Encourage collaboration that supports consistent, high-quality clinical services.
Build Strong Customer Relationships (10%)
- Maintain high levels of customer satisfaction by working collaboratively with clients, providers, patients, and other stakeholders.
- Resolve concerns through prompt, effective communication and proactive problem solving.
Support Business Growth (5%)
- Participate in new business proposal development and product development initiatives.
- Represent Comagine Health during customer meetings, conference calls, educational seminars, and other business development activities.
Provide Clinical Leadership Support (5%)
- Provide direct utilization management or case management support when increased workloads or complex cases require leadership involvement.
- Serve as a clinical resource and mentor to staff while ensuring continuity of service delivery.
What You'll Bring
Required Qualifications
- Active, unrestricted Registered Nurse (RN) license or LMHC.
- Bachelor's degree in Nursing, Healthcare Administration, or a related field, or an equivalent combination of education and experience.
- Five (5) or more years of experience in Case Management, Care Management, Care Coordination, and/or Utilization Management.
- Two (2) or more years of leadership or management experience with responsibility for supervising clinical staff, managing operations, and overseeing financial performance.
- Demonstrated success leading clinical teams while driving operational excellence, quality outcomes, and continuous process improvement.
- Strong communication, interpersonal, and relationship-building skills with the ability to collaborate effectively across multidisciplinary teams.
- Ability to analyze operational, financial, and productivity metrics and implement strategies to improve performance.
Preferred Qualifications
- Certification in Case Management, Utilization Management, or a related healthcare management discipline (CCM, IQCI, or equivalent).
- Experience working with Medicaid, Medicare, and/or commercial health insurance programs.
- Strong knowledge of healthcare quality improvement methodologies, utilization management practices, accreditation standards, regulatory compliance, and clinical operations.
- Experience leading remote or geographically dispersed clinical teams.
Why You'll Succeed
We're looking for a leader who thrives in a collaborative environment, communicates effectively, develops people, and uses data to improve performance. You'll be empowered to build strong teams, solve complex operational challenges, and make a meaningful impact on healthcare quality nationwide.
Join Comagine Health and help lead the future of high-quality, patient-centered care.
Comagine Health is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive workplace for all employees and applicants
Equal employment opportunity, including veterans and individuals with disabilities.
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