Clinical Manager, Care Management

🔥 16 minutes ago

🐻 Alaska – Remote

🐻 Alaska – Remote

💵 $105k - $137k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

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Comagine Health

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 1973

🤝 Non-profit

🤝 B2B

🔬 Science

Non-profit • B2B • Science

Comagine Health is a national nonprofit health care consulting organization that partners with providers, payers, public agencies, community organizations and consumers to improve health care quality, equity, and outcomes. It offers systemwide quality improvement, care management, data solutions, research and evaluation, and COVID-19 response services, using health information exchange and health IT to inform public health surveillance and program design. Comagine focuses on supporting community health, behavioral health, and patient-centered initiatives through technical assistance, evaluation, and collaborative systems-level work.

📋 Description

• Provide operational leadership for a team of clinical professionals performing utilization management and specialty reviews. • Ensure clinical quality, regulatory compliance, operational excellence, staff development, and financial stewardship. • Partner with Medical Directors, customers, and internal leaders to deliver outstanding clinical services. • Lead and develop a team of utilization management clinicians through coaching, mentoring, and performance management. • Oversee quality management initiatives and continuous process improvement efforts. • Manage departmental productivity, budgets, staffing, and operational performance. • Partner with Medical Directors and cross-functional leaders to develop clinical policies, workflows, and review protocols. • Support customer relationships, participate in business development activities, and contribute to proposal responses. • Monitor key performance metrics and implement improvements to enhance service delivery and operational effectiveness.

🎯 Requirements

• Active, unrestricted RN license • Bachelor's degree in a related field (or equivalent experience) • Five or more years of utilization management and/or case management experience • Two or more years of leadership or management experience, including financial oversight • Demonstrated experience leading clinical teams and driving operational excellence • Certification in utilization management or a related healthcare management field (IQCI or similar) • Experience with Medicaid and/or commercial health insurance • Strong knowledge of quality improvement, utilization management, and healthcare compliance

🏖️ Benefits

• 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