Clinical Manager, Care Management

Clinical Manager, Care Management

Exempt | Full-Time | Remote - Alaska, Washington, Oregon.

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.

• 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

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.

• 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 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.

• 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.

• 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.

• 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.

• 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 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.

• 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…