Clinical Manager, Care Management

Comagine Health

Clinical Manager leading a team in utilization management and clinical operations. Comagine Health improves healthcare quality and outcomes across the country.

Posted 6/27/2026full-timeRemote • Alaska • 🇺🇸 United StatesMid-LevelSenior💰 $105,000 - $137,000 per yearWebsite

About the role

Key responsibilities & impact

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

What you’ll need

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

Comp & perks

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

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

utilization managementcase managementclinical qualityregulatory compliancefinancial oversightquality improvementoperational performancestaff developmentperformance managementprocess improvement

Soft Skills

leadershipcoachingmentoringcommunicationcollaborationcustomer relationship managementorganizational skillsproblem-solvingteam developmentbusiness development

Certifications

RN licenseutilization management certificationhealthcare management certification