Remote Clinical Case Management Supervisor

Comagine Health; Oregon; Remote; USD 90,000 - 107,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Paid time off

Retirement plan

Paid parental leave

Job summary

Comagine Health is seeking a Supervisor, Clinical CM in Oregon to supervise clinical staff performing utilization reviews and ensure medical necessity determinations. You will guide, train, and support reviewers for quality outcomes and regulatory compliance.

The role emphasizes staff development, quality oversight, and collaboration with internal and external stakeholders, with a focus on delivering high-quality care in a remote-friendly environment.

Qualifications

• Current, active, unrestricted Oregon LPC, LCSW, LMFT or RN with Behavioral Health experience licensure.
• 5 years of direct patient care clinical experience.
• 1 year of utilization review or medical management experience.
• Graduate degree in social work, psychology, or other behavioral health science field or; Bachelor's degree in nursing and licensed by the State of Oregon (with relevant training in behavioral health service delivery).

Responsibilities

• Conduct prospective, concurrent, retrospective, and pre-authorization utilization reviews using InterQual and organizational policies.
• Supervise utilization management, care coordination, and/or case management activities.
• Serve as escalation point for complex clinical or operational concerns and communicate significant issues to leadership appropriately.
• Support quality management initiatives, audits, training efforts, and continuous improvement activities.
• Conduct onboarding, coaching, performance management, and ongoing staff development activities.
• Review and approve timecards and operational documentation as needed.
• Collaborate with leadership and clients regarding contractual requirements, operational processes, and reporting activities.
• Maintain a strong customer service focus while supporting organizational goals and accreditation standards.

Skills

Strong communication

Problem-solving

Organizational skills

Customer service

Remote leadership

Education

Graduate degree in behavioral health

Bachelors in nursing (RN)

Job description

Comagine Health is seeking a Supervisor, Clinical CM in Oregon to supervise clinical staff performing utilization reviews and ensure medical necessity determinations. You will guide, train, and support reviewers for quality outcomes and regulatory compliance.

The role emphasizes staff development, quality oversight, and collaboration with internal and external stakeholders, with a focus on delivering high-quality care in a remote-friendly environment.