Clinical Case Manager, Supervisor

Comagine Health

. Provide operational supervision of clinical staff conducting utilization review and specialty review activities .

Posted 10/3/2026full-timeRemote • Oregon • United StatesMid-LevelSenior💰 $90,000 - $107,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in clinical supervision, utilization review, and quality management within healthcare settings, ensuring compliance with regulatory standards and effective team leadership. Proficient in conducting various types of utilization reviews and supporting continuous improvement initiatives.

Highest-signal resume keywords

Utilization ReviewClinical SupervisionInterQual ExperienceBehavioral Health LicensureTeam Leadership

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Utilization ManagementCare CoordinationCase ManagementQuality ManagementMedical Necessity DeterminationProspective ReviewConcurrent ReviewRetrospective ReviewPre-Authorization ReviewPerformance Management

Soft Skills

Strong CommunicationProblem-SolvingOrganizational SkillsCustomer ServiceCoaching

Certifications & Qualifications

Oregon LPCOregon LCSWOregon LMFTOregon RN

Industry Keywords

Managed CareHealthcare ConsultingPayer EnvironmentsAccreditation StandardsBehavioral Health

About the role

Key responsibilities & impact

Provide operational supervision of clinical staff conducting utilization review and specialty review activities
Guide, train, and support clinical reviewers to ensure accurate determinations regarding medical necessity, quality, and appropriateness of healthcare services
Conduct prospective, concurrent, retrospective, and pre-authorization utilization reviews using InterQual, organizational policies, and regulatory guidelines
Supervise utilization management, care coordination, and/or case management activities
Ensure quality, compliance, timeliness, and contractual performance standards are met
Serve as an escalation point for complex clinical or operational concerns
Communicate significant issues to leadership
Support quality management initiatives, audits, training efforts, and continuous improvement activities
Conduct onboarding, coaching, performance management, and ongoing staff development
Review and approve timecards and operational documentation
Collaborate with leadership and clients regarding contractual requirements, operational processes, and reporting activities
Support organizational goals and accreditation standards

Requirements

What you’ll need

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
Strong communication, problem-solving, organizational, and customer service skills
Ability to lead teams in a remote work environment
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
Prior supervisory or team leadership experience preferred
Master's degree in Behavioral Health preferred
Experience working within managed care, healthcare consulting, or payer environments preferred
InterQual experience preferred

Benefits

Comp & perks

Medical, dental, and vision insurance
Paid time off for vacation, illness, and volunteering
Retirement savings plan with employer contribution
Adoption financial assistance
Paid parental leave
Annual remote work stipend
Flexible remote work
Professional growth opportunities