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Clinical Care Manager

1 month ago

Albuquerque, New Mexico, United States Comagine Health Full time
Job Summary

We are seeking a highly skilled Clinical Care Manager to join our team at Comagine Health. As a Clinical Care Manager, you will be responsible for providing operational management of clinical staff who provide utilization review and specialty reviews.

Key Responsibilities:

  • Develop, implement, and maintain departmental policies and procedures, staffing protocols, training programs, quality management programs, and department budgets.
  • Ensure that the department fully meets all required legal, contractual, and accreditation standards as well as compliance with corporate policies.
  • Participate in business/product development, proposals, and customer relations activities.
  • Conduct prospective, concurrent, and/or retrospective utilization management reviews.

Requirements:

  • Current, active, unrestricted RN licensure.
  • BA/BS in a related field.
  • At least 5 years of utilization/case management experience.
  • At least 2 years of management experience, including financial management.

What We Offer:

  • A competitive salary range of $85,000 - $107,000.
  • A comprehensive benefits package.
  • The opportunity to work with a national, nonprofit, healthcare consulting firm.